What Are the Most Common Causes Of Night Sweats?

Hyperhidrosis is spontaneous hyperhidrosis caused by a variety of causes. It is manifested as paroxysmal localized or increased general sweating, often bilaterally symmetrical, but hyperhidrosis can also be seen.

Khan

This entry lacks an overview map . Supplementing related content makes the entry more complete and can be upgraded quickly. Come on!

Hyperhidrosis is spontaneous hyperhidrosis caused by a variety of causes,

Normal people sweat excessively under physiological conditions. They are found in sports, high temperature environments, emotional excitement, and eating spicy food. The other is spontaneous sweating, seen during the hot season. This sweating is mostly symmetrical, and it is obvious in the head and neck, palms, soles, etc. The spontaneous hyperhidrosis described in this section refers to abnormal excessive sweating that does not occur under the above conditions.

According to the part of sweating, sweating can be divided into: systemic type: mostly caused by functional or physical lesions; leaning type: mostly central lesions, especially caused by interbrain lesions; conductive beam type: mostly Central lesions, especially those caused by inter-brain lesions; Segmental type: mostly caused by spinal lateral horn or sympathetic stem lesions; Peripheral type: manifested as hyperhidrosis in the palms, soles, and underarms, mostly physical; local type: mostly reflective, such as eating irritating food.

Localized hyperhidrosis, which often begins in children or adolescence, can occur in both sexes, and some have a family history that can last for several years, with a tendency to naturally reduce after 25 years of age. Physiological marrow sweating with a family genetic tendency.

Dermatology> Skin Gland Diseases> Sweat Gland Diseases

Neurology> Diseases of the autonomic nervous system

Localized hyperhidrosis, which often begins in children or adolescence, can occur in both sexes, and some have a family history that can last for several years. There is a natural tendency to reduce after 25 years of age. Physiological marrow sweating with a family genetic tendency. There are currently no other relevant content descriptions.

The cause of hyperhidrosis can generally be divided into two types: organic disease and dysfunction. The former is mainly seen in endocrine disorders and systemic diseases, such as diabetes, hyperthyroidism, hypertension, hyperhypophysis, congestive heart failure; neurological disorders, such as concussion, hemiplegia, spinal trauma; tumors, such as metastatic tumors, Cancer; and infectious diseases such as malaria, tuberculosis, wave fever, etc. Functional hyperhidrosis generally involves more mental sweating, such as caused by high emotional stimuli such as stress, agitation, terror, anxiety, pain, and anger. Hyperhidrosis due to mental damage or increased nerve impulses due to emotional impulses, increased acetylcholine secretion, hyperhidrosis due to increased sweat glands nervousness, and sympathetic nervous disorders. Sweating can occur during menstruation, and severe sweating can also occur In some genetic syndromes.

Sweating mainly refers to excessive sweat produced in multiple parts of the small sweat glands, often involving the axillary, palmar, and groin. The causes can be divided into neurotic and non-neurological. Neurotic refers to the control of neural reflexes; except for local thermal stimulation , Non-nervous refers to the role of peripheral non-neurological factors-glandular excitatory response.

Secondary and congenital hyperhidrosis, with clinical manifestations of primary disease or hereditary disease.

Routine tests of blood, urine, stool, and cerebrospinal fluid and blood biochemical tests are not specific. Laboratory tests for secondary hyperhidrosis are associated with primary disease.

1. The majority of head and limb imaging examinations are normal results, and secondary hyperhidrosis has manifestations related to the primary disease.

2. Autonomic nerve function test is of auxiliary diagnosis and differential significance for severe sweat.

Sweating is mainly based on a history of hyperhidrosis, typical clinical manifestations, and a combination of objective examinations, and is usually not difficult to diagnose.

The main cause is the identification of secondary hyperhidrosis. Judgments should be made based on different clinical manifestations. If diabetes has abnormal blood glucose and urine glucose tests, brain organic lesions should have localized symptoms and signs.

Treatment of local hyperhidrosis

First of all, you should pay attention to skin cleansing. The armpits can be dusted after cleaning to keep dry. Hyperhidrosis of the hands and feet can be exogenous with a 5% formaldehyde solution, twice a day. You can also use 1% formaldehyde solution, 0.5% aluminum acetate solution, aluminum solution, 5% alum solution or 5% tannic acid solution to soak or rub the palms. 20% aluminum chloride anhydrous ethanol solution is put on the hands or feet when sleeping, covered with a layer of non-ventilated polyethylene, hands can be fixed with gloves for 4 to 8 hours, the next morning can be washed for two consecutive nights, and then 3 7 days. Applying 6.25% aluminum chloride to the armpit and fixing it with a layer of polyethylene on the back of the iliac crest is said to be effective.

Atropine, bromoproline (probencin), and belladonna mixture are commonly used for oral medication, and have temporary effects. However, there are adverse reactions such as dry mouth, so it is less used. Existing people use 30g of traditional Chinese medicine mulberry leaf, 700ml of barley soup, fry for 15 minutes on high fire, take 600ml of juice and take it in 3 times. The course of treatment is effective for 1 to 5 days. Sedatives and stabilizers such as bromine and phenobarbital are effective for mental hyperhidrosis. Surgical removal of the sympathetic nerves will cause sweatlessness and should not be used. X-ray irradiation has a certain effect locally, but sweat glands are deep tissues of the skin and are not sensitive to X-rays. If they are damaged too much, it can cause excessive dryness and atrophy of the skin, and even cause radiation dermatitis. In addition, it is generally not used.

Cortical hyperhidrosis treatment

Relax your mood and psychotherapy.

Neck, chest, or lumbar sympathectomy can improve, but can lead to compensatory thermal hyperhidrosis (mainly trunk).

10% glutaraldehyde solution, several times a week until the desired effect is obtained; 10% tannic acid (prepared with 70% alcohol), exogenous once a day; Ulotropine gel for external use, 20% aluminum chloride anhydrous ethanol solution Pack for several hours before going to bed; or 3% to 5% formaldehyde (formalin) nephew; hand and foot sweat solution; 0.5% acetic acid 5% alum solution wet compress.

Traditional Chinese medicine treatment: spleen and water can be taken orally. Topical medicine: Cangshui or dried kudzu decoction for external washing.

Physiotherapy: Water ion penetration method can be applied 2 to 3 times a week, and then maintained 1 to 2 times a month to obtain the effect. Some people have suggested that deep X-rays can be used to irradiate local skin with severe palm and scorching sweat, which has a certain effect, 1Gy each time, 1 or 2 times a day, a total of 8-10Gy; if the damage is excessive, it can cause excessive dryness of the skin And shrink.

In addition to psychotherapy, diazepam (sedative) and sedatives can be taken orally.

During the inactive period, apply 20% aluminum chloride anhydrous ethanol solution to the sweat glands, wrap with a plastic film, remove the plastic film the next morning, and clean the armpits.

surgical resection:

A. Selective removal of hyperactive sweat glands;

B. Total axillary sweat gland resection.

Actively treat Hodgkin'disease, diabetes. Relaxing mood, psychotherapy. Neck, chest, or lumbar sympathectomy improves. For patients with local refractory hyperhidrosis who are ineffective after comprehensive medical treatment, and have work and life obstacles, sympathectomy can be considered. Procaine sympathetic ganglion closure should be performed before surgery to test the effect. If no effect is seen after closure, surgery is generally not recommended.

Myeloid hyperhidrosis requires only a few people to be treated. 3% to 5% scopolamine cream and 20% aluminum chloride absolute ethanol solution for external use. Ethanol injection around the temporal nerve can make the symptoms disappear for several months. The tympanic nerve (glossopharyngeal nerve branch) is cut off and the fascia interposition can be sustained. Curative effect.

Available astragalus, oyster, ephedra root and other solid sweat, can also be used Angelica Liuhuang decoction. Acupuncture treatment can be taken from acupoints Dazhui, Interline, Fuluo, or moxibustion.

Non-neurotic hyperhidrosis (compensatoryhyperhidrosis) treatment

(1) Treatment according to different causes: sedatives and tranquilizers such as diazepam (diazepam), phenobarbital, chlorpromazine, reserpine, oryzanol, bromide, etc. have a certain effect on emotional hyperhidrosis.

(2) Cholinergic drugs: such as atropine, belladonna, bromoproline (profenazine), bromoproline (bromobencin), etc., or agaricinum 0.001 0.003g / d , 3 times / d orally.

(3) Chinese medicine treatment: dialectical medicine, damp heat-resistance type, should be clearing away heat and dampness and antiperspirant, and the formula should be used to remove spleen and dehumidify drinks (Red Lingpi 15g, Atractylodes macrocephala 10g, Scutellaria baicalensis 10g, Raw land 10g, Raw gardenia 10g of shell, 10g of diarrhea, 10g of light heart, 10g of bamboo leaf, 10g of Yinchen, 10g of turmeric, 10g of plantain).

Generally does not affect the normal life of patients, the prognosis of secondary hyperhidrosis is related to the prognosis of primary onset of hyperhidrosis.

There are no better measures, mainly to prevent related diseases. If there is a background of hereditary syndrome, preventive measures include the implementation of genetic counseling, carrier genetic testing and prenatal diagnosis and selective abortion to prevent the birth of children.

Epinephrine, dust powder, formaldehyde solution, acetic acid, aluminum acetate solution, aluminum chloride, atropine, bromoproline, belladonna, phenobarbital, barbitur, glutaraldehyde, urotropine, desiccant pills, ground Scopolamine, scopolamine, chlorpromazine, oryzanol, scutellaria

Serotonin