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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29789
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.

Resolved Question:

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
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

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 1 year 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 1 year 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
Expert:  Dr. Arun Phophalia replied 1 year ago.
What herbs are you taking, Dustin?
Were hormonal work up done?
Customer: replied 1 year 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
Expert:  Dr. Arun Phophalia replied 1 year ago.
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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Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29789
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 7 other Health Specialists are ready to help you
Expert:  Dr. Arun Phophalia replied 1 year ago.
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?

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