16 Important Causes of Neck, Neck and Head Sweating While Sleeping

Is it normal to sweat while sleeping?

Waking up with pillow sweat is not only uncomfortable but also detrimental to a good night’s sleep, and if you have a partner, sweating while you sleep can be extremely embarrassing for you and annoying for them as well.

Most of us sweat a little during the night – it’s one of our body’s ways to flush out toxins. However, if the nape and neck sweating is excessive, especially at night and while sleeping, it is time to do something about it.

That’s exactly what we’re going to help you with in this article. We’ll outline what causes you to sweat while you sleep and what you can do to fix it.

Causes of sweating in the head and neck region while sleeping

High fever and other medical conditions can cause sweating in the head and neck area while sleeping. Menopause in women, low testosterone in men, and diabetes in both sexes , hyperthyroidism and certain types of medication can make you wake up drenched in the morning.

The reasons for your sweating while you sleep may be one of the following:

1- Alcohol

Even if you have a few glasses of alcohol before bed, this can act as a stimulant and make your heart beat faster. This raises body temperature and can result in excessive sweating at night. The more alcohol you drink, the harder your body fights to expel it through sweat.


A cup of coffee in the evening can still affect us when we go to bed. Caffeine is a stimulant and speeds up our blood circulation. As a result, caffeine, like alcohol, can cause sweating in the head area, such as neck and nape sweating while sleeping.

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3- Exercise before going to sleep

If you exercise intensely a few hours before going to sleep, such as pushing yourself harder for performance, you are quite likely to sweat in bed. This is because it can cause your thyroid gland to release more hormones. This triggers night sweats as your body tries to get used to the extra activity.

4- Menopause

Sweating (day and night) is a normal occurrence complained of by many women who experience hot flashes as they go through the menopausal phases. Your sweating while you sleep in menopause is caused by hormone changes, and treatment given by your doctor (such as hormone replacement therapy) can help you minimize this discomfort.

5- Antidepressants

One of the side effects of drugs used to treat symptoms of depression and anxiety disorder is sweating. Sometimes painkillers such as aspirin can also cause side effects such as sweating at night in the head, neck and nape region. Also, diabetes and some hormone medications can cause excessive sweating at night.

6- Stress

People affected by anxiety may experience excessive sweating at night. Many of us worry that it makes us sweat a little before an important meeting or first date, and it’s normal. But when anxiety is constant, you may sweat profusely. Anxiety disorder and related insomnia can cause an excessive increase in the hormone cortisol. This increases your heart rate and metabolism, causing us to sweat.

7- Hypoglycemia

Hypoglycemia, which is low blood sugar, can make you sweat even if you don’t realize it. Because if your blood sugar drops too low at night, our body reacts by producing excess adrenaline, which causes us to sweat more than usual.

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8- Hyperthyroidism

If hyperthyroidism (overactive thyroid gland) is not treated, it can speed up your metabolism and cause high amounts of sweating. To treat and prevent this, doctors often prescribe the hormone thyroxine.

9- Hyperhidrosis

This is an annoying condition where the body sweats for no reason. People affected by hyperhidrosis sweat a lot more for no reason than other people. But the people affected by this condition are only around three percent.

10- Lymphoma

Sweating in the neck, neck and head area while sleeping can be a sign of a form of blood cancer known as lymphoma. Weight loss and a general feeling of fever are among the other symptoms of lymphoma that accompany sweating.

11- Infections

Infections can also cause a person to sweat during the night. Whether it’s a bacterium or a virus causing the infection, our body tries to sweat to get rid of it and throw it out.

12- Obesity

The larger and heavier our body, the more heat we generate. This is because our bodies burn calories during the night and as a result heat moves through our skin. The more skin we have, the hotter we feel and the more we sweat.

13- Pregnancy

Hormonal changes can cause pregnant women to experience hot flashes similar to those experienced by perimenopausal (pre-menopausal) women. Hot flashes can also cause a pregnant woman to sweat at night.

14- Cancer treatment

Both radiation therapy and chemotherapy can cause head and neck sweating while sleeping in people undergoing cancer treatment . Because these treatments work by changing the normal functioning of the body.

15- Obstructive sleep apnea

If you are constantly sweating more than usual at night and have trouble breathing at night, it may be because of obstructive sleep apnea . Sleep apnea can affect a person’s sleep quality, causing various problems and the person may not be aware of it.

16- Low testosterone level

Low testosterone levels usually affect men, and the medical term for this condition is hypogonadism. Men, just like women, may experience hormone imbalance and associated hot flashes, especially as they age, a condition known as male menopause (andropause) . This can cause sweating in the neck and head area at night.

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Tips for sweating in the head and neck area while sleeping

Using a temperature-regulating cooling pad, using bedding and pajamas made of natural fibers, and ensuring adequate air circulation in the bedroom can reduce the sweating of the head and neck area at night and allow you to have a natural and full sleep. Also, if you are experiencing sweating caused by hormones, your doctor may need to prescribe medication.

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