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What Causes Night Sweats And Hot Flashes?

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Posted on Mon, 28 Jul 2014
Question: I am 73 years old and I have been experiencing night sweats and hot flashes for 3 months. Each month they became more severe than the last month. At this time I am suffering severe hot flashes and night sweats 24 hours a day. I have had many blood tests by 3 family doctors and a ob-gyn for a ct scan.
all were normal. I am tired of going from dr .to dr. I hope that you can help me.
XXXXXXX
doctor
Answered by Dr. Binu Parameswaran Pillai (30 minutes later)
Brief Answer:
Hello

Detailed Answer:
Hello Ms XXXXXXX

Good day.

noted your history.

Very rarely, there can be post menoopausal hot flushes at this age. Usually they settle down by 2-3 years after menopause.

Apart from that, i would like to rule out a thyroid disorder and few rare hormonal conditions. Does she have any flushing ?

Carcinoid syndrome is rare, but can present with these symptoms at this age. It may be worthwhile doing a blood chromogranin -A level and a urine 5-HIAA test and a thyroid function test. Please discuss with your GP. They may not agree to do it ( due to non familiarity with carcinoid synrome) unless you persist.

If the above come back as negative, we may consider adding Pregabalin ( Lyrica) to control hot flushes. She may also benefit with soya bean, YAm and other phytoestrogens. Evening Primrose oil and omega 3 capsules also may help

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (14 minutes later)
I have access to a fax machine. I would like to fax the results of all blood tests that I have had in the past month.

password

XXXXXXX YYYY@YYYY
doctor
Answered by Dr. Binu Parameswaran Pillai (3 minutes later)
Brief Answer:
Hi

Detailed Answer:
Oh dear, i have reached home from my office and it is 12 midnight here. If you could attach the reports to this forum ( there is an option for that). If you can not attach, please email me.

Tomorrow is a holiday in Muscat and i could review them and reply by evening ( i will be travelling in the day tomorrow far in the country side )

Regards
Binu
YYYY@YYYY
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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What Causes Night Sweats And Hot Flashes?

Brief Answer: Hello Detailed Answer: Hello Ms XXXXXXX Good day. noted your history. Very rarely, there can be post menoopausal hot flushes at this age. Usually they settle down by 2-3 years after menopause. Apart from that, i would like to rule out a thyroid disorder and few rare hormonal conditions. Does she have any flushing ? Carcinoid syndrome is rare, but can present with these symptoms at this age. It may be worthwhile doing a blood chromogranin -A level and a urine 5-HIAA test and a thyroid function test. Please discuss with your GP. They may not agree to do it ( due to non familiarity with carcinoid synrome) unless you persist. If the above come back as negative, we may consider adding Pregabalin ( Lyrica) to control hot flushes. She may also benefit with soya bean, YAm and other phytoestrogens. Evening Primrose oil and omega 3 capsules also may help Regards Binu