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What Causes Cold Intolerance, Excessive Sweating And Joint Pain?

Posted on Sat, 28 Nov 2015

Question: I have become very cold intolerant even to air conditioning, and I have noticed that my feet are more sweaty than in the past. I have no idea if this is anything to be concerned about, but I do have a lot of arthritis, and the cold thing is bothering me. I was recently started on a very small dosage of levothyroxine, 0.025 mg. Is this part of my problem? Thank you for your input.

Answered by Dr. Dr. Muhammad Sareer Khalil (59 minutes later)

Brief Answer:
Yes, its part of the problem

Detailed Answer:
Hello and Welcome

I appreciate your concern

The cold intolerance is related to a hypothyroid state which is part of the problem. TSH is a sensitive test that assesses the thyroid functioning. If its raised with low free t 4 , then it points towards hypothyroidism. The thyroid function tests should be repeated and the dose of levothyroxine can be adjusted accordingly. CBC, ESR and antithyroid peroxidase/ antithyroglobulin antibodies may also be done in consult with your doctor. For the arthritis, its most likely osteoarthritis/ degenerative joint disease. The treatment options are limited which include NSAIDs, hyaluranon injection, capsaicin topical and ultimately joint replacement if these don't work. Acetaminophen is the best initial analgesic for the arthritis.

Wishing you best of health

Thanks

Let me know if you have any query

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Dr. M.S. Khalil

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (8 minutes later)

Is this thyroid condition what is causing my feet to be sweaty even though I am so cold??

Answered by Dr. Dr. Muhammad Sareer Khalil (32 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Sweaty palms and feet occur more commonly in hyperthyroidism. In your case , its likely related to hyperhidrosis. Blood sugar should be checked as hypoglycemia episodes can present with such sweating. Aluminium Chloride antiperspirant and Anti cholinergic drugs can be advised for the hyperhidrosis in consultation with your doctor.

Thanks

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