Discussions By Condition: I cannot get a diagnosis.

Geriatric Cold intolerance

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: wnpeugh
  • February 17, 2008
  • 02:33 AM

I have a relative who is 83 and has the following conditions listed below...
His complaint is severe cold intolerance. Although he feels cold his temperature is normal and he feels warm to the touch in all extremities. This has been progressive over the past 4 months or so.

Diagnoses:
1. Hereditary hemachromatosis, treated with phlebotomy for over 30 years, relatively well controlled.
2. Type II DM, corrently off of all agents with reasonable sugars in the 140s.
3. Hypertension, has been on Prinivil, recently discontinued.
4. Atrial fibrillation, treated for several years with Amiodarone, with relatively severe side effects that took over a year to clear. He's been off of this for several years, well before current symptoms started. He has always remained rate controlled. Subsequently placed on Coumadin.
5. Hepatocellular carcimona, diagnosed in December and just recently (Feb 12th) treated with laparoscopic RF ablation. Solitary lesion 3.5 cm.
Portal vein thrombosis, just diagnosed at the time of this surgery.
6. Esophageal varicies, never bled. Cirrhosis on visual examination of the liver is relatively unimpressive. He likely has these due to #5 above.

The obvious... yes his thyroid function has been tested and his T4 and TSH are fine, but I don't know if anti-thyroid antibodies have been checked.

O.K., so now to all of you really smart neurologists and endocrinologists, where would you go from here on the workup.
This may seem to be a trivial problem given the above list, but believe me to him it is his most debilitating symptom. He spends much of the day in bed covered with blankets, and when he does get up he takes a heating pad with him, tucked inside his clothes!

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2 Replies:

  • Could be Raynaud's Syndrome or Vasculitis. Best wishes ~~Jersey Lymie
    Anonymous 42,789 Replies
    • February 19, 2008
    • 00:01 PM
    • 0
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  • I have a relative who is 83 and has the following conditions listed below... His complaint is severe cold intolerance. Although he feels cold his temperature is normal and he feels warm to the touch in all extremities. This has been progressive over the past 4 months or so. Diagnoses:1. Hereditary hemachromatosis, treated with phlebotomy for over 30 years, relatively well controlled.2. Type II DM, corrently off of all agents with reasonable sugars in the 140s.3. Hypertension, has been on Prinivil, recently discontinued.4. Atrial fibrillation, treated for several years with Amiodarone, with relatively severe side effects that took over a year to clear. He's been off of this for several years, well before current symptoms started. He has always remained rate controlled. Subsequently placed on Coumadin.5. Hepatocellular carcimona, diagnosed in December and just recently (Feb 12th) treated with laparoscopic RF ablation. Solitary lesion 3.5 cm.Portal vein thrombosis, just diagnosed at the time of this surgery.6. Esophageal varicies, never bled. Cirrhosis on visual examination of the liver is relatively unimpressive. He likely has these due to #5 above. The obvious... yes his thyroid function has been tested and his T4 and TSH are fine, but I don't know if anti-thyroid antibodies have been checked. O.K., so now to all of you really smart neurologists and endocrinologists, where would you go from here on the workup. This may seem to be a trivial problem given the above list, but believe me to him it is his most debilitating symptom. He spends much of the day in bed covered with blankets, and when he does get up he takes a heating pad with him, tucked inside his clothes!Hi,I'm not a doctor so I don't know about all the other things - it was the temperature issue that caught my attention. I'm only 27yrs old but wonder if this is a similar problem to what I have. I've always felt the cold growing up but in the last few years my symptoms have worstened. In cold condition's or if I'm in a position to catch the draught i.e. in front of a fan in the summer or in front of a door with a breeze I struggle and have to resort to a blanket and last summer even wore toastie socks. At work I find the air condition makes me so cold I have to wear a few layers to include Thermals, leg warmers, wrist warmers, etc. Normally this still doesn't solve the issue and I resort to moving to another part of the room where it's a great deal warmer, I find I'm happiest at work when the air condition breaks down! When I get that cold my body starts to shake, my teeth chatter and I struggle breathing. Recently I've had various problems and wasn't getting very far with the NHS so I went to Breakspear Hospital in Hertfordshire - it wasn't actually for the temperature intolerance though. They were looking into a number of problems but along with that they investigated the temperature intolerance feeling it could be significant. The Neurophysiologist examined me and discovered that I have Thermoregulatory Vasomotor failure in 3 limbs. It's the opposite to women who experience hot flushes as a result of the menopause. Often elderly people are more prone to what I have as their bodies struggle to control temperature. There's also concerns they may experience hyperthermia, in some cases even in the summer.As I said I'm not a doctor but it's something to consider. My doctor has advised me to be very careful in cold temperatures due to how much excess heat I lose. I am yet to have my second consultation with the Neurophysiologist but on speaking to my GP he did say that there's medication available for things like chills and to come back to him depending on the Neurophysiologists recommendation's.'hope things get better for him.
    Anonymous 42,789 Replies
    • February 2, 2010
    • 03:29 PM
    • 0
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