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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What do lethargy, loss of appetite, hot flashes and cold feet indicate?

Answered by
Dr. Mirjeta Guni


Practicing since :2006

Answered : 2122 Questions

Posted on Wed, 12 Sep 2018 in Medicines and Side Effects
Question: Male, 62. Active lifestyle.
Suffering 5 days of lethargy, going from bed to couch. Don't feel like I'm getting enough air when I breathe. No appetite. Occasional mild hot flashes. Feet are cold, like poor circulation. No headache, no nausea.
Answered by Dr. Mirjeta Guni 2 hours later
Brief Answer:

Further investigations needed.

Detailed Answer:


There are many pathologies manifested in the symptoms you reported.

Of course, a detailed clinical history and examination, some blood tests (glucose level, renal and liver function, full blood count, ESR, TSH, and electrolytes) are needed.

A cardiac ultrasound (2D-Echocardiography) and a chest X-ray would be also of need in your case to distinguish between cardiac and pulmonary pathologies.

You should see a physician as soon as you can.

Hope I have answered your query.

Take care

Dr Mirjeta Guni, Endocrinologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee

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