I had saved it on my computer, so it didn't take long to regenerate it.
There are many possible causes of night sweats, including several that are not endocrinologic or neurologic in nature. Also, some people have excessive sweating (either at night or during the day) for which no explanation can be found, so is called idiopathic (the medical term for when no underlying cause can be identified).
It is true that menopause is a common cause of night sweats, but the Endocrinologist would certainly have considered this possibility.
If there is a fever along with the night sweats, then that would increase the possibility of certain causes, primarily chronic infections. There are a variety of chronic infections that can cause night sweats, with or without fever, such as tuberculosis
, endocarditis (an infection of the valves of the heart), or osteomyelitis (an infection of the bone)
Night sweats can also occur with a low blood sugar, and the blood sugar can be normal at other times, so it is good that the blood sugar was checked and was normal during an episode, as that would exclude this possibility.
It is also possible to develop night sweats associated with a variety of inflammatory conditions. The most common inflammatory conditions that cause night sweats are inflammatory conditions that primarily affect the musculoskeletal system. However, it is also possible to get night sweats associated with inflammatory bowel diseases, such as Crohn's disease or ulcerative colitis. Since you are also having diarrhea, it would be appropriate to consider this as a possibility.
Lastly, there are certain cancers that can cause night sweats, such as lymphoma, although there would usually be other symptoms or findings on exam if a cancer is present.
It would require an appropriate evaluation to consider each of these possibilities. Yes, checking the temperature during an episode would be the correct next step, but further testing would need to be done by a physician. If there is no fever, then pursuing the cause of the diarrhea would be the next direction to consider, and consulting a Gastroenterologist would be appropriate.
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