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What Causes Hot Feeling Throughout Body, Arms And Legs?

Posted on Tue, 18 Aug 2015

Question: I feel hot all the time all over the body, particularly the face, arms and legs. Temp is normal (97.8 for me) most of the time. Sometimes if is slightly high (99.0) for a short time, sometimes it is low (97.0) for a short time. Last night it went down to 96.2 and I had chills until I got up and walked around. Then temp went back to 97.8 or so, and I felt hot again.

Answered by Dr. Chintan Solanki (39 minutes later)

Brief Answer:
go for Complete blood count and Serum Vitamin B12 and thyroid level

Detailed Answer:
Hello,

Thanks for writing to us.

If your doctor has told that your problem is likely due to anxiety you should feel improvement with ativan. Tylenol will not work in anxiety. Clonazpeam is better alternative for anxiety.

From your history I think you there is need to check three things.

- Complete Blood Count - To rule out any hidden infection

- Serum Vitamin B12- Deficiency of B12 may cause such symptoms

- Thyroid hormone level - Hyperthyroid also can cause such symptom.

Revert back to me with reports.

If all three reports come normal and you do not have any physical illness, likely possibility is overactive sympathetic system due to anxiety.

- Let me also know if you have any stress or psychological problem.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Chintan Solanki (5 hours later)

Test Range Value
WBC OP 4.3-10.8 K/uL 4.9
RBC OP 4.60-6.20 M/uL 5.14
HEMOGLOBIN OP 14.0-18.0 gm/dL 15.8
HEMATOCRIT OP 40.0-54.0 % 46.3
MCV OP 80-100 fl 90
MCH OP 27.0-33.0 pg 30.7
MCHC OP 33.0-36.0 gm/dL 34.1
RDW OP 11.5-14.5 % 12.8
PLATELET COUNT OP 150-400 K/uL 209
MPV OP 6.5-12.0 8.9
TSH 0.36-3.74 mIU/mL 0.74

Answered by Dr. Chintan Solanki (14 hours later)

Brief Answer:
CBC and thyroid normal, for a while increase anti anxiety medicines dose

Detailed Answer:
Hello XXXXXXX

Thanks for reports and sorry for delayed response.

CBC and thyroid reports are normal.No physical cause is likely there.

B12 report is pending.

For a while you can ask your doctor to increase ativan-anti anxiety medicine dose or shift to clonazepam. If your doctor is not used to prescribe these medicines ask him to refer you to some psychiatrist.

Take care.

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

Follow up: Dr. Chintan Solanki (2 days later)

My general doctor started me on escitalopram 10mg once a day and alprazolam 0.5mg every 8 hours as needed. What do you think of that plan? Do you prefer clonazepam over the xanax? What are your thoughts on escitalopram?
Thank you

Answered by Dr. Chintan Solanki (8 hours later)

Brief Answer:
I do not recommend xanax, escitalopram is ok

Detailed Answer:
Hi,

Escitalopram is good according to me.But I never used xanax. It has highest dependence potential among all benzodiazepines. I prefer clonazepam.

However many doctors use xanax. You must take it according to your doctor's prescription. Do not increase dose or frequency on your own.

If I were your treating doctor I would like to start duloxetine and etizolam/clonazepam. Later on etizolam/clonazepam will be stopped gradually.

If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page.

Wish you good health and take care.

Note: For further guidance on mental health, Click here.

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