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Night Sweats - Causes, Symptoms, and Management

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Night Sweats - Causes, Symptoms, and Management

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Excessive sweating during sleeping time at night is known as night sweats. Read this article to know its causes, symptoms, and management.

Medically reviewed by

Dr. Mohammad Rajja

Published At August 3, 2022
Reviewed AtJune 29, 2023

What Are Night Sweats?

Excessive sweating during the night is known as night sweats. It occurs while a person is sleeping. They are sometimes described as soaking or drenching and may necessitate the replacement of sheets or even clothing. Overheating caused by something in a person's environment, such as a heavy blanket or a high bedroom temperature, is not the same as night sweats. Night sweats are a frequent symptom of menopause, but certain medical disorders or drugs can also cause them. Night sweats are usually not a significant symptom. However, it is still necessary to get checked to find the underlying cause.

Are Night Sweats and Hot Flashes the Same?

Hot flashes are brief bursts of heat. Hot flashes can happen at any moment during the day, but night sweats are when they occur at night and cause excessive sweating. Night sweats are sometimes also called hot flushes, but they are not the same as flushing (skin reddening owing to increased blood flow). While flushing can cause night sweats, flushing does not cause excessive sweating.

What Are the Causes of Night Sweats?

The body's temperature-regulating system is complicated and influenced by a variety of circumstances, making it difficult to pinpoint the exact cause of night sweats in some cases.

The following reasons can be held responsible for night sweats commonly-

1. Menopause- When a woman reaches menopause, she no longer has her period. Hot flashes are thought to be caused by considerable changes in the body's synthesis of estrogen and progesterone during this time.

Menopause is characterized by hot flashes, a common symptom, with up to 85 percent of women experiencing them. Hot flashes usually start during the perimenopause period, which precedes menopause, and can last until a woman is postmenopausal.

Menopausal hot flashes last a few minutes and can happen several times during the day, even at night, when they might cause night sweats. Hot flashes are widespread and can last for several years, with some women experiencing them for over two decades.

2. Medication- Night sweats have been linked to several drugs. Antidepressants like selective serotonin reuptake inhibitors (SSRIs), fever-relieving drugs such as Aspirin or Acetaminophen, and some steroids may cause excessive perspiration in some people.

Other causes like taking spicy foods and caffeine before going to bed can result in night sweats. Some other causes are:

  • Caffeine.

  • Spicy foods

  • Drugs.

  • Alcohol.

  • Tobacco.

3. Infections and Night Sweats - Night sweats are linked to a variety of infections. The most common reason for this is that illnesses can produce fever and overheating. Tuberculosis, bacterial and fungal infections, and the human immunodeficiency virus (HIV) are just a few examples of the diseases that cause night sweats.

4. Hormone Problems- Night sweats can be linked to changes in the endocrine system, which regulates hormone levels in the body. Overactivity of the thyroid (hyperthyroidism), diabetes, hypoglycemia (low blood sugar), increased blood sugar, and excessive levels of sex hormones are examples of hormonal causes of night sweats.

The hypothalamus (a region of the brain) is responsible for regulating body temperature and is also involved in the endocrine system. Hypothalamic dysfunction could be the root cause of hormone abnormalities and night sweats.

Other endocrine system disorders, such as pheochromocytoma (a tumor of the adrenal gland) and carcinoid syndrome (caused by slow-growing hormone-producing tumors), have been linked to night sweats.

5. Some Other Causes - The following are some other conditions that might cause night sweats:

  • Some medical conditions and night sweats are related. These include:

  • Pregnancy and the postpartum period.

  • Anxiety stress night sweats and panic attacks.

  • Hyperhidrosis (excessive sweating).

  • Gastroesophageal reflux disease (GERD).

  • Cancer (lymphoma, breast cancer, or prostate cancer) or a side effect of cancer treatment like radiation therapy or chemotherapy.

  • Some lifestyle factors night sweats can occur due to:

  • Sleeping in hot rooms.

  • Sleep issues.

  • Increased stress.

  • Taking alcohol before going to bed.

  • Heavy-weight bedding.

What Causes Night Sweats in Men?

Low testosterone levels are one of the possible causes of night sweats in men. Medical conditions that can lead to night sweats include infection, hypoglycemia, certain cancers like leukemia (cancer of blood-forming cells) and lymphoma (cancer of the lymphatic system), and HIV (Human Immunodeficiency Virus). Apart from these, medication for diabetes, depression, hormone treatments, alcohol, and smoking may also play a role.

How Long Do Night Sweats Last?

Postpartum night sweats usually resolve on their own. So in the case of postpartum night sweats patience is the most effective treatment, wait for the condition to resolve, if it last longer than a few weeks then a healthcare provider should be consulted. Menopause-related night sweats last for a longer period, some make take years to stop.

How to Stop Night Sweats?

The doctor will take steps to diagnose and treat the underlying cause of night sweats. The diagnosis will determine the treatment strategy. The following are some of the night sweats treatment options:

Environmental and Lifestyle Changes-

  • Starting with simple modifications that can reduce the frequency and intensity of night sweats while increasing general health and sleep is a common approach to night sweats, especially those connected to menopause.

  • Sleeping in a cooler room with a lower thermostat and lighter bedding can help prevent heat from accumulating around the body during the night.

  • Tight-fitting clothing traps heat, so choose lightweight, loose-fitting clothing made of breathable and airy materials.

  • Caffeine, alcohol, and spicy foods can raise the body temperature and cause sweating. Night sweats can be reduced by avoiding them, especially in the evening.

  • Some persons with night sweats find that drinking a modest amount of chilled water before bed helps them achieve a more comfortable temperature.

  • Maintaining a healthy weight is advised as being overweight or obese can cause night sweats and other health issues, including sleep apnea and other sleep-related issues.

  • Relaxation techniques such as controlled breathing may assist menopausal women in minimizing hot flashes significantly.

Cognitive-Behavioral Therapy (CBT)- Hot flashes and night sweats can be reduced with cognitive-behavioral therapy, enhancing mood and quality of life in menopausal women. CBT is compatible with other techniques, such as behavior modification, and it is likely that when paired with different approaches, CBT has the best effect on night sweats.

Medications-

  • If the current medicines are causing night sweats, consider switching the prescription, dose, or timing of taking the medication.

  • If an illness or a hormonal imbalance causes night sweats, medicines may be able to assist.

  • If behavioral therapy fails, medicines may be explored for menopausal women. Night sweats can be reduced with various medications, including hormone therapy, but these medications might have serious side effects.

How to Prevent Night Sweats?

Some causes of night sweats may be prevented by making lifestyle modifications like-

  • Limit intake of alcohol and caffeine.

  • Tobacco and narcotics should be avoided.

  • Using a cooling mattress.

  • Attempt to keep a healthy weight.

  • The menopausal woman must stay away from spicy foods because they can exacerbate symptoms.

  • If an infection or another condition causes night sweats, seek medical help immediately.

Conclusion

Night sweats are unpleasant and might cause loss of sleep. In the majority of situations, they are not the cause to worry. They can, however, be caused by an underlying illness that necessitates treatment. A doctor can help to find out what is causing night sweats. They can also advise patients on how to avoid or treat night sweats. Depending on the underlying problem, doctors may suggest lifestyle modifications, drugs, or other therapies.

Frequently Asked Questions

1.

When Should I Be Worried About Night Sweats?

Typically, night sweats are not a cause for concern. But occasionally, they could be a symptom of a more serious illness that needs to be treated. It is very important to consult a doctor if the night sweats start to occur regularly, interfere with sleep, or are accompanied by other symptoms.

2.

How Can You Stop Night Sweats?

Depending on the underlying cause, there are many ways to treat night sweats. Correcting hormone imbalances or changing drug dosages may be necessary for treatment. In some additional circumstances, a doctor might suggest management techniques like:
- Creating a cool resting environment and using light, breathable fabric while sleeping.
- Drinking a good amount of water to avoid being dehydrated while sleeping with the air conditioning or a fan on.
- Before bed, avoid caffeine, alcohol, and spicy foods, and practice relaxation techniques or breathing exercises.
- Avoiding food 2-3 hours before bedtime.

3.

What Is the Most Common Cause of Night Sweats?

Because the body's mechanism for controlling temperature is intricate and influenced by a variety of circumstances, it can occasionally be challenging to pinpoint the precise cause of night sweats. However, menopause, drugs, infections, and hormone issues are common causes of night sweats.

4.

What Illness Causes Night Sweats?

 
- Anxiety.
- Menopause.
- Cancers, such as lymphoma, prostate, and leukemia.
- Medications that are used to treat low blood sugar and opioid usage disorders.
- Alcoholism.
-Autoimmunity-related illnesses like rheumatoid arthritis.
- Heart condition.
- HIV or AIDS.
- Obesity.
- Serious diseases, including tuberculosis and endocarditis.
- Disturbances of sleep, such as obstructive sleep apnea.

5.

Why Am I Sweating in My Sleep All of a Sudden?

Repeated episodes of extremely heavy sweating while sleeping, heavy enough to drench the bedclothes or clothing, are known as night sweats. They are frequently brought on by an underlying disease or condition. Sometimes one may wake up after perspiring a lot, especially if they have too many blankets covering them or their bedroom is too warm.

6.

What Cancers Cause Night Sweats?

Night sweats could be a first sign of:
- Carcinoid growths
- Leukemia.
- Cancerous bone lymphoma.
- Liver tumor.
- Mesothelioma.

7.

Can Night Sweats Cause Dehydration?

Dehydration can easily happen as a result of excessive perspiration (which occurs during night sweats). Since one is losing fluid more quickly than they are refilling it, this, in turn, leads to compilations. Our body cannot create enough sweat when we are dehydrated, which has major repercussions. In particular, in severe circumstances, this might result in heatstroke.

8.

What Medications Cause Night Sweats?

 
- Antidepressants.
- Anti-anxiety medications.
- Pain relievers such as opioids.
- Asthma medications.
- Diabetic medications.
- Viagra or Sildenafil.
- Migraine medications.

9.

Can Stress Cause Night Sweats?

When stressed, our brain and body are stimulated by an overactive mind, which can cause sweating.

10.

Why Is Night Sweats a Red Flag?

 
Night sweats can be a symptom of a straightforward infection, underlying cancer, more complicated infections, such as tuberculosis and HIV, connective tissue problems, menopause, or specific medications. Additionally, it is critical to keep an eye out for any potential psychological explanations, such as night terrors, which are brought on by post-traumatic stress disorder.

11.

Can Too Much Sugar Cause Night Sweats?

Possibly contributing to the nighttime cold sweats are our eating habits. Blood sugar imbalances brought on by eating too much sugar or processed carbohydrates and insufficient protein and fiber may be the cause of sweating while sleeping.

12.

What Blood Tests Are Done for Night Sweats?

Following blood tests can be conducted:
- Complete blood count (CBC).
- Thyroid examinations.
- FSH or follicle stimulating hormone test.
- HIV test.
- C-reactive protein test.
- Test for liver function
- Test for interferon-gamma release.
- Pregnancy test.

13.

Does Kidney Failure Cause Sweating?

Light perspiration does not significantly eliminate toxins, whereas heavy heat perspiration does, especially if kidney failure is present.
 
Tumors that can trigger night sweats are those affecting prostate, kidneys, and various tumors in the ovaries and testicles (both cancerous and not).

14.

Does High Blood Pressure Make You Sweat at Night?

Contrary to popular opinion, hypertension does not make one sweat. Sweating is listed as one of many symptom "myths" that have occasionally been mistakenly interpreted as indicators of high blood pressure.

15.

Is It Normal for a Man to Sweat While Sleeping?

Men who are stressed out or who may have an anxiety issue may get night sweats. Additionally, using antidepressants or HIV drugs may cause nighttime sweating as a side effect. Another potential cause is hyperhidrosis, a frequent disorder that results in excessive perspiration.

16.

Do Night Sweats Go Away?

Night sweats do go away once the cause behind them is addressed. Most women stop experiencing night sweats a few years from when menopause begins. Occasionally, though, they persist.

17.

What Infections Cause Night Sweats?

 
Night sweats may be brought on by infections. It can be brought on by certain infections, including osteomyelitis and bacterial endocarditis, which affect the bones and inner lining of the heart and heart valves.

18.

What Hormone Deficiency Causes Night Sweats?

Reduced estrogen levels, which can be brought on by menopause or the body's hormonal changes following childbirth, are a common cause of night sweats in women.
 
 

19.

When Should I Be Concerned About Night Sweats in Women?

If one often experiences night sweats that keep them from sleeping or if they have night sweats along with other symptoms, make an appointment with a healthcare professional. Menopause is probably to blame if a woman is close to 50 years of age and wakes up with cold sweats.

20.

Why Do I Get Night Sweats Before My Period?

Even though they might arise after the period starts, night sweats frequently occur with premenstrual syndrome (PMS). The menstrual cycle is natural and includes hormonal fluctuations. Fluctuations in the levels of the progesterone and estrogen hormones in the body, in particular, can be a factor.

21.

Why Do I Wake Up Drenched in Sweat While Pregnant?

The body temperature will slightly increase during pregnancy, which is entirely natural. And since sweating is a typical occurrence throughout pregnancy, it is a natural mechanism to try to cool off and control the body temperature.

22.

How Early Do Night Sweats Start in Pregnancy?

Early pregnancy and night sweats are frequently connected, and both can happen within the first two to three weeks following pregnancy. This is brought on by the body's natural production of estrogen, which fluctuates quickly.

23.

How Can I Stop Night Sweats During Pregnancy?

Understanding the source of night sweats is the first step in managing them. Most pregnant women regard the occasional night sweat to be a typical side effect of the body's changes during this joyful time.
- Change your sleeping environment.
- Use lighter-weight bedding.
- Lower the temperature of the air conditioner.
- Choosing soft cotton or another fabric for your nightwear that breathes better.
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Dr. Mohammad Rajja
Dr. Mohammad Rajja

General Practitioner

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