From a state of deficiency and cold to a state of excess and heat?
My constitution was originally cold and weak, but now I have been experiencing heat and dryness for over two months.
I have mouth ulcers and acne that won't heal.
What could be the issue, and which medical specialty should I consult?
Xiao Shuang, 20~29 year old female. Ask Date: 2004/10/29
Dr. Xie Rongyuan reply Internal Medicine
If you are feeling unwell, experiencing coldness, dryness, or a hot mouth, you can visit a family medicine or internal medicine clinic for an examination.
As for persistent acne, you may consult a dermatologist.
Thank you!
Reply Date: 2004/10/29
More Info
It sounds like you're experiencing a significant shift in your body's temperature regulation and overall health, which can be quite concerning. The symptoms you describe, such as a transition from feeling cold to experiencing excessive heat, along with mouth sores and persistent acne, suggest that there may be underlying imbalances in your body that need to be addressed.
Firstly, it's important to understand that the human body maintains a delicate balance known as homeostasis. This balance can be disrupted by various factors, including stress, diet, hormonal changes, and underlying medical conditions. The symptoms you are experiencing could be indicative of several issues, including hormonal imbalances, nutritional deficiencies, or even autoimmune conditions.
The transition from feeling cold to feeling excessively hot could be related to thyroid function. The thyroid gland plays a crucial role in regulating metabolism and body temperature. If your thyroid is overactive (a condition known as hyperthyroidism), you may experience symptoms such as increased heat sensitivity, weight loss, and skin issues like acne. Conversely, if it is underactive (hypothyroidism), you might feel cold and fatigued. Since you mentioned that you previously had issues with cold sensitivity, it may be worth investigating your thyroid function further.
Additionally, the presence of mouth sores and persistent acne can be linked to several factors. For instance, stress can lead to hormonal fluctuations that exacerbate acne. Nutritional deficiencies, particularly in vitamins such as B12, folate, and zinc, can also contribute to mouth sores and skin problems. In some cases, autoimmune conditions like Behçet's disease or oral lichen planus can cause recurrent mouth ulcers.
Given the complexity of your symptoms, it would be advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in internal medicine or endocrinology. An endocrinologist can assess your thyroid function and other hormonal levels, while an internist can provide a broader evaluation of your overall health. Additionally, a dermatologist may be consulted for your skin issues, particularly if they persist despite treatment.
When you visit your healthcare provider, be prepared to discuss your symptoms in detail, including when they started, any changes in your diet or lifestyle, and any stressors you may be experiencing. This information will help your doctor make a more accurate diagnosis.
In the meantime, consider keeping a symptom diary to track your temperature fluctuations, skin changes, and any other relevant symptoms. This can provide valuable insights for your healthcare provider.
Lastly, while waiting for your appointment, focus on maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Staying hydrated and managing stress through relaxation techniques such as yoga or meditation can also be beneficial.
In summary, your symptoms warrant a thorough evaluation by a healthcare professional, ideally someone with expertise in internal medicine or endocrinology. They can help identify the underlying causes of your symptoms and develop an appropriate treatment plan to restore balance to your body.
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