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What Causes Headaches, Fatigue And Hot Flashes?
Question: Hello,
I have been experiencing a rather long list of odd physical issues for the past two years. That list includes odd sensations in my legs (tired, heavy feeling mostly), headaches that can last for days, and are focused on the area between my eyes), fatigue, something akin to hot flashes (comfortable one minute and then a rush of heat that lasts for a few minutes, followed by a cold sweat), lost libido, thirsty a lot (no diabetes) gained about 15 pounds that I can't seem to lose, anxiety, depression, and aches and pains that come and go everywhere on my body. I am male and 54 years old. Generally felt good, exercised a lot, and was pretty happy before.
My doctor(s) have ran so many test checking for cancers, neuro issues, spine problems, etc. Nothing remarkable has shown up with the following exceptions: low TSH, low FT4, low FT3 (the only hormone tests I've had) 4mm Pars Intermedia pituitary cyst.
Although small, I'm beginning to really wonder if that cyst could be causing my problems. My doctor brushed it off because of its size.
Can you tell me what you think please?
Thanks,
XXXX
I have been experiencing a rather long list of odd physical issues for the past two years. That list includes odd sensations in my legs (tired, heavy feeling mostly), headaches that can last for days, and are focused on the area between my eyes), fatigue, something akin to hot flashes (comfortable one minute and then a rush of heat that lasts for a few minutes, followed by a cold sweat), lost libido, thirsty a lot (no diabetes) gained about 15 pounds that I can't seem to lose, anxiety, depression, and aches and pains that come and go everywhere on my body. I am male and 54 years old. Generally felt good, exercised a lot, and was pretty happy before.
My doctor(s) have ran so many test checking for cancers, neuro issues, spine problems, etc. Nothing remarkable has shown up with the following exceptions: low TSH, low FT4, low FT3 (the only hormone tests I've had) 4mm Pars Intermedia pituitary cyst.
Although small, I'm beginning to really wonder if that cyst could be causing my problems. My doctor brushed it off because of its size.
Can you tell me what you think please?
Thanks,
XXXX
Brief Answer:
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms. There are a few hormone related conditions that could potentially be the cause of your symptoms. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Total T3. Total T4. T3 resin uptake Prolactin. 8 am serum cortisol. Plasma Free Metanephrines
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms. There are a few hormone related conditions that could potentially be the cause of your symptoms. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Total T3. Total T4. T3 resin uptake Prolactin. 8 am serum cortisol. Plasma Free Metanephrines
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your response. I have had all of those tests and everything except the thyroid hormones were normal. Do you have any suggestions of what I should do next? Thanks.
Brief Answer:
Follow up
Detailed Answer:
Were the results of prolactin, cortisol, Total T3, Total T4, T3 resin uptake and plasma free metanephrines all normal too?
Follow up
Detailed Answer:
Were the results of prolactin, cortisol, Total T3, Total T4, T3 resin uptake and plasma free metanephrines all normal too?
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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