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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hot Flashes?

For no reason, I am getting severe hot spells and cold spells throughout the day and night. Had my T3/T4 checked and it is within normal limits. It is getting much worse. I am 69. I don t have any other symptoms except my body tfhermastat seems to be off.
Mon, 26 Feb 2018
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Pathologist and Microbiologist 's  Response
I can understand your discomfort. Hot spells and cold spells can occur in different conditions. The common conditions are:
1. generalized anxiety disorder (GAD) causes hot and cold spells due to excitation of nervous system.
2. hypothyroidism due to decreased T3, T4 synthesis
3. side effect of medication due to interaction with body thermostatic system
4. menopause due hormonal imbalance.

To know the underlying cause, we have check for some factors like anxiety and recently used medicines, We have to check thyroid profile. It was very nice thing that you had checked your T3, T4 levels. But estimation of TSH level is also very important for diagnosing hypothyroidism.

Coming to treatment part, you have to treat the underlying cause and symptoms as follows:
1. in case of hypothyroidism, you have to start thyroxine
2. for GAD you have to take psychotherapy
3. in case of medication, you have to use alternate medicines
4. drink more water
5. keep on shedding clothes frequently

In my opinion check for the cause and act accordingly. Hoping for a speedy recovery.

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What Causes Hot Flashes?

I can understand your discomfort. Hot spells and cold spells can occur in different conditions. The common conditions are: 1. generalized anxiety disorder (GAD) causes hot and cold spells due to excitation of nervous system. 2. hypothyroidism due to decreased T3, T4 synthesis 3. side effect of medication due to interaction with body thermostatic system 4. menopause due hormonal imbalance. To know the underlying cause, we have check for some factors like anxiety and recently used medicines, We have to check thyroid profile. It was very nice thing that you had checked your T3, T4 levels. But estimation of TSH level is also very important for diagnosing hypothyroidism. Coming to treatment part, you have to treat the underlying cause and symptoms as follows: 1. in case of hypothyroidism, you have to start thyroxine 2. for GAD you have to take psychotherapy 3. in case of medication, you have to use alternate medicines 4. drink more water 5. keep on shedding clothes frequently In my opinion check for the cause and act accordingly. Hoping for a speedy recovery.