[37F] With excessive sweating, increased urination, and thick saliva

Patient Description

A 37-year-old female presents with excessive sweating primarily in the morning and at night, localized to the back, ongoing for three months. She also reports frequent urination, approximately 10 times a day, for the past two days. Additional symptoms include thick saliva that builds up in the front of her mouth, making swallowing difficult, which has been occurring for a week. She has tingling and swollen lips, with the tingling starting today. The patient feels like she might have a fever and has a rash on her legs, possibly varicose veins. She is currently taking 25mg Seroquel, 100mg Hydroxyzine, and 15mg Adderall daily for ADHD, insomnia, and anxiety. No known drug allergies or other chronic conditions reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, several potential conditions could explain what you're experiencing:

  • Hyperthyroidism: This condition occurs when your thyroid gland produces too much thyroid hormone. Symptoms can include excessive sweating, increased urination, anxiety, and a feeling of being overheated.

    • Treatment typically involves medications to reduce thyroid hormone levels, radioactive iodine, or surgery in some cases. Blood tests to measure thyroid hormone levels are usually conducted for diagnosis.
  • Diabetes Mellitus: Increased urination and excessive thirst can be signs of diabetes. The sensation of tingling lips and thick saliva might also be related to blood sugar imbalances.

    • Treatment involves managing blood sugar levels through diet, exercise, and possibly medication. Blood tests to measure glucose levels are essential for diagnosis.
  • Medication Side Effects: The medications you are taking (Seroquel, Hydroxyzine, and Adderall) can have side effects that might include sweating, dry mouth (which can feel like thick saliva), and changes in appetite.

    • Discussing these symptoms with your prescribing doctor is important to determine if your medications need adjustment.
  • Anxiety or Panic Disorder: Overeating, sweating, and a sensation of difficulty swallowing can be symptoms of anxiety or panic attacks.

    • Treatment typically involves therapy, lifestyle changes, and sometimes medication. Discussing these symptoms with a mental health professional can be beneficial.
  • Allergic Reaction: The tingling and swollen lips could indicate an allergic reaction, possibly to food, medication, or another substance.

    • Identifying and avoiding the allergen is crucial. Antihistamines or other medications might be prescribed by a doctor.

What you can do

While it's important to consult with a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Monitor Your Symptoms: Keep a diary of your symptoms, including when they occur and any potential triggers. This information will be helpful for your doctor.
  2. Stay Hydrated: Drink plenty of water, especially if you are sweating a lot and urinating frequently.
  3. Healthy Diet: Try to maintain a balanced diet and avoid overeating. Eating smaller, more frequent meals might help.
  4. Manage Stress: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety.
  5. Avoid Known Allergens: If you suspect an allergic reaction, try to identify and avoid the allergen.

What you should look out for

Seek medical attention promptly if you experience any of the following:

  • Difficulty breathing or severe swelling of the lips or throat
  • High fever (temperature over 100.4°F) or chills
  • Severe or persistent abdominal pain
  • Blood in your urine or stool
  • Rapid or irregular heartbeat

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with a healthcare provider to receive a formal diagnosis and appropriate treatment.

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7 mo ago

People Also Ask


What could be causing excessive sweating in the morning and at night?

Excessive sweating, especially at specific times like morning and night, could be due to conditions such as hyperthyroidism, anxiety, or medication side effects. It's important to consult a healthcare provider for a proper diagnosis.


Why might someone experience frequent urination and thick saliva?

Frequent urination and thick saliva could be symptoms of diabetes mellitus, where blood sugar imbalances lead to increased thirst and urination. Thick saliva might also be a side effect of medications or related to dehydration.


Can medications like Seroquel, Hydroxyzine, and Adderall cause these symptoms?

Yes, medications like Seroquel, Hydroxyzine, and Adderall can have side effects including sweating, dry mouth, and changes in appetite. It's important to discuss these symptoms with your doctor to see if your medication regimen needs adjustment.


What should I do if I suspect an allergic reaction with symptoms like tingling and swollen lips?

If you suspect an allergic reaction, it's crucial to identify and avoid the allergen. Symptoms like tingling and swollen lips should be discussed with a healthcare provider, and antihistamines or other treatments may be necessary. Seek immediate medical attention if you experience difficulty breathing or severe swelling.


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