• question-icon

    What causes brittle and thin hair, profuse armpit sweating and fatigue?

default
Posted on Fri, 27 May 2016 in Thyroid Problem and Hormonal Problems
Question: I have had a lot of symptoms over the past couple years that I thought were related to my thyroid, but the thyroid tests show slightly low tsh over the past year and a half with T3 and T4 in the normal range. I have also had my progesterone, estrogen, testosterone checked and all were normal. I wonder if it might be related to the chemotherapy I had for breast cancer about 8 years ago. I will list my symptoms chronologically, and the symptoms have worsened over time to the point that I am having to take Coreg, Lisinopril, and Clonazepam daily. These medication have been required lately to keep my heart rate and blood pressure down as well as to control the anxiety/insomnia. My doctors are puzzled. I am limited because I do not have health insurance.
Symptoms-
-hair brittle and thinning
-profuse armpit sweating, even when cold, especially when emotional
-facial hair growth
-waking at 3-4 am with night sweats (but only at that time),anxiety, stomach upset, reflux around menstrual cycle
-fatigue
-very emotional (not usual for me at all)
-recently early morning waking more frequent (3-5 nights a week) & accompanied by anxiety & tachcardia (104-130)
-elevated BP usually 105-120/70s, now 130-140s/80-90s
-fatigue improved since adding HR, BP, and clonazepam
-Visual acuity decline rapid- noticing that I progressively have to hold print further away to prevent it from being blurry (over last 2 months)
doctor
Answered by Dr. Shehzad Topiwala 7 hours later
Brief Answer:
Hormone tests

Detailed Answer:
Sorry to learn about your medical problems.

If your menstrual cycles are absent, then the night sweats could likely be menopause related. Menopause can occur prematurely in some women, and in those who receive chemotherapy of a certain kind.

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 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
Plasma Free Metanephrines
None of these tests require any fasting and can be done at any time of the day.

The last test on the above list looks for an uncommon condition called Pheochromocytoma. Some of your symptoms suggest this possibility.
I understand you do not have health insurance, and it will be a challenge to get these tests done. I hope something can be worked out with your doctor
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Stomach upset

doctor1 MD

Hello Doctor, Myself Rajesh and I am posting this query on behalf of my mother in-law who is 62yrs of age suffering from rheumatoid arthritis over...

doctor1 MD

Hi - I woke up thru night with stomach upset and headache( I am a migraine sufferer for 28 yrs ) I noticed around 6 am a lump on neck base just by...

doctor1 MD

hi i am 26 male , nd i usually found my heartbeat more than 100 average of 113 per minute , and when i go to sleep , i feel my body shaking while...

doctor1 MD

i have stomach upset.it is like if i eat something it alll goes to the toilet after 1-2 hrs not in the loose form but in the digested form.there is...

doctor1 MD

I am 57 yrs male type 2 diabetic on metformin 500 one per day. Sugsr under control. I ofter get stomach upset and loose motions. Bp 140 / 90 . Not...

doctor1 MD

Hi doctor, I am on paxidep cr 12.5 for last 1.5 -2 months approx. I have now reduced it recently and occasionally skipping it for last 10 days....

doctor1 MD

sir please look on my attached health check up and suggest what my health results show

Get personalised answers from verified doctor in minutes across 80+ specialties

199 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Shehzad Topiwala
  • Q - Thyroid problem,unable to conceive,hormone deficiency

  • Q - How are headaches and vitiligo treated ?

  • Q - Feel cold, lightheadedness, memory problems, foggy thinking,...

  • Q - Hypothyroidism due to Hashimoto's thyroiditis, taking Thyronorm. Do you...

  • Q - Underweight, taken dexamethasone. How can I gain weight?

  • Q - What can be done for a high blood sugar? Have frequent urination.

  • Q - Had hormone imbalance. Used androgel when testosterone went down. Will...

  • Q - Have a postprandial hypoglycemic reaction to foods with carbs. Gaining...

  • Q - Diagnosed with Hypothyroidism. Is Armour thyroid or Erfa thyroid better...

  • Q - Cold feeling after eating sugar. Headache, fever, BP high, have...

backtotop2