Kindly recommend a medication for me - #17683

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

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

Given the symptoms you’re experiencing, it appears you might be dealing with something related to nerve sensitivity or a form of autonomic dysfunction, especially since antihistamines, which target histamine-induced reactivity, haven’t helped. The fact that these sensations started after moving to a colder climate suggests an adaptation response or environmental stress could be a factor. It might also be worth considering conditions like idiopathic heat intolerance or even neuropathic pain syndromes that can make you feel burning sensations without any visible skin changes.

To address this, it could be helpful to focus on some lifestyle and environmental modifications while exploring potential therapeutic options with a healthcare provider. Start by carefully managing your exposure to sudden temperature changes. Slowly acclimatizing to warmer environments from colder settings might help mitigate those sudden episodes. Wearing layers that you can easily remove will also help regulate your body temperature more effectively. Stress management techniques, like deep breathing exercises or progressive muscle relaxation, might help as emotional stress seems to be a trigger for you.

Regarding medication, while specific treatments greatly depend on an accurate diagnosis by a medical professional, there’re some options like gabapentin or pregabalin that are sometimes used for nerve-related discomfort. These can modulate nerve activity and may reduce the sensation of burning or heat. However, these medications require a prescription and should only be used under a physician’s guidance. As always, discussing these symptoms with a healthcare provider who might consider running some tests to rule out other neurological or endocrine conditions is a prudent step. They can also consider whether a referral to a specialist, such as a neurologist, is needed for a more comprehensive evaluation.

In serious cases, if you ever experience additional symptoms such as significant pain, swelling, or changes in your overall well-being, it’s crucial to seek medical evaluation immediately as this could signify a more acute or evolving condition. Meanwhile, tracking your symptoms and any possible triggers in detail will provide valuable information to your healthcare provider for a more tailored approach to managing your condition.