What Can Lead To Severe Bouts Of Hot Flashes After An Accident?
Spine injury can cause hot flashes.
Detailed Answer:
Hello,
I can certainly understand your concern.
Hot flashes are suggestive of autonomic nervous system / Endocrinal dysfunction.
Spine lesions and Thyroid issues are few important and common causes non menopausal hot flashes
The possibility of significant cervical spine injury( compressive herniation of disc) should be ruled out in your case by appropriate scanning technique.
For this I generally recommend MRI scan of the cervical spine in all my patients with a possible Whiplash injury.
Likewise it's advisable not to miss Thyroid issues by taking up complete Thyroid profile test.
Meanwhile it's advisable to consider treatment for such frequent and distressing hot flashes. I generally recommend oral pills of Paroxiteine to my patients with such symptoms. Please check with your physician if he shares my view and if can prescribe medications to improve your symptoms.
Review with test reports to determine further course of action.
Hope I have answered all your questions.
Post your further queries if any.
Thank you.
Sleep architecture grossly deranged.
Detailed Answer:
Hello,
I can certainly understand your concern.
I have worked through your attached query in detail.
The sleep architecture in your case is grossly deranged.
You seem to be on excessive dosage of Termazepam and Melatonin. It's advisable to maintain Nocturnal sleep duration of 6 to 8 hours only. Daytime sleep is not advisable. It's important to reduce the dosage of these sedative medications after discussing with your primary care physician. With dose reduction sleep architecture improves.
With regards to mood swings as earlier stared tablet Paroxiteine will be if great help. Please check with your physician if he shares my view and if can prescribe this medication to you.
Herniated disc disease in the cervical spine require Neurosurgical consultation to decide on the need for surgical intervention if any for permanent amelioration of symptoms.
Post your further queries if any.
Thank you.
MRI brain is required at the earliest.
Detailed Answer:
Hello,
I can certainly understand your concern.
The possibility of a bipolar disorder following TBI is very uncommon even though such a possibility exists.
Hence it's advisable to get an MRI SCAN OF BRAIN to rule out organic brain damage before considering the diagnosis of BIPOLAR DISORDER.
Likewise, it's advisable to consult a psychiatrist in person. A definitive diagnosis of BIPOLAR DISORDER can be made only if it's diagnostic criteria are met. These are evaluated scientifically by a psychiatrist.
Post your further queries if any.
Thank you.
The higher the spine injury, the greater is the damage.
Detailed Answer:
Hello,
I can certainly understand your concern.
I have worked through your attached query in detail.
Injury to the cervical spine can certainly affect the lower back as well since the nervous structures pass from the brain, down the spine through the cervical cord.
The higher the spine injury, the greater is the damage.
The degree of recovery (reaching the premorbid levels) depends on the degree of cord compression caused by disc herniation.
I can guide you thoroughly once I can have a look at your MRI SCAN OF SPINE report. I request you to upload it for accurate assessment and guidance.
Minor herniations recover completely in most cases, where severe cord compression may require surgical intervention ( decompression procedure) to attain significant benefit.
Hope this helps.
Thank you.
Regards,
Dr. Suresh Heijebu, General & Family Physician