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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 33094
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Lately I have been having what I can only discribe as hot flashes.

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Lately I have been having what I can only discribe as hot flashes.
I am a 26 year old male 73" and 104 lbs I suffer from marfans. My doctor is unsure
What is wrong but assured me it not do to my Marfans. I will wake up in massive amounts
of sweat and my wife says my body.is extremely hot to touch. She test my temp
One night and show a temp of 104 degrees. But when I woke my temp was normal
during the.day it would continue. I've also noticed that when these spell happen I have a
Massive drop in my sex.drive.and find it very hard.to have an erection. I have been tested
For anxiety and depression and was normal. What's wrong with me

Hello Dustin,
I am Dr. Arun and will be helping you today.

What did your blood tests show?
Do you have sweating / hot flashes in nights?
Are you taking any medications, herbs, supplements?

Customer: replied 3 years ago.
Herbal yes and my doctor says my blood work is fine and yes both body heat with sweat like if I ran 12 mile my doctor is stumped
Customer: replied 3 years ago.
Herbal yes and my doctor says my blood work is fine and yes both body heat with sweat mostly at night but sometimes during the day like if I ran 12 mile my doctor is stumped
What herbs are you taking, Dustin?
Were hormonal work up done?
Customer: replied 3 years ago.
Yes hormonal test shows normal even with one testical having massive scar tissue ans the tea I can't remember is was said to stop it in woman who have hot flashes from metapos
Hello Dustin,

Hyperhidrosis (excessive sweating) and hot flashes need investigations for following (some of which had been investigated for you):

 

1) pheochromocytoma,

2) thyrotoxicosis,

3) diabetes mellitus,

4) diabetes insipidus,

5) hypopituitarism,

6) anxiety,

7) acid reflux or gastroesophageal reflux disease (GERD)

8) carcinoid syndrome.

9) idiopathic hyperhidrosis

10) autonomic neuropathy

 

Night time (Nocturnal) diaphoresis / sweating need investigations for;

 

1) tuberculosis,

2) lymphoma,

3) endocarditis,

4) diabetes,

5) acromegaly,

6) Prinzmetal angina.

 


Investigations needed are;

1) a chest radiograph, a PPD test, a complete blood count, TSH, and blood cultures.

2) a CT scan of the torso.

3) a bone marrow biopsy.

4) a 24-hour urine collection for 5-HIAA, metanephrines, and catecholamines


Please feel free for your follow up questions.

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

Thanks for using Just Answer.

 

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Hello Dustin,

Let me know, if you got the investigations done and if the results revealed any cause. How are you feeling? Are the hot flushes persisting?