[60F] Experiencing frequent hot flashes and sweating

What might be happening

Based on the information you've provided, several potential conditions could be contributing to your symptoms:

1. Hyperthyroidism: Given your history of hyperthyroidism, it's possible that your thyroid hormone levels are not well-controlled. Symptoms of hyperthyroidism can include hot flashes, sweating, heat intolerance, weight changes, palpitations, and dry skin.

   • Treatment: Management typically involves medications like methimazole (which you are already taking), but you may need a dosage adjustment. Regular monitoring of thyroid function tests is essential.

2. Medication Side Effects: Some of the medications you are taking, such as Effexor (venlafaxine) and Ambien (zolpidem), can cause sweating and palpitations as side effects.

   • Treatment: Discussing these side effects with your healthcare provider may lead to adjustments in your medication regimen.

3. Diabetes: Poorly controlled diabetes can lead to symptoms like sweating, weight changes, and dry skin.

   • Treatment: Ensuring good blood sugar control through medications like metformin, diet, and regular monitoring is crucial.

4. Menopausal Symptoms: Even though you mentioned it's not menopause, it's worth noting that hormonal changes post-hysterectomy can sometimes mimic menopausal symptoms.

   • Treatment: Hormone replacement therapy or other medications might be considered if hormonal imbalances are suspected.

5. Rheumatoid Arthritis and Other Chronic Conditions: Chronic conditions like rheumatoid arthritis and generalized anxiety can contribute to systemic symptoms, including sweating and palpitations.

   • Treatment: Managing these conditions with appropriate medications and lifestyle modifications is important.

What you can do

1. Consult Your Doctor: It's essential to discuss your symptoms with your healthcare provider. They may need to adjust your medications or order tests to check your thyroid function, blood sugar levels, and other relevant parameters.
2. Monitor Symptoms: Keep a symptom diary noting the frequency, duration, and triggers of your hot flashes and sweating. This information can be helpful for your doctor.
3. Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are sweating frequently.
4. Skin Care: Use a good moisturizer to manage dry skin and avoid harsh soaps that can exacerbate dryness.
5. Healthy Lifestyle: Maintain a balanced diet, get regular exercise, and practice stress-reducing techniques like meditation or yoga to help manage your overall health.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening palpitations or shortness of breath
• Significant weight changes or unexplained weight loss
• New or worsening symptoms despite following your treatment plan
• Any signs of infection or other acute illness

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with your healthcare provider for a formal diagnosis and appropriate treatment.