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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 33545
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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shortness of breath, tiredness, hot sweats cold and clamy skin,

Resolved Question:

shortness of breath, tiredness, hot sweats cold and clamy skin, tight chest, shakey and sometimres dizzy
Submitted: 7 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 7 years ago.



What are the investigations done for these symptoms?


Dr. Arun

Customer: replied 7 years ago.
my gp just took my pulse rate which he said was high and racing, i also take 2 doses of estradiol = 2.50g for menopause symptoms !
Expert:  Dr. Arun Phophalia replied 7 years ago.



Your symptoms would warrant a blood work for thyroid function tests. An EKG and a chest x-ray also would be prudent, with these manifestations, to rule out any heart related ailment. Stress and hot flushes are the other possibility, which are slightly different than the menopausal flashes (note the spelling difference). The factors linked to hot flushes and your other symptoms are;


1) higher body mass index

2) higher follicle-stimulating hormone levels

3) lower high-density lipoprotein cholesterol levels

4) vaginal dryness

5) trouble sleeping


Gabapentin is the medicine of choice to help in hot flushes.


Your physician should also get following investigations for the assessment of your symptoms;


1) Thyroid function tests

2) FSH

3) Adrenal function tests


Please feel free for your follow up questions.


Dr. Arun

Edited by Dr. Arun Phophalia on 10/26/2009 at 11:46 AM EST
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