[22F] Experiencing body heat fluctuations and inability to sweat

Patient Description

A 22-year-old female reports experiencing body heat fluctuations and an inability to sweat, which started earlier today. She describes a significant increase in body temperature when under bed sheets, without the ability to sweat, followed by a dramatic drop in body temperature upon removing the covers. Additionally, she mentions a minor headache. The patient is not pregnant and has not indicated any other symptoms or relevant medical history at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Fever: A temporary increase in body temperature, often due to an illness. This can cause feelings of warmth and coldness as the body tries to regulate its temperature.

    • Treatment typically involves rest, hydration, and over-the-counter fever reducers if necessary.
  • Hyperthyroidism: An overactive thyroid can increase your metabolism, causing increased body temperature and sensitivity to heat.

    • Treatment typically involves medication to regulate thyroid hormone levels.
  • Autonomic Dysfunction: This condition affects the nerves that control bodily functions, such as temperature regulation and sweating.

    • Treatment typically involves managing symptoms and treating the underlying cause, if known.
  • Anxiety or Panic Disorder: These conditions can cause physical symptoms, including fluctuations in body temperature.

    • Treatment typically involves cognitive behavioral therapy, medication, and lifestyle changes.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to alleviate your symptoms:

  1. Stay hydrated and rest. This can help your body regulate its temperature.
  2. Monitor your symptoms. If they persist or worsen, seek medical attention.
  3. Try to stay in a cool environment to help manage your body temperature.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms persist or worsen
  • If you develop additional symptoms, such as rapid heart rate, weight loss, or severe anxiety
  • If you have a high fever (temperature over 100.4°F)

Please remember, while I strive to provide accurate information, I'm not a doctor. You should seek care from a healthcare professional to receive a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What could cause body heat fluctuations and an inability to sweat?

Body heat fluctuations and an inability to sweat can be caused by conditions such as fever, hyperthyroidism, autonomic dysfunction, or anxiety disorders. These conditions affect the body's ability to regulate temperature and sweating.


How can hyperthyroidism affect body temperature?

Hyperthyroidism can increase metabolism, leading to increased body temperature and sensitivity to heat. This can cause symptoms like feeling excessively warm and experiencing heat intolerance.


What are the symptoms of autonomic dysfunction?

Symptoms of autonomic dysfunction can include problems with temperature regulation, such as heat intolerance or inability to sweat, as well as other symptoms like dizziness, heart rate changes, and digestive issues.


Can anxiety or panic disorders cause changes in body temperature?

Yes, anxiety or panic disorders can cause physical symptoms, including fluctuations in body temperature. This is due to the body's stress response, which can affect temperature regulation.


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