Health
Sleep disruptions due to night sweats: When should you see a doctor?
If you’ve woken up in the middle of the night drenched in sweat, it can be a bit scary.
You could be experiencing night sweats, which are usually associated with menopause.
But medical experts say the condition can be caused by other issues or situations as well.
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To find out more, doctors weighed in during interviews with Fox News Digital to share insights into the hot topic of night sweats — and what to do about it.
What are night sweats?
Excessive sweating during sleep, or night sweats, occurs when there is a dysregulation of the body’s natural reaction to excess heat, said Jesus Lizarzaburu, M.D., a family physician with TPMG Grafton Family Medicine in Yorktown, Virginia.
Night sweats can be caused by a variety of factors. Read on to see if any of these sound familiar to you. (iStock)
“Symptoms include drenching sweats that may soak your bedding and sleepwear, unrelated to an overheated environment,” Lizarzaburu told Fox News Digital.
What issues can cause night sweats?
Night sweats may be triggered by a number of factors.
Hormonal changes. The most common cause of night sweats is hormonal changes, such as menopause in women, said Dr. Lizarzaburu.
He said this is not limited to females, however.
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To a much lesser extent, low testosterone in men may cause night sweats, too.
Medications. Certain medications such as antidepressants, drugs used to treat diabetes (hypoglycemics), hormone-blocking drugs used to treat certain cancers and certain psychiatric drugs may be at the root of night sweats, Lizarzaburu also noted.
Some medications such as antidepressants, drugs used to treat diabetes, hormone-blocking drugs used to treat certain cancers and certain psychiatric drugs may be connected to night sweats, a doctor noted. (iStock)
Hormone disorders. Conditions including hyperthyroidism or an overactive thyroid gland can cause night sweats, he explained.
Infections. Infections such as tuberculosis, HIV/AIDS, endocarditis (inflammation of the heart valves), osteomyelitis (inflammation within the bones) and even abscesses can cause night sweats, said Lizarzaburu.
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“However, I would like to point out that with infections, other symptoms such as fever or localized swelling would be present,” he clarified.
How can night sweats be treated?
Treatment for night sweats really depends on the cause, noted Mike Sevilla, M.D., a family physician with Family Practice Center of Salem in Salem, Ohio.
He said treatment can include lifestyle modifications like avoiding night sweat triggers, sleeping in a cooler room and wearing more breathable clothing.
“I generally start with these initial steps,” Sevilla said.
A host of lifestyle modifications and non-medication options could help treat night sweats, experts say. (iStock)
“There are possible medication options,” he said. “However, I encourage people to check in with their family physician because there could be medical testing involved to rule out possible medical causes for the night sweats.”
There are a host of lifestyle modifications and non-medication options to treat night sweats, he also indicated.
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Here are some examples.
Watch food and drink triggers. “Avoid potential night sweat triggers before bedtime like alcohol, caffeine, nicotine, spicy foods and others,” Sevilla said.
Time your workouts. Increase exercise during your waking hours and not right before bedtime, he noted.
Stay hydrated. He suggests sipping cool water before bedtime.
Wind down before bed. “Consider relaxation techniques like meditation or controlled breathing exercises,” he said.
Taking steps to wind down before bedtime — including doing meditation or controlled breathing — may help with better sleep experiences, doctors say. (iStock)
Create a favorable sleeping environment. Sleep in a cooler room and consider using a bedroom fan, said Sevilla.
Upgrade your bed dressings. Consider investing in a cooling pillow, cooling sheets or cooling mattress.
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Wear breathable clothing. Wear loose-fitting, lightweight pajamas and dress in layers to name it easy to make adjustments during sleeping hours, he said.
Monitor your medications. Sevilla cautioned that some OTC vitamins and OTC supplements may cause night sweats and/or interfere with prescription medications.
“If you are unable to have a full night of sleep because of night sweats, eventually this disruption will affect your quality of life.”
Maintain a healthy weight. Staying active and being mindful of your diet may play a role in reducing the condition.
When is seeing a doctor warranted?
Seek medical care whenever your quality of life is affected, said Lizarzaburu of TPMG Grafton Family Medicine.
“If you are unable to have a full night of sleep because of night sweats, eventually this disruption will affect your quality of life,” he noted.
Aside from the effects on quality of life and sleep, patients should be concerned the most seriously when they are present along with lymph node swelling, fever and unexplained weight loss, as these can be symptoms of lymphoma, Lizarzaburu told Fox News Digital.
A doctor or health professional can help diagnose the cause of night sweats. (iStock)
A doctor or medical professional can help you diagnose the cause of your night sweats.
“For example, if menopause is the cause, one can start with supplements and escalate to hormone replacement,” said Lizarzaburu.
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“If [it’s about] low testosterone in men, testosterone replacement can help.”
He added, “If hyperthyroidism (overactive thyroid) is the cause, medication can be prescribed to counter that.”
And, if medication is causing the night sweats, a prescriber can “re-evaluate the condition to look for alternative medication or to adjust the doses,” he said.
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Health
Common nighttime noise exposure may trigger heart problems, study suggests
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Living near heavy traffic could negatively impact your heart health.
A European study, published in the journal Environmental Research, found that exposure to nighttime road traffic noise is linked to changes in the blood, leading to worsened cholesterol and cardiovascular risks.
The researchers considered data from the U.K. Biobank, Rotterdam Study, and Northern Finland Birth Cohort 1966, including more than 272,000 adults over the age of 30, according to a press release.
Nighttime road noise exposure was estimated at all participants’ homes based on national noise maps. Researchers also took blood samples to measure the participants’ metabolic biomarkers for disease, then mapped the link between nightly noise levels and existence of biomarkers.
Exposure to loud noise was associated with increased concentrations of cholesterol-related biomarkers. (iStock)
The study found that people exposed to louder noise at night — especially sounds above 55 decibels — showed changes in 48 different substances in their blood. Twenty of these associations “remained robust” throughout all cohorts.
Exposure to loud noise was associated with increased concentrations of cholesterol-related biomarkers, especially LDL “bad” cholesterol, IDL (intermediate-density lipoprotein) and unsaturated fatty acids.
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As noise levels increased, starting at around 50 decibels, cholesterol markers rose steadily, the release stated.
The authors concluded that this study “provides evidence that nighttime road traffic noise exposure from 50 dB upward is associated with alterations in blood cholesterol and lipid profiles in adults.”
Researchers noted a link between traffic noise and cardiometabolic disease. (iStock)
Study co-author Yiyan He, doctoral researcher at the University of Oulu in Finland, noted that in this type of research, small effect sizes are expected, and environmental exposures such as traffic noise are “typically modest.”
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“Despite this, we observed statistically robust and consistent associations across many biomarkers, especially those related to LDL and IDL lipoproteins,” she told Fox News Digital.
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“We also identified a clear exposure-response pattern starting at around 50 dB, suggesting that metabolic changes become more evident as noise levels increase.”
This aligns with public health guidance, as the World Health Organization recommends lower nighttime noise limits at around 40 to 45 dB, Yiyan He added.
“This finding may clarify the association between traffic noise and cardiometabolic diseases,” the researchers wrote. (iStock)
“The 55 dB level is often used as an interim benchmark associated with substantial noise annoyance and sleep disturbance,” she said. “In our study, we observed associations not only at 55 dB, but also indications of effects emerging at around 50 dB.”
The strength and consistency of the cholesterol-related associations were surprising, as these changes are usually “subtle.”
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“Instead, we found consistent associations across multiple large European cohorts, which strengthens confidence that the findings may reflect real biological patterns,” Yiyan He went on. “We were also interested to see that effects were minimal below ~50 dB, suggesting a possible threshold-like pattern.”
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The researcher noted that these findings were consistent across genders, education levels and obesity status.
The study was restricted to White Europeans, which posed a limitation. There was also a lack of information on the fasting status in the UK Biobank.
Changes in cholesterol levels were more severe than researchers expected. (iStock)
“Fasting can influence levels of certain metabolites, particularly fatty acids,” Yiyan He said. “However, based on UK Biobank documentation, fewer than 10% of participants were fasting for at least eight hours, and our main findings focused on cholesterol-related biomarkers, which are generally less sensitive to short-term fasting.”
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The researchers also lacked information on bedroom location, indoor noise exposure and time spent at home.
“These factors may introduce non-differential exposure misclassification,” Yiyan He said. “Additionally, noise exposure estimates were based on participants’ temporary residential addresses at the time of blood sampling, without considering the duration of residence.”
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“Many of these limitations would tend to bias results toward the null, so the consistent associations we observed remain noteworthy.”
Experts recommend taking measures to limit traffic noise at night. (iStock)
Based on this latest research, Yiyan He noted that nighttime noise is a “health-relevant exposure,” not just “an annoyance.”
“Our findings suggest that nighttime traffic noise may subtly but consistently affect metabolic health,” she said. “While the changes in cholesterol and lipid levels for any one individual are small, traffic noise affects a very large number of people, which means the potential public health impact could be substantial.”
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The researcher recommends taking measures like improving sound insulation, using noise-reducing strategies and placing bedrooms on the quieter side of the home when possible.
“Because sleep is a key pathway linking noise to health, protecting the nighttime sleep environment is especially important,” she added.
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