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Is Black Cohosh effective at treating diarrhea with hot flashes?

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Posted on Fri, 15 Nov 2019
Question: I've had diarrhea for over a month. Along with it I have these horrible hot flashes that last 30 min. to 1 hr. I just get wringing wet all over, head, back, face. It's horrible. A friend has suggested that Black Cohosh could help. Can you please advise me. I've had all kinds of blood, urine, EKG, & x-rays.
Thanks,
Jacque
doctor
Answered by Dr. Malik (4 hours later)
Brief Answer:

Initial workup should be laboratory exclusion of carcinoid syndrome

Detailed Answer:

Hello,

Distribution and duration of the hot flashes, its association with sweating and diarrhea suggests carcinoid syndrome.

In this disease carcinoid tumors in the body (located mostly in the gastrointestinal tract), secretes certain chemicals (serotonin and other kinins) that cause skin flushing, diarrhea and/or difficulty breathing (bronchospasm).

It is a very rare disease and should be excluded in your case.


Please, meet your Doctor to get prescribed a test called 24 hour of urinary excretion of 5-hydroxyindoleacetic acid (5-HIAA) which is the first diagnostic test to diagnose carcinoid syndrome. The test is different from routine urine tests.

If the test is equivocal your doctor may confirm the negative 5-HIAA test with blood chromogranin A test.

Hope I have answered your query.

Take care

Regards,
Dr Malik, Internal Medicine Specialist
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Malik

Internal Medicine Specialist

Practicing since :2006

Answered : 355 Questions

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Is Black Cohosh effective at treating diarrhea with hot flashes?

Brief Answer: Initial workup should be laboratory exclusion of carcinoid syndrome Detailed Answer: Hello, Distribution and duration of the hot flashes, its association with sweating and diarrhea suggests carcinoid syndrome. In this disease carcinoid tumors in the body (located mostly in the gastrointestinal tract), secretes certain chemicals (serotonin and other kinins) that cause skin flushing, diarrhea and/or difficulty breathing (bronchospasm). It is a very rare disease and should be excluded in your case. Please, meet your Doctor to get prescribed a test called 24 hour of urinary excretion of 5-hydroxyindoleacetic acid (5-HIAA) which is the first diagnostic test to diagnose carcinoid syndrome. The test is different from routine urine tests. If the test is equivocal your doctor may confirm the negative 5-HIAA test with blood chromogranin A test. Hope I have answered your query. Take care Regards, Dr Malik, Internal Medicine Specialist