Hot Flushes

Hot flushes are common in women reaching menopause (perimenopause) and in menopause. It presents with sudden warmth and hotness in the skin of the face, neck, and chest with sweating. It is even triggered due to stress, caffeine intake, spicy foods, smoking, tight clothing, and alcohol drinking. It is treated by following lifestyle changes and taking medications. Deep breathing exercises, walking, and swimming helps a lot.

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I have hot flushes and anxiety at 4 pm every day. Please help.

Query: Hello doctor, I recently was referred to a renal specialist for low sodium levels by my primary care physician. After a complete kidney workup, he said that they were functioning well. But, he changed my hypertension medicine from Lisinopril to Losartan and discontinued my diuretics. As a result, my...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. I am not sure why he was reluctant to put you back on Lisinopril when you had no real issues with it in the first place. Both Lisinopril and Losartan are sister medications but from two different groups that works pretty much in the same way. If your kidneys are tolera...  Read Full »

Why do I experience weakness, dizziness, shortness of breath, chest discomfort, eye pain, and tremors?

Query: Hello doctor, It started with loose motions 15 days ago and a slight fever for a few minutes, followed by severe sweating. Loose motions were controlled with some medications. After five days, suddenly, I had whole-body flushing where the whole body felt hot from inside. It started from the head, ch...  Read Full »


Dr. Rajesh Deshwal

Answer: Hello, Welcome to icliniq.com. All complaints except allergic rhinitis appear to be related to anxiety and depression. Just relax. You are normal as far as your body is concerned. You can continue your depression medications. I suggest taking Fluticasone (Fluticasone propionate) nasal spray, one...  Read Full »

Are my hot flashes and mood swings related to my history of arthritis, migraines and smoking?

Query: Hi doctor,I am in my mid-twenties. For the past week, I have been experiencing hot flashes and recently mood swings too.I am also in my fertile window.I had one pregnancy with an emergency cesarian section.I also have a history of migraines and I have been diagnosed with arthritis.I am also a smoker...  Read Full »


Dr. Manisha Raghunath Auradkar

Answer: Hello,Welcome to icliniq.com.I can understand your concern.With a history of arthritis, did you previously have a miscarriage?Have you visited an immunologist before?If you have not then, I suggest consulting an immunologist in person.With arthritis, the symptoms of hot flashes can be associated wit...  Read Full »

How can I reduce my prolonged blood pressure apart from medicines?

Query: Hello doctor, I have been under medications for hypertension for the past five years. I am currently taking Zilance 40 and Ciplar 10. The random blood pressure reading is 140/100 and goes to around 160/100 at times. The current symptoms include excessive sweating, palpitations, anxiety, headaches, f...  Read Full »


Dr. Ganeshkumar Suresh Satpute

Answer: Hello, Welcome to icliniq.com. Urinary VMA (vanillylmandelic acid) and Metanephrine tests are done to detect Pheochromocytoma, a kind of tumor, that causes hypertension in young persons, as well as facial flushing, headaches, and palpitations. Though it is rare, it is better to rule out pheochromo...  Read Full »

How to treat postmenopausal vaginal discharge?

Query: Hello doctor, I am a 52 years old female, who weighs 75 kg, and I am 152 cm tall. I have postmenopausal vaginal discharge with a fair amount of red spots. What could be the cause? I had my menopause 1.5 years back, and I have type 2 diabetes, hypothyroidism, and asymptomatic cholelithiasis from l...  Read Full »


Dr. Sunil Jagdish Yadav

Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity). First, D and C (dilation and curettage) with cervical biopsy with acetic acid or Lugol's iodine should be done as you have postmenopausal spotting with thickened endometrium of 9 mm, with ass...  Read Full »

What causes frequent hot flushes with dizzy spells and inability to do work?

Query: Hi doctor,I am a control room operator and I work alone. I work for twelve hours in rotating shifts. Usually, seven nights in a row with two days off and then seven days in a row with two days off. I normally sleep for seven hours at night. Throughout the day I go through debilitating bouts of sleep...  Read Full »


Dr. Shaarique Ahmed

Answer: Hi, Welcome to icliniq.com. If you do not have an infection, you do not need an antibiotic. You have not mentioned the reason for having antibiotics. There are a number of reasons for having fatigue. It can be due to inadequate diet since you have mentioned that your job is very demanding. You als...  Read Full »

How to quickly and safely reduce high blood pressure?

Query: I am a 51-year-old female. Height 5'4" weight 162. Yesterday evening, while in a stressful situation my face became hot & flushed. Assumed it was stress and possible first menopausal hot flash. This morning I woke up still hot, flashed, and my skin is tingling. That's also when I realized I had...  Read Full »


Dr. Afifa Nighat

Answer: Hello welcome to icliniq! hope you're doing well! I have read your history and with this precise history number of factors can be responsible like as you mentioned such as emotional stress, menopausal, medication use pr thermoregulatory response. Menopausal flashes typically lasts for 3-5 minute...  Read Full »

My face becomes red when I talk to someone. Kindly help.

Query: Hello doctor,I am 21 years old and I have always been a shy person. When I was younger I used to sweat a lot because of it and I could barely speak with anyone. As I got older, I became more and more sociable, now I have got friends, I am getting along with everyone at work and I am feeling quite go...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. The problems you have mentioned like the history of shyness, palpitations and flushing of the face on talking with any new person, etc., are occurring most likely due to anxiety. This could be due to social anxiety. You are facing these problems in day to day routine...  Read Full »

How does Venlafaxine help with hot flushes?

Query: Hello doctor, I am a 51-year-old female in the menopausal stage. I have GAD and on Zoloft 100 mg for almost two years, and I heard that if I switch to Venlafaxine it will help the hot flushes that I am suffering from. So my question is, can I make an instant switch? If so, to what mg of Venlafaxine...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I like to inform you that Venlafaxine is definitely a better option when we need to deal with GAD (generalized anxiety disorder) as well as hot flushes. However, the research has shown that Prestiq (Desv...  Read Full »

Why do I have headaches during periods?

Query: Hi doctor, I am a 36 year old female with no kids. I have a history of migraines. I have been experiencing more severe headaches that are lasting more around my period. I am also having cramps, which I have not had since I was a teen, along with being moody and always tired. I had laboratory test...  Read Full »


Dr. Sweta Singh

Answer: Hi, Welcome to icliniq.com. Have you tried to have children? The reason I ask is if you have tried and could not, then it would provide an insight into your problem. The migraines and cramps can be related to each other (endometriosis) or independent. I know how distressing a bad headache can get. I...  Read Full »

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