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No period for two months, lower back pain, tired, bloating, cramping, hot flashes. Have Hashimoto's. What can I do to feel better?

I am 46 and not had my period for two months. Lower back pain and tired a lot. Bloated and cramping along with hot flashes. Been diagnosed with beginning of Hashimotos. Been doing Bikram yoga as much as possible. Getting hot flashes after I eat. And in middle of the night. Perimenopause diagnosis as well from my gyno . What can I do to feel better?
Asked On : Tue, 13 Nov 2012
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General & Family Physician 's  Response
Thank you for the query and Welcome to HCM forum.

Hot flashes and sweating, Sleep disturbances, Irregular periods, Anxiety and/or Depression are the symptoms of Peri-menopause.
For Hot flashes, i advice you the following :
1. Keep the temperature of your room low
2. Avoid hot fluid like tea and smoking.
3. Avoid smoking and Alcohol.
4. Dress in layers so that you can take off clothes if you get hot. Put a wet, cold cloth around your neck during hot flash
5. Go to the bed and get up from bed same time everyday even you don't sleep well.
6. Stay active and Do some exercises everyday.
7. Seek social support from women like you.

In addition to the above measures, Hormone replacement therapy may be needed, Sleep medication like Eszopiclone improve the mood and sleeping problem. Anti-depressant and Anti-seizure medication are often helpful.

At the Beginning of the Hashimoto's thyroiditis, hypothyroidism is often absent. But, over the time mild or overt hypothyroidism is developed and for that, lifelong treatment with thyroid hormone is needed.

Consult with an endocrinologist for effective management.

Hope, this helps.
Answered: Wed, 14 Nov 2012
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