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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    What causes night sweats along with nausea and insomnia?

I am nauseated almost every morning average sleep about 3 hours and I have already had a hysterectomy and gone thru menopause........ But, I sweat bad during the night sometimes and I also after arising in the morning about an hour later I am sweating.... I have had kidney cancer and I have one ovary and thru the past 20 years had tumors and cysts....... I had a colonoscopy had a few polyps but the doctor said nothing to worry about I just like to know what seems to be my problem
Tue, 8 Oct 2019
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General Surgeon 's  Response
Hi,

Night sweats is the occurrence of excessive sweating during sleep. It can occur due to infection, hormonal imbalance, cancer, psychological conditions, drug induced and several other causes.

Considering his age, psychological morbidity and treatment following are possible causes which need to rule out in his case: -Hot sleeping environment:

Hope it is not in his case. -Residual anxiety and depression. -Hyperthyroidism:

It is also associated with anxiety. For evaluation get his serum T3/T4/TSH done on empty stomach. -Autonomic over-activity: common in anxiety and hyperthyroidism. -Substance use like alcohol and heroine Although night sweats can occur with sertraline but in clinical population it is rare.

It is better to rule out above condition first as a cause for night sweats. Following situation will favor night sweats due to sertraline: -If it is started after initiating treatment with sertraline. -If it is stopped within 2 weeks of reducing doses or terminating treatment with sertraline.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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