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Adrenal Insufficiency Community
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Avatar universal

Sweating and then cold

I was just wondering if anyone has cold chills, then horrible sweating. This goes on all day for me. I could not stay in grocery store to the cold, but by the time I arrived home, I was covered with sweat. The sweat is like you just came out of the shower.
I have increased my fluids and am drinking diet decaf ice tea. This is especially when I am on the first dose 20 mg hydrocortisone. But it happens all day, and at night, I wake up sweating. Then, I get cold.

Does this happen to anyone else. Is it a side effect from the cortisone?

Thank you and have a great day.
11 Responses
Avatar universal
COMMUNITY LEADER
I don't know this as a side effect - sounds like a fever. Ice tea is a diuretic - you may want to move to another fluid...
Maybe you are having other hormonal issues - estrogen - hot flashes?
Avatar universal
I am way past menopause (18 years). This seems to have gotten crazy when I started the cortisone. Before that, I was just cold all the time. Maybe it is some autonomic thing. I can't seem to control the way my body reacts at all to hot/cold. The sweating is constant, yet, I cannot tolerate any cold at all. Even in my sleep, I wake up several times a night covered with sweat. No
fever. Then, when I get out of bed, I have chills.
I just wondered if anyone else experienced this.

Thank you so much for your help.
Take care
Avatar universal
When I eliminated all sugar and other refined foods--essentially, everything in a package or box, and a lot of "foods" in cans---the sweating stopped.  Occasionally, I'll eat something on my "sweat" list, and sure enough, I wake up soaked, have an unpleasant mouth taste,  a sort of staggering gait for a few minutes after first getting up (even bump into the walls), and often have strange jungle sounds or bell ringing in my head.  Normally, if I use an artificial sweenter such as stevia, or, occasionally, Sweent 'n' Low, I don't get that reaction.  However, I found a recipe for lemonade made with RealLemon (or a store brand), and sweetened it with Sweet 'n' Low, and guzzled several glasses on Memorial Day.  The sweating, etc. returned full force!  All the other symptoms have abated now, roughly three weeks later, but I still have the head sounds.  Last night, at a friend's house, although I normally avoid dairy, I ate a large bowl of chocolate marshmallow ice cream.  It tasted wonderful, but 3 hrs after going to sleep, I woke up drenched, with the camel mouth (tastes like a bunch of camels tromped through!), and the head noise volume much higher.  Other info which may influence whether or not I sweat profusely:  I also use only purified water, and eat mainly fresh foods (just God-given, not those man's tinkered with), follow a food-combining diet to try to keep a healthy acid-alkaline balance, and take supplements, vitamins, and minerals.  I almost never eat dairy (except butter---I eat only butter, not substitutes), pork, shellfish, or fish without both fins and scales.  About the only beverages I drink are purified water, but, occasonally tomato, V-8, pineapple, grapefruit, organic vegetable and fruit juices (not often), green tea and some herbal teas.  I love iced tea, but it makes each pore a garden hose, so I choose to stay more comfortable and drink wat4er, instead..  I NEVER drink pop of any kind, but I used to drink more than a carton a day. It takes 32 8-oz cans of water to neutralize the acid imbalance created by drinking only 1 8-oz can of soda pop; it just isn't worth upsetting my pH balance to drink pop.  Hope some of my experiences will be helpful to you.  Best wishes!
Avatar universal
Meant to also say that I'm extremely sensitive to medicines, and a little goes a long way.  I'd suggest cutting to only 5 for a few days, then 10 for a few more days, etc, until you reach the 20 mg.  You may find a good balance long before you reach the 20 mg.  It's worth a try.
Avatar universal
COMMUNITY LEADER
If you need a replacement dose, 5mg is not sufficient... One usually tapers down but tapering up is not needed. You cannot stop HC without great danger or change the dose greatly, quickly without risk or crisis.
Contact your doctor or pharmacist about side effects.
Avatar universal
I have Adrnal Insufficiency and have the same problem with going from sweating to freezing constantly and can happen anytime or anywhere. It can be light sweating and cold or severe, drenched sweating and cold. I never know how my body is going to react. I hate it. I eat a pretty healthy diet as we have a large garden and a greenhouse and we eat a lot of heirloom, organic veggies. I will have about 1 glass of tea a day and several glasses of water. Somedays I don't have anything but water to drink. We rarely eat processed foods. I not only have adrenal insuffiency but RA, Sjogren's and Fibro so I have no idea what's causing it! Wish I knew and could fix it.
1 Comments
Have you found any answers yet? I am suffering from the same thing and also have RA and Sjorgren's
Avatar universal
COMMUNITY LEADER
You may need more salt IMHO. In the case of sweating especially, you need to increase sodium.

When I had high cortisol, I had many more issues with temperature control - so it may be your dosage, or how you take it? But it is more likely that you need more sodium.
Avatar universal
I have definitely noticed the sweating since staring the hydrocortisone. Before, cold was almost painful, but the sweating is bad especially at night, and I'm way past menopause to. I Think it's the steroids, that's my best, limited guess.
Avatar universal
This is the second time I have went to the ocean and have this Hot sweats and freezing chills.  No fever either. I also have a nasty smell in my nose.  I went to all doctors, this last one was an allergist and he ordered an MRI. The DX was for hallucinations.  REALLY!!!  This is not a hallucination.  I had Lymphoma and one of the symptoms is night sweats.  I've been cancer free for almost 10yrs. now and I shutter to think that this is what it is again.  I didn't have the smell, this started last year at the ocean and the smell never went away..  It lessened but never went away and BOOM,  on the beach I get this terrible smell that started all of my misery is back full force along with the sweats and chills.  Any clues???
Avatar universal
COMMUNITY LEADER
That sounds strange to me - not even checking for a recurrence?  
Smells can be sinus, infection or ??? I would find a different doc to do a work up. If I was in your shoes I would do that.
Avatar universal
I can go to Wal-Mart and get all my stuff and by the time I am checking out I am sweating very bad ( hair is wet with sweat). I feel like I am going to pass out. I can also clean a bathroom and I will feel the same way. Anytime I am up moving.
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