Patient's question:
When children sleep, they sweat a lot, even in the dead of winter. The lymph nodes on their bodies can be felt as strings, very noticeable, visible to the naked eye, and raised.Doctor's answer:
On May 29, 2006, MondayThere are many factors or causes of excessive sweating in children, both physiological and pathological.
Physiological sweating is caused by factors such as hot weather, high room temperature, excessive clothing, or thick bedding. Some parents prefer to feed their children a bottle of milk before sleep. After feeding, the child falls asleep quietly, but this coincides with the heat production phase after feeding, resulting in excessive sweating. This type of sweating is due to the body's regulation of temperature, and it is common to sweat more when just falling asleep, gradually decreasing afterward. Because children have a high metabolism, high skin moisture content, and a dense distribution of capillaries, along with underdeveloped vegetative nervous systems, they sweat more. This is completely normal.
Pathological sweating occurs throughout the entire sleep process, with significant sweating. Children with rickets begin sweating after falling asleep, especially on their heads, to the extent that they can soak their pillows or pillowcases. This is often accompanied by baldness on the head and crying. Children with active tuberculosis not only sweat during the first half of the night but also in the second half and before dawn, a condition known as night sweats. Additionally, they may experience low-grade fever, coughing, weight loss, weakness, and flushed cheeks. Therefore, if a healthy and active child sweats excessively while sleeping, it may be a normal phenomenon, and parents should not worry excessively.
In daily life, it is important to arrange the baby's diet reasonably, let the baby get more sun exposure to promote calcium absorption, and pay attention to observing the baby's condition.
Most children's excessive sweating is physiological. Due to rapid growth and development, a high metabolism, and immature nervous system regulation functions, children are prone to sweating more. In summer, when wearing too many or tight clothes, during physical activity, after eating hot food, before sleep, or when feeling nervous or scared, sweating becomes more noticeable.
Children with physiological sweating do not need special medications but should receive enhanced care. The methods are: (1) let the child drink more water; (2) cultivate the child's ability to adapt to the environment, such as wearing looser clothes and using thinner bedding; (3) change clothes frequently, bathe more often, and ensure the child's skin is clean; (4) excessive sweating can lead to zinc loss, so the child should consume zinc-rich foods such as meat, animal liver, beans, and peanuts. If your child needs to supplement zinc, their zinc levels may be normal in tests, but they may have poor eating habits such as pickiness. In such cases, they can take zinc gluconate, 2 packets per day.
Apart from physiological sweating, rickets can also cause excessive sweating, but it is more common in infants and young children. There are also some less common conditions, such as tuberculosis, chronic infection foci, and parasitic infections, that can lead to excessive sweating. Based on the information you provided, it is not possible to determine whether your child's sweating is due to pathological factors. Therefore, it is best to take your child to a nearby regular hospital to see a pediatrician for a clear diagnosis.
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