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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Night Sweats, Swollen Left Chest, Neck And Have Lymph Nodes, Low TSH Level, Tremors, Clotting, Rapid Heart Beat. Why?

I have drenching night sweats, swollen left chest, neck and right side of my face. There are many lymph nodes in and around my chest that are large. Some are hard to find because of the swelling. I have recently lost 45 pounds in less than 2 months. Blood tests reveal low tsh, t3 and t4 free, no autoimmunity involving my thyroid though. These tests were taken because of large clotting, tremors, palpitations, and racing heart. Saw endocrinologist who said there wasn't anything wrong. My experience says that doctors will continue to blow me off!!!! I haven't found a doctor to take care of me yet!! I feel like I am dying. What should I do?
Mon, 8 Apr 2013
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General & Family Physician 's  Response
Hi,

The symptom of night sweat has various causes except the hormonal issues with thyroid only,
The below mention causes may lead to the classic picture with night sweat, palpitations , tremors , heart racing.
1) Low blood sugar (most common cause)
2) Panic disorder ( where you feel scared suddenly like doom is upon you and you are about to die)
3) Carcinoid syndrome/pheochromocytoma ( where improper amount of epinephrine may be secreted, from adrenal glands)
4) Infection like Tuberculosis can lead to night sweats needs to checked too
5) Medications- Antidepressant medications are a common type of drug that can lead to night sweats.

So any of the above mention cause can lead to the symptoms and needs to be checked

ADVICE
CONSULT PHYSICIAN and ask him to test for above mention causes.
mostly the test required will be as follow
1) Blood sugar random test at night hours when feeling sweaty will help / you can straight away take some sugar water and if you feel better in little bit the its spot diagnosis that you had low sugar
2) Needs some blood hormone levels test for pheochromocytoma/ carcinoid syndrome along with ultrasound of kidney to see the adrenal gland and may need biopsy if suggested by physician
3) In case of TB suspicion , x-ray chest and sputum test needs to be done.

Treatment
1) In case of low sugar just take sugar.
2) In case of panic disorder, nerve calming drugs may be given
3) In case of pheochromocytoma/ carcinoid syndrome follow physician advice
4) In case TB - ANTIBIOTICS will be given
5) In case of medication induced problems, changing to other drug may help,

HOPE IT HELPS.

Dr. JAY PATEL
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Night Sweats, Swollen Left Chest, Neck And Have Lymph Nodes, Low TSH Level, Tremors, Clotting, Rapid Heart Beat. Why?

Hi, The symptom of night sweat has various causes except the hormonal issues with thyroid only, The below mention causes may lead to the classic picture with night sweat, palpitations , tremors , heart racing. 1) Low blood sugar (most common cause) 2) Panic disorder ( where you feel scared suddenly like doom is upon you and you are about to die) 3) Carcinoid syndrome/pheochromocytoma ( where improper amount of epinephrine may be secreted, from adrenal glands) 4) Infection like Tuberculosis can lead to night sweats needs to checked too 5) Medications- Antidepressant medications are a common type of drug that can lead to night sweats. So any of the above mention cause can lead to the symptoms and needs to be checked ADVICE CONSULT PHYSICIAN and ask him to test for above mention causes. mostly the test required will be as follow 1) Blood sugar random test at night hours when feeling sweaty will help / you can straight away take some sugar water and if you feel better in little bit the its spot diagnosis that you had low sugar 2) Needs some blood hormone levels test for pheochromocytoma/ carcinoid syndrome along with ultrasound of kidney to see the adrenal gland and may need biopsy if suggested by physician 3) In case of TB suspicion , x-ray chest and sputum test needs to be done. Treatment 1) In case of low sugar just take sugar. 2) In case of panic disorder, nerve calming drugs may be given 3) In case of pheochromocytoma/ carcinoid syndrome follow physician advice 4) In case TB - ANTIBIOTICS will be given 5) In case of medication induced problems, changing to other drug may help, HOPE IT HELPS. Dr. JAY PATEL