Picture it: You climb into your cozy bed, snuggle up under the comforter, and drift off to sleep…only to wake up a few hours later totally drenched in sweat.
Miserable? Yes. Also kind of scary? Yes to that, too.
Mоѕt оf thе timе, your night ѕwеаtѕ could bе саuѕеd bу something tоtаllу hаrmlеѕѕ—likе thе tеmреrаturе of your bеdrооm оr the fаbriс оf уоur раjаmаѕ. But ѕоmеtimеѕ, уоur ѕwеаtу nightѕ might be a ѕign of an underlying соnditiоn уоu need to gеt сhесkеd оut ASAP, ѕауѕ Neomi Shаh, MD, associate рrоfеѕѕоr оf рulmоnаrу аnd ѕlеер mеdiсinе аt thе Icahn Sсhооl оf Medicine at Mоunt Sinai.
It’s also important to keep in mind that your night sweats may really be hot flashes. “Hot flashes may be difficult to distinguish from night sweats,” says Juan J. Remos, MD, chief medical advisor and internist for Gentera Center for Regenerative Medicine. “Hot flashes may begin with an unpleasant heat sensation in the chest, neck, or abdomen. A sudden warmth and visible skin redness in the chest, head, and neck follows.”
With hot flashes, the sensation of warmth can last anywhere from three to four minutes to 20 or 30 minutes, and is typically followed by sweating in the same areas, he adds. Dr. Remos says that hot flashes at night are typically described by women as night sweats, but they are different—hot flashes can occur at any time and likely won’t only come on at night.
A general rule? If your night sweats persist for more than two or three months, get yourself checked out, says Dr. Shah—your doctor should be able to get to the bottom of it. But instead of jumping to the worst-case scenario, take a peek at what commonly causes night sweats in women, and what you can do about them.
- Your room is just too damn hot.
What’s the temperature of your bedroom right now? If it’s anything other than 60 to 70 degrees Fahrenheit, it’s probably too hot, says W. Christopher Winter, MD, sleep specialist and author of The Sleep Solution: Why Your Sleep Is Broken and How To Fix It.
Less-breathable fabrics (like your flannel pajamas) can also contribute to your sweaty sleep woes. Breathable cotton is a better option for both your PJs and sheets.
Feeling hot can also impede your ability to actually fall asleep. In the process of drifting off, your body temperature should drop one to two degrees below normal, and it can’t do that in a warm room.
- You have hyperhidrosis, an excessive sweating disorder.
Yes, that’s a thing, and according to the American Academy of Dermatology (AAD), it essentially happens when a person sweats more than necessary (yes, including while they’re sleeping).
One big difference between hyperhidrosis and run-of-the-mill sweating: Hyperhidrosis typically affects specific body parts, per the AAD, like your palms, feet, underarms, and head. Keep in mind though, this is excessive sweating—the AAD describes hyperhidrosis as excessive sweating that interferes with daily activities (like opening doorknobs or using computers) in those who have it.
If you think you have hyperhidrosis, talk to your dermatologist—they can prescribe specific deodorants or other methods of treatment, like Botox injections to block sweat glands, per the AAD.
- You’re having nightmares.
This is probably the simplest explanation for those sweats. “If the sweating is chronic…sometimes it can be that the patient is totally healthy and is actually running in a dream, or frightful in a dream,” says Harry Banshick, MD. “The sweat is the consequence of acting out the dream.”
Dr. Shah agrees, saying that anything that causes “a sympathetic surge” (also known as a fight-or-flight response) can lead to sweating. If you’re having ongoing, persistent nightmares, see your doctor to find out what might be causing it (stress is a big culprit).
- Your body’s going through hormonal changes, like those related to menopause.
One of the most common causes of night sweats for women is fluctuating estrogen levels, Dr. Nandi says. “Menopause is associated with hot flashes, so it’s not uncommon for patients to report sweating even during their sleep,” Dr. Shah says. But again, these may occur at other times during the day as well.
If you’re pregnant or on your period, those hormone fluctuations could lead to night sweats, too. However, menopause tends to cause the most persistent sweats, and if it’s truly affecting your quality of life or sleep, Dr. Shah says it’s worth talking to your doctor about. “Sweating from menopause is unpredictable, but if you talk to your ob-gyn about hormone replacement therapy, it could help keep your temperatures under control.”
- You’re taking antidepressants.
Patients taking antidepressants can definitely see an uptick in night sweats, Dr. Shah says, as certain classes of medications can cause an adrenergic reaction, which has to do with your adrenaline levels and leads to sweating. If you’re taking venlafaxine (or the brand-name Effexor) or bupropion (or its brand-named Wellbutrin, Zyban, or Aplenzin), you may experience more night sweats, Dr. Shah says.
But there’s good news if you don’t want to switch your antidepressant, as Dr. Shah says there are drugs docs can prescribe to calm down the adrenergic output, which won’t counteract your mental health care.
- Your body’s fighting off an infection, like tuberculosis.
“Infections in general are related with changes in temperature because they come with fevers that will break, and that is obviously a common reason to sweat,” Dr. Shah says.
One rare infection that’s commonly associated with night sweats: tuberculosis, which can infect any part of your body but is well-known for its effect on your lungs. People with an immunocompromised condition, like HIV, can develop tuberculosis more easily, Dr. Shah says. You might start sweating in your sleep before you even start coughing or realize something is wrong, Dr. Shah says, so see a doc stat if the symptoms persist.
- You have undiagnosed lymphoma.
Lymphoma—a cancer of part of the immune system, according to the U.S. National Library of Medicine (NLM)—can cause multiple symptoms like fever, changes in weight loss, and, yes, night sweats, says Dr. Shah. Essentially, your body recognizes lymphoma as something it needs to fight off, and raises its temperature to try to do so, she adds.
While these “soaking sweats,” per the NLM, happen at night, heavy sweating might occur during the day for this, too, so get to your MD if you’re experiencing any other symptoms and they can test you for the condition, says Dr. Shah.
- You’re experiencing hypoglycemia related to your diabetes medication.
Hypoglycemia occurs when blood sugar levels drop too low, and can cause a variety of symptoms including confusion, dizziness, and in some cases, night sweats. When your blood sugar level drops below a certain point, your body will use hormones, like cortisol, to try to preserve normal blood glucose levels and organ function, therefore activating the autonomic nervous system, which is in charge of your glands, explains Dr. Remos.
That activation can cause profuse sweating. Sometimes these sweats can come on suddenly and when paired with confusion may require the administration of glucose orally or intravenously, says Dr. Remos.
- You have undiagnosed hypothyroidism.
Those with hypothyroidism have an overactive thyroid that produces more thyroid hormone than the body needs. According to the NLM, thyroid hormone can affect the way the body uses energy, and some symptoms of it include muscle weakness, mood swings, and trouble tolerating heat.
If you’re experiencing night sweats related to hypothyroidism, they may happen on a consistent schedule as opposed to randomly and will usually appear with other symptoms of the condition, says Dr. Remos.
- You have a rare tumor in the adrenal gland known as a pheochromocytoma.
Pheochromocytomas are rare, usually benign tumors that start in the cells of the adrenal gland, according to the NLM. The symptoms associated with these tumors are episodic headaches, sweating, and tachycardia, a condition that causes a rapid heartbeat, says Dr. Remos.
These symptoms are usually caused by the excess release of hormones like adrenaline and epinephrine by the tumor, which in turn may be causing you to dampen your bedsheets at night, says Dr. Remos. “The night sweats are triggered by the excess adrenaline type hormones,” he says.
- You’re experiencing a hormone disorder, like undiagnosed carcinoid syndrome.
Night sweats are a common symptom of hormone disorders, since they tend to throw the body’s functions out of wack. One hormone disorder which can cause night sweats is carcinoid syndrome, which refers to the group of symptoms experienced by people with carcinoid tumors, which can appear all over but tend to originate in the digestive tract.
“Getting flushed is the hallmark of the carcinoid syndrome, occurring in 84 percent of affected patients; sweating may occur concurrent with the flushing,” says Dr. Remos. “Flushing is an increased blood flow to the skin due to vasodilation and is experienced as a warmth and redness of the face and occasionally the trunk, which may be associated with sweating.”
Other symptoms related to this condition besides flushing and sweating are diarrhea and difficulty breathing or wheezing.
- You’re dealing with an undiagnosed neurologic condition, like post-traumatic syringomyelia.
Like hormone conditions, neurologic conditions, particularly spinal cord injury and syringomyelia, says Dr. Remos, can also cause night sweats. “The autonomic nervous system exerts involuntary control over smooth muscle like the intestine or the pupil, and glands. Damage to the spinal cord causes it to malfunction and stimulate sweat glands inappropriately,” says Dr. Remos.
Post-traumatic syringomyelia, specifically, refers to the formation of cysts in the spinal cord and can cause episodes of increased sweating, says Dr. Remos.
Remedies for night sweats
If you’re symptoms are mild and do not interfere with normal activities, Dr. Remos recommends simple behavioral changes, like lowering room temperature, using fans, or dressing in layers of clothing that you can easily shed. You should also avoid things that may trigger sweating, like spicy foods, and try to keep stress to a minimum. Your derm can also help prevent the sweats themselves, either by recommending clinical strength antiperspirants or Botox injections.
If you’re dealing with moderate to more severe night sweats or hot flashes related to menopause, Dr. Remos says you may want to look into menopausal hormone therapy, which uses hormones to treat the symptoms of menopause, including hot flashes. It isn’t a good treatment for everyone, as it can be risky to those with conditions like coronary heart disease or a history of breast cancer, so talk with your doctor about your options.
For certain conditions, taking medication that treats the condition may also treat some of the symptoms related to it, so always consult your doctor if you think there’s something new going on with your body and you need relief.