How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29783
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I am woken up around 3 am nightly in a hot sweat with my heart

Customer Question

I am woken up around 3 am nightly in a hot sweat with my heart pounding. I go to the toilet, and wait until I have bowel movement, at which point the heart stops racing, although I sometimes still feel nauseous which keeps me from going back to sleep. I have been diagnosed with IBS, but none of the doctors I have spoken to have come up with an answer to the nightly bowel movement.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.
Greetings.

What is your age?
Since when are your symptoms?
Are you on any medications / herbs?
Any significant past medical history?

Dr. Arun
Customer: replied 1 year ago.

I'm 57. I had something similar a few years ago -waking up with knife like stomach cramps nightly. that was solved by drinking linden flower tea and taking vitamin B12. That doesn't work anymore however. I have tried other stomach soothing herbs, but that doesn't seem to help this problem.


 


As I child of ten, I had a stomach ulcer.


 


I was a vegetarian for 30 years (20 to 50) but then discovered that I needed to eat meat - which solved a lot of my problems. This latest problem has been around for about a year or so, but has become nightly in the last few weeks.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Hello,

With your symptoms one should rule out carcinoid tumor. This can be benign (non cancerous). You may get following investigations done;

1) 5 HIAA level in urine
2) Blood serotonin
3) CT scan of chest and abdomen
4) Echocardiogram.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

 

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.

Customer: replied 1 year ago.

I did have a lot of blood and urine tests as well as scans this summer - but nothing showed up. Shall I send you the results?

Expert:  Dr. Arun Phophalia replied 1 year ago.
Yes, please send me the results.

Thank you.
Customer: replied 1 year ago.

I also had a stomach x-ray, which showed nothing unusual.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello,

A stomach (abdominal) and chest CT or an MRI is the most important investigations for the diagnosis. The blood tests like serotonin and 5-HIAA (especially during the symptoms) may also clinch the diagnosis.

It is privilege assisting you
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29783
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 6 other Health Specialists are ready to help you
Customer: replied 1 year ago.

I have solved the problem by eliminating dairy products from my diet. I would suggest that you look at this website before you continue diagnosing cancer to folks who have digestive problems:


www.dadamo.com

Expert:  Dr. Arun Phophalia replied 1 year ago.

Hello and welcome, Madam.

I am so happy for you that you have been able to solve the problem in 4 days by the dietary measures. I would like to make an humble submission. We can be wrong here because we go by just the information which are provided in the symptom forms. Investigations and physical examination are not available to us. This is information site. Secondly, carcinoid is non cancerous many times (called as benign as we discussed) and release chemicals in the body which may cause the symptoms. Carcinoid may not be cancerous.

I wish you all the very best in life.

Thanks for taking time for the update and following this. I really appreciate it.

Best wishes and kindest regards,

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions