Over heating over night. Can anyone suggest possible diagnosis please

[poppppy]

My friends symptoms are overheating / burning up at night, they wake up as with dehydration to body and brain which then causes brain fog in the morning and a headache. like his head is shut off from his body and can’t function. He Can drink all day some days trying to make up for it and doesn’t recover. He says it’s his insides that burn up . He has had routine bloods done in past but with nothing abnormal detected .

Thank you for any suggestions . Grateful for all your advice 🙏

[Blissful]

He has had routine bloods done in past but with nothing abnormal detected .

What do you mean by routine blood tests? How long ago?

An unquenchable thirst can sometimes indicate diabetes - my father had that symptom 70 years ago plus the feeling of burning inside but the doctors put that down to some tropical diseases he'd got in the jungle in WW2.

[poppppy in reply to Blissful]

Thank you for your reply . I have told my friend to get back to the docs. These answers will hopefully inspire them to go so much appreciated

[SlowDragon Administrator]

Drenching night sweats suggests low B12

Low B12 more common as we get older

What are his most recent B12, folate, ferritin and Vitamin D

[poppppy in reply to SlowDragon]

I will ask for the results and also these answers will hopefully get them to return to gp for more recent bloods thank you

[poppppy in reply to poppppy]

Their b12 was 589 but 2021 . Because the doctor just told them to wear cotton pyjamas they won't go back as feel it is futile . They are male by the way so no menopause symptoms . Bit I did wonder if hormonal as male hormones

[poppppy in reply to SlowDragon]

I have got the tsh and t4 results they had done now nearly 3 years ago . And I wondered do u think that by now they could be worse. Do u think levels like this would be of concern in USA just not in UK.

Tsh 4.02

Free t4 15.7

In 2021 January

[SlowDragon Administrator in reply to poppppy]

TSH much higher than typical

Obviously need to retest

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

[RedApple Administrator]

Diabetes and hypERthyrodism (over active thyroid) are both possibilities. Get blood glucose monitored. If he's had a thyroid blood test very recently, you can post the results here for opinions from members.

[poppppy in reply to RedApple]

Thank you I am passing on all answers and hopefully they will go back to doctors and then will post results on here . I will also get them to join heath unlocked hopefully . As you guys always come up with answers for me so thank you

[Mixteca]

I'd be very cautious if he's drinking excessive amounts of water to relieve the burning sensation and quench his thirst. This can lead to hyponatraemia, or low sodium, as he could effectively flush it out. I know as it happened to me when I tried to do the same. Same reason, different cause but B12 related.

[poppppy in reply to Mixteca]

Hi thank you for your reply. When u say same reason different cause . Do u have a suggestion of a diagnosis that this symptom could be sorry . Qnd thank you for your help and advice

[Mixteca]

Happy to share experiences. I have no suggestions re diagnosis based on that alone but I would agree with Slowdragon that he should rule out B12 and other vitamin deficiencies as well as checking ferritin levels etc.

I identified with his symptoms and thirst but mine were to do with having B12 injections and having some reactions, which can happen. Update us when you have the test results.