Night sweats, some tests done, which direction to go next?
Patient : I am trying to figure out where to go next for care. I have been having terrible night sweats for close to two years now that have intensified in the last two months. other symptoms are headaches, breaking out on one side of body, arm and leg( though I do not know if it is related) fatigue (though I have a toddler and infant and work full time so I don't know if it is normal for my lifestyle) Loss of apetite (but no real weight loss). The night sweats are really troubling, they are so bad I wake up frequently to change clothes and lay down a new towel to soak up the sweat. I am very healthy and active, I am a female and in the military. My Doctor has tested my thyroid (normal) LFT (slightly elevated), general UA (normal), PPD (normal) female hormones? (normal). Basically I think he is now just running tests to shut me up, I don't think he knows what direction to go nor is he truly concerned. He actually dismissed me completely at my first appointment. And only put me in for labs because I filed a complaint against him. I would like to get reffered elsewhere. I know you can't diagnose me, but I would like to know where to go? Should I ask for a referral to Endocrinology? Internal Medicine? I feel this is not normal and I need an answer. Also, I read about something called "Nocturnal hypoglycemia". I was severely hypoglycemic while pregnant and am training for a marathon currently which may be depleting my blood sugar as well, though I feel I eat enough and healthily. What tests can be done to confirm that? Or where can I go to test for it. My doctor did a glusoce screening but I did not fast and I don't think it would have been accurate. All he said was that I don't have diabetes. I am not concerned about diabetes but hypoglycemia, am I really offbase or could this be a real concern? Overall, I need to direct myself because my doctor is not doing it, just need to know which direction to go? Thanks for reading and for your help!!!
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