Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctor ... Im worried about myself ... im a 14 year old girl but recently i have noticed that no matter how much sleep i get i allways feel tired in schoool and i have fallen asleep in lessons i find it hard to focus in lessons and i dont know how to controll it. I get nose bleeds quite often at random times i have a bruise on my spine in the middle of my back that wont go and i have had it for 2 months now and i get painfull ankle and knee joints and head aces quite often and i just dont know what to do please help ??????
[|AI|]  Increase sleepiness in teenagers is very common, it's related to the stresses about body changes and insecurity. But a few things should be done to exclude organic causes : you need to do a CBC (complete blood counts) to exclude anemia, and thyroid function test.regarding the bruises I recommend doing (Pt, PTT) test, along with the platelet count in the CBC, these pretty much role out bleeding disorders that might cause nose bleeds and back bruises.