Hi I have been having "hot flashes" for a period of time that began with a constellation of other symptoms. The hot flashes appear to happen mainly within a minute of awakening. Happens MUCH less often when I am awake. Want to make a distinction that it generally doesn't wake me up but happens just after I awaken, very rarely happens during the day when I am awake. I feel extremely warm and I start to perspire from my head to my feet. It is so bad that beads of perspiration form all over my body. It lasts for I'd say 1-3 minutes and subsides...It may happen several times per night ie awakening to turn over, go to BR etc. I developed chronic pain believed to be nerve pain, numbness and tingling that comes and goes, and inflammation that flairs up aprox 1 per month. The sweating has been noted to go away when I take prednisone. Spinal tap was negative as was my autoimmune workup, also tested/treated for various infectious processes ie lymes etc with little change. Pain flairs consistently in afternoon/evening hours. Pain/flushing seem to follow a diurnal pattern. thanks for any input