Dermatology

Dermatology Questions? Ask an Online Dermatologist.

Ask a Doctor,
Get an Answer ASAP!

Dermatology
This answer was rated:

I have a sudden burning sensation that begins in my ears,

then travels to the rest...
I have a sudden burning sensation that begins in my ears, then travels to the rest of my body. It burns and feels prickly. After a few minutes of the burning sensation, my entire body, from face to arms and legs, turns bright, strawberry red with some white splotches. I stay red for 30 minutes to an hour. This happened twice in one day last week, then nothing for a few days and tonight while watching tv, it began again. My skin feels almost sunburned.
Show More
Show Less
Ask Your Own Dermatology Question
Answered in 3 minutes by:
6/17/2012
dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4,124
Experience: 30 years practice in general and cosmetic dermatology
Verified
dermdoc19 :

These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.

dermdoc19 :

Good evening

dermdoc19 :

Do you take Niacin ( Vitamin B3) by any chance?

Customer:

I do, but it has never caused this type of flushing before....and I took it this morning...hours ago.


dermdoc19 :

That sort of reaction is common with Vitamin B# ***** I agree it usually comes on about 1/2 hour after ingestion.

dermdoc19 :

You should check your blood pressure at these times of flushing.

dermdoc19 :

There are some conditions that can cause this and you should be evaluated by a physician to determine whether you have them.

dermdoc19 :

You might have a pheochromocytoma which would cause flushing and an increase in blood pressure. The increase in blood pressure is episodic.

dermdoc19 :

Carcinoid tumors whic can be benign and malignant. However, most people also have sweating, tremulousness, diarrhea besides flushing if this is present.

Customer:

I have had diarrhea the past couple of days.

dermdoc19 :

This, of course, may be nothing more than menopause, but there is a simple urine ( or blood test) for this called an HIAA ( Hydroxy Indole Acetic Acid)

dermdoc19 :

Any wheezing or respiratory problems or skin rashes?

Customer:

I have been through menopause already...so I don't think it is that. No wheezing or repiratory problems. During the episode, my skin almost feels rash like....very hot, radiating heat. After it passed though, the skin no longer appeared rashlike.

dermdoc19 :

Next time this happens you should have your blood pressure checked to be sure it is not a pheochromocytoma.

dermdoc19 :

I am also assuming you are not on any medications since some can do this.

Customer:

I take thyroid medication...armour thyroid. I also take citalipram and occasionally albuterol for asthma.

dermdoc19 :

There is a huge list of drugs that cause flushing.

dermdoc19 :

I know Albuterol can

dermdoc19 :

I will look up the other one for you.

Customer:

Those are the only three I am on. I have taken all of them for years, so I don't think they would suddenly cause this symptom, would they?


Customer:

I haven't taken any albuterol today or for several days.


dermdoc19 :

Celexa can too.

dermdoc19 :

Drugs can start to do funny things so I would definitely not rule that out.

dermdoc19 :

In the carcinoid syndrome, stress seems to provoke the flushing.

dermdoc19 :

I should mention too that there may be a general thermoregulatory problem. I had a patient some years ago in which a work up for the factors I have mentioned was negative. I referred her to a neurologist who evaluated her and concluded that she had a thermoregulatory problem. She was placed on Clonidine and did quite well.

dermdoc19 :

I have to leave now, so unless you have more questions, I will save and exit. This will keep the system in the CHAT mode, so it will still be easy for you to get back to me.

Customer:
Customer:

Hello, I am a customer service representative posting on behalf of the customer who is unable to view the chat. Please click on the 'Switch to Q&A' link at the top of the page to change the format of the page from Live Chat to Q&A so that the customer can access your reply and also please repost your reply as a new answer or info request. Thank you.


Ask Your Own Dermatology Question
Evidently you had trouble reading my answers last night. Are they clear now? Please let me know lf you have any questions.
Ask Your Own Dermatology Question
Do you have further questions? Would you be able to provide any other symptoms? Would you like advice on how I would recommend your physician proceed?
Ask Your Own Dermatology Question
Customer reply replied 5 years ago

Hi. The customer service rep misunderstood me. I was able to see your answers, but the system was not allowing me to reply. Yes, I would like advice on how you would recommend my physician proceed and also whether I should see my regular GP, or a specialist of some type.

Thanks so much,

Shelly

Thank you. I will give you a run down after office hours.
Ask Your Own Dermatology Question
Customer reply replied 5 years ago

Still waiting for a response....

Sorry, I wanted to retrieve my notes from a lecture I gave on this subject... but last night I left them at my office.
There are some things that can cause flushing that are not serious. For instance food additives such as Monosodium glutamate ( MSG), Sodium Nitrite in cured meats such as hot dogs, salami etc. ( these are usually associated with a headache, and sulfites ( usually associated with wheezing.)
There is neurologic flushing such as found with menopause, spinal cord injuries, brain tumors, migraines and Parkinson's. Unlikely you have any of these.
As I mentioned earlier there are a number of medications that can cause flushing Essentially any medication which dilates the blood vessels.
If all that has been ruled out your physician should start a workup to rule out
1) Carcinoid Syndrome: as mentioned above. This can be done with a 24 hour urine for HIAA ( Hydroxy Indole Acetic Acid)
2) Mastocytosis; Blood histamine level This is from an excess of mast cells either diffuse or from a tumor. Mast cells are a normal cell which releases histamine. This will be quite elevated with any form of mastocytosis.
3) Pheochromocytoma: blood pressure checked sporadically. VMA level in blood.
After this work up: if negative then you should be evaluated for conditions which are even more rare.
These would include
Medullary carcinoma of the thyroid
Rare benign pancreatic tumos ( eg. VIPomas)
Renal Cell Carcinoma
If all this is evaluated and you still have flushing and wish it treated I would suggest two medications:
Clonidine or Nadolol
Avoidance of hot liquids is more important than avoidance of caffeine.
With alcohol, the problem is not just the alcohol but tyramine which is in some beverages such as sherry, or beer.
Curiously, if you tie this in with mushrooms and beer you can develop flushing.
That really sums up my notes.
I would be happy to answer further questions or clarify any of the above. Please get back to me with any ideas.
dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4,124
Experience: 30 years practice in general and cosmetic dermatology
Verified
dermdoc19 and 87 other Dermatology Specialists are ready to help you
Ask your own question now
Ask dermdoc19 Your Own Question
dermdoc19
dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4,124
4,124 Satisfied Customers
Experience: 30 years practice in general and cosmetic dermatology

dermdoc19 is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

dermdoc19

dermdoc19

Dermatologist

4,124 satisfied customers

30 years practice in general and cosmetic dermatology

Dr. Nair

Dr. Nair

Dermatologist

9,188 satisfied customers

MBBS, MD (Dermatology, Venereology & Leprology)

Dr. Shahz

Dr. Shahz

Dermatologist

243 satisfied customers

MBBS, MCPS, MD

Dr. Skinner

Dr. Skinner

Dermatologist

1,548 satisfied customers

MD , DNB ( D &V), FAAD

Dr. Hanish Babu, MD

Dr. Hanish Babu, MD

Dermatologist

261 satisfied customers

MBBS; MD 26 years Experience.

Dr. S. Attili

Dr. S. Attili

Dermatologist & Dermatopathologist

5,170 satisfied customers

MRCP (Dermatology), Int. Board Certification in Dermatopathology

Dr. Pravin

Dr. Pravin

Dermatologist

1,664 satisfied customers

Senior Consultant MBBS DNB (DVD)

< Previous | Next >

Related Dermatology Questions
I have these freckles that when irritated turn into hives,
hi, i have these freckles that when irritated turn into hives, weirdly enough the freckles multiply and can manifest from acute pressure like pinches and then become permanent. once irritated my skin … read more
Anthony Bray, MD
Anthony Bray, MD
Doctoral Degree
9,226 satisfied customers
There are many red spots and patches on my legs. They
Dear Sir: There are many red spots and patches on my legs. They appeared about 1 month ago, and every day there are more. They are not itchy. During this month some of them disappeared but more ones s… read more
Dr. S. Attili
Dr. S. Attili
Dermatologist & Dermatopathologist
MRCP (Dermatology), Dip. Dermatopathology
5,170 satisfied customers
I have bumps all over my body, sometime the ones on my
I have brown bumps all over my body, sometime the ones on my thighs itch and I use a cortisone 10. They are increasing to all areas and has been progressing over the years. I am 71 years young. I can … read more
Dr. S. Attili
Dr. S. Attili
Dermatologist & Dermatopathologist
MRCP (Dermatology), Dip. Dermatopathology
5,170 satisfied customers
I have been plagued with bouts of chronic urticaria since I
I have been plagued with bouts of chronic urticaria since I was 15. I am now almost 36. I have been to the ER many times and been tested for Lupus..which is always negative. My "hives" do not move fro… read more
dermdoc19
dermdoc19
Dermatologist
4,124 satisfied customers
I have had a strange reaction on three occasions where my
I have had a strange reaction on three occasions where my face has become very hot and looked bright red. It seems to heat up above my chin line and below my eyebrow line. The only other place that is… read more
dermdoc19
dermdoc19
Dermatologist
4,124 satisfied customers
I have a sudden burning sensation that begins in my ears,
I have a sudden burning sensation that begins in my ears, then travels to the rest of my body. It burns and feels prickly. After a few minutes of the burning sensation, my entire body, from face to ar… read more
dermdoc19
dermdoc19
Dermatologist
4,124 satisfied customers
My grandson's skin is extremely sensitive to water. He is in
My grandson's skin is extremely sensitive to water. He is in considerable pain every time he touches water. The GPs have told him to apply moisturiser but this is equally painful. He is 18. Can you he… read more
dermdoc19
dermdoc19
Dermatologist
4,124 satisfied customers
Now nearly 7 years on and doctors still takng skin bioposys
hello it is me again now nearly 7 years on and doctors still takng skin bioposys and still i have urticeria but chronic and now they have diagnosed similiar symptoms to mastocytotis they are not givin… read more
Dr. Nair
Dr. Nair
Dermatologist
MD (Dermatology, Venereology, Lepro
9,188 satisfied customers
For the past two weeks I have had intense itching on my
For the past two weeks I have had intense itching on my thighs which has spread to my trunk and ribcage accompanied by swollen hive like bumps. Nothing helps to make it stop, I have tried Benadryll, Z… read more
dermdoc19
dermdoc19
Dermatologist
4,124 satisfied customers
I have a burning sensation on my skin throughout my whole
I have a burning sensation on my skin throughout my whole body, most dominant on my legs, but also mildly in the face, upperarms, shoulders en back. It's for some months now, and it's just going up an… read more
dermdoc19
dermdoc19
Dermatologist
4,124 satisfied customers
Sometimes my whole body itches and i brake out in hives, it
sometimes my whole body itches and i brake out in hives, it feels like i've been rolling around in insulation, it's mostly down my sides, under my arms and around my waist, thank you--- i've also trie… read more
Dr. Nair
Dr. Nair
Dermatologist
MD (Dermatology, Venereology, Lepro
9,188 satisfied customers
My daughter has a hive looking breakout all over her body.
My daughter has a hive looking breakout all over her body. She has been tested for every allergy and has had allergy skin tests and complete blood tests. She is on benadryl, loredidine, cetrizine, and… read more
Dr. Skinner
Dr. Skinner
Dermatologist
Master's Degree
1,548 satisfied customers
My 9 month old son has spots on his skin. They start as a
My 9 month old son has brown spots on his skin. They start as a hive then turn brown. Any ideas of what it might be?… read more
Dr. Skinner
Dr. Skinner
Dermatologist
Master's Degree
1,548 satisfied customers
I have a spot on my arm, about an eighth inch in diameter,
I have a spot on my arm, about an eighth inch in diameter, that is slightly red, and not usually noticeable. It looks almost like a scar. But, if anything rubs against it it becomes extremely itchy. I… read more
Dr. Skinner
Dr. Skinner
Dermatologist
Master's Degree
1,548 satisfied customers
I have been suffering with itchy hive type spots mainly on
hello i have been suffering with itchy hive type spots mainly on my chest ,neck in my hair some on my arms,shoulders and now on my face ,i have been perscribed all types of creams elocon and another o… read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,245 satisfied customers
My husband has had asevere body rash for at leat 3
My husband has had asevere body rash for at leat 3 years-nothing helps and nothing cures.He is on the drug Hyzaar and thought it ws related-does not seem to make any difference.HELP -H has seen severa… read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,245 satisfied customers
For over 7 years I have had a condition of swelling...mainly
For over 7 years I have had a condition of swelling...mainly on the bottom of my feet, scrotum (1-2 times a year), face/cheeks (1-2 times a year) and tongue (1-2 times ever). I control it with Zyrtec.… read more
doctornihil
doctornihil
Doctoral Degree
2,136 satisfied customers
I am a nurse. I have been told that I may have mastocytosis,
I am a nurse. I have been told that I may have mastocytosis, but have not gotten a bone marrow biopsy to confirm, but I have been able to control the symptoms w/ benadryl, pepcid, albuterol and sterio… read more
Dr. Hanish Babu, MD
Dr. Hanish Babu, MD
Dermatologist
Master's Degree
261 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x