[50M] Experiencing Night Sweats

Patient Description

A 50-year-old male has been experiencing significant night sweats for a few days, particularly affecting the head and chest area, enough to soak the pillowcase. These symptoms occur every night, but the patient reports no accompanying fever, chills, unexplained weight loss, lumps, difficulty breathing, chest pain, or other symptoms. The patient has a history of tobacco use, smoking a pack a day for over 20 years. Medical history includes heart trouble and testicular cancer, with major heart issues intensifying since 2017. Current medications include 81mg aspirin, 25mg Metoprolol twice daily, 75mg Clopidogrel in the morning, 10mg Lisinopril twice daily, and 20mg Simvastatin in the evening. The patient has no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you provided, possible causes for your symptoms include:

  • Menopause: Although this is more common in women, men can also experience a form of menopause called andropause. This is a condition characterized by a decrease in testosterone levels, which can cause symptoms such as night sweats. However, this is less likely given your age and gender.

    • Treatment typically involves hormone replacement therapy.
  • Hyperhidrosis: This is a condition characterized by excessive sweating that is 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 for hyperhidrosis often involves prescription-strength antiperspirants. If these don't work, you might be prescribed oral medications such as anticholinergics. Other treatments include iontophoresis, botulinum toxin (Botox) injections, and even surgery.
  • Medication side effects: Some medications can cause night sweats as a side effect. This includes some psychiatric drugs, medications for dry mouth, and certain types of hormone therapy.

    • Treatment would involve discussing with your doctor whether the benefits of the medication outweigh the side effects, and whether there are any alternative medications you could try.
  • Infections: Certain infections can cause night sweats. These include tuberculosis, bacterial and fungal infections, and human immunodeficiency virus (HIV).

    • Treatment of infections typically involves antibiotics or antiviral medications.
  • Cancer: Night sweats can be an early symptom of some cancers, such as lymphoma. However, people with undiagnosed cancer usually have other symptoms as well, such as unexplained weight loss and fever.

    • Treatment for cancer can include surgery, radiation therapy, chemotherapy, immunotherapy, targeted therapy, hormone therapy, stem cell transplant, and precision medicine.
  • Hormone disorders: Hormonal imbalances, such as overactive thyroid (hyperthyroidism) can cause excessive sweating.

    • Treatment for hormone disorders typically involves medication to correct the hormonal imbalance.

Please note that this list is not exhaustive, and there could be other potential causes for your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Keep a symptom diary: This can help you track when your night sweats occur and whether they're related to any other symptoms or activities.
  2. Stay hydrated: Excessive sweating can lead to dehydration, so it's important to drink plenty of fluids.
  3. Wear light, breathable clothing to bed: This can help keep your body cool and reduce sweating.
  4. Keep your bedroom cool: Use a fan or air conditioning, or keep a window open to help keep your room temperature down.
  5. Avoid triggers: Certain things can trigger or worsen night sweats, such as spicy foods, caffeine, and alcohol. Try to avoid these, especially close to bedtime.

What you should look out for

You should seek immediate medical attention if you experience:

  • Chest pain or pressure
  • Difficulty breathing or shortness of breath
  • Severe abdominal pain
  • A severe headache
  • A high fever
  • Unexplained weight loss
  • Persistent night sweats that don't improve after a few weeks

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are common causes of night sweats in men?

Common causes of night sweats in men include hyperhidrosis, medication side effects, infections, hormonal imbalances, and less commonly, certain cancers. It's important to consider lifestyle factors and medical history when identifying the cause.


Can medications cause night sweats, and should I be concerned?

Yes, some medications can cause night sweats as a side effect. If you suspect your medication is causing night sweats, consult your doctor to discuss whether the benefits outweigh the side effects and explore alternative options.


How can I manage night sweats at home?

To manage night sweats at home, keep a symptom diary, stay hydrated, wear light and breathable clothing to bed, keep your bedroom cool, and avoid triggers like spicy foods, caffeine, and alcohol, especially before bedtime.


When should I see a doctor about night sweats?

You should see a doctor if your night sweats persist for several weeks, are accompanied by other symptoms like unexplained weight loss or fever, or if they significantly disrupt your sleep and daily activities.


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