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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chills And Sweats?

My Dad has been having chills followed by the sweats which, are worse upon wakening. He does not feel nauseated but cannot eat more than 10 bites of anything then feels full. Very fatigued. No fever. 83 yrs old. No abnormalities on blood work except very very low T for which he recently started meds for.
Wed, 17 Dec 2014
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Geriatrics Specialist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Due to shaking secondary to chills, sweating can occur secondary to adrenergic stimulation.
2. This excess stimulation along with dehydration could cause severe fatigue.
3. Good hydration is essential. Nutrition needs to be improved with multiple small meals.
4. Hypothyroidism, is one of the common cause of excessive cold and fatigue. He will require thyroxine and dosage needs to be increased slowly over a month. More clinical details and laboratory reports necessary for further opinion.
Hope it helps.
Any further queries, happy to help again.
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What Causes Chills And Sweats?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Due to shaking secondary to chills, sweating can occur secondary to adrenergic stimulation. 2. This excess stimulation along with dehydration could cause severe fatigue. 3. Good hydration is essential. Nutrition needs to be improved with multiple small meals. 4. Hypothyroidism, is one of the common cause of excessive cold and fatigue. He will require thyroxine and dosage needs to be increased slowly over a month. More clinical details and laboratory reports necessary for further opinion. Hope it helps. Any further queries, happy to help again.