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Family Physician

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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

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