[31F] Experiencing excessive sweating and urinary symptoms

Patient Description

A 31-year-old female presents with a 2-year history of daily excessive sweating of the hands, which swell in response to heat or stress and are temporarily relieved by cold packs. She also reports urinary urgency, a sensation of incomplete bladder emptying, and frequency of 2-3 times a week. Additional symptoms include shooting warmth and numbness down the left side of her back, itchy face and neck at night, night sweats, sweaty groin and feet, heat intolerance, and weakened hand grip. The patient denies fever or chills, has no new sexual partners, no known allergies, no current medications, and no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions that could be causing your symptoms:

  • Hyperhidrosis: This is a condition that causes excessive sweating, often in specific areas such as the hands, feet, and armpits. It can occur without any apparent reason or it may be caused by another condition. It's also possible that heat and stress could trigger the sweating.

    • Treatment options for hyperhidrosis include prescription antiperspirants, nerve-blocking medications, and, in severe cases, surgery.
  • Urinary Tract Infection (UTI): Frequent urination and feeling like you can't completely empty your bladder can be symptoms of a UTI. However, most UTIs are also accompanied by pain or a burning sensation during urination, which you did not mention.

    • Treatment for a UTI typically involves antibiotics to clear the infection.
  • Anxiety: Many of the symptoms you described, including excessive sweating, urinary urgency, and heat intolerance, can be symptoms of anxiety. Anxiety can also cause physical symptoms like a weak grip and numbness.

    • Treatment for anxiety can include therapy, medication, and lifestyle changes like regular exercise and a healthy diet.
  • Hormonal imbalances: Conditions such as hyperthyroidism or menopause can cause symptoms like excessive sweating, heat intolerance, and urinary urgency.

    • Treatment for hormonal imbalances depends on the underlying cause and can include medication to manage the symptoms or to treat the underlying condition.

What you can do

While I can provide some possible explanations for your symptoms, it's important that you see a healthcare provider for a formal diagnosis. They can order tests to confirm or rule out these conditions and provide appropriate treatment.

In the meantime, here are some things you can do to manage your symptoms:

  1. Stay hydrated and avoid triggers that make your symptoms worse, such as heat and stress.
  2. Practice good hygiene to prevent UTIs, such as wiping from front to back after using the toilet and urinating before and after sexual activity.
  3. If your symptoms are caused by anxiety, techniques like deep breathing, meditation, and yoga may help to reduce your anxiety levels.
  4. Keep a symptom diary. This can help you identify any patterns or triggers for your symptoms, and it can provide useful information for your healthcare provider.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe pain anywhere in your body
  • Difficulty breathing or shortness of breath
  • Chest pain or pressure
  • Confusion or changes in mental function
  • Any other symptom that is severe or concerning to you

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What is hyperhidrosis and how is it treated?

Hyperhidrosis is a condition characterized by excessive sweating, often in specific areas such as the hands, feet, and armpits. It can occur without any apparent reason or be triggered by another condition. Treatment options include prescription antiperspirants, nerve-blocking medications, and, in severe cases, surgery.


Can anxiety cause physical symptoms like excessive sweating and urinary urgency?

Yes, anxiety can cause a range of physical symptoms, including excessive sweating, urinary urgency, heat intolerance, a weak grip, and numbness. Managing anxiety through therapy, medication, and lifestyle changes like regular exercise and a healthy diet can help alleviate these symptoms.


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a urinary tract infection (UTI) include frequent urination, a strong urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and pelvic pain. Treatment typically involves antibiotics to clear the infection.


How can hormonal imbalances affect the body?

Hormonal imbalances, such as those caused by hyperthyroidism or menopause, can lead to symptoms like excessive sweating, heat intolerance, and urinary urgency. Treatment depends on the underlying cause and may include medication to manage symptoms or address the root condition.


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