Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Could Cold Inside,flshed Outside Feeling While Having Cryprococcal Meningitis, Shunts, Atrial Flutter And Diabetes?
My wife, 58 YO, caucasian, post-menopausal, hx of cryptococcal meningitis w/ shunts, atrial flutter w/ ablation and cardioversion, moderately-well-controlled type II diabetes, says she feels cold inside but warm, almost flushed outside but only immediately after eating.
Tue, 21 Jun 2016
Hello!
Welcome and thank you for asking on HCM!
I understand your concern, and would explain that these symptoms could be related to different causes:
- sexual hormone changes due to menopause
- autonomic neuropathy related to diabetes.
I would recommend you to closely monitor her blood pressure in sitting and standing up position.
A head up tilt test would be necessary to examine for possible orthostatic hypotension which is a part of autonomic neuropathy.
A nerve conduction study would also help investigate for diabetic neuropathy.
I would recommend avoiding eating in large meals and eating frequently during the day in small meals. Avoiding hypercaloric food would also help avoid these symptoms.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Welcome and thank you for asking on HCM!
I understand your concern, and would explain that these symptoms could be related to different causes:
- sexual hormone changes due to menopause
- autonomic neuropathy related to diabetes.
I would recommend you to closely monitor her blood pressure in sitting and standing up position.
A head up tilt test would be necessary to examine for possible orthostatic hypotension which is a part of autonomic neuropathy.
A nerve conduction study would also help investigate for diabetic neuropathy.
I would recommend avoiding eating in large meals and eating frequently during the day in small meals. Avoiding hypercaloric food would also help avoid these symptoms.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Cardiac arrhythmia
Loading Online Doctors....