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What Causes Chest Pain, Headache And Nausea After Begin Exposed To Heat?

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Posted on Wed, 29 Jun 2016
Question: It's a long story, but I'll try to be brief. For as long as I can remember I've been overly sensitive to heat. I can tolerate moderate exercise as long as the temp is cool enough. But being out in heat and sunshine very quickly causes mild chest pain, headache and nausea, all of which quickly go away if I go inside, drink water and lie down for a few minutes. My primary care physician and my cardiologist blame every symptom on cardiac issues, and I take that seriously, but no doctor I've ever seen has taken the heat sensitivity seriously, even thigh it pre-dates the cardiac symptoms by multiple decades.
Any ideas would be appreciated.
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Answered by Dr. Shehzad Topiwala (29 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your bothersome symptoms.

People with an over-active thyroid condition called Hyperthyroidism report this problem.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Chest Pain, Headache And Nausea After Begin Exposed To Heat?

Brief Answer: Thyroid Detailed Answer: Sorry to learn about your bothersome symptoms. People with an over-active thyroid condition called Hyperthyroidism report this problem. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day