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Question #17683
1 day ago
42

Kindly recommend a medication for me - #17683

Felix

Symptom Explanation I experience repeated episodes of sudden internal heat and burning sensations throughout my body. My skin stays normal during these episodes – no rashes, no bumps, and no redness. The main things I feel are a strong internal warmth, burning under the skin, and my veins becoming more visible. Triggers Any physical stress or exertion Moving from cold weather into warm rooms Wearing winter jackets or being in heated environments Emotional stress or tension Walking fast, rushing, or anything that raises my body temperature quickly Pattern The episodes start very suddenly when my body warms up too fast. I have tried multiple antihistamines but they made no difference. The sensation feels deeper inside, not on the surface of the skin. This problem began only after moving to a colder climate; I never had this issue in Nigeria. Impact It affects my daily comfort and makes it hard to be in warm environments. I avoid activities or situations that can make my body heat up because it triggers the burning sensation.

Age: 28
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
14 hours ago
5

Your symptoms are not allergy-based. They are best explained by autonomic/vascular dysregulation triggered by heat, often due to climate change adaptation and small-fiber nerve sensitivity.

This is uncomfortable but usually not dangerous, and many people improve with time + autonomic stabilization.

945 answered questions
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2 replies
Felix
Client
13 hours ago

Can you recommend any medication for me please. The pain coming from the itching is unbearable.

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
13 hours ago
5

Investigation: CBC Vitamin B12 Thyroid profile HBA1C Follow up with these reports.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
13 hours ago
5

Hello dear See as per clinical history the symptoms seems slightly abnormal which may be attributed to either hormonal alterations or basal metabolic rate changes I suggest you to please wait for sometime probably for 1-2 months for body changes to become normal. In case of no improvement consult endocrinologist in person for better clarity Please share below tests also Serum ferritin Serum troponin Serum TSH Serum vitamin d Serum crp Hopefully you recover soon Regards

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2 replies
Felix
Client
13 hours ago

Can you please recommend any medication for me. I can’t bear the pain anymore. I have used, fexofenadine, citirizine, and atarax…no changes

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
13 hours ago
5

Hello dear Thanks for the response See for pain you can take voveron xr 50 mg twice a day for 2days For itching you can apply scabex/lulliconazole topically 3 Times a day for 3-4 days Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
10 hours ago
5

Hello Felix Most likely causes: - Autonomic Nervous System Sensitivity: Sometimes, the body’s automatic (autonomic) responses to stress, temperature, or exertion can become exaggerated, leading to sensations of heat, flushing, and visible veins. This is common in conditions like anxiety, stress, or after certain illnesses. - Hormonal Fluctuations:Changes in hormones (like thyroid issues or perimenopause, though less likely at your age) can cause similar symptoms. - Medication Side Effects: Some medications can cause flushing or burning sensations. - Post-viral or Chronic Fatigue Syndromes: After infections or periods of stress, the body can become more sensitive to physical and emotional triggers.

What you can do: - Track your symptoms: Note when and how often these episodes happen, and any patterns. - Practice stress management:Techniques like deep breathing, meditation, or yoga can help reduce autonomic overactivity. - Stay hydrated and dress in layers: This helps you adjust quickly to temperature changes. - Avoid known triggers as much as possible.

Rx- Neurobion forte - one tablet in morning, one at night for 1 month Gabapentin 100 mg - one tablet a day for 7 days

Thank you

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