[48F] Experiencing excessive sweating with associated symptoms

Question

Should I worry hyperhidorsis with my symptoms

Patient Description

A 48-year-old female has been experiencing excessive sweating for the past three years, severe enough to soak through clothes, primarily affecting the face, head, and arms. This occurs without specific triggers or activities. Accompanying symptoms include redness of the face and arms, shortness of breath, and palpitations. The patient has a medical history of high cholesterol, insomnia, depression, water retention with swollen hands and feet, fibromyalgia, and a back injury, all diagnosed within the last 10 years. Current medications include Pantoprazole 40mg daily, Furosemide 20mg, Simvastatin 20mg daily, and Suboxone 8mg/2mg three times daily. The patient does not have any known allergies to medications and is not taking any over-the-counter medications, supplements, or herbal products.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Hyperhidrosis: This is a condition characterized by excessive sweating that's not necessarily related to heat or exercise. You might sweat so much that it soaks through your clothes or drips off your hands. Besides disrupting normal daily activities, this type of heavy sweating can cause social anxiety and embarrassment.

    • Treatment options include prescription antiperspirants, nerve-blocking medications, and even surgery in severe cases.
  • Menopause: Given your age and sex, it's possible that these symptoms could be related to menopause. Hot flashes, which are sudden feelings of warmth that spread over the upper body, are common during menopause and can cause excessive sweating.

    • Treatment options include hormone therapy, medications to alleviate symptoms, and lifestyle changes.
  • Anxiety disorders: Excessive sweating, along with shortness of breath and palpitations, can be symptoms of an anxiety disorder.

    • Treatment options include psychotherapy (talk therapy), medications, and coping strategies.
  • Hyperthyroidism: This condition, which involves overactivity of the thyroid gland, can cause excessive sweating, as well as increased heart rate and weight loss.

    • Treatment options include radioactive iodine, medications, and sometimes surgery.

Please note that this list is not exhaustive, and these conditions share common symptoms with many other medical conditions. It's also possible that your symptoms are side effects of the medications you're taking.

What you can do

You should definitely consult a healthcare provider about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some steps you can take:

  1. Keep a symptom diary: Note down when your sweating occurs, how long it lasts, and any potential triggers you notice. This can help your healthcare provider in diagnosing your condition.
  2. Stay hydrated: Excessive sweating can lead to dehydration. Make sure you're drinking enough water throughout the day.
  3. Wear loose, breathable clothing: This can help minimize sweating and keep your body cool.

What you should look out for

Please seek immediate medical attention if you experience:

  • Chest pain
  • Difficulty breathing
  • Fainting or loss of consciousness
  • Sudden weight loss
  • A noticeable lump or swelling in your neck

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 accurate information.

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7 mo ago


People Also Ask


What are the common causes of excessive sweating without specific triggers?

Excessive sweating without specific triggers can be caused by conditions such as hyperhidrosis, menopause, anxiety disorders, and hyperthyroidism. It can also be a side effect of certain medications.


How can menopause contribute to symptoms like excessive sweating and palpitations?

Menopause can lead to hot flashes, which are sudden feelings of warmth that spread over the upper body, often accompanied by sweating and palpitations. These symptoms are due to hormonal changes during menopause.


Can anxiety disorders cause physical symptoms such as excessive sweating and shortness of breath?

Yes, anxiety disorders can manifest with physical symptoms such as excessive sweating, shortness of breath, and palpitations. These symptoms are often related to the body's fight-or-flight response.


What are the potential side effects of medications like Simvastatin and Furosemide that could relate to these symptoms?

Simvastatin can cause side effects like muscle pain and liver issues, but excessive sweating is not common. Furosemide, a diuretic, can lead to dehydration and electrolyte imbalances, which might contribute to symptoms like palpitations and shortness of breath.


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1 Comments


Leo#3962

7 mo ago

If this sweating is happening randomly throughout the day and less so at night, then it certainly sounds like hyperhidrosis. But it's a common condition, affecting around 5% of the US population and medical treatments do exist. It can also be associated with other conditions, such as obesity and hyperthyroidism.

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