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Night Sweats: When To Be Concerned
You should keep track of when night sweats occur and what changes in your life may coincide with the episodes.
Editors Note: An earlier version of this post listed Acetaminophen as a Non-Steroidal Anti-Inflammatory Drug . This is incorrect Acetaminophen is NOT a NSAID. This error has been corrected.
When you go to bed and your house is too warm, you can wake up sweating in the morning or throughout the night. But what if the temperature in your house is not the cause?
Night sweats are episodes of sweating that cause your nightclothes and sheets to be soaked. Underlying causes of night sweats are important to know to determine when you should be concerned.
What Is High Blood Pressure
Your blood pressure refers to the pressure of blood within your arteries, which carries blood around your body to vital organs. It is normal for your blood pressure to fluctuate throughout the day, but when it consistently remains high, you should seek medical advice, as this can lead to serious issues such as heart attacks, strokes and kidney failure.
When you get a blood pressure reading, you will get a top systolic blood pressure and a bottom diastolic blood pressure number. Your systolic blood pressure is the highest level your blood pressure hits as blood is pumped around your body, and is an important indication of your risk of heart attack or stroke, while your diastolic blood pressure is the lowest level it reaches between your heart beats.
A normal blood pressure should be no more than 140/90 mmHg. A systolic reading of between 140-180 mmHg and a diastolic reading of between 90-110 mmHg could indicate possible hypertension, whereas a systolic reading higher than 180 mmHg and diastolic reading higher than 110mmHg indicates severe hypertension1.
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Signs And Symptoms Of Night Sweats
The symptoms of night sweats can vary slightly depending on the cause. But in general, you can expect the following when you have night sweats, per the Mayo Clinic:
The Mayo Clinic says you may also have the following symptoms along with your night sweatsthough remember that you might experience additional symptoms based on the cause:
Chest Pain Pressure And Discomfort
Most people with heart attacks experience some sort of chest pain or discomfort. But its important to understand that chest pains dont occur in every heart attack.
Chest pain is a common sign of a heart attack. People have described this sensation as feeling like an elephant is standing on their chest.
Some people dont describe chest pain as pain at all. Instead, they may say they felt chest tightness or squeezing. Sometimes this discomfort can seem bad for a few minutes and then go away. Sometimes the discomfort comes back hours or even a day later. These could all be signs your heart muscle isnt getting enough oxygen.
If you experience chest pains or tightness, you or someone around you should call 911 immediately.
Pain and tightness can also radiate in other areas of the body. Most people associate a heart attack with pain working its way down the left arm. That can happen, but pain can also appear in other locations, including:
- upper abdomen
American Heart Association , some women may even think their heart attack symptoms are flu-like symptoms.
A heart attack can cause exhaustion due to the extra stress on your heart to try to pump while an area of blood flow is blocked. If you often feel tired or exhausted for no reason, it could be a sign that something is wrong.
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Possible Heart Symptoms Never To Ignore
If you notice any of the symptoms discussed in this slide show, see your doctor or go to an emergency department right away. If you have any risk factors for heart disease it is especially important to pay attention to your body and get any symptoms checked out by a doctor. Getting prompt medical attention may save your life!
REFERENCES:
- American Heart Association: “Warning Signs of Heart Failure.”
- Anxiety and Depression Association of America : “How Can I Tell If I’m Having a Panic Attack Or a Heart Attack?”
Certain Autoimmune Conditions Like Rheumatoid Arthritis
Notice a pattern with tuberculosis, brucellosis, and HIV/AIDS? Theyre all bacterial or viral infections that can lead to a fever, and thus be one of the underlying night sweat causes. It makes sense that anything that can make your temperature spike with a fever can also lead to night sweats. That includes causes beyond infections, like rheumatoid arthritis.
This condition happens when your bodys immune system mistakenly goes to battle with your synovium, the lining of the membranes that encase your joints, according to the Mayo Clinic. You may be most familiar with the joint-related symptoms of rheumatoid arthritis, like having achy, swollen joints that are stiff, especially in the mornings or after not moving in a while. But thanks to that inflammation, the condition can also cause issues, like a fever, that lead to night sweats.
If you have rheumatoid arthritis, your doctor can recommend the best medicine to help soothe pain and inflammation, along with slowing the progression of the illness, the Mayo Clinic says. They can also weigh in on whether or not physical therapy or surgery makes sense for you.
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How Much Does Sildenafil Lower Blood Pressure
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Use The Right Antiperspirant
Antiperspirants can often reduce the amount of sweating you experience to the point where it is no longer bothersome. However, itâs important to understand that they only mask the problem. If you believe your sweating is related to diabetes, itâs a good idea to speak to a healthcare provider. Antiperspirant is an effective solution for hyperhidrosis and night sweating, but is unlikely to help with gustatory or facial sweating.
You can start with one of the âclinical strengthâ products offered over the counter at the drugstore. If this doesnât help, speak to your doctor, who may be able to offer an alternative.
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Evaluation When History And Physical Are Unrevealing
If the history and physical examination fail to reveal the possible etiology of the patients symptoms, consider obtaining a complete blood count, purified protein derivative test, chest radiograph, and thyroid-stimulating hormone test. These tests are widely available, not particularly costly, and help rule out many of the potential diagnoses. An HIV test and erythrocyte sedimentation rate evaluation may be added if necessary . The ESR evaluation helps rule out disorders that may cause night sweats but otherwise are relatively silent early in their course, such as endocarditis and Takayasus arteritis.
Evaluating Night Sweats
Evaluation of a patient with night sweats and no associated symptoms. Evaluating Night Sweats
Evaluating Night Sweats
FIGURE 1.
Evaluation of a patient with night sweats and no associated symptoms. Evaluating Night Sweats
An elevated ESR and positive blood cultures are present in more than 90 percent of cases of endocarditis. An echocardiogram also may assist in the evaluation of a patient with suspected endocarditis.
If all studies are negative, the patient can be reassured that the night sweats are most likely benign . The patient should be taught to do self lymph node examinations and report any changes noted in the absence of active infection. The patient should report development of any new symptoms and continue annual health examinations.
Read the full article.
When Should You Be Concerned
Often, there is no serious underlying health condition when night sweats occur. However, you should keep track of when night sweats occur and what changes in your life may coincide with the episodes.
I think one important thing to note is if the night sweats are happening every night or once in a while, Dr. Thomas said. Also, ask yourself if they are happening during the day, too.
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Pounding In Your Ears
If you have a sensation of pulsing or pounding in your ears when you havent been exercising vigorously, this could indicate an elevated blood pressure. It could also be related to drinking too much caffeine, so try cutting back on the coffee and soda. Anxiety can have the same effect, so try meditation or a relaxing activity to see if the pounding sensation resolves.
What Causes High Blood Pressure
High blood pressure causes are usually related to medical conditions, diet and lifestyle, although an exact explanation cannot always be determined. Being overweight, consuming too much salt, not exercising regularly, smoking and drinking to excess can all be causes of high blood pressure, as can underlying health conditions including diabetes, kidney disease and hormone problems. Certain medicines may also lead to high blood pressure2.
Some individuals may be at an increased risk of high blood pressure. This includes overweight individuals, smokers, those with long-term sleep deprivation and those with a family history of high blood pressure. Individuals from an African or Caribbean origin also have a higher risk of developing hypertension, as do older individuals as the risk increases as you age.
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Will Your Doctor Treat Low Blood Pressure
You will likely get treated for low blood pressure only if it is causing symptoms or if your blood pressure drops suddenly. Treatment depends on your symptoms, how severe they are, and the reasons for the low blood pressure.
Your doctor may have you:
- Add more salt to your diet.
- Get fluid through an intravenous line if you are very dehydrated.
- Change or stop medicines that lower your blood pressure.
- Take medicine to treat the problem that is causing low blood pressure. For example, you may need antibiotics to treat infection or medicines to stop vomiting or diarrhea.
Be sure to talk with your doctor before you add more salt to your diet or make any changes in your medicines.
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Indigestion Nausea And Vomiting
Often people begin experiencing mild indigestion and other gastrointestinal problems before a heart attack. Because heart attacks usually occur in older people who typically have more indigestion problems, these symptoms can get dismissed as heartburn or another food-related complication.
If you normally have an iron stomach, indigestion or heartburn could be a signal that something else is going on.
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Excessive Sweating Fatigue High Blood Pressure And Hot Flashes
- Medical Author: Melissa Conrad Stöppler, MD
Reviewed on 12/1/2020
Your symptoms can occur with a variety of conditions, including both physical and emotional conditions. Emotional conditions such as panic attack can sometime produce physical symptoms. Fatigue is a nonspecific symptom that can accompany many different conditions. Keep a record of your symptoms. Seek a doctor’s advice any time you are concerned about your symptoms.
While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. There are many other medical conditions that also can be associated with your symptoms and signs. Here are a number of those from MedicineNet:
Rapid Or Irregular Pulse
An occasional “skipped” heartbeat may be no cause for concern. But if you have a rapid or irregular heart rate this could be a symptom of a heart attack, heart failure, or an arrhythmia. This rapid or irregular pulse may also be accompanied by weakness, dizziness, or shortness of breath. Seek medical attention immediately some arrhythmias can lead to stroke, heart failure, or death without prompt medical intervention.
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How Are Night Sweats Treated
Treatment depends on the cause of the night sweats. For menopause-related night sweats, hormone therapy estrogen alone or with progestin is one option. Hormone therapy can also help with other symptoms of menopause including bone loss and vaginal dryness. Estrogen replacement therapy should not be used in women with a history of breast cancer. All hormone therapies carry some risks, including blood clots and gallbladder inflammation.
Non-estrogen medications used to treat hot flashes include:
- Megestrol
Non-drug treatments for night sweats from any cause include:
- Wearing loose-fitting, lightweight, cotton pajamas
- Using layered bedding that can be removed as needed during the night
- Turning on a bedroom fan/opening windows
- Sipping cool water throughout the night
- Keeping a cold pack under a pillow, then turning your pillow over to rest your head on a cool surface
- Avoiding common night sweat triggers such as alcohol, spicy foods, caffeine, cigarettes
- De-stressing through deep breathing, relaxation, and exercise
- Undergoing hypnosis to help relax and focus on feeling cool
- Exercising daily. Walking, swimming, dancing, and bicycling are all good choices.
How Is Low Blood Pressure Diagnosed
Often people learn that they have low blood pressure when their doctor checks it. Or you may find that you have low blood pressure when you check it at home.
To check for the causes of your low blood pressure, your doctor will ask about your past health, your symptoms, and the medicines you take. He or she will do a physical examination and may do other tests. Your doctor may check for another health problem that could be causing your low blood pressure.
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