[19M] Experiencing night sweats and hot flashes with occasional redness of feet

Patient Description

A 19-year-old male reports experiencing mild night sweats and hot flashes that occur occasionally, primarily at night when sleeping in a warm environment. The patient also notes that his feet turn red intermittently, but this redness resolves spontaneously after some time. He has not experienced these symptoms before and does not report any fever, unintentional weight changes, joint pains, or changes in bowel movements or urination. The patient denies the use of any medications, recreational drugs, or alcohol, and has no known allergies or adverse reactions to medications. There is no known family history of similar symptoms, and the patient does not have any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Hyperthyroidism: This condition occurs when your thyroid gland produces too much of the hormone thyroxine. Symptoms can include increased sweating, redness in the face and feet, and heat intolerance. However, other symptoms such as weight loss, increased appetite, and rapid or irregular heartbeat are also common but you have not reported these.

    • Diagnosis typically involves blood tests to check your levels of thyroid-stimulating hormone (TSH) and thyroxine. Treatment can involve medication, radioactive iodine, or surgery.
  • Anxiety or Stress: Anxiety can cause a variety of physical symptoms, including hot flashes and night sweats. This would be more likely if you've been experiencing a lot of stress or worry lately.

    • Treatment typically involves cognitive-behavioral therapy, medication, or both.
  • Idiopathic Hyperhidrosis: This is a condition in which the body chronically produces too much sweat without any identifiable medical cause.

    • Diagnosis typically involves a physical exam and sweat tests. Treatment can involve antiperspirants, iontophoresis, medications, or surgery.

Please note that these are potential explanations for your symptoms based on the information you've provided, but they are not definitive. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Keep a symptom diary: Note when your symptoms occur, what you're doing at the time, and any potential triggers you notice. This can help you identify patterns and provide useful information to your healthcare provider.
  2. Stay hydrated: Excessive sweating can lead to dehydration, so make sure you're drinking enough fluids.
  3. Try to stay cool: Avoid hot environments when possible, and consider using a fan or air conditioner at night.
  4. Seek medical attention: It's important to discuss these symptoms with a healthcare provider. They can perform tests to determine the cause and appropriate treatment.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe or worsening symptoms
  • Symptoms that interfere with your daily activities or sleep
  • New or different symptoms

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What could be causing my night sweats and hot flashes?

Night sweats and hot flashes can be caused by various factors, including hormonal imbalances like hyperthyroidism, anxiety, or idiopathic hyperhidrosis. It's important to consult a healthcare provider for a proper diagnosis.


Is it normal for my feet to turn red intermittently?

Intermittent redness in the feet can occur due to increased blood flow or heat exposure. If it resolves on its own and is not accompanied by other symptoms, it may not be a cause for concern, but it's best to discuss it with a healthcare provider.


Could anxiety or stress be causing my symptoms?

Yes, anxiety or stress can lead to physical symptoms such as hot flashes and night sweats. If you've been experiencing stress, it might be contributing to your symptoms.


What steps can I take to manage these symptoms at home?

To manage these symptoms at home, keep a symptom diary, stay hydrated, avoid hot environments, and use cooling methods like fans or air conditioning. However, it's important to seek medical advice for a thorough evaluation.


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