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    Suggest treatment for UTI and excessive sweating

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Posted on Thu, 20 Jul 2017 in Hypertension and Heart Disease
Question: 80 year old active female. On telesmartin for HBP, metoprolol re HBP and Mild Afib, Xarelto for Afib and eltroxin for hypothyroid, statin for cholesterol.

Under consistent care of a kind but sometimes incompetent GP whose answer is...can't see anything wrong.
See cardiologist once a year for afib follow-up..due in August. See GI doc re IBS and Barret's esophagus every 3 months. On good probiotic.

Recent blood tests ( re urinary tract infection) were normal except blood sugar a little elevated at 6.4.

PROBLEM?.... is periods of heavy sweating aometimes lasting half hour, mostly on waking but will re-occur during the day. ...cause? I can live with but would like to be aware if it is a sympton of a problem? Reaction to rx?

Appreciate your input , thank you.XXXX
doctor
Answered by Dr. Ilir Sharka 17 minutes later
Brief Answer:
My answer as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I passed carefully through your question and would explain that those episodes of sweating could be related to a metabolic disorder : thyroid hormone imbalance, low fasting glucose or to an autonomic dysfunction.

For this reason, I would recommend performing some tests:

- fasting glucose
- glucose tolerance test
- thyroid hormone levels for any possible adjustments to eltroxin dose
- blood electrolytes for possible electrolyte imbalance
- PCR and ESR for inflammation.

Your HbA1C levels are a little high, which means that this could be the beginning of diabetes. For this reason, I recommend you to closely monitor your fasting glucose levels. Some diet modifications are also needed.

I would also advice monitoring your blood pressure values, for possible blood pressure fluctuations.

If all the above tests result normal, there is nothing to worry about.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7395 Questions

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