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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35479
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I am a 29 yr old male and for the past year or so I have

Resolved Question:

I am a 29 yr old male and for the past year or so I have been getting night sweats off and on. It only affects my legs and can be to the point where it completely soaks the bed, I have noticed that my hands and feet become really cold in the colder weather and I have swollen lymph nodes in my neck, I often feel drained but that may be from the weird hours and stress at work. Please help this is becoming very embarrassing for me my wife is really coming down on me for this.
Submitted: 7 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 7 years ago.


Thanks for your question.

Night sweats is always taken as an important symptom and would warrant search for the cause. This can be just because of the anxiety / stress and your odd working hours, still working on the cautionary side is advised. Following causes should be investigated for the night sweats, by the labs and medical imaging;

1) Lymphoma; should be looked when lymph nodes are enlarged.

2) Mycobacterial infections

3) Medications (hormonal shot)

4) Gastroesophageal reflux disease (GERD or reflux)

5) Sleep apnea

6) Idiopathic hyperhidrosis (this is excessive sweating with no determinable cause)

7) Autonomic neuropathy (involvement of the sweat nerves due to diabetes, medications etc)

8) Carcinoid syndrome (it is a tumor which secrete some chemicals in the body to cause sweating).

9) Thyroid hormone dysfunction.

Investigations needed are;

1) a chest radiograph, a PPD test, a complete blood count, TSH (for thyroid), and blood cultures.

2) a CT scan of the torso.

3) a bone marrow biopsy.

4) a 24-hour urine collection for 5-HIAA, metanephrines, and catecholamines

Please feel free for your follow up questions.

Dr. Arun

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