Sweating at Night? 12 Night Sweat Causes You Should Know

Symptoms of OSA include night sweats, loud snoring, excessive fatigue during the day, abruptly waking up during the night while gasping or choking, other people noticing that you sometimes stop breathing while you sleep, and more. If that sounds pretty scary, well, you’re right on target—this is one of those instances to be concerned about night sweats. OSA can be serious and requires prompt treatment.

Treatment options include lifestyle changes like using a nasal decongestant before you sleep or avoiding sleeping on your back, sleeping with a continuous positive airway pressure (CPAP) machine to keep your airways open, using a mouthguard to do the same, and more intensive options, like surgery to remove the tissue that’s blocking your airways, the Mayo Clinic says. The point is that you’re not just doomed to deal with OSA forever—you and your doctor can work together to treat it.

8. Tuberculosis

It might seem that tuberculosis (TB) isn’t around anymore, but it actually still is. This disease happens when bacteria called Mycobacterium tuberculosis attack your body (most often your lungs but potentially parts like your kidney, spine, and brain), according to the Centers for Disease Control and Prevention. There it causes an infection. According to the CDC, the symptoms of TB depend on where exactly the bacteria are attacking your body, but common ones include fever that can lead to night sweats and chills, weight loss, loss of appetite, and a cough that lasts three weeks or more.

You can get TB through contact with someone else who has it since the bacteria pass from person to person through microscopic particles in the air. But it’s not super common in the United States—a little over 8,900 new cases were reported in 2019, according to the CDC.

Even though having tuberculosis frankly sounds pretty scary, the good news is that it’s curable as long as you stick to the treatment plan. To fully kick this illness, you typically need to take antibiotics for at least six to nine months, the Mayo Clinic says, though that can vary based on your specific situation. (The good news is that you’d start to feel better and stop being contagious within a few weeks of treatment, but completing the full drug course is still essential in actually getting rid of the illness.)

9. Brucellosis

Brucellosis is a bacterial infection that humans can pick up from animals, according to the CDC. “This typically happens through unpasteurized dairy products but can occur through the air or direct contact with an infected animal,” Perlman says.

Brucellosis symptoms include fever, chills, sweating, weakness, fatigue, a loss of appetite, headache, and finally joint, muscle, and back pain, the Mayo Clinic says. So being cooped up with brucellosis is essentially the opposite of how you want to spend your time.

The chances of your getting this in the United States are exceedingly rare (there were only 115 cases reported in the U.S. in 2010, according to the CDC’s most recent numbers). But if you’re a traveler (under normal circumstances), it’s worth knowing that high-risk areas include places like Eastern Europe, Asia, Africa, South and Central America, the Caribbean, the Middle East, and the Mediterranean Basin (Portugal, Spain, Southern France, Italy, Greece, Turkey, and North Africa), per the CDC. Huge swaths of the world, essentially.

Night sweats – red flag symptoms

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Night sweats are not a common problem, but may be discovered when exploring other concerns or on a systemic review.

Red flag symptoms

• Significant unintentional weight loss
• Any symptoms warranting a two-week wait referral (see cancer risk assessment tools)
• A history of foreign travel
• Risk factors for HIV
• Palpable lymph glands
• Risk factors for TB
• Recurrent bacterial infections requiring antibiotics
• History of alcohol excess or recreational drug use
• Signs of meningeal irritation (meningism), such as neck stiffness, photophobia, headache
• Haemoptysis
• Symptoms suggestive of COVID-19, such as cough, anosmia, dysgeusia
• Persistent nose bleeds, bleeding gums or petechiae

Differential diagnoses

There are a broad range of differential diagnoses to consider.

Night sweats can be a nonspecific problem, so establishing a cause can be difficult. It is important to find out what the patient means by night sweats and explore what effect they are having. Night sweats requiring patients to change clothing or bed linen should be taken seriously.

Night sweats can be a manifestation of simple infection, underlying malignancy, more complex infections – including TB and HIV – connective tissue disorders, menopause or certain prescribed drugs. It’s also important not to overlook possible psychological causes, such as night terrors secondary to PTSD.

Questions to ask

Acute night sweats are more likely to feature in infective pathology so, in this circumstance, you may wish to consider a full systemic review unless the patient volunteers relevant information early on within the consultation.

Useful questions to ask include:

• How long have the night sweats been a problem?
• How much do they bother you?
• What do you feel the problem could be?
• Have you noticed any appetite loss or weight loss?
• Have you had any unexplained persistent fever?
• Have you measured your temperature during the episodes? If so, what is it?
• Have you had any other symptoms, such as persistent cough, dyspnoea, haemoptysis, change in bowel habit, rectal bleeding, haematuria, joint stiffness, swelling or deformity, lumps suggestive of lymph nodes, breast lumps, testicular lumps or postmenopausal bleeding (if relevant)?
• Have you had any urinary symptoms? (Specifically useful to ask older male patients)
• Are there any new or changing skin lesions?
• How much alcohol do you drink and do you use recreational drugs?
• Do you smoke? (This may be relevant if malignancy is suspected, but also may exacerbate the symptom).
• Are you experiencing any depressive or anxiety-type symptoms?
• Do you have any symptoms of COVID-19?

In addition to the questions above, if you suspect that your patient is menopausal, then consider asking about other vasomotor symptoms, such as hot flushes, urogenital symptoms, such as vaginal dryness, or mood disturbance.

As lymphadenopathy can affect the neck, axilla and inguinal region, you should ask about swelling in these specific areas.

Ensure you are familiar with the patient’s medications. Certain medications can cause hot flushes, for example hormonal treatments for prostate cancer.

It may be important to know if the patient has a history of foreign travel if TB or another infectious disease is suspected. Consider HIV if there are risk factors for this (including blood transfusions, IV drug use, tattoos or same-sex partners).

Possible causes

Possible causes include:

• Simple infection, such as ENT infection or respiratory tract infection
• Malignancy, such as leukaemia or lymphoma
• Complex infections, such as TB, HIV
• Menopause
• Prescribed drugs, for example, hormonal treatments for prostate cancer
• Anxiety
• COVID-19
• Obesity
• Endocrine causes, such as pheochromocytoma or autonomic disturbance secondary to diabetes

Examination

Examination will be guided by your history.

Remote examination via telephone

• Does the patient sound unwell?
• Is there any respiratory distress?
• Can the patient check their pulse, blood pressure or oxygen saturation for you, if relevant?
• Can they provide you with a weight, if relevant?

Remote examination via video

• How does the patient look?
• Are they in any distress?
• Do they appear cachectic?
• Can the patient check their pulse, blood pressure or oxygen saturation for you, if relevant?
• Are there any relevant lesions they can show you? For example, skin lesions, tongue lesions, new lumps?

Face-to-face examination

• For face-to-face examinations, ensure you wear appropriate PPE.
• If appropriate, check the patient’s temperature. Do they look cachectic? It may be useful to weigh them.
• If malignancy is suspected, examination of the affected system will be necessary. Auscultate and percuss the chest to exclude evidence of pneumonia or effusion. Check the abdomen for masses, for example hepatosplenomegaly. It may also be necessary to check palpable lymph nodes, for example cervical, axillary or inguinal nodes.

Investigations

Investigations will be guided by the history and examination findings. The list below is not exhaustive.

Primary care investigations may include:

• Routine blood tests – FBC, U&Es, LFTs, CRP, ESR, HIV, TSH, autoimmune screen, VDRL (syphilis screening test), FSH LH, HbA1c, and monospot test for glandular fever
• FIT testing
• 24-hour urinary catecholamines, urine for MSU as well as for for chlamydia/gonorrhoea
• COVID-19 PCR testing
• Sputum culture and sensitivity
• Stool cultures may be relevant. If you suspect infective diarrhoea as a cause, you may require three samples on three separate days to increase the likelihood of catching the infection
• Plain chest X-ray
• Ultrasound of the abdomen and pelvis may be necessary
• Ultrasound soft tissue if you find lymph nodes (as well as ultrasound of any other area of concern)
• HADS score if you suspect anxiety
• You might have direct access to CT scanning, which may be relevant.

Other investigations, such as MRI or bone scans, may require secondary care referral via the appropriate pathway. More complex elderly patients may require referral to rapid access elderly care service. Testing for tumour markers is not recommended in primary care.

Any red flag symptoms may require appropriate investigations under the two-week rule, depending on the rest of the history, examination findings and preliminary investigations.

Pyrexia of unknown origin may require assessment by your local infectious diseases team.

Management will largely depend on the cause of the problem.

• Dr Singh is a GP in Northumberland

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This is an updated version of an article first published in August 2013, updated in 2018 and updated again in June 2021.

Migraine – Symptoms – NHS

Common symptoms of a migraine

The main symptom of a migraine is usually an intense headache on 1 side of the head.

The pain is usually a moderate or severe throbbing sensation that gets worse when you move and prevents you carrying out normal activities.

In some cases, the pain can occur on both sides of your head and may affect your face or neck.

Additional symptoms

Other symptoms commonly associated with a migraine include:

• feeling sick
• being sick
• increased sensitivity to light and sound, which is why many people with a migraine want to rest in a quiet, dark room

Some people also occasionally experience other symptoms, including:

Not everyone with a migraine experiences these additional symptoms and some people may experience them without having a headache.

The symptoms of a migraine usually last between 4 hours and 3 days, although you may feel very tired for up to a week afterwards.

Symptoms of aura

About 1 in 3 people with migraines have temporary warning symptoms, known as aura, before a migraine.

These include:

• visual problems – such as seeing flashing lights, zig-zag patterns or blind spots
• numbness or a tingling sensation like pins and needles – which usually starts in 1 hand and moves up your arm before affecting your face, lips and tongue
• feeling dizzy or off balance
• difficulty speaking
• loss of consciousness – although this is unusual

Aura symptoms typically develop over the course of about 5 minutes and last for up to an hour.

Some people may experience aura followed by only a mild headache or no headache at all.

When to get medical advice

You should see a GP if you have frequent or severe migraine symptoms that cannot be managed with occasional use of over-the-counter painkillers, such as paracetamol.

Try not to use the maximum dosage of painkillers on a regular or frequent basis as this could make it harder to treat headaches over time.

You should also make an appointment to see a GP if you have frequent migraines (on more than 5 days a month), even if they can be controlled with medicine, as you may benefit from preventative treatment.

You should call 999 for an ambulance immediately if you or someone you’re with experiences:

• paralysis or weakness in 1 or both arms or 1 side of the face
• slurred or garbled speech
• a sudden agonising headache resulting in a severe pain unlike anything experienced before
• headache along with a high temperature (fever), stiff neck, mental confusion, seizures, double vision and a rash

These symptoms may be a sign of a more serious condition, such as a stroke or meningitis, and should be assessed by a doctor as soon as possible.

Find out more about diagnosing migraines

Stages of a migraine

Migraines often develop in distinct stages, although not everyone goes through all of these:

1. prodromal (pre-headache) stage – changes in mood, energy levels, behaviour and appetite that can occur several hours or days before an attack

2. aura – usually visual problems, such as flashes of light or blind spots, which can last for 5 minutes to an hour

3. headache stage – usually a pulsating or throbbing pain on 1 side of the head, often accompanied by feeling sick, vomiting or extreme sensitivity to bright light and loud sounds, which can last for 4 to 72 hours

4. resolution stage – when the headache and other symptoms gradually fade away, although you may feel tired for a few days afterwards

Page last reviewed: 10 May 2019
Next review due: 10 May 2022

5 Headache Triggers During Perimenopause

Perimenopause and headaches: What’s the Connection?

Hormonal changes that occur during perimenopause, particularly the decline of estrogen may be the main reason for headaches during this time period.

The decline in estrogen levels is also associated with a decline in serotonin (a neurotransmitter) in the brain, which may hinder the function of a cranial nerve called the trigeminal nerve. This cascade of events may be responsible for triggering headaches or migraines. Hormonal fluctuations may be the main culprit if a woman experiences more frequent headaches or migraines during perimenopause.

5 Common Headache Triggers during perimenopause

Declining hormone levels may lead to various symptoms such as night sweats, hot flashes, heavier periods and mood swings which can lead to additional health issues that may then trigger headaches.

1. Dehydration. Our bodies requires the proper balance of fluid and electrolytes in order to function properly. Fluids are lost during everyday activities such as sweating and urination. This loss is easily replenished by drinking or eating foods rich in fluids. But sometimes the body loses water quickly and this can lead to dehydration.
   A dehydration headache may then result. The brain may contract or temporarily shrink due to the lack of fluids. This process causes the brain to move away from the skull which causes discomfort and a dehydration headache. Once rehydrated, the brain expands to its normal size and returns to its normal position, relieving the headache.
2. Hot Flashes. Can cause a sudden sensation or wave of heat in the body. During a hot flash, a woman’s heart rate increases, intensifying the sensation of heat. Fluctuating levels of estrogen can affect the blood vessels, resulting in sudden changes in vessel dilation that may trigger hot flashes.
   Many women complain about experiencing a headache after they get a hot flash. This is because the blood vessels open suddenly due to the heat which triggers spasms.
3. Anxiety & Stress. Most of us get tension headaches when we are stressed or worried about something. Perimenopause can cause symptoms that may lead to anxiety and stress. Headaches that accompany stress or anxiety are a result of a physical response to the emotional strain a woman may experience at that time.
4. Poor Posture. The position in which you sit at the office, hold your phone, the way you type on your computer, all these factors and many other everyday activities if not performed correctly, can result in headaches. One common reason for headaches is muscle tension and tightness. Poor posture tightens the muscles as they struggle to adapt to the pressure being put on them.
5. Diet. Many studies indicate that certain foods and drinks may trigger headaches. Alcoholic beverages, processed meats and aged cheeses are some of the commonly reported foods that may trigger headaches. Caffeine withdrawal or limiting caffeine, fasting and certain nutrient deficiencies may also lead to headaches. Low calorie dieting can also result in headaches.

How to Prevent Headaches during Perimenopause?

The good news is that there are many ways to manage perimenopause related headaches. Adapting the following lifestyle changes, remedies and dietary changes can help manage, prevent and in some cases stop headaches from taking a hold on a woman’s life:

• Keep a lifestyle diary. This is an excellent way to determine what your headache triggers may be. Write down what you ate in the hours before a headache takes hold. This may help you find dietary patterns over time. If a pattern arises, limiting that food is a wise decision. Then you can assess whether cutting that particular food out of your diet makes a difference in their frequency and intensity.
• Exercise. Regular physical activity may also help to prevent headaches. Try to exercise for at least 30 minutes each day or at least 3 to 4 times a week. Spinning classes, a long walk or going for a swim are great exercise options.
• Behavioural Therapy. Biofeedback and relaxation therapies are two types of behavioural therapies known to help some women deal with severe headaches. Various techniques and methods are used to control how your body responds to anxiety, muscle tension, and even pain.
• Supplements. Certain nutritional supplements have shown some success in limiting the frequency of headaches. Vitamin B-2, Vitamin D, coenzyme Q10 and magnesium are the top choices to prevent a headache.
• Plant based remedies that can help.
  Soy Isoflavones. A.Vogel’s Menosupport Complex Is a helpful addition for a woman experiencing headaches during this time. This remedy contains soy isoflavones which provide plant-based estrogens. They help a perimenopausal woman adjust to the declining levels of estrogen during perimenopause. As headaches may be caused by a decline in estrogen, this remedy can help. The magnesium in the formula may also help with tension headaches and with stress relief and relaxation.
  Oatstraw tincture. A.Vogel’s Avenaforce is an outstanding herbal remedy that may be used on a long-term basis by women to ease their menopausal symptoms especially in cases where they are anxiety related. It helps to combat the effects of stress and helps to nourish a weakened nervous system. Avenaforce is a nourishing and supportive remedy for this period in a woman’s life.
  A.Vogel’s Passion flower Tincture. Passion flower is a plant which has been studied for its ability to help ease menopausal symptoms such as hot flashes, night sweats, insomnia, depression, mood swings and headaches.

Conclusion

For women who experience headaches during perimenopause, avoiding these 5 triggers can help to provide relief and prevent further headaches from taking hold. Fortunately, headaches can be managed by natural and lifestyle remedies.
References
https://primewomen.com/health/wellness/what-is-perimenopause-guide/
https://www.uptodate.com/contents/estrogen-associated-migraine
https://www.medicalnewstoday.com/articles/318660#Symptoms-at-each-stage
https://www.verywellhealth.com/understanding-dehydration-as-a-headache-trigger-1719534
https://www. medicalnewstoday.com/articles/327481#other-signs-and-symptoms-of-menopause
https://www.healthline.com/health/headache/anxiety-headaches
https://www.inquirer.com/philly/blogs/sportsdoc/Could-my-poor-posture-be-causing-my-headaches.html
https://www.healthline.com/nutrition/migraine-diet#section8
https://www.healthline.com/health/menopause-headaches#treatment
https://www.healthline.com/health/natural-remedies-for-perimenopause#soy
https://www.consciouslifestylemag.com/natural-remedies-and-herbs-for-menopause/
https://www.fwhc.org/menopause/menopause-years.htm
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203277/

Night Sweats: Causes & Treatment

Night sweats are a symptom of multiple diseases and conditions. So, there is no one night sweats treatment. Instead, treatment depends on the underlying cause. This may include treating infections, cancer, or hormonal disorders, including thyroid problems. Night sweats will likely resolve once these causes are treated.

For night sweats due to menopause, hormone replacement therapy (HRT) may be helpful. However, not all women are candidates for HRT or want to take it. Other medications can help relieve hot flashes and night sweats including certain antidepressants, anti-seizure medicines, and blood pressure medicines.

Home remedies for night sweats

If you are living with night sweats or hot flashes, there are strategies you can use to help manage them when they happen. This includes:

• Avoid triggers, such as alcohol, caffeine and nicotine. Keeping a log can help you track specific triggers that affect you.

• Dress in lightweight, loose-fitting pajamas if you wear them.

• Keep ice water nearby during the night.

• Lose weight if you are overweight or obese.

• Make your bed with light layers you can peel away during an episode.

• Use a fan when you sleep.

Alternative treatments for night sweats

Women living with night sweats often look to alternative treatments for relief. While definitive research is lacking, there is some evidence for several mind-body approaches and supplements.

Mind-body techniques that may help manage night sweats include:

• Acupuncture, which may help reduce the frequency and severity of night sweats

• Cognitive behavioral therapy, which may help change your attitude about night sweats and how much they bother you

• Hypnosis, which may help reduce the frequency and severity of night sweats

• Meditation, which may help reduce how much night sweats bother you

Several supplements advertise a potential benefit in dealing with night sweats and hot flashes. This includes plant estrogens, black cohosh, ginseng, and others. Always talk with your doctor before trying any of these supplements. Many of them have estrogen-like effects and are not safe for women who should avoid estrogen. In addition, supplements can have harmful side effects and drug interactions.

Night Sweats – Sleep Hyperhidrosis

Night sweats, or sleep hyperhidrosis, are episodes of excessive night time sweating even when your bedroom isn’t excessively hot. It is a fairly common problem, with many people experiencing them from time to time. Night sweating usually isn’t considered a serious medical concern, however it can be uncomfortable when it occurs regularly or interferes with sleep.

Night sweats can be a side effect of certain medications such as antidepressants, hypoglycemic agents, temperature-regulating medications, or hormone therapy. Many women also experience night sweating during menopause. In some cases, underlying medical conditions can lead to night sweats, such as infections, cancer, nervous system disorders, or problems with the body’s endocrine (hormone-producing) system. It’s always important to get symptoms checked out by your doctor to be sure that they aren’t a sign of something more serious.

For people experiencing night sweats, acupuncture can offer relief. The development of the Chinese medical system occured through astute observation. Their doctors became masters of accurately diagnosing medical conditions based on a very detailed observation of symptoms. With observation, they discovered that groups of symptoms typically occur together, and together these symptoms point towards a specific pattern of imbalance. By determining which imbalance, you can treat the problem effectively to resolve the symptoms.

For this reason, whenever Chinese medicine trained acupuncturists talk about a symptom such as night sweating, or headaches, or pain, we are never simply talking about the symptom by itself. We are talking about all of the other symptoms that may be accompanying the complaint, in order to understand which pattern of imbalance is the true cause. From a Western medical perspective these patterns may all be lumped together as the same condition (such as “headaches” or “insomnia”), whereas in Chinese medicine we may have a number of different types of one condition that are each different because they are each due to a different pattern.

With night sweating, there are a few different patterns of imbalance that can be at work. The most common pattern involved in night sweating is a yin deficiency. Night sweating is commonly seen in people with a yin deficiency combined with internal heat, but can also occur in a heart blood deficiency or a spleen qi deficiency with internal damp accumulation.

So how do these patterns translate into outward symptoms? A deficiency of heart blood would have night sweating along with symptoms of heart palpitations, insomnia, pale complexion, shortness of breath, and fatigue. With yin deficiency with internal heat, night sweats would be frequent with a tendency to feel warmer in the later afternoon, reddening of the cheeks, heat in the chest, and hot hands and feet.  Spleen qi deficiency with damp accumulation would cause night sweats with headaches with a “head full of cotton” feeling, heavy limbs, poor appetite, and slippery or slimy feeling in the mouth.

As you can see, with night sweats there are a number of different situations that can occur. By determining which type of pattern is at the root of the problem, acupuncture can help the body to correct the imbalance and resolve the symptoms- not just the night sweats but accompanying symptoms such as fatigue, insomnia, appetite, headaches, or poor sleep. It is simply a matter of redirecting the body’s energy and to encourage the body’s own natural healing processes.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 165-1855 Kirschner Rd. Visit our NEW LOCATION in the Landmark area, easily accessible whether you are coming from the Mission, Glenmore, West Kelowna, or Rutland. Enjoy free on-site client parking!

Causes of Night Sweats | How to Prevent & Cope

3. Hyperthyroidism

The thyroid gland is responsible for producing thyroid hormones, which regulate the body’s metabolism. Hyperthyroidism is when the thyroid produces too much hormone, revving up your metabolism. The most common cause of hyperthyroidism is an autoimmune condition called Graves disease.

Uncommon: Graves disease affects 1 in 200 people in the U.S. [Source: National Institutes of Health].

Co-occurring symptoms

• Palpitations
• Weight loss
• Tremor
• Difficulty sleeping
• Anxiety
• Irregular or loss of periods
• Dry hair and skin

Treatment and urgency: Talk to your doctor, who may refer you to an endocrinologist, a doctor that specializes in hormonal conditions. Graves disease is treated with antithyroid medications, such as methimazole and propylthiouracil, and radioactive iodine therapy.

If your hyperthyroidism is due to a specific thyroid nodule or nodules, you may need surgery to remove the nodule or entire thyroid.

Night sweats and diabetes

“If you have diabetes and are experiencing night sweats, you should tell your doctor what your daily activities are like, especially during the period of time before you go to sleep. Things like changes in exercise habits, eating schedule, alcohol consumption, and timing of diabetes medications can all result in nocturnal hypoglycemia that leads to night sweats.”—Dr. Grand

4. Low blood sugar at night

If your blood sugar (also known as glucose) drops during the night, it can cause night sweats. This is known as nocturnal hypoglycemia. Very low blood sugar triggers our “fight or flight” response, which increases levels of adrenaline. That, in turn, can cause sweating, palpitations, tremors, and anxiety.

Certain diabetes medications can cause low blood sugar. It can also occur when a diabetic person misses their evening meal or exercises before bedtime. Additionally, alcohol can cause low blood sugar in people with and without diabetes.

Common in people with type 1 diabetes: About half of severe hypoglycemic episodes occur during sleep [Source: Endocrine Practice].

Co-occurring symptoms

Treatment and urgency: The treatment for nocturnal hypoglycemia is to eat or drink something with sugar, usually by having a small amount of fruit juice or candy, or a glucose tablet. Even if your symptoms are mild and you feel better right away, you should still call your doctor, especially if your glucose number is less than 70.

If you are taking diabetes medications, your doctor may need to adjust the dose or type of medicine to prevent hypoglycemia from reoccurring. If nocturnal hypoglycemia is severe, some people may be unconscious or in-and-out of consciousness. When this happens, call 911, and do not try to give them sugar by placing food or drink in their mouths—they could choke on it.

5. Cancers

Blood cancers like leukemia and lymphoma may cause night sweats. These cancers involve the overproduction of certain types of blood cells. It is not well understood why they cause night sweats, but theories include increased susceptibility to infections and increased inflammation in the body. Other types of cancers that may cause night sweats include prostate cancers, kidney cancers, and carcinoid tumors.

Uncommon: Almost 40% of people with a type of leukemia called chronic myeloid leukemia report night sweats, and 30% of people with Hodgkin lymphoma do [Source: Journal of the American Board of Family Medicine].

Co-occurring symptoms

Treatment and urgency: See a doctor right away if you have these symptoms. You may be referred to an oncologist (cancer specialist). Leukemia and lymphoma are typically treated with chemotherapy. Radiation therapy may also be a part of treatment, in particular if the leukemia or lymphoma has spread throughout the body. A bone marrow transplant may also be recommended.

6. Medications

There are several medications that may cause night sweats as a side effect. Some of the most commonly prescribed ones include:

• Antidepressants. These typically increase levels of the neurotransmitter serotonin, which can affect body temperature regulation. When levels of serotonin increase, some people experience excessive sweating at night and during the day. Night sweats have been reported with SSRIs (selective serotonin reuptake inhibitors), tricyclic antidepressants, and Wellbutrin.
• Diabetes medications. These lower blood glucose levels, but if levels get too low, it can cause hypoglycemia. Symptoms of hypoglycemia include dizziness, lightheadedness, palpitations, shaking, sweating, and passing out. Certain classes of diabetes medications have a higher risk of hypoglycemia including sulfonylureas (i.e., glyburide), meglitinides (i.e., repaglinide), and insulin.
• Anti-estrogen medications. Raloxifene, which is used to treat certain types of breast cancer, may cause night sweats. Leuprolide, used to treat prostate cancer, certain breast cancers, and endometriosis, and used in transgender hormone therapy, reduces sex hormone levels and can cause night sweats.

Do SSRIs cause night sweats?

“It has been reported that an estimated 7–19% of people on SSRIs experience night sweats. If you are experiencing night sweats and on an SSRI, talk to your doctor about whether this is a potential side effect. “—Dr. Grand

7. Idiopathic hyperhidrosis

• Excessive sweating during the day
• Night sweats
• Moisture stains on clothing
• Itching
• Strong body odor

Hyperhidrosis is the medical term for excessive sweating. When something is idiopathic, it means that the cause is unknown. People with idiopathic hyperhidrosis experience excessive sweating both during the day and while sleeping. The sweating can be limited to certain areas of the body like palms and soles or over the entire body.

Uncommon

Co-occurring symptoms

Treatment and urgency: Excessive sweating is usually treated with an aluminum-based prescription deodorant, which works by blocking sweat glands. Another option is an anti-moisture cream containing glycopyrrolate, which also reduces sweating. Oral medications such as oxybutynin and benztropine may also be prescribed.

A procedure called iontophoresis is used for excessive sweating on hands and feet. A small electrical current is passed through water and delivered to the skin, which is thought to reduce the activity of sweat glands or block the ducts.

Botox injections into the affected areas, such as armpits, also help reduce sweating. If none of these options work, or if the hyperhidrosis is severe, surgery to either remove sweat glands or cut certain nerves related to sweating may be recommended.

90,000 Migraine: symptoms and drug treatment

Migraine is a paroxysmal state that manifests itself in periodic attacks of intense headache of a pulsating nature, localized mainly in one half of the head (mainly in the orbital-frontotemporal region), most often in combination with nausea, vomiting, photo- and phonophobia, drowsiness, lethargy after an attack.

Roza Ismailovna Yagudina

Doctor of Pharmaceutical Sciences, Professor, Chairman of the Board of the Moscow Pharmaceutical Society.

Evgeniya Evgenievna Arinina

Candidate of Medical Sciences, expert of the Moscow Pharmaceutical Society.

Migraine is often combined with emotional disturbances such as anxiety and depression, which are closely related to migraine. Joining migraines, depression leads to increased frequency and severity of attacks, the appearance of nocturnal pains, the development of persistent disturbances in nighttime sleep and autonomic disorders in the interictal period, and, as a result, to a significant deterioration in the quality of life of patients.

The prevalence of migraine among the world’s population reaches 30% (on average 16%). Among women, the prevalence of migraine is 11-25%, in men – from 4% to 10%. And at least once in a lifetime, 25% of women and 8% of men suffer from a migraine attack. The onset of migraine attacks usually begins at the age of 18–20 years, but the highest frequency of attacks is observed at the age of 30–33 years (80% of cases).

The peak of the development of the disease occurs at the age from 18 to 30 years.Before puberty, the incidence is higher in boys, then it rises faster in girls and then persists in women. At the age of 35–45 years, the frequency and intensity of migraine attacks reaches a maximum, but after 55–60 years, migraine stops in most patients. Migraine almost never occurs for the first time in people over 50.

According to world statistics, a migraine-type headache (not the migraine itself) is observed in 75% of cases in children under the age of 7 years.The onset of migraine proper in more than 26% of cases falls on the age of 10 years, and in 29% – from 10 to 20 years. Generalized data indicate that migraine occurs in 3-5% of children and 10-12% of adolescents. Russian data on the prevalence of migraine among children are limited by the results of a few regional population studies, but are generally comparable with the results of world studies. Thus, we see that migraine is a common pathology among children, ranking second in frequency of occurrence among primary cephalalgias.

Migraine is diagnosed only in 26% of cases when the patient first visits a doctor. At the same time, 38% of patients never consulted a doctor, 41% of them self-medicated, 15% did not hope that the doctor could really help in the treatment of their hypertension. Thus, in real practice, doctors most often have to deal with an already transformed migraine that has taken on a chronic course. Migraine, as a rule, does not lead to irreversible brain damage (CM), but it is difficult to tolerate and significantly reduces the quality of life of patients.

Etiology and pathogenesis (causes of migraine)

There are three types of pathophysiological theories of migraine.

Vascular theories.

• Vasomotor theory: migraine is caused by a sharp narrowing of the intracranial vessels, causing cerebral ischemia and aura. This is followed by the expansion of the extracranial blood vessels, which causes the headache.
• Shunt theory: In an attack, blood tends to travel from an artery directly to a vein through an arteriovenous shunt without passing through intracranial capillaries, causing cerebral ischemia, which is the main cause of headache.
• Platelet Theory: Migraine is caused by a primary abnormality of platelets, the aggregation of which releases a significant amount of serotonin. This theory is based on the fact that platelets in migraine patients have a more pronounced ability to aggregate than in healthy people, and are more sensitive to factors that trigger the release of serotonin.

Neurological and neurovascular theories:

• Spreading depression theory: Cerebral blood flow disorders are caused by the phenomenon of “spreading depression” – an expanding dysfunction of the cerebral cortex.
• Trigeminal-vascular theory: The sources of headache are the cranial and dura mater vessels, which are under the control of the mid-brainstem structures, which can trigger seizures.

Serotonergic theory:

• It is serotonin that plays an initiating role in migraine headaches. Hypothetical evidence is that during a migraine attack, the content of 5-HT (serotonin) in platelets drops sharply (by 30-40%) and there is an increased content of its metabolic products in the urine.In addition, migraine attacks can be triggered by the intake of reserpine, which promotes the release of serotonin, and some anti-migraine drugs interact with 5-HT receptors.

The role of hereditary factors in the development of migraine has been proven. So, if both parents had migraine attacks, the risk of offspring disease reaches 60-90% (in the control group – 11%). If only the mother had seizures, the risk is 72%, if the father has 20%. The mechanism of inheritance is not entirely clear: some authors point to the recessive type, others to the dominant type.It is possible that a certain neurochemical defect is inherited or not even the disease itself, but only a predisposition to a certain type of reaction of the vascular system to various stimuli.

American researchers from the University of California in the United States have suggested that migraine is a genetic disease, and that is why it is so difficult to treat.

Triggers and symptoms of a migraine attack

A migraine attack can occur under the influence of a number of “provocateurs”, including five main factors: emotional stress, weather changes, menstruation, hunger and physical strain.More often, an attack occurs not during stress, but after resolving a stressful situation.

Disruption of the rhythm of sleep and wakefulness can also play a provocative role, and attacks can more often be triggered by lack of sleep, less often by excessive sleep (“weekend migraine”). Migraine provocateurs include noise, stuffiness, bright and flashing lights, and certain medications (contraceptives, hormones, antibiotics, etc.). Certain foods can also trigger migraine attacks: alcohol (especially red wine and champagne), chocolate, citrus fruits, some cheeses, and foods that contain yeast.Their provocative effect is explained by the content of tyramine and phenylethylamine in them.

A migraine attack in 10-15% of cases is preceded by a migraine aura – a complex of neurological symptoms that occur immediately before or at the beginning of a migraine headache. On this basis, migraine without aura (“simple” migraine) and migraine with aura (“associated” migraine) are distinguished. The aura develops within 5–20 minutes, lasts no more than an hour, and completely disappears with the onset of the pain phase.Most patients have migraine headaches without an aura and never or very rarely experience a migraine aura. At the same time, patients with migraine headaches with aura can often have seizures without an aura. In rare cases, after the aura, a migraine attack does not occur (the so-called “aura without headache”).

The most common visual, or “classical”, aura, manifested by various visual phenomena: photopsies, flies, one-sided loss of the visual field, flickering or zigzag luminous scotoma.Less commonly, there may be one-sided weakness or paresthesias in the limbs, transient speech disorders, distortion of the perception of the size and shape of objects (“Alice in Wonderland” syndrome). Symptoms, as a rule, change sequentially one after another. Visual symptoms appear first, then sensory and speech symptoms, but a different sequence is also possible.

A migraine attack is often accompanied by nausea, increased sensitivity to bright light (photophobia), sounds (phonophobia) and odors, decreased appetite; less often vomiting, dizziness, fainting may occur.Due to the pronounced photo and phonophobia, most patients during an attack prefer to be in a darkened room in a calm, quiet environment. Migraine pain is aggravated by normal physical activity. In children and young patients, the appearance of drowsiness is typical, and after sleep the headache most often disappears without a trace.

During an attack, some patients develop autonomic symptoms: increased heartbeat, facial edema, chills, hyperventilation manifestations (lack of air, a feeling of suffocation), lacrimation, light-headedness, increased sweating.In 3-5% of patients, vegetative manifestations are so numerous and pronounced that they reach the degree of a typical panic attack. This is the so-called “vegetative” or “panic” migraine.

The role of hereditary factors in the development of migraine has been proven. If both parents had migraine attacks, the risk of disease in offspring reaches 60-90%. If only the mother had seizures, the risk is 72%, if only the father has 20%.

In the majority of patients (60%), seizures occur exclusively in the daytime, i.e.That is, while awake, 25% of patients have both daytime and nocturnal seizures. No more than 15% of patients suffer exclusively from sleep migraine, that is, pain attacks occur during nighttime sleep or upon waking up in the morning.

In 15-20% of patients with episodic migraine, typical at the onset of the disease, over the years, the frequency of attacks increases up to the development of daily headaches, which at the same time become weaker, become permanent, and may lose some typical migraine symptoms.This type is called “chronic migraine” (previously the term “transformed migraine” was used). Studies have shown that two factors play a role in the transformation of episodic migraine into a chronic form: the abuse of painkillers (the so-called “drug abuse”) and depression that occurs against the background of a chronic traumatic situation.

Relief of migraine attacks with drugs

The choice of drug therapy for the relief of migraine paroxysms largely depends on the intensity of the attack.Unfortunately, there are still no universal anti-migraine drugs. Initial treatment for migraine consists of simple or combination pain relievers and NSAIDs. Of the over-the-counter monopreparations, preference is given to paracetamol, naproxen, ibuprofen, acetylsalicylic acid, which have a pronounced analgesic effect. Given the platelet theory, acetylsalicylic acid (approximately 150 mg / day once) can be used for migraine headaches and as a prophylactic drug.

List of drugs for migraine:

Combined analgesics are usually used in cases where simple pain relievers at the beginning of the attack do not have the desired effect.As a rule, the composition of these drugs includes caffeine, which has a beneficial effect on migraines due to the tonic effect on the blood vessels of the GM.

Another group of combined pain relievers that may be useful during seizures are analgesics with antispasmodics. The antispasmodic components, due to the vasodilating action, “soften” the sharp narrowing of the blood vessels of the GM, which is considered as one of the factors in the development of migraine paroxysms.The most numerous group of drugs in this segment is the combination of metamizole sodium with the myotropic antispasmodic pitofenone and the M-anticholinergic blocker fenpiverinium bromide.

Ergotamine preparations (ergot preparations) arrest the migraine attack due to a powerful vasoconstrictor effect. Ergotamine in combination with caffeine or with caffeine and dimensionhydrinate is prescribed as monotherapy or in combination with analgesics, antiemetic and sedative drugs. With increased sensitivity to ergot preparations, side effects are possible: chest pain, pain and paresthesia in the extremities, muscle spasms, dyspepsia.Contraindications to their appointment are coronary artery disease, hypertension, peripheral vascular disease.

The “gold standard” for the treatment of migraine attacks is currently serotonin receptor agonists of the 5HT1 type (triptans), which are prescribed mainly in cases of ineffectiveness of other means of stopping therapy. The first representative of this group of drugs – sumatriptan – has a specific and selective agonism to 5-HT1-serotonin receptors, localized mainly in the blood vessels of the GM.This drug has no effect on other subtypes of 5-HT-serotonin receptors.

Sumatriptan eliminates the main symptoms of migraine by narrowing the vessels of the meninges, the expansion and edema of which is considered by the trigeminal-vascular theory of migraine as the main mechanism for the development of the disease. In this case, the drug has no significant effect on cerebral blood flow. Sumatriptan eliminates nausea and photophobia associated with migraine attacks. Despite the predominant effect on GM vessels, it also exhibits a number of resorptive effects, which are regarded as undesirable.Due to its ability to constrict blood vessels, sumatriptan is contraindicated in cardiovascular diseases. Sumatriptan should not be used in patients under 18 and over 65 years of age.

Note that the nasal form provides a more rapid development of the therapeutic effect than the oral one. If the patient has difficulty swallowing the tablets, rectal forms of sumatriptan can be used as an alternative.

Zolmitriptan, a later representative of triptans, is generally similar in principle to sumatriptan.It is used to relieve migraine attacks, including menstrual migraines. Eliminates nausea and photophobia associated with a migraine attack (no later than 1 hour after administration). As a rule, relief of an attack occurs after taking 1 tablet. In terms of side effects, the drug is similar to sumatriptan.

Naratriptan from the point of view of pharmacodynamics, undesirable effects and contraindications is similar to the previous drugs. It differs from other triptans by a long half-life and a lower rate of development of a therapeutic effect, due to which the drug can be recommended for slowly progressive and prolonged migraine attacks.If a single dose did not give the desired effect, the drug can be taken again, but not earlier than 4 hours after the first application.

Eletriptan differs from previous triptans in higher selectivity for GM vessels and carotid arteries; it affects peripheral vessels and coronary arteries to a lesser extent. Complications and contraindications are the same as for the above drugs. But, unlike them, it cannot be combined with CYP3A5 inhibitors (ketoconazole, itraconazole, etc.) and protease inhibitors (ritonavir, etc.).

If a migraine attack is accompanied by severe nausea, it is advisable to prescribe additional antiemetics from the group of prokinetics that normalize gastrointestinal motility by blocking dopamine (D2-trigger zone receptors) and serotonin receptors.

Medicines for the prevention of migraine

Drug prevention of migraine, aimed at reducing the number of attacks, includes drugs of various groups, which are selected by the doctor individually for each patient, taking into account comorbidities, emotional and personal characteristics, as well as pathogenetic factors of the disease.Prophylactic treatment begins, usually with antidepressants or beta-blockers.

The use of antidepressants such as amitriptyline, fluoxetine, paroxetine can be explained by the fact that, according to the “theory of spreading depression,” disorders of cerebral blood flow in migraine are caused by an expanding disorder of the functions of the GM cortex. On the other hand, these drugs inhibit the reuptake / absorption of serotonin in the central nervous system, a substance whose main role in the initiation of pain is postulated by another, “serotonergic” theory of migraine.

The prophylactic use of beta-blockers is due to the fact that, according to another theory of migraine, sudden vasoconstriction of the intracranial vessels plays a significant role in its onset (this creates an “aura”). Drugs of this group are usually prescribed for patients with concomitant cardiovascular pathology (arterial hypertension, coronary artery disease, etc.) and anxiety (repetitive stress), but are contraindicated in depression, diabetes mellitus, heart failure, bronchial asthma, Raynaud’s disease.The most common means of preventing migraine attacks are selective β1-blockers – metoprolol, atenolol, etc.

From other groups of drugs to prevent migraine, slow calcium channel blockers can be prescribed. In particular, this area of ​​application is indicated in the instructions for products containing cinnarizine. Among them there are monopreparations and combined agents in which cinnarizine is combined with piracetam. These drugs are well tolerated by patients and are suitable for patients with concomitant hypertension or who have contraindications for prescribing beta-blockers (bronchial asthma, Raynaud’s disease, etc.).

Also, in recent years, anticonvulsant drugs are increasingly used to prevent migraine, which is explained by the common pathophysiological and clinical characteristics of epilepsy and migraine. In particular, valproic acid is widely used due to its ability to block Na and Ca channels, improve GABAergic and slow down glutaminergic conductivity, capture free radicals, inhibit the formation of nitric oxide and activate the serotonergic system.Realizing the listed effects, drugs thereby blocks various mechanisms of development of migraine attacks. Valproic acid is becoming the definitive choice for migraine prophylaxis when beta-blockers are contraindicated.

This drug is prescribed to patients and in case of depression on the background of beta-blockers. An additional advantage of valproic acid over beta-blockers is that it does not affect patients’ exercise tolerance.

Many drugs used for the prevention of migraine have a large number of side effects and contraindications, and therefore their appointment is exclusively in the competence of the doctor.

Fewer side effects among drugs for the prevention of migraine in drugs based on dihydrogenated ergot alkaloids, which include the combined drug dihydroergocriptine + caffeine. Its constituent dihydroergocriptine, blocking α1- and α2-adrenergic receptors, has a dopaminergic, serotonergic effect, reduces platelet and erythrocyte aggregation, reduces the permeability of the vascular wall, improves blood circulation and metabolism in the brain, increases the resistance of brain tissue to hypoxia.The second component of the drug – caffeine – has an effect due to the tonic effect on the vessels of the brain. The drug is contraindicated in glaucoma.

9 causes of night sweats and when to sound the alarm!

Night sweats cause considerable discomfort to a person. Sweating can be caused by natural sources such as menopause. Otherwise, strong sweating may indicate serious pathology: HIV-AIDS, tuberculosis, cancer of the lymphatic system and other diseases.If excessive perspiration occurs at night and persists for a period of time, appropriate medical attention should be sought. Knowing the 9 root causes of heavy sweating can help you respond quickly and take action.

Night sweats: 9 signs of illness

1. Night sweats during menopause

Sweating at night often occurs with hormonal changes. Unfortunately, women can experience a number of symptoms during menopause (and during perimenopause, that is, just before menopause), including sudden mood swings, heavy sweating, and depressive conditions.Night sweats cause a lot of discomfort for a woman at this stage of her life.

To prevent sweat from being produced by the body above normal, it is necessary to create optimal conditions for sleep. The temperature of the room should not be lower than usual, take a cool shower before going to bed, wear clothes that allow the skin to breathe.

2. Acid reflux as a cause of sweat

Another cause of sweating is gastroesophageal reflux disease (GERD), or acid reflux.With the disease, gastric juice flows into the throat or esophagus, causing an attack of heartburn. At night, discomfort is more noticeable through the anatomical horizontal position of the human body during sleep.

Sweating at night also accompanies the symptoms of GERD. Taking medications can help relieve heartburn and your body’s excessive sweating at night.

3. Heavy sweating through obstructive sleep apnea

Frequent snoring is considered a “bad habit” or even a whim.However, it is not. Snoring can be a sign of a serious condition called sleep apnea. Sleep apnea provokes disturbances in the breathing process, making it faster and uneven, with possible even short stops. As a result, heavy sweating occurs, adding additional discomfort.

So that sweat is not produced in excess, and breathing is stable, a number of recommendations are used to eliminate this disease. Among them: weight loss, refusal to use tobacco and alcoholic beverages, the use of special tools that promote the development of jaw muscles.If therapy is ineffective, then surgical intervention will help from negative symptoms.

4. Night sweats with hyperthyroidism

Another reason for sweating is an increased level of hormones in the thyroid gland. Hyperthyroidism provokes an increase in temperature, thereby forming sweat in large quantities. At the same time, night sweats can be easily eliminated with the help of a special diet and medication.

Cauliflower, white cabbage, turnips, millet, soy products should be excluded from food.All this causes malfunction of the thyroid gland and causes not only sweating at night, but also disruption of the gastrointestinal tract.

5. Heavy sweating during hypoglycemia

Excessive sweating is often caused by a sharp drop in blood sugar in a person. People with hypoglycemia, in addition to nightmares and poor sleep, often also sweat at night. Adequate blood sugar control can help clear up the signs of the disease.

A special continuous glucose monitoring device (PUCG) will help the patient sleep well at night and not be afraid that the whole body will be covered in sweat. However, in order to get a blood glucose level of 6.2 mmol / L, you should first consult with your doctor and get all the necessary recommendations for setting up the device. Such a device will always monitor and signal about “surges” in blood glucose.

6. Night sweats and tuberculosis

One of the terrible infectious diseases is the development of a pathogenic bacteria in the human body called Mucobacterium tuberculosis.The statistics are as follows: 9,600,000 people in the world suffer from this pathology, of which 1.5 million die annually. You should be careful not to ignore the symptoms, as night sweats are one of the signs of tuberculosis.

Sweating at night due to pathology can last for several months before the bacterium finds a more pronounced state. In parallel, it is necessary to monitor the accompanying signs: fever, loss of normal body weight and cough.

7. Sweating at night with lymphoma

Cancer of the immune system – lymphoma – is another cause of sweating at night.If in the middle of the night it turns out that sweat has completely wetted the nightgown and the entire sheet, then this may indicate the presence of oncological pathology in the human body. This symptom occurs due to the body’s focus on fighting cancer cells and a concomitant increase in body temperature.

It is worth paying special attention to the complex of signs: loss of appetite and weight loss, fatigue, night sweats, drowsiness, are often symptoms of lymphoma. It must be remembered that the causes of sweating can be of different nature, but you should not ignore the signals of your body.It is best to visit a doctor to make sure there are no serious pathologies.

8. Heavy sweating in HIV-AIDS

The cause of sweating may also lie in the development of a disease such as the human immunodeficiency virus (HIV). However, in the early stages, the HIV patient has signs such as fatigue, severe headache, night sweats, and even a rash. When sick, the virus tends to form Acquired Immunodeficiency Syndrome (AIDS) in humans.

Since the causes of night sweats are so different, it is worth checking with your doctor about the excellent symptoms of HIV. Symptoms include weight loss, night sweats, swollen lymph nodes, malaise, and chills. Some HIV patients also claim that they have never experienced such intense sweating before.

9. Night sweats due to medication

Side effects after taking medications can cause sweating at night.This reason for sweating is often due to the use of antidepressants, antihypertensive and antipyretic drugs. One study found that heavy sweating at night was caused by taking paroxetine. After the doctor’s recommendation to replace the drug or reduce its concentration, the patient’s sweating at night ceased to bother the patient.

Often, the correction of drug intake depends on the specific reaction of the patient’s body. If necessary, heavy sweating can be treated with cyproheptadine or benztropine.Pete at night can also periodically release heroin – and alcohol addiction. In this case, sweating at night can be eliminated only with the help of a course of treatment for these addictions.

How to support the body with drainage drinks

If your night sweats are not associated with serious health problems, then most likely the body is oversaturated with toxins, excess fluid and other harmful substances. After the obligatory consultation with a doctor, try drinking natural drainage drinks for cleansing and weight loss for a while.Watch the next video and get healthier!

The causes of sweating are of various origins. Sweat is released through menopause and in the presence of serious pathologies. Heavy sweating at night is a symptom that requires special attention and a quick reaction. Be vigilant and seek medical help in time!

Anxiety and night sweats

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Although night sweats are often associated with menopause, prolonged stress or anxiety can make a person susceptible to this annoying condition.The following entries provide information on how excessive night sweating can cause anxiety. The term hyperhidrosis refers to excessive sweating. It is subdivided into primary idiopathic hyperhidrosis and secondary hyperhidrosis. In idiopathic hyperhidrosis, there cannot be any identifiable medical cause for episodes of excessive sweating. In the case of secondary hyperhidrosis, excessive sweating is a symptom of the underlying disease. Sleep hyperhidrosis, often referred to as night sweats, is a condition that is characterized by excessive sweating during sleep.It is believed that anxiety can be a factor in night sweats.

— Generalized Anxiety Disorder: Causes, Symptoms and Treatment

Sweat glands and anxiety
There are two types of sweat glands in our body. These are eccrine and apocrine sweat glands. The apocrine glands become active after puberty. Exocrine glands produce a watery discharge when signals are transmitted to them by nerve fibers from the sympathetic nervous system.The secretions help regulate body temperature. The apocrine glands produce viscous secretions that contain fat and proteins. The apocrine glands are thought to be regulated by androgens. While sweating is primarily the body’s way of regulating body temperature, sweat can also be secreted in response to gustatory and emotional stimuli. It is believed that excessive sweating can occur if the nerve pathways that are involved in the sweating process are hyper-responsive. It is believed that sweat production may increase during periods of emotional stress or heightened emotional state, which may be triggered by anxiety, stress or fear.

— Planning Your Next Trip? Here’s How To Deal With Travel Anxiety

Anxiety And Sleep Hyperhidrosis
Anxiety Disorders
People who suffer from anxiety disorders may suffer from excessive sweating at night. Affected people may wake up in the middle of the night with clammy skin during panic attacks. Sleep hyperhidrosis can also occur due to Generalized Anxiety Disorder (GAD). Symptoms of GAD include anxiety, fatigue, constant restlessness, sweating, headache, muscle tension, irritability, inability to relax, and hot flashes.Such disorders often affect sleep. Affected people may find it difficult to sleep or possibly sleep disturbance. Anxiety can also trigger nightmares. Sleep Disorder A sleep disorder in which a person has frequent nightmares. Upon awakening from such sleep, the person usually exhibits disturbing symptoms such as sweating and increased heart rate.

Use of antidepressants
People who suffer from depression or anxiety disorders are often prescribed antidepressants.Excessive nighttime sweating is one of the most common side effects of these drugs. Monoamine oxidase inhibitors and selective serotonin reuptake inhibitors are antidepressants that can cause sleep hyperhidrosis. The use of such drugs affects neurotransmitters. This can cause nightmares, which in turn can cause one to wake up from cold, clammy skin. Other medications that may have night sweats as a side effect include antipyretics, as well as medications that are prescribed for hormonal imbalances and high blood sugar.Avoiding certain medications can also be a factor.

Climax
Sleep hyperhidrosis is one of the most common symptoms of menopause. The various hormonal changes that occur in women during menopause can lead to anxiety, which in turn can cause night sweats. If left untreated, it can lead to sleep-related problems.

Means
► Make sure your room is not too warm. Avoid wearing tight-fitting sleepwear that is made of fabrics that are breathable.Don’t wrap yourself up too much blanket.

► Perform relaxation and stress relief techniques to prevent stress from taking control of your life. People who suffer from anxiety disorders or stress need to practice these methods on a daily basis to help their mind and body relax. Practicing yoga exercises, deep breathing techniques, and meditation helps in eliminating this problem.

► Take a cool shower before bed. It is known to calm the mind and help the body relax.

► listen to quiet music or chants and think good things before bed.

► Aromatherapy is known to be extremely helpful in calming the mind. This is the best way to relax your mind and body. Add lavender or rosemary scented oil to bath water and soak in it for a while before bed. Apply a few drops of rosemary oil to your forehead or use it as an incense to help you sleep better.

Hyperhidrosis that is induced by anxiety or other medical reasons should not be ignored.Make lifestyle changes and follow the above protections in order to stay relaxed. Seek medical attention to address the problem of anxiety as soon as possible.

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Anxiety and night sweats 90,000 What does night sweats say?

Through increased sweating, the body reports uncomfortable conditions
Photo: pixabaycom

Excessive sweating can be associated with a number of factors, both trivial and hazardous to health.

The most common cause of night sweats is the wrong choice of bedding. For example, it does not contain enough natural ingredients and is unable to absorb moisture. Temperature and humidity in the room can also be responsible for night sweats.However, there are cases when the room has ideal conditions, the linen is exclusively cotton, but a person still wakes up in sweat. What could be the reasons?

Viruses. Excessive sweating can be caused by jumps in body temperature, which occur when the body is fighting cold or flu viruses. If there are other symptoms of the disease, you can be sure that you have an infection.

Hormones. Hormonal changes sometimes cause excessive sweating.They happen to both women and men. As a rule, this occurs during a period of age-related changes, for example, during menopause or andropause, when the level of sex hormones in the body significantly decreases.

Hypertension . Hypertension can cause surges in intracranial pressure, which leads to increased sweating. During the day, when a person is highly active, the pressure rises, and at night there is a relaxation and a decrease in pressure.

Stress .When stressed, the body releases adrenaline and cortisol, which help the body mobilize to overcome obstacles. But with a sedentary lifestyle, hormones will remain in the body until nighttime, causing sleep problems and sweating.

Source: Rambler / doctor.

90,000 16 Reasons for Low Energy

It’s okay to periodically run out of energy, but you don’t want to feel this way all your life?

When low energy levels become chronic, it is time to identify the source of the problem and find ways to remedy the situation.The first step, of course, is to identify the factors for fatigue. To help you, here are 16 reasons why people may experience fatigue or depletion of energy.

1. Adrenal fatigue

Adrenal fatigue is a syndrome that occurs when the adrenal glands cannot produce enough hormones (cortisol, aldosterone, adrenaline) to maintain homeostasis. Typically, this is due to chronic stress or a single but extremely stressful situation.

Symptoms:

• Feeling tired for no reason, even if you sleep enough
• Difficulty getting up in the morning even though you go to bed at a reasonable time
• Feeling depressed or tired
• Cravings for sweets and salty
• Feeling cheerful and energy only after 6 pm
• Problems with recovery from stress or illness

2. Vitamin B12 deficiency

Vitamin B12 is necessary, among other things, for the formation of red blood cells, optimal functioning of nervous tissue and the absorption of folic acid.Vitamin B12 deficiency usually develops gradually over the years, and the first symptoms may be subtle. Experts estimate that in the US and UK, about 6% of people aged 60 and over are deficient in vitamin B12, and nearly 20% have extreme levels.

When a person does not get enough vitamin B12, the production of red blood cells decreases, and if not taken care of, it will lead to anemia. Vitamin B12 deficiency can also lead to pernicious anemia, a blood disorder in which a person cannot produce enough intrinsic factor (HF) in the stomach.Without enough HF, a person cannot metabolize B12 through food, so they need B12 injections.

Potential causes of B12 deficiency include Crohn’s disease, short bowel syndrome, atrophic gastritis, weight loss surgeries, intestinal parasites, lupus, Graves’ disease, pernicious anemia, a vegan diet, and chronic alcoholism. The risk of deficiency also increases with age.

The most common symptoms of B12 deficiency anemia are:

• Fatigue
• Shortness of breath
• Heart palpitations (irregular and / or palpitations)
• Sore tongue or mouth
• Weight loss
• Yellowish or pale skin

A simple blood test can detect vitamin B12 deficiency.

3. Candidiasis

Candida is a fungus (a type of yeast) that is present in small amounts in the mouth and intestinal tract to aid nutrient absorption and digestion. However, if overgrown, this fungus can cause an infection in the vagina, mouth, and intestinal tract, and can also infect the skin and mucous membranes. In people with weakened immune systems, the infection can spread into the blood and membranes around the brain and heart.

Factors that can cause candidiasis include a diet high in processed carbohydrates and sugars, chronic stress, antibiotic use, oral contraceptive use, a weakened immune system, and diabetes.

Signs and symptoms of candidiasis:

• Fatigue (no matter how much you sleep)
• Sweet cravings
• Vaginal or urinary tract infections (recurring regularly)
• Gas and bloating
• Thrush or white plaque on the tongue
• Bad breath
• Joint pain
• Confusion
• Loss of libido
• Chronic allergies, sinus problems, nose breathing problems
• Mood swings
• If you suspect you have candidiasis, complex stool analysis will show if you need treatment, including dietary changes.

4. Depression

Most of us experience sadness or loneliness from time to time, but if these feelings become overwhelming, cause physical problems, significantly affect daily activities and last for months, then most likely you are dealing with a clinical or deep depression. It can reduce energy levels and disrupt sleep, making you even more tired during the day.

Symptoms:

• Fatigue and lack of energy
• Problems with memory, concentration, decision-making
• Feeling worthless, guilty or helpless
• Irritability, anxiety
• Insomnia, excessive sleepiness
• Loss of interest in activities or hobbies, formerly enjoyable, including sex
• Loss of appetite or overeating
• Feelings of hopelessness or pessimism
• Persistent physical symptoms such as headaches, cramps, pain that do not go away with treatment
• Constant feelings of sadness, anxiety or ’emptiness’
• Suicidal thoughts or attempted suicides

If you are experiencing symptoms of depression, you can seek help from a mental health professional.

5. Fibromyalgia

Although the first symptom that comes to mind when thinking about fibromyalgia is chronic pain, chronic fatigue is also an important component of this disease. Approximately 10 million people in the United States suffer from fibromyalgia, and in the world from 3% to 6% of the population. The majority of patients (75% to 90%) are women. Fibromyalgia can occur on its own or in conjunction with other medical conditions, such as rheumatoid arthritis or lupus.

The cause of fibromyalgia is unknown, although experts note that the central nervous system in people with the condition is hypersensitive. Diagnosis is challenging because there are no definitive tests and the signs and symptoms mimic those of many other diseases. Symptoms also vary greatly from person to person.

Typical Symptoms:

• Fatigue
• Chronic pain, stiffness or soreness of muscles, joints and tendons.
• Restless sleep
• Anxiety, mood swings
• Depression
• Problems with memory, concentration
• Abdominal pain associated with irritable bowel
• Irritated bladder
• Headache, migraine
• Tingling and numbness

6. Food hypersensitivity (gluten)

People with food hypersensitivity or food intolerances have difficulty digesting certain foods.Food hypersensitivity, unlike food allergies, does not trigger the immune system or histamine response.

However, it can cause a variety of symptoms, including:

• Bloating
• Headaches, migraines
• Cough
• Runny nose
• Fatigue
• Irritable bowel
• Abdominal pain
• Urticaria

Food The most common causes of digestion difficulties include grains containing gluten (such as wheat, rye, barley), dairy products, and foods that can cause gas in the intestines such as cabbage and beans.People with food hypersensitivity are usually not bothered by eating small amounts of food intolerances, while people with food allergies usually react immediately to even minuscule amounts.

7. Lack of sleep

Not surprisingly, sleep deprivation leads to fatigue, but it can be difficult to identify and treat the cause.

Possible causes include:

• Chronic pain
• Intense lighting, including white / blue light from electronic devices
• Frequent waking when urging to urinate (urinary tract infection possible)
• Insomnia
• Sleep apnea, which may not be detected or diagnosed
• Snoring partner
• Uncomfortable sleeping conditions (for example, uncomfortable mattress or pillow, room temperature, extraneous loud noises)

Any investigation of persistent fatigue should start with thinking about the reasons listed above, whether they are factors that make it difficult for you to sleep.Naturally, feeling tired or tired can be caused by more than one situation or circumstance.

8. Iron deficiency

Like vitamin B12 deficiency, iron deficiency is associated with red blood cells. However, when iron is deficient, it is not enough to produce hemoglobin, the part of red blood cells that allows cells to carry oxygenated blood throughout the body.

An estimated 2% of adult men have iron deficiency anemia, 9-12% of non-Hispanic white women, and nearly 20% of black and Mexican women.It is the most common nutrient deficiency in the world and can be caused by blood loss (often during menstruation), insufficient iron in the diet, poor absorption and pregnancy.

Symptoms of iron deficiency anemia include the following:

• Severe fatigue
• Shortness of breath
• Chest pain
• Pale skin
• Weakness
• Headache
• Dizziness
• Cold hands and feet
• Frequent infections
• Inflamed tongue
• Rapid heartbeat
• Poor appetite
• Brittle nails
• Unusual tingling sensations in the legs

A blood test may reveal an iron deficiency.

9. Lack of exercise

The saying “energy generates energy” is true; if you are inactive, you “feed” your own tiredness or fatigue. That is, a sedentary lifestyle or lack of exercise can lead to fatigue.

Physical inactivity can result from injury, chronic illness, boredom, or lack of motivation.

10. Low thyroid hormone levels

The thyroid gland produces a hormone that helps regulate energy expenditure.When the gland does not produce enough hormone, it is considered not active enough. This condition, also known as hypothyroidism, is characterized by low energy levels and fatigue, as well as several other symptoms.

Symptoms of hypothyroidism include:

• Fatigue
• Increased sensitivity to cold
• Constipation
• Dry skin
• Weight gain
• Swollen face
• Hoarseness
• Muscle weakness
• Increased blood cholesterol
• Muscle pain , stiffness and tenderness
• Pain, stiffness or swelling in the joints
• More profuse or irregular periods
• Thinning hair
• Slow heart rate
• Depression
• Memory impairment

determine if thyroid hormone levels are causing you fatigue.

11. Menopause

If you are going through menopause, feeling tired sometimes or most of the time is most likely nothing new. In fact, up to 61% of postmenopausal women experience symptoms of insomnia, and up to 92% say they feel tired.

Fatigue during menopause is associated with hormonal changes that wreak havoc on the body and cause symptoms that affect sleep, such as hot flashes, night sweats, pain, anxiety and depression.

Typical symptoms of menopause and fatigue include:

• General lack of energy
• Sleepiness during the day
• Desire to take naps
• Difficulty concentrating on daily activities
• Mood swings and irritability

Consult a qualified healthcare professional about natural remedies combating menopausal symptoms including tiredness and fatigue.

12. Postpartum period

One of the most common complaints of young mothers is feeling tired.Along with childbirth (and recovery from a caesarean section, if any), new mothers have a whole host of new baby-related activities that keep them busy around the clock, shortening much-needed sleep time.

Postpartum fatigue can last from several weeks to several months, depending on how soundly the baby sleeps, how well the woman is being helped at home, how quickly she can adjust to her new rhythm of life.
Fatigue that lasts for months and is accompanied by feelings of despair and loss of interest in almost everything in your life can be postpartum depression.

In this case, ask your doctor for a referral to a psychotherapist. It is also possible that postpartum fatigue is related to anemia or an underactive thyroid gland (hypothyroidism). If your fatigue seems to be getting worse, call your doctor to see if you should be tested for any of the conditions.

13. Seasonal Depression

Seasonal Affective Disorder (SAD), also known as seasonal depression, is a type of depression associated with the changing seasons.For most people with SAD, symptoms begin in the fall and continue through the winter months. Fewer people suffer from SAD during the spring and summer seasons.

Symptoms common to autumn and winter SAD include:

• Low energy or fatigue
• Irritability
• Increased sensitivity to rejection
• Excessive sleepiness
• Difficulty communicating with other people
• Heavy arms or legs
• Cravings for foods high in carbohydrates (“comfort foods”).
• Weight Gain

If you are experiencing symptoms of SAD, there are several natural remedies, including dietary and exercise changes, that you can use to manage them. Symptoms that gradually worsen should be discussed with your doctor.

14. Stress

Stress can wreak havoc on your health, leaving you feeling physically and mentally exhausted. If left unchecked, stress can lead to heart disease, obesity, diabetes, and high blood pressure.

There is a difference between feeling physically tired at the end of the day from working out in the gym or doing physically hard work, and feeling tired from mental stress. Mental exhaustion from stress can be caused by worrying about various situations in your life, such as financial worries, problems with a loved one, or problems at work. Chronic stress becomes a way of life and you feel tired all the time, even if you get enough sleep and rest.

People suffering from stress-related fatigue usually experience other symptoms:

• Muscle pain or weakness
• Headache
• Blurred vision
• Dizziness
• Short-term memory problems
• Problems concentrating or accepting solutions
• Loss of appetite
• Feelings of helplessness or hopelessness
• Lack of motivation
• Slow reflexes
• Irritability or bad mood

15.Sugar hangover

Hangovers aren’t just after drinking alcohol; it can be the result of eating too much sugar. The fact is that the definition of “too much” sugar varies from person to person, so what causes the symptoms of a sugar hangover in one person may not cause the same symptoms in another.

Sugar intake affects many organs in your body, from the brain to the small intestine. Sugar also nourishes candidiasis, suppresses immune function, raises blood triglyceride levels, disrupts digestion, and more.

As a rule, you experience a sugar hangover if, after consuming foods containing sugar, including natural ones,

you experience the following symptoms:

• Fatigue or drowsiness
• Confusion
• Bloating or gas
• Constipation or diarrhea
• Joint pain
• Headache
• Allergy symptoms
• Mood swings
• Skin problems

16. Underlying medical condition

Numerous major medical conditions are associated with fatigue or fatigue.If you believe that none of the above conditions are causing fatigue or exhaustion, then you may be suffering from one of the underlying conditions. Such diseases include, but are not limited to, asthma, cancer, chronic fatigue syndrome, chronic obstructive pulmonary disease, Cushing’s disease, diabetes, influenza, heart disease, hepatitis, HIV, kidney disease, liver disease, lupus, mononucleosis, pneumonia, rheumatoid arthritis, and urinary tract infection. If you are tired or tired for a long time, you should see a doctor.