Monday, March 15, 2010

I have night sweats - is it normal?

They come and go. But I soak the entire bed and I will be dripping wet almost. It's nasty. I'm only 29 so I can't figure out why it's happening. I am a very anxious person and I was having palpitations because of it and my doc had my heart checked and my blood done and everything was fine ( I was having the night sweats at that time also). So what could it be? Am I dreaming and getting stressed or something?
I have night sweats - is it normal?
You need to see a different doctor who will try to find out why you are having the night sweats.





There are many different causes of night sweats. To determine what is causing night sweats in a particular individual, a doctor must obtain a detailed medical history and order tests to decide if an underlying medical condition is responsible for the night sweats. Some of the known conditions that can cause night sweats are:





Menopause 鈥?The hot flashes that accompany the menopausal transition can occur at night and cause sweating. This is a very common cause of night sweats in perimenopausal women.





Idiopathic hyperhidrosis 鈥?Idiopathic hyperhidrosis is a condition in which the body chronically produces too much sweat without any identifiable medical cause.





Infections 鈥?Classically, tuberculosis is the infection most commonly associated with night sweats. However, bacterial infections, such as endocarditis (inflammation of the heart valves), osteomyelitis (inflammation within the bones), and abscesses all may result in night sweats. Night sweats are also a symptom of AIDS virus (HIV) infection.





Cancers 鈥?Night sweats are an early symptom of some cancers. The most common type of cancer associated with night sweats is lymphoma. However, people who have an undiagnosed cancer frequently have other symptoms as well, such as unexplained weight loss and fevers.





Medications 鈥?Taking certain medications can lead to night sweats. In cases without other physical symptoms or signs of tumor or infection, medications are often determined to be the cause of night sweats. Antidepressant medications are a common type of medication that can lead to night sweats. All types of antidepressants can cause night sweats as a side effect, with a range in incidence from 8 to 22% of persons taking antidepressant drugs. Other psychiatric drugs have also been associated with night sweats. Medicines taken to lower fever such as aspirin and acetaminophen can sometimes lead to sweating. Other types of drugs can cause flushing, which, as mentioned above, may be confused with night sweats. Some of the many drugs that can cause flushing include:


niacin (taken in the higher doses used for lipid disorders),


tamoxifen,


hydralazine,


nitroglycerine, and


sildenafil (Viagra).


Many other drugs not mentioned above, including cortisone medications such as prednisone and prednisolone, may also be associated with flushing or night sweats.





Hypoglycemia 鈥?Sometimes low blood glucose can cause sweating. People who are taking insulin or oral anti-diabetic medications may experience hypoglycemia at night that is accompanied by sweating.





Hormone disorders - Sweating or flushing can be seen with several hormone disorders, including pheochromocytoma, carcinoid syndrome, and hyperthyroidism.





Neurologic conditions 鈥?Uncommonly, neurologic conditions including autonomic dysreflexia, post-traumatic syringomyelia, stroke, and autonomic neuropathy may cause increased sweating and possibly lead to night sweats.
I have night sweats - is it normal?
I suggest you see a gyno. They have a somewhat better outlook on hormonal changes and thyroid problems. I think we get night sweats due to estrogen, either a lack of, or to much of. A gyno could order your blood work for such abnormalities. Your young age and the problems with anxiety should not be an issue. Although, because of your anxiety, you might be fearing more. Antidepressants and possible hormone therapy might help. There are so many answers, but finding the reasons should involve all avenues. A good Gyn will be able to help you deal with all those issues.


I would suggest a GYN only, not one who also delivers babies. Or, a Internist. They seem to be more up on the latest. Not saying that other doctors are not qualified, but a famly doctor isn't going to spend as much time exploring these issues to a depth that you might need.

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