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What Causes Hypersensitivity To Cold?

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Posted on Mon, 30 Jun 2014
Question: I have skin sensations that make me hypersensitive to hot and particularly cold. I have been diagnosed with hashimoto's thyroiditis. 1 doctor says I should be on levothyroxine, 1 doctor says no medication.
not sure what to do. I am underweight, feel anxious in the a.m.
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Answered by Dr. Luchuo Engelbert Bain (1 hour later)
Brief Answer:
Depends on thyroid hormone levels, and signs and s

Detailed Answer:
Hi and thanks for the query,

Being intolerant or hypersensitive to especially cold is classical with Hasimoto s thyroiditis. The diagnosis involves clinical findings as such (tiredness, forgetfulness, depression, coarse dry skin, slow heartbeat, weight gain, constipation and intolerance to cold, a full or big thyroid gland).

These symptoms are sen in many other conditions however. A blood test to check for thyroid hormones in your bloody is important to correlate with clinical findings before making such a diagnose.

I suggest this was the case with you. The decision to put someone on treatment shall depend on the intensity of the clinical sings and symptoms, and also the amount of circulating thyroid in the body, as seen per the blood test for thyroid hormones. The conflict on whether you should be put in treatment or not might be arising because one doctor feels you are not ill enough to deserve the compensation in levothyroxine, but another thinks you do.

The opinion of an endocrinologist in this case remains mandatory. You might have to rerun thyroid hormone tests. From your clinical presentation and values of these hormones, your doctor would then decide. Repeated blood thyroid hormone measurement and evaluating the evolution of key clinical signs and symptoms are very important in management in this case.

I recommend that you consult an endocrinologist. Thanks and kind regards. Please, do feel free asking further questions in case of need.

Dr Bain
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Luchuo Engelbert Bain

General & Family Physician

Practicing since :2009

Answered : 3092 Questions

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What Causes Hypersensitivity To Cold?

Brief Answer: Depends on thyroid hormone levels, and signs and s Detailed Answer: Hi and thanks for the query, Being intolerant or hypersensitive to especially cold is classical with Hasimoto s thyroiditis. The diagnosis involves clinical findings as such (tiredness, forgetfulness, depression, coarse dry skin, slow heartbeat, weight gain, constipation and intolerance to cold, a full or big thyroid gland). These symptoms are sen in many other conditions however. A blood test to check for thyroid hormones in your bloody is important to correlate with clinical findings before making such a diagnose. I suggest this was the case with you. The decision to put someone on treatment shall depend on the intensity of the clinical sings and symptoms, and also the amount of circulating thyroid in the body, as seen per the blood test for thyroid hormones. The conflict on whether you should be put in treatment or not might be arising because one doctor feels you are not ill enough to deserve the compensation in levothyroxine, but another thinks you do. The opinion of an endocrinologist in this case remains mandatory. You might have to rerun thyroid hormone tests. From your clinical presentation and values of these hormones, your doctor would then decide. Repeated blood thyroid hormone measurement and evaluating the evolution of key clinical signs and symptoms are very important in management in this case. I recommend that you consult an endocrinologist. Thanks and kind regards. Please, do feel free asking further questions in case of need. Dr Bain