Understanding Night Sweats

Causes, Evaluation, and Treatment Options

Internal Medicine

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Last updated: Mar 24, 2025

What Are Night Sweats?

Night sweats are episodes of excessive sweating during the night that soak through sleepwear and bedding, even in a cool environment. They differ from normal sweating due to a warm room or heavy bedding.

Common Causes

Medical Conditions

  • Infections:
    • Tuberculosis
    • HIV
    • Endocarditis
  • Hormonal Disorders:
    • Menopause
    • Hyperthyroidism
    • Carcinoid syndrome
  • Cancers:
    • Lymphoma
    • Leukemia

Medications

  • Antidepressants
  • Hormone treatments
  • Some blood pressure medications

When to Seek Medical Attention

Consult your healthcare provider if you experience:

  • Night sweats occurring regularly
  • Sweating accompanied by unexplained weight loss
  • Fever or other concerning symptoms
  • Sweats that interfere with sleep

Diagnosis

Your healthcare provider may:

  1. Take a detailed medical history
  2. Perform a physical examination
  3. Order blood tests
  4. Request imaging studies if needed

Treatment Options

Lifestyle Changes

  • Keep bedroom cool
  • Use lightweight bedding
  • Wear breathable sleepwear
  • Avoid triggers (alcohol, spicy foods, caffeine)

Medical Treatments

Treatment depends on underlying cause and may include:

  • Hormone replacement therapy for menopause
  • Antibiotics for infections
  • Adjustment of current medications
  • Treatment of underlying conditions

Prevention Tips

  • Maintain healthy sleep habits
  • Regular exercise (not close to bedtime)
  • Stress management
  • Proper hydration

Complications

Chronic night sweats can lead to:

  • Sleep disruption
  • Fatigue
  • Decreased quality of life
  • Dehydration

Always consult with your healthcare provider for proper evaluation and treatment.

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