Suggest Treatment For Whole Body Sweating And Dizziness

Posted on Mon, 27 Jul 2015

Question: I have sudden sweating of the entire body, especially from head through trunk and into legs with dizziness and loss of focus. I cannot stand or walk without staggering and am extremely hot. I try to get ice or frozen popsicle and change to dry clothes but this takes extreme effort. This lasts a few minutes and then I am freezing. What can cause this?

Answered by Dr. Ajay Panwar (15 minutes later)

Brief Answer:
Please get evaluated for autonomic dysfunction.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

This medical points out to 'autonomic dysfunction'.I suggest you to get yourself checked for any 'postural fall in blood pressure'.
At the same time,please tell the following details-
1)Are you Diabetic?Any other disease?
2)Are you on any medicines?
3)Since when you are having these episodes?
4)Any other past or present medical history?
5)History of any addictions like alcohol?

I shall be glad to have you in follow-up for further queries.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ajay Panwar (39 minutes later)

1) Not diabetic; have allergies to trees, grasses, animals, melons;
2) Yes: warfarin 5mg; vitamin k; pramipexole (0.125mg) (leg cramps); iron 65mg (3xday); donepezil 10mg (memory); hydrocodone 5325 mg (occasional knee replacement pain) not often; magnesium; B-12; Vit C; Vit D-3; liothyronine 5 mcg.; fluticasone seasonal; albuterol as needed (currently not needed); Flonase.
3) Episodes for at least 3 yrs, becoming more often.
4) Knee replacement 17 months ago; anemia; irritable bowel;
5) Do not smoke, drink alcohol or take illegal drugs. Never addicted to any medications.

Answered by Dr. Ajay Panwar (2 hours later)

Brief Answer:
Do you see any temporal relation with Donepezil/Pramipexole/Hydrocodone?

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Your drug history is significant. Pramipexole, Donepezil and Hydrocodone all are known to cause autonomic dysfunction and may cause such problems.

Can you relate your symptoms to these drugs?

Waiting for your follow-up query.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Ajay Panwar (16 hours later)

I take pramipexole at night for leg cramps and these symptoms have occurred at night but also in the daytime. I will stop taking this drug. I was taking 5 mg of Donepezil in morning and then changed to 10mg, I will go back to 5 mg and see if the symptoms stop. I do not take hydrocodone very often and did not take recently so cannot relate to recent episodes but will be aware in future.

Thank you for your help regarding this problem.

Answered by Dr. Ajay Panwar (11 minutes later)

Brief Answer:
Keep in touch.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Surely,even I am interested to track your clinical developments.Please see if changes in medications improve your symptoms.I however suggest you to discuss this with your treating doctor and let him know the facts(as discussed with me),before making any changes in your medicines.

Please be in follow-up and let me know the response.Meanwhile,please close the thread and rate it.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar