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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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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.
posted on Sun, 13 Apr 2014
Twitter Tue, 21 Jun 2016 Answered on
Twitter Tue, 21 Jun 2016 Last reviewed on
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Cardiologist,  's  Response
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
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What Could Cold Inside,flshed Outside Feeling While Having Cryprococcal Meningitis, Shunts, Atrial Flutter And Diabetes?

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