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Hot flushes : how to tackle it ?

  • drnanuradha
  • May 25
  • 2 min read

Updated: Jun 3


Hot Flushes: How to Manage Them



Hot flushes are sudden feelings of warmth, often most intense over the face, neck, and chest. They may cause sweating, a rapid heartbeat, or reddening of the skin. Though common during menopause, they can also occur due to medications or certain medical conditions.





1. Lifestyle and Behavioral Strategies



✅ Dress in layers: So you can easily remove clothing during a flush.

✅ Use fans and keep rooms cool: Carry a portable fan or use air conditioning.

✅ Identify and avoid triggers: Common ones include:


  • Spicy foods

  • Alcohol and caffeine

  • Smoking

  • Stress or anxiety

  • Hot environments



✅ Practice stress-reduction techniques:


  • Deep breathing

  • Meditation or mindfulness

  • Yoga or tai chi



✅ Stay hydrated: Drink cool water throughout the day.


✅ Keep a symptom diary: Helps identify triggers and monitor treatment effectiveness.





2. Diet and Nutrition



✅ Choose a balanced diet: Rich in fruits, vegetables, whole grains, and lean protein.

✅ Try phytoestrogens (plant estrogens): Found in soy, flaxseeds, and legumes. These may help some women, although results vary.

❌ Avoid processed foods and excessive sugar, which may worsen symptoms.





3. Exercise



✅ Regular physical activity (at least 30 minutes most days) can:


  • Improve mood

  • Reduce hot flushes

  • Promote better sleep



Walking, swimming, or cycling are good options.





4. Medical Treatments (Discuss with Healthcare Provider)



If lifestyle changes aren’t enough, the following may be considered:



Hormone Replacement Therapy (HRT):



  • Most effective for moderate to severe hot flushes

  • Not suitable for everyone (e.g., history of breast cancer, blood clots, or certain other conditions)


Nerve block procedure

A procedure called a stellate ganglion block has shown promise for treating moderate to strong hot flashes. It involves shooting a numbing medicine into a nerve cluster in the neck.



Non-Hormonal Medications:



  • SSRIs/SNRIs: e.g., venlafaxine, paroxetine (especially in those who cannot take estrogen)

  • Gabapentin or Pregabalin

  • Clonidine: Less commonly used, but may help




Herbal remedies:



  • Black cohosh, red clover, evening primrose oil — may help some, but scientific evidence is limited

  • Always consult your doctor before taking supplements.






5. Sleep Management



✅ Create a cool, dark sleep environment

✅ Avoid screens before bed

✅ Practice a relaxing bedtime routine

✅ Consider breathable bedding and moisture-wicking sleepwear





When to Seek Help



Talk to your healthcare provider if:


  • Hot flushes disrupt your daily life or sleep

  • They start suddenly at an unusual age

  • You experience other unusual symptoms (e.g., weight loss, palpitations)


 
 
 

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