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Friday, July 3, 2009
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Ask the doctor Dear Dr. Eneas, I am a 26-year-old female, and my body is always warm, even from childhood. It is like I always have a fever. What could be the reason for this? I don't have any other disease. I drink lots of water and fluids, but still my body is hot. I am also having very dry skin. Is it due to warmness in my body? Is something wrong with me? Answer: If your body is very hot (no pun intended) and your skin is very dry, that can be very unusual. I find that most young women have cold feet. When the feet are warm it can be an indication of an overactive thyroid gland. However if this has been the case since childhood, I would have expected other symptoms of an overactive thyroid. Hyperthyroidism or an overactive thyroid can cause just the opposite symptoms of hypothyroidism. You would not be able to tolerate heat, your heart rate would be rapid, your reflexes would be brisk, your hair would be brittle, and your periods would be abnormal. You would tend to be thin and appear to be very nervous. Your Thyroid blood tests would be high, and your TSH (Thyroid Stimulating Hormone) level would be low or 0. It would be interesting to know what your temperature is. Patients with a fever tend to feel cold, not hot. Your dry skin may be indicative of a skin disorder that should be checked by a dermatologist and may not have anything to do with your hormone levels. I would recommend you see a dermatologist for a thorough inspection of your skin.
Judson Eneas, MD Internal Medicine Specialist Do you have a medical question that needs answering? We would love to hear from you. Send us your question and look out for the next "Ask the Doctor" column.You can send your question via e-mail to askthedoctor@doctorshosp.com, or to Doctors Hospital P.O. Box N 3018, Nassau, Bahamas or The Nassau Guardian. This informative column is intended to educate the community about important issues regarding their health and is not intended as a substitute for consultation with a primary physician. For more information or for a physician referral, please call 302-4707.
Monday, June 8, 2009
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