Get your Health question answered in 3 easy steps

139 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes dry mouth, leg cramps and lighheadedness?

Answered by
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

Posted on Fri, 22 Aug 2014 in Brain and Spine
Question: I already asked and paid but here it is again.
Dry mouth, leg cramps, lightheaded XXXXXXX shaking just prior to waking. My fiancé called the EMTs when this happened last fall and all tests (CAT, Cardiac Carotid Doppler, MRI and blood work are negative.
I have seen a neurologist at Dent Clinic and will have a 24 hour EEG done at my convenience before my next appointment in XXXXXXX
This morning was the third incident.
I am also allergic to artificial sweeteners and penicillin.
In addition I have chilly during the night with cold nose, hands and feet.
Answered by Dr. Shoaib Khan 1 hour later
Brief Answer:
?? Thyroid abnormality

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help.

After going through your symptoms, all that came to my mind was a possible thyroid abnormality. So I would like to ask if you ever had your thyroid hormone levels checked? Also, have you experienced any irregularities in your menstrual cycle?

Let me list a few of the most commons symptoms of an under-active thyroid, they are:
-Cold intolerance
-Difficulty concentrating
-Irregular menstrual cycle
-Dry skin
-Muscle and joint aches
-Weight gain and difficulty in losing weight
-Chronic tiredness
-Tremors (rare)
-Growth of hair in unwanted regions like face, chest, etc. (not very common)
and a few others.

If you can relate to most (even if not all) of these symptoms, then please write back to me with a confirmation, and I shall guide you from there on.

I hope you find my response helpful and informative. I would be more than happy to help you further, so please do not hesitate to write back to me anytime.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Shoaib Khan 16 minutes later
Hello again,
I am 65 and menstruation ceased about 8 years ago.
My last blood work was in mid XXXXXXX and thyroid levels were OK according to my DO.
I recently visited Dent Clinic and was told that my problem could be a dip in bp, cardiac arrhythmia, stress or borderline epilepsy. That is the reason for the 24 hour EEG at my convenience before my next visit in 6 months.
All three episodes, with the first last September have been just prior to waking.
I discontinued the keppra in early December and was fine until 5/10/2015.
I am taking the keppra again due to a minor episode then.
I had one this morning which my fiancé says lasted only seconds but I was "out of it" for a few minutes after with an extreme dry mouth.
The keppra is 250 mg twice daily.
Answered by Dr. Shoaib Khan 1 hour later
Brief Answer:
A few more investigations can be added

Detailed Answer:
Hello once again ma'am.

An EEG should be beneficial in such a case, true. But, I would still like a more elaborate explanation on what is considered to be 'OK' according to your doctor for your thyroid levels. In addition to this, due to a cessation in menstruation you should also check on your levels of sexual hormones.

Please also request for an EMG, a 24-hour ambulatory device to check on blood pressure through the day and with fluctuations with different activities, and a 2D echo for the heart. These investigations should all help in providing a more clear picture into what could possibly causing your symptoms.

Please also request for your thyroid profile reports and write to me with them, so I can better understand and rule out a thyroid abnormality completely.

Please feel free to write to me about anything, and keep me updated so we can together reach to the bottom of this.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Topics

Recent questions on Cardiac arrhythmia

doctor1 MD

what can i do to hepl ease my palpitations, on meds for a fast heart rate (diltianzen) don't get the fast heart much anymore,(but enought in my book)and the palpitation come and go, but some times stay for some days before is leave. i had all kinds of heart test and they come back find. my blood pressure is good. I'm wondering if i need to be on a beta blocker. I have been dealing with this for over 20 years. I feel like my life is at a stand still0

doctor1 MD

I often have an irregular heartbeat during the course of the day (5 to 6 times). I can feel gas moving around in my system almost everytime this occurs. I often have rapid heartbeats which are relieved by passing . I was hospitalized before because I thought tI was having a heart attack but after thorough testing (ekg, ultrasound, stress test, wearing a heart monitor at home) they found nothing. What could be a possible avenue that I can pursue to finally get rid of this or at least be able to treat it.

doctor1 MD

I'm 18 im 5'8" i weight 114-115 pounds i smoke but i stopped just recently i have a sinus arrhythmia or a possible PVC. Ive experienced a lot of lightheaded and dizziness feelings and i also feel like my heart flutters, skips, and pauses i have some chest pains when i breath in sometimes and i also have light pressure on my chest every now and then or it just might be in my head because my shirts feel constricting and i also feel a tingling in the left half of my body. i just want this to stop it's driving me crazy i can barely sleep at night and im always usually tired. Ive gone to my doctor but they said its just a normal sinus arrhythmia but im not sure.

doctor1 MD

I'm a 21 yr old female having constant heart palpitations. I know what they are and what they feel like some are stronger than others but I feel them all the time. I don't have insurance so I haven't seen a cardiologist. I don't smoke, drink anything with caffeine, and only drink alcohol occasionally. Some doctors have said possible mitral valve prolapse. I'm just wondering what could be causing so many palpitations and also I have had them since I was 18 they are just getting much worse I also have chest pain just about every day.

doctor1 MD

I have high blood pressure(165/110) and was put on Lisinoprin 3 weeks ago and it has come down about 30 points...however i have head aches and have shortness of breath . I wake up at night and feel like i'm not getting enough oxygen . I weigh 260...

doctor1 MD

I was diagnosed with attrial flutters ( arrhythmia ) and the cardiologist did a cardio version and a subsequent EKG showed the condition was corrected. The doctor has me on Xarelto and a beta blocker . I feel fine and I am wondering if I can drink...

doctor1 MD

My husband is 80 years old and has been diagnosed with congenial heart dease. His heart is only pumping half the speed of a normal heart beat. And now his lungs are filling with fluid. He also has Alzheimer's.