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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Night Sweats Around The Head?

Hi there, im 44 years old male and my head sweats alot at night and in the morning it smells like vinegar, and stains the pillows.someting my torso sweats but not as bad as my head, this has started to become embarrassing as ive not long got into a new relationship.. Im on loads of meds due to my illness and bad stomach. I dont eat rubbish as i hardly eat and have to be careful in what i eat due to my stomach.. Since my stomach problems i have notice that even standing to washing up my head sweat like crazy or even if i do anything like light exercise. I use to a hard working guy before i fell ill but due to my illnesses im not as active as i use to be. I really would like answers as everytime i go doctors i only can talk about one thing due to the time i have with him. Please help me
Fri, 24 Apr 2020
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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 question. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Causes Night Sweats Around The Head?

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 question. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon