Nocturnal Hyperhidrosis

Nocturnal hyperhidrosis refers to excessive sweating that occurs at night, typically during sleep. This condition can be distressing and disrupt a person's ability to get a good night's rest.

Causes

  • Hormonal changes: Hormonal fluctuations, such as those experienced during menopause or pregnancy, can lead to increased sweating at night.
  • Medications: Certain medications, including antidepressants, blood pressure medications, and hormone replacement therapies, can cause nocturnal hyperhidrosis as a side effect.
  • Medical conditions: Conditions like hyperthyroidism, low blood sugar, and sleep apnea can contribute to excessive nighttime sweating.
  • Anxiety and stress: High levels of anxiety and stress can trigger the body's "fight or flight" response, leading to increased sweat production at night.

Symptoms

  • Excessive sweating during sleep, often resulting in soaked clothing and bedding
  • Disrupted sleep patterns due to frequent awakenings to change clothes or bedding
  • Feelings of anxiety or stress related to the condition
  • Potential skin irritation or infections due to prolonged exposure to moisture

Treatment and Management

  • Lifestyle changes: Practicing relaxation techniques, such as deep breathing or meditation, can help reduce stress and anxiety-related sweating.
  • Clothing and bedding: Wearing lightweight, breathable clothing and using moisture-wicking bedding can help keep the body cool and dry.
  • Medications: In some cases, medications like anticholinergics or beta blockers may be prescribed to help reduce excessive sweating.
  • Addressing underlying conditions: Treating any underlying medical conditions that may be contributing to nocturnal hyperhidrosis can help alleviate symptoms.

Diagnosis

Nocturnal hyperhidrosis is typically diagnosed through a combination of physical examination, medical history, and laboratory tests to rule out underlying conditions. A healthcare professional may ask questions about the frequency and severity of sweating, as well as any other symptoms or medical conditions.

Article last updated on: 15th June 2025.
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