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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