Internal heat in the body can indeed be linked to an imbalance in your doshas, particularly an increase in Pitta which governs heat, transformation, and metabolism within the body. From an Ayurvedic standpoint, high stress levels combined with hormonal fluctuations can exacerbate this imbalance, which seems to align with your experience during stressful periods.
Perimenopause, as you mentioned, could be a contributing factor since it involves fluctuations in hormones that might cause heat sensations. Moreover, digestive issues and sleep disturbances also suggest an imbalance in Agni, your digestive fire, affecting both your physical and mental state. When Agni is disturbed, it can manifest as a heat sensation or a flushed feeling, mood alterations, and anxiety.
To restore balance, consider incorporating some cooling practices and dietary changes into your routine. Prioritize consuming Pitta-pacifying foods such as cucumbers, melons, and leafy greens. Drink coconut water or aloe vera juice daily to cool the internal system. Avoid foods that are spicy, fried, or overly processed as they can aggravate Pitta.
Yoga and Pranayama (breathing exercises), particularly cooling breaths like Sheetali or Sheetkari, can also help regulate your internal heat and reduce stress levels. Ensure your routine includes enough relaxation and downtime to mitigate stress impacts—meditation can be very effective here too.
Addressing lifestyle balance is crucial; aim for a regular sleep schedule, and consider relaxing evening routines to help with sleep disturbances. If these approaches don’t seem to ease your symptoms, or you have concerns, it would be prudent to consult a healthcare professional to explore further options.


