Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand.
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Dear Martin,
In the meantime I'm still busy sweating which has actually gotten worse... I also get sweat attacks at times anywhere, if I'm not overly hot, suddenly rays with often cold sweat dripping from my head.
The feet still sweat, not always and no longer smell, thanks to the powder you mentioned.
I had an extensive blood test done last week, as well as a thyroid gland, copies of which I am enclosing. Do you have a follow-up process for me to solve or reduce this?
It's quite uncomfortable...
Thanks in advance.
Regards J.
******
Dear J.,
The only thing that stands out in the blood test is that you have too many red blood cells. This is usually due to too little fluid intake.
Other causes are:
- Hemochromatosis (Too much iron in the blood). You can rule this out with a Transferrin test plus a Serum transferrin saturation test.
- Polycythaemia Vera. That is more serious, although the treatment consists of regular bloodletting in the first few years. With one of my patients I did that for over 20 years. The trick is to stay out of the hands of oncologists as long as possible.
- Spleen enlargement is a hallmark of PV. Excessive sweating is another uncommon symptom of both Hemochromatosis and PV.
- Hormonal problems. Compare it to hot flashes in women. An endocrinologist can rule this out, or confirm it.
- E causa ignota, or we don't know and that is the cause that is the most difficult to treat.
Yours faithfully,
Dr. Maarten
Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information (see list at the top of the page).