[37F] Experiencing severe sweating, cold sensations, and headache

Patient Description

A 37-year-old female reports episodes of profuse sweating, severe headaches, and a tingling sensation without numbness. These episodes have occurred twice, primarily during sleep, and last for a few hours. The sweating is intense enough to soak clothing and towels. The headaches are described as the worst ever experienced, sharp, and located at the top and back of the head, coinciding with the sweating episodes. No fever, vision changes, seizures, chest pain, or shortness of breath have been reported. The patient has a history of clinical depression and is currently taking Trintellix 10mg daily and Hydroxyzine HCL 25mg twice per night. No known drug allergies or family history of similar symptoms are reported. No over-the-counter medications, vitamins, or supplements are being taken.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions:

  • Menstrual Migraines: These are migraines that occur in patterns related to the menstrual cycle. They can cause severe headaches, nausea, and sometimes other symptoms such as sweating. However, they don't typically cause a pins and needles sensation.

    • Treatment for menstrual migraines often involves medications to manage pain and prevent migraines. Lifestyle changes like regular exercise, a healthy diet, and stress management can also help.
  • Hormonal Imbalances: Conditions like hyperthyroidism or menopause can cause excessive sweating, feeling cold, and other symptoms. However, these conditions usually cause other symptoms as well, such as weight changes or hot flashes.

    • Treatment for hormonal imbalances depends on the underlying cause. It may involve medication, lifestyle changes, or sometimes surgery.
  • Anxiety Disorders: Anxiety can cause a variety of physical symptoms, including sweating, feeling cold, and a pins and needles sensation. However, it would not typically cause severe headaches.

    • Treatment for anxiety disorders often involves a combination of medication and therapy. Lifestyle changes and stress management techniques can also be beneficial.
  • Side effects of medication: Trintellix and Hydroxyzine HCL can cause side effects like sweating and feeling cold. However, they would not typically cause severe headaches or a pins and needles sensation.

    • If you suspect your symptoms are due to medication side effects, you should discuss this with your doctor. They may be able to adjust your dosage or switch you to a different medication.

Please note that these are just possibilities. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some steps you can take:

  1. Keep a symptom diary: Note down when your symptoms occur, how long they last, and any potential triggers. This can help you and your doctor identify patterns and potential causes.

  2. Stay hydrated: Excessive sweating can lead to dehydration. Make sure to drink enough fluids, especially water.

  3. Practice good sleep hygiene: Regular sleep patterns and a comfortable sleeping environment can help manage some of your symptoms.

  4. Consult with a healthcare professional: They can provide a formal assessment, order relevant tests if necessary, and discuss potential treatments.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe headache that comes on suddenly
  • Difficulty speaking or understanding speech
  • Weakness or numbness on one side of your body
  • Changes in vision
  • Difficulty walking or loss of balance
  • Fainting or loss of consciousness

These could be signs of a serious condition like a stroke.

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, diagnosis, and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of menstrual migraines?

Menstrual migraines typically occur in relation to the menstrual cycle and can cause severe headaches, nausea, and sometimes sweating. They usually do not cause a pins and needles sensation.


Can hormonal imbalances cause severe headaches and sweating?

Yes, hormonal imbalances such as those seen in hyperthyroidism or menopause can cause symptoms like excessive sweating and headaches. However, they often come with other symptoms like weight changes or hot flashes.


How can anxiety disorders manifest physically?

Anxiety disorders can cause a variety of physical symptoms, including sweating, a pins and needles sensation, and feeling cold. However, they do not typically cause severe headaches.


What are the potential side effects of Trintellix and Hydroxyzine HCL?

Trintellix and Hydroxyzine HCL can cause side effects such as sweating and feeling cold. However, they are not commonly associated with causing severe headaches or a pins and needles sensation.


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