What should be done if a child has excessive sweating?

Sep 18, 2025 Source: Cainiu Health
Dr. Zhou Xiaofeng
Introduction
In general, excessive sweating in children may be caused by factors such as high environmental temperature, excessive clothing, vitamin D deficiency rickets, pediatric anemia, or hyperthyroidism. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition through general management, medication, or other methods under a doctor's guidance. In daily life, ensure that the child has a balanced diet, avoid picky eating, and maintain regular sleep patterns.

In general, night sweats in children may be caused by high environmental temperature, excessive clothing, vitamin D deficiency rickets, pediatric anemia, hyperthyroidism, and other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general management, medication, or other treatments. Specific analyses are as follows:

1. High environmental temperature: Excessively high indoor temperature or poor air circulation can impair the child’s ability to dissipate body heat, leading to night sweats, which commonly occur on the head and neck. Maintain indoor temperature between 22–26°C, ensure good ventilation, and use air conditioning or fans to regulate room temperature and prevent stuffiness.

2. Excessive clothing: Wearing thick or non-breathable fabrics can hinder skin heat dissipation and lead to night sweats, especially noticeable after physical activity. Choose breathable, sweat-absorbing cotton clothing and adjust garments appropriately according to indoor and outdoor temperatures to avoid over-bundling.

3. Vitamin D deficiency rickets: Insufficient vitamin D in children impairs calcium absorption, increases nervous system excitability, and results in night sweats and restless sleep. Treatment should follow medical advice and may include vitamin D drops, calcium carbonate D3 granules, or calcium gluconate oral solution.

4. Pediatric anemia: Iron deficiency or impaired iron absorption can lead to anemia, causing weakness, pale complexion, night sweats, and other symptoms. Iron supplementation should be administered under medical supervision using medications such as ferrous fumarate granules, ferrous succinate oral liquid, or ferrous sulfate syrup for children.

5. Hyperthyroidism: Excessive secretion of thyroid hormones in children accelerates metabolism, causing symptoms such as excessive sweating, palpitations, and weight loss. Night sweats are often prominent during daytime activities. Thyroid function regulation should follow medical guidance using medications such as methimazole tablets, propylthiouracil tablets, or propranolol hydrochloride tablets.

In daily life, ensure children receive balanced nutrition, avoid picky eating, maintain regular作息 (sleep-wake cycles), and engage in appropriate outdoor activities to strengthen their constitution. Avoid using overly thick bedding during sleep and choose breathable bedding materials. Comprehensive care can help reduce night sweats and support children's overall health.

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