### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My body feels like it is burning up, but I am cold and clammy to the touch, I cannot tolerate heat in anyway shape or form, I must sleep with a fan on at all times. I sweat terribly in my face, my husband feels me and says your skin is so cold, yet I feel like I am burning up. I used to think they were hot flashes, excessive, but no other woman I know having had a hysterectomy does this. This has gone on for years. My last thyroid check was borderline high. What could this be? I live in a small town, and the Dr s here seem to drop the ball a lot, always suggesting it is anxiety.

### output:

Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read your question completely, I understand your concern and will try to help you in the best way possible. You symptoms of sweating irritability, intolerance to heat and feeling of hot flushes suggest they are caused by hyperthyroidism. If you are loosing weight too and your resting pulse is raised more than 90 BPM and you are having diarrhea often, you need to get your thyroid checked. Yes there can be a part of anxiety too in causing your symptoms, but most part of your problem is suggestive to a thyroid issues if you can control that things will settle down. I would suggest you to visit your doctor immediately and get a thyroid test done. If it is high then you can proceed further to follow this us and get it treated. Till then, you can stay in fan and air conditioner and I would suggest my similar patients to use Federal twice a day, but it is highly stressed that you should visit the doctor as soon as possible. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegrads.