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MAYBE YOU’RE ALWAYS cranking up the air conditioner, or you’ve tried several different cooling blankets. But you can never quite cool off. You may wonder what’s going on: Why do you run so much hotter than everyone else, and is it something you should worry about?
People have different tolerances to temperature, and there’s a great degree of normal variation, explains Vineeth Mohan, M.D., an endocrinologist in Boca Raton, Florida.“When a patient mentions generally feeling too hot or overheated, physicians must try to distinguish between normal human variation versus various potential underlying medical conditions,” Dr. Mohan says.
“Medical conditions rarely cause heat intolerance as the sole symptom,” he adds. So doctors aim to uncover other signs and symptoms that might point to a more serious issue. If you feel hot all the time but don’t have other major symptoms, you’ll probably just need to tweak your thermostat or shed some layers of clothing. Your medications may be to blame as well. However, you might still wonder what’s causing it.
“It’s important to note that feeling hot can be a normal bodily response, but if it’s persistent, severe, or accompanied by other concerning symptoms, consult a health care professional,” adds Michael Weiner, D.O., chief medical officer at MSU Health Care at Michigan State University.
Take a look at this overview of factors that could be to blame for your feeling hot and sweaty all the time:
FEELING HOT AND SWEATY could be an important warning sign of heart disease, especially if it’s sudden or comes with other symptoms, like chest discomfort, heart palpitations, shortness of breath or dizziness, says Sergiu Darabant, M.D., a cardiologist at the Miami Cardiac & Vascular Institute, part of Baptist Health South Florida.
“Cardiovascular stress may trigger the autonomic nervous system,” which can release adrenaline, resulting in overheating and sweating, he says. This can occur with some heart conditions.
The combo of sweating, intense body heat, and discomfort is known as “diaphoresis,” Dr. Darabant says. “Diaphoresis may be indicative of myocardial infarction, heart failure, or very high blood pressure.”
Sweatiness may also indicate heart failure: one study showed that many people with heart failure don’t experience traditional heart attack symptoms and instead have major sweating.
If you have risk factors for heart disease, such as high blood pressure or diabetes or you’re a smoker, be vigilant if you experience frequent, unexplained sweating, Dr. Darabant adds. Chest pain and shortness of breath also shouldn’t be ignored.
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You have a sweating disorder.
POURING SWEAT AT rest in a cool room? You could have hyperhidrosis, an excessive sweating disorder.
“People with hyperhidrosis sweat without the need to cool the body down,” says Melissa Kanchanapoomi Levin, M.D., a New York City-based dermatologist and founder of Entière Dermatology.
While hyperhidrosis sometimes runs in families or signals an underlying health issue (an infection, heart problem, overactive thyroid, or even cancer), it may also be caused by overactive nerves, signaling your body to sweat more.
If you have it, you may sweat through clothes, notice sweat drip off your fingertips, or have beads of sweat running down your face. If this sounds familiar, switch from a deodorant to an antiperspirant, suggests Dr. Levin. You can actually rub antiperspirant on your feet or hands, too, she says. Still sweating? Make an appointment with your dermatologist to see what’s going on. You might benefit from a prescription-strength antiperspirant. Sometimes, doctors may recommend other meds or even surgery.
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