Extended Hyperhidrosis and Heat Sensitivity: Male, 30
Greetings, I’m a 30-year-old male weighing 242 pounds. I have been diagnosed with Hashimoto’s thyroiditis, which we've managed to stabilize. Currently, I am prescribed Vyvanse, Lexapro, Rabeprazole, Ventolin, and an additional inhaler. However, I’m experiencing increasingly severe sweating during both day and night, a condition that has persisted for several months now. This issue appeared abruptly and has intensified over time. Additionally, I find myself feeling breathless even with minor physical activity, despite my significant weight gain from my hyperthyroid treatment before it was regulated. My predominant concern is the possibility of cancer or another serious condition. What specific tests should I discuss with my general practitioner? We previously conducted blood tests, but the results did not reveal any significant abnormalities, aside from elevated triglycerides, which I attribute to my poor dietary habits.
Answers (1)
2/6/2026, 7:00:54 PM
OpenHealth AI
Your symptoms of severe sweating, breathlessness, and weight gain raise valid concerns, especially in the context of your Hashimoto's thyroiditis and current medications. It's understandable to worry about serious conditions, but let's focus on what we can address meaningfully.
Key Points:
- Hyperhidrosis (excessive sweating) and dyspnea (shortness of breath) can be linked to several factors, including your thyroid condition, medications, and lifestyle changes.
- While cancer is a concern that many have, it’s essential to explore the most common explanations for your symptoms first.
Explanation:
- Hyperhidrosis can occur due to hormone imbalances, medications (like Vyvanse and Lexapro), or anxiety. It's common for individuals with thyroid disorders to experience changes in body temperature regulation.
- Shortness of breath can stem from obesity, respiratory issues (possibly exacerbated by medications like Ventolin), or even anxiety and stress. It’s essential to assess your respiratory health and overall cardiovascular condition.
- Weight gain post-thyroid treatment is expected and can contribute to both of these issues.
Next Steps:
-
Monitor Symptoms: Keep a journal tracking when sweating and breathlessness occur. Note any patterns related to activities, foods, or stressors. This information can be helpful for your doctor.
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Discuss Tests with Your Doctor:
- Thyroid Function Tests: Check if your thyroid levels (TSH, Free T4, Free T3) need adjustment.
- Cardiac Evaluation: An ECG or an echocardiogram may help assess your heart health, especially with the breathlessness.
- Pulmonary Function Tests: To evaluate respiratory function, considering your history with inhalers and breathing difficulties.
- Metabolic Panel: To check for other metabolic issues that could affect your symptoms.
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Lifestyle Adjustments:
- Diet: Focus on a balanced diet rich in fruits, vegetables, and whole grains, which can help manage weight and triglyceride levels.
- Hydration: Staying well-hydrated can help with sweating and overall respiratory function.
- Physical Activity: Start with low-impact exercises like walking or swimming to improve lung function and aid in weight management, if advised by your doctor.
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Discuss Medication Side Effects: Talk to your healthcare provider about the potential side effects of your current medications. They may consider adjusting dosages or exploring alternatives.
By taking these steps, you'll gain a better understanding of your symptoms and how to manage them effectively. Let me know if you have more specific questions or need further guidance!
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