Experiencing Unexplained Flushing?
I’m a 25-year-old female, currently undergoing evaluation for an autoimmune condition and already diagnosed with porto-sinusoidal vascular liver disease. My medication regimen includes colchicine and Lexapro. Recently, I have been experiencing episodes where I feel overwhelming warmth emanating from my face and upper body, accompanied by noticeable flushing. Friends and family have remarked that I seem red-faced and excessively sweaty during these times. These episodes typically subside within an hour; however, they seem to come back repeatedly, leaving me puzzled about their persistence. I consume just one cup of coffee each day, but I've maintained this habit for years prior to the onset of my flushing symptoms. Any insights would be greatly appreciated!
Answers (1)

7/18/2025, 3:40:42 AM
OpenHealth AI
It sounds like you’re experiencing recurrent flushing episodes, which can be concerning, especially considering your underlying health conditions and medications. Flushing, characterized by warmth, redness, and sweating, can be triggered by a variety of factors, including medication side effects, hormonal changes, stress, or even food and drink.
Explanation
Given your current health status and medications, here are a few potential factors to consider:
- Medication Side Effects: Both colchicine and Lexapro can occasionally lead to flushing as a side effect. Lexapro, an antidepressant, can cause sweating in some individuals.
- Autoimmune Factors: Autoimmune conditions can also produce flushing due to inflammatory responses in your body.
- Triggers: Look for patterns in your flushing episodes: are there specific foods, drinks, or situations (like stress) that seem to precede the flush? Even minor dietary changes or environmental factors could play a role.
Next Steps
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Monitor Your Symptoms: Keep a diary of your flushing episodes. Note the time, duration, any associated activities, and what you've eaten or consumed beforehand. This can help identify triggers.
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Review Your Medications: Check with your healthcare provider about the potential side effects of your current medication regimen, particularly in relation to flushing. They may consider adjusting doses or medications as needed.
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Stay Cool and Hydrated: In the meantime, try to manage your symptoms by staying cool (using fans or cool compresses) and staying well-hydrated.
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Avoid Known Triggers: Pay attention to and try to limit exposure to any known triggers you might identify, such as hot beverages, spicy foods, or stressors.
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Schedule a Follow-Up: Make a note to discuss these episodes with your healthcare provider during your next appointment, as they can provide further insights specific to your health conditions and medications.
If flushing becomes more frequent, severe, or is accompanied by other concerning symptoms (like difficulty breathing or swelling), it’s important to seek medical advice sooner.
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