### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Oh, wow! I did not know I would be able to ask a question coming to this site. I was researching a bit just from curiosity. I am a 49 year old woman, had gastric bypass 13 years go, am a light drinker, was severely anemic (only had 1/3rd of the blood I should, was hospitalized and given a blood transfusion a year ago. Started having excessive sweats both at night and during the day about 3 weeks ago. Saw my GP who did a whole series of blood work (standard physical). All normal including colesterol, hormones and vitamins. I am on zero medication am within 10 lbs of normal weight, eat a modified paleo diet (way to much dairy) and my liver enzymes came back elevated. I am scheduled for a sonogram and more blood work next week to investigate but just thought I would research to understand more. I am thinking it is a fluke given my good health otherwise. My questions is what to expect next

### output:

Hello mention you are experiencing night sweats. The most common cause in a 49-year-old lady is premenopausal night sweats.  Even if your hormone levels (FSH and LH need to be done), I will assume they were done and came back normal. Often times the symptoms of menopause start before there is a rise in these hormones. There are several medications you can try called SSRIs that can be used if the symptoms are very bad. Estrogen replacement can also be used, but I do not personally recommend it as it has been found to increase the risk of cancer and stroke. Another cause of night sweats is an underlying infection, but you mention you had blood tests already (at least a CBC should have been done to rule out infection). Best regards