[35F] Experiencing hot flashes, facial redness, and exhaustion

What might be happening

Based on the symptoms you've described, there are several possibilities:

• Menopause: Although you're a bit young for this, some women do experience early menopause. This is characterized by hot flashes, redness in the face, and fatigue. However, changes in menstrual cycle are usually also present, which you did not report.

  • Hormone replacement therapy (HRT) is often used to treat symptoms of menopause, but it's important to discuss the benefits and risks with your doctor.

• Rosacea: This is a common skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps. Flare-ups might last for weeks to months and then diminish for a while.

  • Treatment can involve topical medications, oral antibiotics, or in some cases laser therapy.

• Hyperthyroidism: This condition, where the thyroid gland produces too much thyroid hormone, can cause heat intolerance, weight loss, and fatigue. However, it typically also involves other symptoms like increased heart rate, which you did not report.

  • Treatment can involve medication, radioiodine therapy, or surgery.

• Side effects of medication: Both Adderall and some birth control pills can cause hot flashes and fatigue as side effects.

  • If this is the case, your doctor may be able to adjust your dosage or switch you to a different medication.

What you can do

1. Keep a symptom diary: Note down when you have hot flashes, what you're doing at the time, and what you've eaten. This might help identify any triggers.
2. Stay cool: Dress in layers so you can remove clothing when you feel hot, and try to keep your environment cool.
3. Stay hydrated: Drink plenty of water and avoid hot drinks, spicy foods, and alcohol, which can all trigger hot flashes.
4. Talk to your doctor: They can help identify the cause of your symptoms and discuss appropriate treatment options.

What you should look out for

• If your symptoms worsen or become more frequent
• If you develop new symptoms, such as changes in your menstrual cycle, weight loss, or increased heart rate
• If your symptoms are causing significant distress or affecting your quality of life

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.