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Hot flushes, tired, overweight, and food allergies - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
User :   I feel hot all the time, kind of like a continues hot flash. I had my thyroid
checked, and they said it is fine. Help?                                                  
Doctor :   Hi
Doctor :   Do you have any associated problems along with it?
User :   I'm really tired, but I am over weight, and I have food allergies
Doctor :   Since when do you have the current problem?
User :   For a few years now.
User :   I also have diverticulosis, and whenever I take antibiotics I feel great for a few weeks,
Doctor :   May I know your age, height & weight?>
User :   but then I start feeling bad again. Yes, I am 56
User :   186 lbs
User :   Sorry, 5'2"
Doctor :   When did you attain menopause?
User :   I actually started at age 44, and had my last cycle at age 51
Doctor :   So isn't this symptom similar to what you had
Doctor :   when you were at menopause?
Doctor :   Did you have this
User :   Not really. I use to have a hot flash several times a day, and it lasted a few seconds,
Doctor :   symptom at menopause?
User :   but now I almost feel like I have a fever
Doctor :   OK
Doctor :   How long do you get these hot flushes?
User :   Could I just be dehydrated? It's just a constant feeling, like I have a bit of a fever.
Doctor :   You are having this for years? How many? Hasnt the Doctor performed a
Doctor :   Urine test- Urinary catecholamine?
User :   Oh, I don't know. I will have him do that. What does it check for?
Doctor :   It is done to rule out a disease called Pheochromocytoma.
Doctor :   You are having this for years? How many?
User :   what is that? Maybe 5 years.
Doctor :   Ok
Doctor :   Then it must be related to the hormonal fluctuations
Doctor :   Have you taken/taking any medicines ?
User :   Oh, okay. I think I will go in and possibly get on bioidentical hormones.
User :   I take Paxil only every other day for 10 years now
Doctor :   Could you explain me your Hot flushes?
User :   I just feel warm on my upper body, and it is a constant feeling. It does not come and go.
Doctor :   Paxil should help relieve it
Doctor :   may be you need an increase or review of the dose
User :   Okay. Thank you for your time, and it looks like our time is up. I will increase my dose. Thanks so much!
Doctor :   or an addition of another medicine
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