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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17513
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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QUESTION}I have been suffering from day and night sweats a

Customer Question

QUESTION}I have been suffering from day and night sweats for over a year now. the sweats are worse and continuous when lying down. I feel exhausted after each episode of sweating, and sometimes I feel light headed. I have underwent many tests but with no indication to my problem being resolved. I have reflux and I am prescribed Omeprazole 20 mg, I also awaiting a total hip replacement soon. I had a full hysterectomy in 1998 so nothing to do with hormones I'm told.Is there any thing you can suggest ?? as I am at a loose end
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.

Hello from JustAnswer.

It will help if you could first provide some further information.

Can you provide more details of what tests have been done and what results are available?

Customer: replied 1 year ago.
I have had a full body scan which ruled out any cancers, certain blood tests ie for lupus, infections, thyroid problems, hormones, and others which did not reveal anything.
Expert:  Dr. D. Love replied 1 year ago.

There are many different conditions that can cause excessive sweating, but the most common are various chronic infections or inflammatory conditions as well as certain cancers or metabolic conditions. There is no single scan that can rule out all cancers nor any single blood test that can rule out all infections. Without knowing the specific tests that were done, it is difficult to say what should be done next.

However, there are some conditions that it does not sound like have been yet excluded. It would be appropriate to look for chronic lung diseases, particularly those that can have an associated infections, such as bronchiectasis or tuberculosis. Lying down changes the functional dynamics of the lungs, and many people notice a worseing of symptoms when lying down. Certain heart problems also is commonly worse when lying down, although there usually would be other symptoms present beyond sweating.

It is also true that acid reflux can be worse when lying down, but this usually would not cause sweating.

It is difficult to say what additional tests could be done without knowing the specific tests that have been done. A bone marrow test may be appropriate, which can look for certain cancers and infections that are not apparent by other tests. If blood tests to measure inflammation, such as a sed rate or C-reactive protein, have not been done, this would be appropriate.

If no cause can be identified with these tests, it also would be appropriate to see specialists in the area of infections and inflammatory diseases.

Customer: replied 1 year ago.
I am sorry I have not been able to provide more specific information, all I know is that I have been seen by infectious diseases and was told all test done showed nothing the type of tests done I don't know but was told all necessary test were done in this field. I also was seen by Rheumatology and nothing showed up their either. I was told all necessary tests were done and nothing showed up that would indicate to my problem. I am Sorry I have not got any further information for you
Expert:  Dr. D. Love replied 1 year ago.

You do not say that you have had the evaluation of the lungs that I discussed above.

Customer: replied 1 year ago.
I have had no evaluation of the lungs however, I don't seem to have any apparent problems with breathing and my oxygen saturation usually sits at 98%
Expert:  Dr. D. Love replied 1 year ago.

There frequently would be some evaluation for tuberculosis in someone with sweating of unknown cause.

If the Infectious Disease specialist performed tests for tuberculosis, and you have already seen a Rheumatologist, then the next specialist to see would be an Oncologist.

Customer: replied 1 year ago.
Mmmm well, they did rule out cancer ? however, I will ask for a second opinion. Thank-you Kind Regards ***** *****
Expert:  Dr. D. Love replied 1 year ago.

As I said above, there is no scan that excludes all cancers.