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What Causes Profuse Sweating And Severe Nausea When Diagnosed With Exercise Intolerance?
Question: My exercise intolerance is becoming severe daily. All my blood work is normal. My diabetes is under control and my stress echo n ecg is normal too. I get sweaty in winter, my legs get weak, severe nausea and weird headache. I m worried if there is some underlying disease that is not being detected. What to do? I m on 100mg luvox, 1500mg metformin.
Brief Answer:
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms. I see you have undergone some tests already. However it is important to consider two other medical conditions that can explain your symptoms. One is a thyroid problem and the other is a fairly uncommon problem called pheochromocytoma. In order to test for the latter you will likely need to be off Luvox but you cannot stop this until you discuss it with the prescribing doctor. 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 last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this checks your thyroid too) Plasma Free Metanephrines 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms. I see you have undergone some tests already. However it is important to consider two other medical conditions that can explain your symptoms. One is a thyroid problem and the other is a fairly uncommon problem called pheochromocytoma. In order to test for the latter you will likely need to be off Luvox but you cannot stop this until you discuss it with the prescribing doctor. 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 last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this checks your thyroid too) Plasma Free Metanephrines 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks. My thyroid test was normal including the liver, hb1ac, kidney function, cbc, electrolytes, fasting glucose. I will check if it is pheochromocytoma. Thanks
Brief Answer:
Best wishes
Detailed Answer:
for good health
Best wishes
Detailed Answer:
for good health
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
BTW, can anti androgens in a 33 yr old male cause pheochromocytoma too? Thanks
Brief Answer:
No
Detailed Answer:
This is not known to occur
No
Detailed Answer:
This is not known to occur
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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