Idiopathic hypersomnia, chronic migraines, nausea

	Asked by catlover82 (Female; 28; UNITED STATES; Diagnosed with idiopathic hypersomnia after sleep study ordered by neurologist. Neurologist also diagnosed me with migraines. Constant nausea with bouts of painful diarrhea (feels like food poisoning). Abdominal bloating and foul-smelling gas. Fatigue so bad that I sleep for 16-20 hours. Anemia (blood test shows I was at a 3, normal being 50 according to my doctors). Have gained 30 lbs. in 9 months - diet has not changed in years. I have been tested for celiac, mono, anemia (positive), diabetes, thyroid disfunctions, adrenaline diseases. Everything normal. Today I have been suffering with a migraine lasting two weeks (was given Vicodin by urgent care), nausea/diarrhea since last night. Dizzy. I don't believe that my hypersomnia is "idiopathic" and being sick all of the time is hindering my life.; Relevant drugs:Lexapro, 20mg daily; Azithromycin for nasal infection, 250mg daily for 5 days (finished yesterday); Sudafed daily; iron supplements 325 mg daily (I take every other day to prevent constipation). ) on Sat 24, Jul 2010 06:09pm Priced at $19.00
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	Answer by Dr.Kokil Mathur (doctor) on Sat 24, Jul 2010 07:20pm: Hi! Thanks for the question on the forum and a warm welcome on board. I am sorry to see that you are suffering from so much. Yes, it is possible that your hypersomnia is due to severe anemia probably due to a malabsorption syndrome. It is quite likely that because of this you also have other nutritional deficiencies. Malabsorption syndromes are seen in intestinal tuberculosis, HIV, tropical sprue, parasites in stool and Whipple’s Disease. Hence to begin with a stool test should be done. Other possibilities are irritable bowel syndrome, crohn’s disease, pancreatic diseases, diabetes, hyperthyroidism etc. Celiac disease has been ruled out in your case. I would strongly recommend you to see a gastroenterologist (a specialist who looks after the diseases of our digestive system). A number of times a gastroenterologist is able to diagnose these conditions by clinical examination and detailed medical history. At other times a few tests are conducted. Braium meal and follow through, endoscopy etc are done to rule out GERD, Crohn’s disease etc. Irritable bowel syndrome is diagnosed by elimination of other causes. Crohn’s disease is a difficult entity to diagnose. An upper GI series using barium dye is done to see the condition of small intestines. The degree of involvement of the large and small intestine may vary from person to person. A biopsy is the most confirmatory. Apart from these liver function tests, pancreatic enzymes, Vit B12 levels, serum electrolytes should be checked. It is difficult to comment beyond this at this stage. Please let me know if there is any thing else and do keep me posted. Take care!
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	Comments: Response by Dr Rowena S, MD on Sun 25, Jul 2010 08:22pm: Hi, Welcome to the forum. How are you? I agree with Dr Kokil that your hypersomnia can be caused by severe anemia, probably due to a malabsorption syndrome.If you have frequent nasal infection, you should also see your ENT to rule out anatomical issues like nasal polyps or septum deviations. Migraine headaches can be due to a variety of triggers such as anxiety, stress, food or sleep changes, hormonal and even environmental changes. Both preventive and abortive medications may be prescribed to help provide relief. However, a headache journal may also help identify the offending triggers. Have this checked by your gastroenterologist for proper evaluation. Direct clinical examination and further tests enumerated above will help. Take care and do keep us posted. Warm regards.
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