[49M] Experiencing intense internal burning sensation

Question

I am a tobacco smoker no recreational drugs

Patient Description

A 49-year-old male has been experiencing a constant, intense burning sensation throughout his body for the past five days, described as feeling like his skin is melting off. Alongside this, the patient reports unexpected bouts of sweating at irregular times, weight loss, and changes in appetite and energy levels. There has been no relief found from any measures taken so far. The patient has no history of similar symptoms, no pre-existing conditions or chronic illnesses, and no family history of autoimmune diseases or other chronic conditions. The patient has recently used recreational drugs, alcohol, or tobacco products but is not currently on any medications. There have been no changes in bowel habits or presence of blood in stool.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Hyperthyroidism: This condition occurs when your thyroid gland produces too much of the thyroid hormones. Symptoms can include unexplained weight loss, increased sweating, and feeling unusually hot.

    • Treatment typically involves medication to control the production of thyroid hormones.
  • Anxiety Disorders: These are a group of mental disorders characterized by significant feelings of anxiety and fear. Symptoms can include a feeling of internal heat and excessive sweating.

    • Treatment typically involves a combination of psychotherapy and medication.
  • Menopause: Although less likely given your sex and age, some men experience symptoms similar to those of menopause, such as hot flashes and night sweats. This could be due to hormonal imbalances.

    • Treatment typically involves hormone therapy or medications to manage symptoms.
  • Substance withdrawal: If you've recently stopped using alcohol, tobacco, or certain drugs, you could be experiencing withdrawal. Symptoms can include sweating and a feeling of internal heat.

    • Treatment typically involves medical supervision and medication to manage symptoms.

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 relieve your symptoms:

  1. Stay hydrated and avoid caffeine and alcohol, which can make you feel more hot and sweaty.
  2. Try relaxation techniques, such as deep breathing, meditation, or yoga, to help manage any anxiety.
  3. If you've recently stopped using a substance, seek medical help. Withdrawal can be dangerous and is best managed under medical supervision.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or you develop new symptoms
  • If you experience chest pain, shortness of breath, or severe headache
  • If you feel confused or have trouble staying awake

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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8 mo ago


People Also Ask


What are the common symptoms of hyperthyroidism?

Common symptoms of hyperthyroidism include unexplained weight loss, increased appetite, rapid heartbeat, nervousness, anxiety, tremors, sweating, and feeling unusually hot.


Can anxiety disorders cause physical symptoms like sweating and a burning sensation?

Yes, anxiety disorders can cause physical symptoms such as excessive sweating, a feeling of internal heat, palpitations, and a burning sensation. These symptoms are due to the body's stress response.


Is it possible for men to experience symptoms similar to menopause?

Yes, men can experience symptoms similar to menopause, often referred to as andropause or male menopause, due to hormonal imbalances. Symptoms can include hot flashes, night sweats, and mood changes.


What are the symptoms of substance withdrawal and how can they be managed?

Symptoms of substance withdrawal can include sweating, anxiety, irritability, nausea, and a feeling of internal heat. Management typically involves medical supervision, hydration, and sometimes medication to ease symptoms.


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1 Comments


Leo#3962

8 mo ago

If you have NOT made drastic changes in substance use (sudden increase or new substances, or sudden abstinence) and if these symptoms don't go away in a week, I would recommend seeing a doctor to rule out thyroid problems or abnormal neuroendocrine (hormone-secreting) growths in your body.

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