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What Causes Severe Night Sweats On Face And Head After Menopause?
Question: Have already gone thru menopause but still sweat even when weather is cold. At night have to get up as hair and face, drenched in sweat. This is awful as can't engage in social activities and can't wear nice clothes. Because of the face and head sweating, my doctor sent me to specialist which didn't help as he had not heard of this condition. I don't sweat under arms, feet hands..only face and hair.
I am so tired as usually have to get up at 4am.
I am so tired as usually have to get up at 4am.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank your for asking on HCM!
Regarding your concern, I would explain that your symptoms seem to be related to a localizes hyperhidrosis (face and scalp).
It may be caused by different causes:
- thyroid dysfunction
-diabetes
- sympathetic nervous system dysfunction
- malign disorders
- chronic inflammation
- tuberculosis or other chronic infections
Nevertheless, as the sweating is localized in a limited surface of the body most of these disorder seem to be unlikely.
I would recommend performing some tests besides a careful physical exam :
- complete blood count, inflammation tests
- thyroid hormone levels
- fasting glucose and HbA1C
- chest X ray study
- abdominal ultrasound
If all the above tests result normal, there is nothing to worry about.
There are different therapies for this purpose:
a- Topical agents for hyperhidrosis therapy include topical anticholinergics, boric acid, 2-5% tannic acid solutions, resorcinol, potassium permanganate, formaldehyde (which may cause allergic reactions), glutaraldehyde, and methenamine.
b- Systemic agents used to treat hyperhidrosis include anticholinergic medications, such as propantheline bromide, glycopyrrolate, oxybutynin, and benztropine, which are effective because the preglandular neurotransmitter for sweat secretion is acetylcholine. Nevertheless, their use is limited because of their adverse effects.
Another treatment option to consider would be botulinum toxin injections.
I recommend discussing with your attending physician on the above issues.
Hope to have been of help!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank your for asking on HCM!
Regarding your concern, I would explain that your symptoms seem to be related to a localizes hyperhidrosis (face and scalp).
It may be caused by different causes:
- thyroid dysfunction
-diabetes
- sympathetic nervous system dysfunction
- malign disorders
- chronic inflammation
- tuberculosis or other chronic infections
Nevertheless, as the sweating is localized in a limited surface of the body most of these disorder seem to be unlikely.
I would recommend performing some tests besides a careful physical exam :
- complete blood count, inflammation tests
- thyroid hormone levels
- fasting glucose and HbA1C
- chest X ray study
- abdominal ultrasound
If all the above tests result normal, there is nothing to worry about.
There are different therapies for this purpose:
a- Topical agents for hyperhidrosis therapy include topical anticholinergics, boric acid, 2-5% tannic acid solutions, resorcinol, potassium permanganate, formaldehyde (which may cause allergic reactions), glutaraldehyde, and methenamine.
b- Systemic agents used to treat hyperhidrosis include anticholinergic medications, such as propantheline bromide, glycopyrrolate, oxybutynin, and benztropine, which are effective because the preglandular neurotransmitter for sweat secretion is acetylcholine. Nevertheless, their use is limited because of their adverse effects.
Another treatment option to consider would be botulinum toxin injections.
I recommend discussing with your attending physician on the above issues.
Hope to have been of help!
Kind regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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