Neurologist Questions Neurologist

The winter artificial heat is making me restless and psychotic?

These might sound like pretty interesting mental symptoms but I am really tired of searching these on the internet and could not find anything helpful for me so maybe you can direct me in the right direction. For the last 3 years, I am having trouble coping with artificial heat, whenever winter arrives, heating systems in the apartment, trams and buses are turned on, and for some reason, for the last 3 years I cannot tolerate it.

Whenever I enter these places where artificial heat is on (trams, restaurants, friends apartments, buses), within few mins, I start feeling pressure on my cheeks and mouth region, my nose starts itching mildly but worst of all it feels like I am going crazy, I become restless, my OCD worsens, intrusive thoughts become rampant in following days. Most of the times, I enter in staring spell with lack of awareness - within this period of lack of awareness, my friends pointed out, I space out and do some weird movement with my mouth without realizing it.

This mouth movement happens without me realizing and causing me great tension as strangers on road give me weird look for that.

I have to take anti-depressant (setralin) to feel normal again, after that these symptoms go away, including intense pressure on mouth region. Effect of sertralin fades away when I get in such artificial heat environments.

I know this condition/symptoms sound psychological, I also thought same initially but they are not. Because this year during summer I was feeling normal, I did not have to take sertralin as no heating was on, but suddenly during mid-october all these symptoms started, then I realized heating in my apartment was turned on by friend that time. This is also not case of carbon monoxide poisoning, as my friends stay in the same environment without any suffering it just feels like my body has developed some kind of reaction to it.

This has affected my life negatively to great extent, I cannot take public transport, heater in my apartment is always off even when outside temperature is below 0, cannot go to the restaurants in winter as heating there is also on.

I visited 2 doctors, both of them suggested allergy medicine which did not help. One of them said, it could be psychological, so he kept increasing sertralin dose, which also does not help. I am not sure what is this I am suffering from, I did not have this issue till Oct 2018, started this from last 3 years.

Anyone knows what this could be, what specialist might help me or direct me in right direction.


Male | 29 years old
Complaint duration: 1000
Medications: sertalin

3 Answers

NeurologistNeurologist
I am sorry that I cannot give you any information about your symptoms. I have never encountered anything like this with any of my patients I would you seek out a psychiatrist to do a comprehensive evaluation.
See if this makes sense...
https://www.medicalnewstoday.com/articles/325232#what-is-heat-intolerance
Intriguing to me, but awful to you! Sounds like you have to do some research on yourself. For ex., let’s say it is HEAT, rather than ARTIFICIAL  heat: how is it for you in a room heated by a fireplace? With wood? With gas? Do you react to a heating pad that is plugged in? What about one that is heated in a microwave? Surely you are eating food cooked on an (artificial) stove, microwave, or oven? No problem with that? Make a comprehensive list, and since you have OCD, you should be able to do that well. Then bring it to the best research medical person you can find = perhaps a physiatrist, who deals with all systems of the body. At least they will be interested.
Good luck with it.

Peace,

Dr. Marian Shapiro