Managing Temperature Fluctuations and Emotional Instability in Seniors

Experiencing fluctuations in temperature, sweating, and emotional instability?

Hello Doctor: My mother-in-law is 70 years old.
Ever since she caught a cold five months ago, her entire body system has been out of balance.
Initially, she experienced constant chills and wore many layers of clothing, but then she started sweating profusely.
She is afraid to exercise because she sweats a lot, and if she accidentally catches a draft after sweating, she easily catches another cold, leading to a persistent cough.
Even now, when the temperature sometimes reaches 28 degrees Celsius, she still feels cold at times and hot at others, making it difficult for her to decide how to dress.
We have already taken her to see a psychiatrist because her mood has become unstable, and she constantly feels there is something wrong with her body.
She does not have hypertension, diabetes, or high cholesterol.
Heart examinations have shown no issues.
What should we do to help her? Which specialist should we take her to see? My father-in-law is also becoming increasingly stressed from taking care of her.
Thank you for taking the time to respond.

Tian La Jiang, 40~49 year old female. Ask Date: 2019/04/27

Dr. Lin Jianliang reply Internal Medicine

You can consult a pulmonologist, an immunologist, or a family medicine physician.

Reply Date: 2019/04/27

More Info

Managing temperature fluctuations and emotional instability in seniors can be quite challenging, especially when these symptoms arise after an illness, as in the case of your mother-in-law. It’s important to approach this situation holistically, considering both the physical and psychological aspects of her health.

Firstly, the symptoms you describe—alternating feelings of cold and heat, excessive sweating, and emotional instability—can be indicative of several underlying issues. In older adults, the body's ability to regulate temperature can diminish due to various factors, including hormonal changes, medication side effects, or underlying health conditions. For instance, conditions such as hypothyroidism can lead to increased sensitivity to cold, while hyperthyroidism can cause excessive sweating and heat intolerance. It would be prudent to have her thyroid function tested if this hasn’t been done already.

Additionally, the autonomic nervous system, which controls involuntary bodily functions including temperature regulation, can become less efficient with age. This can lead to symptoms such as those your mother-in-law is experiencing. Stress and anxiety can exacerbate these symptoms, leading to a cycle of discomfort and emotional instability. Since you mentioned that she has seen a psychiatrist, it may be beneficial to continue addressing her mental health, as emotional well-being is closely linked to physical health.

In terms of managing her symptoms, consider the following strategies:
1. Comfortable Environment: Ensure that her living space is comfortable, with the ability to adjust the temperature as needed. Layered clothing can help her manage temperature fluctuations more easily.

2. Hydration and Nutrition: Encourage her to stay hydrated and maintain a balanced diet. Sometimes, dehydration can exacerbate feelings of fatigue and discomfort.

3. Gentle Exercise: While she may be hesitant to exercise due to her symptoms, gentle activities such as walking or stretching can improve circulation and overall well-being. It’s important to start slowly and find activities that she enjoys.

4. Regular Check-ups: Since she has already seen a psychiatrist, it may also be beneficial to consult with a geriatrician or an internist who specializes in elderly care. They can provide a comprehensive evaluation of her physical health and help manage any underlying conditions.

5. Support for Caregivers: It’s also crucial to consider the well-being of your father-in-law, as caregiving can be emotionally taxing. Encourage him to seek support, whether through counseling or caregiver support groups, to help manage his stress and prevent burnout.

6. Monitoring Symptoms: Keep a log of her symptoms, including when they occur and any potential triggers. This information can be valuable for healthcare providers in diagnosing and managing her condition.

7. Medication Review: If she is on any medications, a review by her healthcare provider may be necessary to determine if any could be contributing to her symptoms.

In summary, managing temperature fluctuations and emotional instability in seniors requires a multifaceted approach that addresses both physical and mental health. Regular consultations with healthcare professionals, a supportive home environment, and attention to both her physical and emotional needs will be key in helping your mother-in-law navigate this challenging time.

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