[24F] Experiencing recurrent upper body heat sensation without fever

Patient Description

A 24-year-old female reports experiencing a sensation of heat in her upper body without an accompanying fever for about a month or more. This sensation occurs daily or every other day and is associated with increased sweating, which is unusual for her. The episodes do not seem to be tied to any specific time of day and their duration varies widely.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Hormonal Changes: Hormonal fluctuations, such as those related to the menstrual cycle, can cause sensations of heat and increased sweating. This is common in women and can occur even without a fever.

    • Treatment: Monitoring your menstrual cycle and noting any patterns can help. Over-the-counter pain relievers and lifestyle changes, such as regular exercise and a balanced diet, may help manage symptoms.
  • Anxiety or Stress: Stress and anxiety can cause physical symptoms, including a sensation of heat and sweating. These symptoms can occur even if you don't feel particularly anxious.

    • Treatment: Stress management techniques such as deep breathing exercises, meditation, and regular physical activity can be beneficial. Speaking with a mental health professional may also help.
  • Hyperthyroidism: An overactive thyroid gland can cause symptoms such as feeling hot, sweating, and other metabolic changes. This condition can be diagnosed with a blood test.

    • Treatment: If hyperthyroidism is diagnosed, treatment may include medications, radioactive iodine, or surgery, depending on the severity and underlying cause.
  • Perimenopause: Although you are quite young for menopause, some women can experience early perimenopausal symptoms, which include hot flashes and increased sweating.

    • Treatment: Hormone replacement therapy (HRT) and lifestyle changes can help manage symptoms. It's important to discuss this with a healthcare provider.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Keep a Symptom Journal: Use MDandMe to journal your symptoms, track progress, and get insights. This can help you and your healthcare provider identify any patterns or triggers.
  2. Stay Hydrated: Drink plenty of water to help regulate your body temperature and prevent dehydration.
  3. Practice Stress Management: Techniques such as deep breathing, meditation, and regular exercise can help manage stress and anxiety, which may be contributing to your symptoms.
  4. Monitor Your Diet: Certain foods and beverages, such as caffeine and spicy foods, can trigger hot sensations and sweating. Try to identify and avoid these triggers.
  5. Wear Breathable Clothing: Choose lightweight, breathable fabrics to help manage sweating and keep you comfortable.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Persistent or Worsening Symptoms: If your symptoms persist or worsen despite trying the above measures, consult a healthcare provider.
  • New Symptoms: If you develop new symptoms such as unexplained weight loss, rapid heartbeat, or changes in your menstrual cycle, seek medical advice.
  • Severe Discomfort: If the sensation of heat and sweating becomes severe or significantly impacts your daily life, it's important to get evaluated by a healthcare professional.

Remember, while these suggestions can help manage your symptoms, they are not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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8 mo ago

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People Also Ask


What could cause a sensation of heat in the upper body without a fever?

A sensation of heat in the upper body without a fever can be caused by hormonal changes, stress or anxiety, hyperthyroidism, or even early perimenopausal symptoms. It's important to consult a healthcare provider for an accurate diagnosis.


How can hormonal changes affect body temperature and sweating?

Hormonal changes, such as those related to the menstrual cycle, can lead to fluctuations in body temperature and increased sweating. These changes can occur even without a fever and are common in women.


What are the symptoms of hyperthyroidism and how is it diagnosed?

Symptoms of hyperthyroidism include feeling hot, increased sweating, rapid heartbeat, and unexplained weight loss. It is diagnosed through a blood test that measures thyroid hormone levels.


Can stress or anxiety cause physical symptoms like increased sweating?

Yes, stress and anxiety can cause physical symptoms such as increased sweating and a sensation of heat. These symptoms can occur even if you don't feel particularly anxious at the time.


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