Night sweats

What are night sweats?

Night sweats refer to excessive sweating during sleep. They can soak your bedding and clothing even when it's cool in your bedroom.

Causes

Night sweats have several potential causes:

• Menopause - Declining estrogen levels during perimenopause and menopause often cause hot flashes that make you sweat at night. This is a common culprit in women over 40.


• Medications - Antidepressants, diabetes medications, and hormones used to treat prostate cancer can cause sweating while you sleep.


• Infections - Sweating overnight could result from infections like TB, endocarditis, or HIV. See your doctor if you suspect this.


• Cancers - Lymphoma, leukemia, and other cancers might trigger substantial night sweats. It's important to get checked out.


• Hypoglycemia - For diabetics, low nighttime blood sugar can trigger cold sweat. Check your glucose levels.


• Hormone imbalances - Issues with your thyroid, pituitary gland, or adrenal glands could lead to excess perspiration overnight. Get your hormone levels tested.


• Idiopathic hyperhidrosis - Sometimes doctors can't pinpoint an underlying cause of extreme night sweats. So they diagnose idiopathic hyperhidrosis.

Diagnosis and Treatment

To diagnose night sweats, doctors review your medical history and medications. They'll give you a check-up focusing on possible infection sites and lymph nodes. If cancer or hormonal issues are suspected, they'll order blood tests and maybe imaging.

If menopause is to blame, hormone therapy can help stabilize body temperature and reduce night sweats. Certain medications may also curb sweating (anticholinergics, alpha blockers, beta blockers, calcium channel blockers, clonidine). Improving diabetic or thyroid gland issues could help too. Severe idiopathic cases may call for prescription antiperspirants or surgery on sweat glands.

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I hope these tips help explain the common causes behind night sweats. It's always smart to talk with your doctor if excessive sweating begins interfering with your sleep quality or daily life. Specific testing and treatment can bring relief! Let me know if you have any other questions.