What Causes Loss Of Appetite, Oversleeping And Weakness While Treating Bipolar Disorder?
Question: For the last 3 plus years I have episodes EVERY WEEK where I will sleep non-stop from 36 to 48 hours sometimes as much as 72 hours. I am taking morphine and Cymbalta for the extreme pain from neuropathy of my bladder which is a direct complication of Type 1 diabetes that I was diagnosed with when I was 10 years old or 44 years ago. I will feel like crap the day I finally wake up but then for the next 3 to 4 days I feel great. It was suggested to me today that I may be bi-polar. I do not get really manic but when I come out of these sleep episodes I feel I have the energy and stamina to do anything. I am very conscientious when it comes to taking care of my Diabetes (when I am not haeing an episode) I check my blood AT LEAST 5 times per day, following the "exchange diet" maintaining consumption of 45 grams of carbs with meals and I excercixe daily (when awake) and take a MultiVitamin along with a B complex everyday for the last 44 years. I have spoken to my doctor for years about my extreme fatigue and finally was prescribed NuVigil and now Modafinil (200 mg tablet) but when I am heading into one of these WEEKLY espisodes I can go to sleep even after having taken the medicine. The one thing I do not do properly is eat enough red meat. Other than the neuropathy I have NO OTHER COMPLICATIONS and Dr's have said things to me such as: you have been touched by God; they should do a study on you to find out why you are still in such good shape after all of this time. I can not take losing 3-4 days per week every week anymore. I have tried everything from food grade Hydrogen Peroxide, but once a was at a certain amount of drops it would make me sick although I was able to maintain wakefulness for 2 weeks a few times when taking this, to beet juice. Any thoughts??
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
There are a few diagnostic possibilities here. It does not sound like bipolar disorder to me. It could be major depression, narcolepsy, vitamin D deficiency, primary hypersomnia, obstructive or central sleep apnea. I think the next step would be to undergo a comprehensive sleep study, which can diagnose the problem definitively. If this is normal, the dose of stimulant you are taking should be increased, perhaps with the addition of a short-acting stimulant on top of the long-acting one. This would be expected to help you.
Please remember to rate and close this answer thread when you are finished and satisfied.
Consultation
Detailed Answer:
Hello, and thanks for your question.
There are a few diagnostic possibilities here. It does not sound like bipolar disorder to me. It could be major depression, narcolepsy, vitamin D deficiency, primary hypersomnia, obstructive or central sleep apnea. I think the next step would be to undergo a comprehensive sleep study, which can diagnose the problem definitively. If this is normal, the dose of stimulant you are taking should be increased, perhaps with the addition of a short-acting stimulant on top of the long-acting one. This would be expected to help you.
Please remember to rate and close this answer thread when you are finished and satisfied.
Above answer was peer-reviewed by :
Dr. Prasad
THIS IS REPLY FROM DR. HOPING YOU CAN JUST CLICK AS I DID TO GET TO WHERE YOU NEED TO BE. I WILL BE SENDING YOU DEFINITIONS OF THOSE UNKNOWN WORDS.
Mom, please be aware too that I am, once again, becoming very emotional about my upcoming anniversary. I am NOT AT ALL thinking consciously about it. All of a sudden today they started talking about XXXXXXX Grove not realizing how that was making me feel.
Mom, please be aware too that I am, once again, becoming very emotional about my upcoming anniversary. I am NOT AT ALL thinking consciously about it. All of a sudden today they started talking about XXXXXXX Grove not realizing how that was making me feel.
Brief Answer:
Followup
Detailed Answer:
I'm sorry I don't understand what you posted here. There is no comment from your doctor, rather it is a comment from your daughter talking about her anniversary.
Dr. Sheppe
Followup
Detailed Answer:
I'm sorry I don't understand what you posted here. There is no comment from your doctor, rather it is a comment from your daughter talking about her anniversary.
Dr. Sheppe
Above answer was peer-reviewed by :
Dr. Sonia Raina
Dear Dr Sheppe
Instead of forwarding the e-mail to my Mom I forwarded it to you. She was getting upset thinking I was not listening to her and I was reminding her that the anniversary of my husband's death is coming up in a few weeks. I found him dead in bed 5 years ago when he was 54 and I 50. His death was totally UNEXPECTED. We had been married for 22 years. I want to say though that I do not feel I am experiencing any major depression on an ongoing basis because of this. I have physically and figuratively been able to move on although the loss of your spouse, especially at such a young age, is something I think you never truly get over.
XXXXXXX
Instead of forwarding the e-mail to my Mom I forwarded it to you. She was getting upset thinking I was not listening to her and I was reminding her that the anniversary of my husband's death is coming up in a few weeks. I found him dead in bed 5 years ago when he was 54 and I 50. His death was totally UNEXPECTED. We had been married for 22 years. I want to say though that I do not feel I am experiencing any major depression on an ongoing basis because of this. I have physically and figuratively been able to move on although the loss of your spouse, especially at such a young age, is something I think you never truly get over.
XXXXXXX
I do not know how to "rate" your answers as you asked me to do. Please advise as to how to do this'
Thanks
XXXXXXX
Thanks
XXXXXXX
Brief Answer:
Followup
Detailed Answer:
I'm glad you have been able to cope and move on. This is a testament to your strength!
When you close the question thread you have the ability to rate it a number of stars. That's all I mean!
Followup
Detailed Answer:
I'm glad you have been able to cope and move on. This is a testament to your strength!
When you close the question thread you have the ability to rate it a number of stars. That's all I mean!
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee