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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Excessive Night Sweats Post Prostate Removal Surgery?

My husband came home from hospital Saturday he had prostate removal surgery and had some complications and they had to do another surgery 7 days later so he was without food for about two weeks and they gave him TP IN since we have been home he suffer every night with night sweat and he is always cold only at night we have to change his night shirts two or three times each night . what can we do or what is wrong?
Fri, 15 May 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 query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein
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What Causes Excessive Night Sweats Post Prostate Removal Surgery?

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