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. P. Jyoti Your Own Question

Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Medical
Satisfied Customers: 8945
Experience:  17 yrs experience in treating OPD & Emergency patients.
11269312
Type Your Medical Question Here...
Dr. P. Jyoti is online now
A new question is answered every 9 seconds

I am a 47 year old female athlete. I eat a healthy diet, weigh

Resolved Question:

I am a 47 year old female athlete. I eat a healthy diet, weigh 112 lbs, and feel energetic. I take no meds except spironolactone for acne. My issue is that every night I awake repeatedly. I do not wake up sweating. The sweating starts predictably one to two minutes after awakening. Concurrently, my breathing becomes shallow. I do NOT feel anxious when this happens. I become so hot that I take my clothes off and sweat all over. It does not start in my face, and I do not appear flushed. It subsides in 5 minutes. I do not believe I am having nightsweats associated with perimenopause. I have multiple blood tests. My doctor put me on 90 mg of armour thyroid a few months ago, but this issue has been occurring for about 2 years and the armour thyroid has not improved my sleep and sweating problem. My recent bloodwork was normal except for low TSH (.045). My only other symptom is hairloss. My neurologist and endocrinologist have nothing else to offer.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.
It will help if you could provide some further information:
What is your temperature during these episodes?
Have you been able to perform any testing during one of these episodes?
For example, has a blood sugar been checked during an episode, either because you were being seen or by a fingerstick blood sugar at home?

Customer: replied 1 year ago.

I have done some testing during the episode. A finger prick blood sugar result was 98. My blood pressure goes up just a little (it's normally low: about 100/60, so even when it goes up during the episodes, it's still normal. However, I have not taken my temperature (seems basic, but I never thought of it). But I definitely do not feel "sick" or feverish when it happens. I guess taking my temperature would be the next logical step.


One more piece of information that may or may not matter is that much of the time I have loose stool with the no underlying cause. It's been going on for about as long as the sleep problems. I put up with it (take an occasional immodium) and am not seeking your help for that, but I thought you might want to know.

Customer: replied 1 year ago.

Will someone be answering the question? I didn't mean to block Dr Love.

Expert:  Dr. P. Jyoti replied 1 year ago.
Hello,

I would like to help you since you have opted out of Dr Love.

It is interesting that you state that you do not believe that you are having perimenopause. I would like to know why you state this so definitely?

Customer: replied 1 year ago.

These night sweats are not like the night sweats associated with menopause. Instead of waking up in the midst of a sweat, or to wet sheets, I wake up and I feel fine (dry and comfortable) for a predictable one or two minutes. Then my breath becomes shallow. Sometimes this is accompanied by a slightly metallic taste in my mouth. Then the sweating starts. I do not feel flushed or appear red. I do not have this experience during the day time, and no one I know in menopause or perimenopause describes their night sweats that way.


Additionally, my estradiol level is 55.3. DHT, Free T4, Free T3, Free testosterone and total are all within normal limits.

Expert:  Dr. P. Jyoti replied 1 year ago.
Thyroid abnormalities and perimenopausal symptoms are the commonest cause for this.

In your case, Thyroid levels are all normal so that is ruled out. But perimenopausal still remains a possibility. Normal Estradiol levels of course makes it less likely, but normal estradiol does not rule out perimenopause completely. Night sweats are a very typical symptom of perimenopause. The exact nature of the sweating episode is not at all significant, there can be wide individual variations.

Besides these two causes, the other causes which you need to rule out are:

* Carcinoid syndrome : This is a possibility for you. Carcinoid tumours developing in the intestine may cause this. You have to do tests like HIAA.
* Medullary tumours of the thyroid: This is again a possibility. You have to do thyroid function tests and ultrasound of thyroid, etc.
* Mastocytoses: These are rarer causes. Mastocytes are benign cells of the connective tissue. Growths of these are to be rued out.
* Pheochromocytoma : This is usually accompanied by other symptoms, still must be ruled out.

Besides this,
* Drugs: Certain drugs can cause this. Check with your doctor if you are taking any drugs.
* Food: MSG, in Chinese food, is well known for this. You will also have to observe whether you have started any new foods which might be the cause.

Discuss all these causes with your doctor. They are rarer causes and not necessarily significant for you. Still you must discuss with your doctor so that you get an informed discussion.


Hope this shows you the way forward - wish you good health and a quick recovery.

I trust my answer has helped you gain more knowledge and confidence about your problem and in knowing what to discuss with your doctor.

I hope my answer has satisfied you. Please remember to rate my service once you have all the information you need. If you have any other questions, please ask me – I’ll be happy to respond. Bonus is always welcome - Thank you!

Dr.P.Jyoti, MD.

Dr. P. Jyoti, Consultant MD
Category: Medical
Satisfied Customers: 8945
Experience: 17 yrs experience in treating OPD & Emergency patients.
Dr. P. Jyoti and 3 other Medical Specialists are ready to help you
Expert:  Dr. P. Jyoti replied 1 year ago.
Hi Christine,


I'm just following up with you to see how everything is going. Did my answer help?

Is there any further information that you need? Please do write if you wanted to know something more.

Do write back to me if you have any follow up questions,

Thank you,
Dr. P. Jyoti
Customer: replied 1 year ago.

Thank you! I am going to follow up with my doctor regarding those other possibilities.


 


What do you think about my hair falling out and my low TSH levels, even while on 90 mg of Armour Thyroid. Any connection?

Expert:  Dr. P. Jyoti replied 1 year ago.
Yes, definitely, hair will fall out with both high or low TSH. It needs to be in the normal range for optional health of hair.

Low TSH means you are having sub clinical hyper thyroidism. So discuss this with your doctor.

Thanks for the accept.

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • 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
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    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

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions