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What Causes Feeling Excessively Hot And Odd Mood Swings In An Adult?
Question: My boyfriend (35 year old male not overweight) complains of feeling hot at night. He isn't sweating excessively he just says he feels hot and he keeps his apartment very cold which still doesn't help him. I know he's been having this problem for a long time and very recently, he has started taking 3 prescription hormones for low testosterone. The problem has become worse and he is having very odd moods. I told him he should talk to a doctor but he doesn't think it is anything serious.
Brief Answer:
Some thoughts:
Detailed Answer:
Hello XXXX,
I just wrote you but it does not look like it went thru. I'll write again, but please excuse me if you receive an answer twice from me.
There are a few different causes of feeling excessively hot in an adult male.
I am concerned about the 2 prescriptions for raising his testosterone level. Were these prescribed after an endocrinological evaluation?
I would start with getting a few tests:
1. CBC with manual differential: A complete blood count would be important to look for an occult or subclinical infection or inflammation. It is also important to get anytime someone is complaining of feeling hot at night to look for the possibility of cancer. But cancer is lower on the list as he has not been having night sweats which are more characteristic.
2. Testosterone levels: This test might be thrown off a bit by the hormones he is taking, but it is important to see where things are at anyway. Males can get hot flashes, sometimes during adolescence when testosterone levels are fluctuating, but if his testosterone level is fluctuating now, it can cause hot flashes as well.
3. Thyroid panel: Problems with thyroid function cause heat or cold intolerance.
These tests are a place to start and other tests may be warranted depending on the results. Some other tests to consider would be an ESR (sed rate) to assess for inflammation, although this is a very nonspecific test and the results, if elevated can be confusing. Also, if he sees an endocrinologist, they might want to do tests of the pituitary/hypothalamus (blood tests) as there are hormones that come from there that influence testosterone secretion.
I hope this information helps. Please let me know if I can provide further information or clarification. Also, if possible, please let me know how he is doing after he is evaluated by a doctor. If this discussion is closed then, you can write the information as a new question, with my name at the beginning of the questions, that way it will be routed to me.
Some thoughts:
Detailed Answer:
Hello XXXX,
I just wrote you but it does not look like it went thru. I'll write again, but please excuse me if you receive an answer twice from me.
There are a few different causes of feeling excessively hot in an adult male.
I am concerned about the 2 prescriptions for raising his testosterone level. Were these prescribed after an endocrinological evaluation?
I would start with getting a few tests:
1. CBC with manual differential: A complete blood count would be important to look for an occult or subclinical infection or inflammation. It is also important to get anytime someone is complaining of feeling hot at night to look for the possibility of cancer. But cancer is lower on the list as he has not been having night sweats which are more characteristic.
2. Testosterone levels: This test might be thrown off a bit by the hormones he is taking, but it is important to see where things are at anyway. Males can get hot flashes, sometimes during adolescence when testosterone levels are fluctuating, but if his testosterone level is fluctuating now, it can cause hot flashes as well.
3. Thyroid panel: Problems with thyroid function cause heat or cold intolerance.
These tests are a place to start and other tests may be warranted depending on the results. Some other tests to consider would be an ESR (sed rate) to assess for inflammation, although this is a very nonspecific test and the results, if elevated can be confusing. Also, if he sees an endocrinologist, they might want to do tests of the pituitary/hypothalamus (blood tests) as there are hormones that come from there that influence testosterone secretion.
I hope this information helps. Please let me know if I can provide further information or clarification. Also, if possible, please let me know how he is doing after he is evaluated by a doctor. If this discussion is closed then, you can write the information as a new question, with my name at the beginning of the questions, that way it will be routed to me.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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