
What Does Hot Headedness After Stopping Birth Control Pills Indicate?

please help!!
possible other testing
Detailed Answer:
Hello and thank you for your question
There a couple things in your blood tests you have sent us that are not normal and either of them could cause this sensation of being hot all the time. One is that your ALT is elevated. This is a liver enzyme test that becomes elevated with viral hepatitis. If you have not been tested for Hepatitis B and C then I suggest that you get those tests along with an HIV test just to make sure.
Also your testosterone level is elevated to almost twice the normal range. This can come from problems in the adrenal or ovary. If you have not had a transvaginal ultrasound to look specifically at your ovaries then that may be helpful as well.
Another problem to consider is pheochromocytoma. This is rare but can present with flushing, sweating,elevated blood pressure ans headache. If you have these other symptoms then a 24 hour urine sample to test for fractionated catecholamines and metanephrines would be a good idea.
Good luck to you and I hope you get back to normal soon
Dr Robinson


my test levels are elevated , I do know this. Its odd that NOT ONE doctor said anything about this! I had a ct scan done without contrast already and ULtrasound of abdomen about 1.5 months ago. would this show the ovary or adrenal ? who do I ask for this test from and what do I need to get done to see this? I had my pap smear, and that was clean. as for the pheochromocyroma, I don't have sweating. I don't sweat. I just heat up. I am dizzy at times, and this is strange as it comes on after eating usually. so I get hot, dizzy and tired. I don't have a temperature over 98.6 though. so who would I ask about this last thing? Apparently the endo I saw didn't even mention this and didn't care to check my adrenal glands or anything else. don't know why I feel like I have to educate doctors! soo frustrating!!!
see your primary care doctor
Detailed Answer:
Hello and thanks for your followup
If you don't have sweating, high BP and headaches you probably don't need the pheochromocytoma testing.
Testosterone is made in the ovary and adrenal. The CT and US of abdomen would have shown the adrenal but not the ovary. I would first have them repeat the testosterone level and if it is still elevated then ask for a transvaginal ultrasound to make sure there is not problem with the ovaries.
I hope you get an answer soon.
Dr. Robinson


yes with vaginal probe
Detailed Answer:
Yes to get a good look at the ovaries the do a vaginal probe with the ultrasound. It is true that the contrasted CT will give them a better view of the adrenals than a noncontrasted CT.
Women have testosterone normally but if your ovaries are making too much of it it can speed up your metabolism and may be responsible for the heat that you are feeling. If there is a mass or cyst in your ovary (can be benign, don't just to thinking cancer) then it can be causing the ovary to produce too much testosterone.
Best to you
Dr. Robinson


no pap and pelvic exam do not show this
Detailed Answer:
Hi, no the pap is a screen for cervical cancer. If there were something very large with an ovary it may be able to be felt on exam but really you need the pelvic ultrasound to visualize the ovaries.
If all this is clear then looking at foods would be a good thing to consider. I would first eliminate all dairy and wheat for a few months and if that does not help then consider finding a doctor that can order IgG food intolerance panels.
I hope you find an answer soon
Dr. Robinson


sorry, did not mean to worry you
Detailed Answer:
I am very sorry I did not mean to worry you. I was only trying to figure out why you had these symptoms. I think it may just be an ovarian cyst. It may also turn out that when you repeat the testosterone level that it is normal. If that is the case then I would pursue the dietary avenues.
I hope you get some good news soon.
Dr. Robinson


if the ultrasound is okay, what do you suggest I do? can this be anything else serious that I am missing?
testosterone speeds up metabolism
Detailed Answer:
Hi and thanks for your follow up
Testosterone help build muscle and so speeds up metabolism to some extent. It is why men usually have more muscle mass and are less likely to gain weight than women (in general). Your other hormone levels were normal so I think in general your testosterone was an isolated finding. If it is normal on repeat and if your contrasted CT and ultrasound is normal then I think all the serious things have been ruled out and I would focus on making some dietary changes and see if that helps.
I really hope you get back to feeling normal again soon
Dr. Robinson


thanks
glad US is normal
Detailed Answer:
thanks for the follow up. I am glad the US was normal. I guess it is worth repeating the thyroid tests at some point. Good luck with the CT
Dr. Robinson


dietary changes
Detailed Answer:
I really think that if the thyroid tests, testosterone and CT are all normal you should make some major dietary changes and see if you can get rid of the problem in that way. I suggests getting rid of all dairy and gluten as a first step
Dr. Robinson


3 months
Detailed Answer:
It usually takes about 3 weeks being off the dairy to notice a change but 3 months for the gluten


gluten causes many things
Detailed Answer:
You will only know if it is the gluten if you try it. You will have to wait and see on the CT scan
REgards
Dr R


ask your doctors that ordered the CT scan
Detailed Answer:
You must ask your doctors that ordered the CT scan what they are looking for. I do not have that information. I can not explain your dizziness. I sincerely hope that you can find an answer to your problems
Dr Robinson

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