
What Causes Profuse Sweating, Dizziness, Shortness Of Breath And Nausea?

Require detailed investigations again
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
The symptoms described by you are related to autonomic dysfunction i.e sympathetic over activity.
Generally such presentation should be evaluated for hyperthyroidism, pheochromocytoma and paroxysmal sympathetic hyperactivity syndrome or anxiety disorder.
As you have been investigated previously and nothing came positive then possibility of idiopathic disease is more.
Still after gap of so many years you need to be investigated again as some disease may have normal reports in initial presentation.
You should consult a doctor and undergo autonomic function testing, thyroid profile, evaluation for pheochromocytoma and other necessary blood investigations.
cardiac evaluation with holter may be required for detecting any arrhythmia's.
Another less likely possibility may be complex partial seizures arising from temporal lobe. For this you need a MRI brain epilepsy protocol and EEG.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist


I just have one question then and that should be all I believe. So not to bombard him with a request of too many tests to start with, what would be a good start for specific labs to request at my next visit? He most likely wouldn't refer me to a specialist unless there was abnormal results within that area (endocrine, hematology, etc).
I have already had a thyroid profile done which was normal. Are there any specific lab tests that are indicated for autonomic function testing?
Thanks so much!
XXXXX
consult a neurologist and go for autonomic function testing
Detailed Answer:
Hello XXXX,
For starting you may do autonomic nervous testing which is done at special labs or centers dealing with neurology.
Autonomic nervous testing is a comprehensive test evaluating both sympathetic and parasympathetic systems with use of ECg, blood pressure measurements, valsalva, tilt table and sometimes pharmacological interventions.
It's better to get evaluated at a good center by neurologist for proper examination , investigations and treatment.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar

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