Apologies if this question is obvious, but I am still learning....
I have been recently diagnosed with mixed connective tissue auto-immune disease, and am on hydroxychloroquine and prednisilone.
Over the past several weeks, my systemic symptoms have deteriorated - extreme fatigue, with nausea and hot flushes/shivering. And by 'extreme', I mean that sometimes I feel I am going to pass out through the effort of sitting upright!
My GP got me seen urgently by my respiratory consultant this week, who said he was happy that there were no infections causing it, but that it might be an exacerbation of the immune disorder.
I suspect my thyroid might be malfunctioning. There seems to be a daily pattern to the symptoms - during the night, I am waking with hot flushes, nausea and trembling, which quickly subsides when I throw the covers off, but keeps returning - as if my body is struggling to regulate my body temperature by itself. Once up, mornings are difficult. Things tend to improve as the day goes on (but never enough!).
Is this related to a disease process? Or is it more to do with simple fact that I take my steroids during the day and not in the middle of the night!? I'd be grateful for any thoughts.