Cannot Regulate Body Temperature

Posted by ladybarlow @ladybarlow, 2 days ago

I am at the end of my rope. I am having issues regulating my body temperature and no one can seem to tell me what is wrong with me. I’ve seen several specialists and no one seems to he able to provide a diagnosis. Most seem pretty quick to tell me that it doesn’t seem to relate to their specialty. It feels like no one even is trying to help. This has been an issue for more than ten years, but has significantly worsened over the last 4 years or so. Every time I get at all active, my body temp starts to increase. Ambient temperature doesn’t seem to have much bearing on the body temp. I don’t have a problem with the other end of the spectrum. I don’t seem to get cold. Almost never. Even when the environment is quite cool. It’s gotten to the point where I can’t even take care of my home and self-care is difficult. I just started checking my blood pressure when this is happening and I’m learning it is increased as well. It normally runs fairly low but is getting really high when my temp gets up. I’m seriously afraid of heatstroke or a stroke just trying to clean my house or fold my laundry. I’ve have multiple appointments locally and have also been seen more than once at Cleveland Clinic. I have a teenage daughter and I’m terrified that I’m going to leave her without a mom because I can’t get any answers. Where do I go from here? How do I get someone to help me and not just push me off into another specialty because they don’t know what is causing this?

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@becsbuddy

@ladybarlow Welcome to Mayo Clinic Connect! As you can see, the members really want to give you some help. I’m glad you’ve gotten involved so soon!

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As I said, I’m pretty desperate. I thought maybe someone would see my post who had been through something similar and could maybe offer some suggestions. I have been so let down by our health care system. And I say this as a licensed RN. I understand a doctor not knowing what it is. What I don’t understand is how they can be so flippant about it. When they can’t figure it out, they are not offering suggestions on what else to do or who to see. It’s like they just dismiss me and don’t care if I ever find help.

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@seniormed

I’m sure that you must have been checked for carcinoid and pheochromocytoma. Did they take a history to check for autonomic dysfunction. Do you have a file of your test result since it is so complex.?

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Yes, I just completed all those labs through an endocrinologist. I’ve had more than one specialist mention dysautonomia, but I had figured that much out on my own. What I don’t know is what’s causing it. Is it primary or secondary to another illness? Until I know that, I don’t have any clue if it can be treated other than symptomatically, which basically means no hope for relief at all.

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@texasblooms

Hugs to you @ladybarlow. It’s scary. I’ve read about 40% of Sjogren’s patients do not test positive for the disease and I am one of those patients. I cannot control my body temperature, don’t sweat, and spontaneous flare ups are scary. After medical tests for other possibilities my diagnosis is dysautonomia.
This is life changing. I am no longer active. 🥲When I start to feel a flare it’s important I immediately stop what I’m doing (this step is hard for me) and start self maintenance… what helps me is to be somewhere cool with a blasting fan (I live in South Texas), drink cold water, use cold compresses (I keep disposable ice packs in the car), take off my clothes and STAY CALM.

What would help alleviate your symptoms? One size does not fit all.
Keep searching for your diagnosis, you’ve had lots of set backs!

Autoimmune patients have similar stories. After five years of feeling brushed off by doctors having 5 minutes to talk about my bizarre symptoms and getting no where I invested in a concierge doctor. He organized a plan and a group of specialists, and I was diagnosed within a month. This brought down my stress level significantly.
I may add a Functional MD specializing autoimmune as another resource.

Best wishes for continued strength during your journey while raising a teenage daughter.💖 I hope you find a doctor you trust who will guide you to the answers you are looking for.

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Thank you for your kind response. It really has been so hard. It began in 2013. That’s when I began chasing an answer. But nobody seemed to have one, so I finally gave up and decided I’d just have to try to live with it. At that time, it was a little bit easier as my body temp rarely got past mid-101s. But for some reason, over the last 3-4 years, it’s all escalated really quickly. For example: it got to 104 Christmas Eve as I mopped my floors. I had turned the heat completely off and it was 6 degrees outside. I left my back door standing open and had a floor fan on me. Saturday, I carried a laundry basket of clothes to my sofa and sat folding them in the coffee table in front of me. A/C set on 64. Ceiling fan on and a floor fan 3’ away blowing directly on me. Temp got to 102.2 and my b/p hit 199/147. I don’t know how to be any more protective of myself than that. That is like absolute least physical activity I could be doing. I can no longer keep my house clean. My daughter can’t have anyone over because I can’t clean my filthy house anymore. It literally feels like it will kill me to try. Just after the laundry episode, I felt sick all day Sunday. I don’t feel great today. It’s hard to keep going when you can no longer even see to your own needs. The only thing that keeps me pushing forward is this amazing kid I have who deserves so much more than I have to give right now.

I am an RN. So I’ve been trying to direct my care myself. Before I just took the initiative to schedule myself with Cleveland, my GP had not even sent me to a specialist. So I changed primary care doctors and that one never would refer me either. I’m seeing if I’m going to get help, I’m going to have to make it all happen myself. Which makes me want to get better and do this for others who don’t have any health care background. We need more patient advocates!

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@suetex

Kudos to you from a fellow South Texan who is also a Sjogren's sufferer. Wow! What you have to deal with! Just shows how strong we humans can really be. Hats off!

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Thank you. 💞

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@suetex

I'm sure by now that you have heard that your temp. is regulated by the automatic nervous system. I have a similar problem with my balance also caused by autonomic nervous system. My was started by Sjogren's which an autoimmune disease. A specialist to start with would be a rheumatologist that knows about Sjogren's (they don't all). The only treatment for Sjogren's at this time ( there are drugs in the works) is IvIg. I hope this has given you a new place to look. Hang in there. We care!

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@suetex, I admire your positive outlook! IvIg is for severe symptoms.
It would be great to hear about IvIg from a patient. Successes? Side effects? How long have you taken the medication? How fast did you get results? How often do you get an infusion? How long is the treatment? Anything else?

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I've had such issues as you and for me it's, at least, partially a viral thing. I was diagnosed with chronic EBV after I had Mono in High School. When I over do it, the virus attacks.

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@tiredandthristy

I've had such issues as you and for me it's, at least, partially a viral thing. I was diagnosed with chronic EBV after I had Mono in High School. When I over do it, the virus attacks.

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I saw an infectious disease specialist who ruled out viral causes. I don’t have any choice other than to keep scratching for answers. I’m just tired.

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