Dear Dr. Roach: I am 72 years old and otherwise fairly healthy, but I am writing to you in desperation. I have talked with every doctor I have had in the past 15 years, and no one has been able to give me any help. I have had severe hot flashes for over 22 years, and I am miserable. The first eight years consisted of night sweats when I drenched the bed nightly.
I was on hormones for 10 years, which made no difference. I can no longer take them anyway, as I am now taking Eliquis. I have also tried every over-the-counter medicine there is, as well as clonidine. My present medications include Eliquis, clonidine, atenolol, rosuvastatin, Lyrica, omeprazole and venlafaxine. Please, Dr. Roach, give me a clue as to what to do or whom to see.When nine doctors have been unable to help, it is prudent to try to think a little bit outside of the box. So, the first place I’d start with is questioning whether you have hot flashes at all.
Other endocrine disorders, especially elevated thyroid levels, are possible and must have been looked for, but pheochromocytoma and carcinoid syndrome remain distant possibilities that may have been overlooked. Blood and urine tests start the evaluation for these unusual conditions.
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