This kind of perspiration is usually related to a medical issue. Dealing with whatever that is may relieve the sweating
What Causes Night Sweats?
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What Are Night Sweats?
You could break into a sweat when your room
feels warm or you've piled on too many blankets. But that's not what we're
talking about. "Night sweats" refers to repeated drenching
perspiration in the middle of the night that's likely to wake you, and sometimes
so much that you need to change your sheets. It's usually related to a medical
issue. Dealing with whatever that is may relieve the sweating.
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Overactive Thyroid
Sweating more and being sensitive to heat are
notable symptoms of hyperthyroidism. Your thyroid gland controls your
metabolism, so when it makes too much hormone, your body goes into overdrive.
Your body temperature rises, and you could be hungrier or thirstier, have a
racing pulse or shaking hands, feel tired and out of sorts, get diarrhea, and
lose weight.
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Low Blood Sugar
Do you have diabetes? While your blood glucose
may be OK when you turn in, it can drop while you're asleep. Maybe you had a
very active day, or exercised in the evening, or had a late dinner. If you use
insulin or take a sulfonylurea-type drug to manage your diabetes, that may be
responsible for your overnight hypoglycemia. When your glucose is lower than
140 mg/dL before bed, or it could fall in a few hours, have a snack.
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Sleep Apnea
When you have this condition, you briefly stop
breathing over and over during the night. Because your body isn't getting
oxygen, it may slip into "fight or flight" mode, which triggers
sweating. Each time it has to kick-start breathing means a burst of work from
your muscles, too. People who use a CPAP machine to help them breathe at night
have night sweats about as often as those who don't have sleep apnea.
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Acid Reflux
It's not only the heartburn and chest pain
that can wake you up. GERD hasn't been studied much as a cause of night sweats,
but doctors say there’s a possible connection. And treating it can often ease
your night sweats. Eat smaller meals, and not before bed. Avoid trigger foods
-- like those that are fatty, fried, or tomato-based. See your doctor if your
symptoms are severe or happen more than a couple of times a week.
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Lymphoma
Many cancers can cause night sweats, but the
most common is lymphoma, which starts in parts of your body's immune system,
like lymph nodes, the spleen, bone marrow, and the thymus. About a quarter of
people with Hodgkin's lymphoma get night sweats and have a low fever. They may
also be tired, itchy, and, after drinking alcohol, hurt where their tumor is.
People with aggressive or advanced non-Hodgkin's lymphoma can get drenching
night sweats, too.
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Medications
Lots of drugs may cause night sweats,
including over-the-counter fever reducers like acetaminophen and NSAIDs such as
aspirin and ibuprofen. Older antidepressants, called tricyclics or TCAs, as
well as bupropion and venlafaxine, hormone replacement therapy, and steroids
like cortisone and prednisone are common suspects. Some medicines for glaucoma
and dry mouth also stimulate your sweat glands. Check with your pharmacist or
doctor.
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Tuberculosis
About half of all people who get this disease
have night sweats. The bacteria usually grow in your lungs. You'll probably
have a serious, painful cough with blood and colored gunk (phlegm). You also
might feel feverish, tired, and weak, and have no appetite.
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Anxiety
Stress, worry, and panic can make you break
out in a sweat during the day, so it's no surprise anxiety can have the same
effect at night. Nightmares and sleep terrors are less common in adults than
children, but both can leave anyone sweaty and with a pounding heart. Seek help
from a counselor, therapist, or your doctor if these disturbances are ongoing
or causing problems in your life.
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HIV
Fever, sore or swollen lymph nodes, and joint
pain are more common symptoms after you first get the virus and become
HIV-positive, but about 1 in 10 people get night sweats. People living with HIV
who have symptoms like weight loss and diarrhea may get night sweats once a
week or so. AIDS-related opportunistic infections like mycobacterium avium
(MAC, MAI) and cytomegalovirus can cause them, too.
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Tumors
Prostate cancer, kidney cancer, and some
tumors in the ovaries and testicles (both cancerous and not) are common
examples of what doctors call "solid tumors" that can cause night
sweats. A type of advanced thyroid cancer and cancer in your pancreas could
also set them off. Night sweats are a classic symptom of carcinoid syndrome,
the effect of a rare cancer usually found in your digestive system or lungs.
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Menopause
"Hot flashes" before and after your
final period can be hard to distinguish from night sweats. Younger women who've
had both ovaries removed or who stopped menstruating because of chemo can also
get them. They're more likely to happen when you're anxious, depressed, or have
a drink every day. But just because you're a woman of the right age (typically,
in your late 40s or 50s), don't assume your night sweats are menopause-related.
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Infection
A recent bacterial infection could trigger
night sweats, often with a fever. For example, you could get brucellosis from
raw milk or unpasteurized cheese, or if you handle animals or animal products.
Other common bacterial infections are endocarditis (the inner lining of your
heart), osteomyelitis (bone), and a pocket of pus in your liver called a
pyogenic abscess.
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Pheochromocytoma
This rare tumor that grows in the adrenal
glands usually isn't cancerous, but it can cause your body to make too many
hormones, which raise your blood pressure and cause night sweats, headache, and
a racing pulse. Most people with a pheochromocytoma are between 20 and 50.
You're more likely to have it if you have a hard time controlling your high
blood pressure or have family members who've had one or a related genetic
disorder.
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Find Relief
A lower temperature in the bedroom and fans to
circulate the air may make you more comfortable. Use moisture-wicking quick-dry
sheets and PJs. Avoid synthetic fabrics that don't breathe. If you can't figure
out what's causing your night sweats, keep a diary to share with your doctor.
Ideally, you'll be able to treat the cause and not just the symptom.
This tool does not provide medical
advice
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