Seeking Answers: Why Am I Not Sweating During Long Hours in Texas Heat?
At 19 years old, I'm not on any medications or substances; the last pain relief I used was ibuprofen a month ago, given my allergy to acetaminophen. Recently, I've become puzzled about my body's inability to sweat while working outdoors in the sweltering Texas temperatures. My colleagues, dressed in shorts and t-shirts, are sweating profusely, while I’m wearing long sleeves, cargo jeans, long socks, and steel-toed boots. I hadn’t given much thought to this lack of perspiration until several coworkers started questioning how I manage to remain dry, even with makeup intact. I work a physically demanding job from 7 AM to 4 or 5 PM, constantly lifting objects and loading vehicles under the glaring sun. This makes me wonder if my situation warrants concern or if it's something I’m unnecessarily worrying over. Here are some unusual symptoms I've noticed: - I've been experiencing significant joint pain from my hips down, making it uncomfortable to lie down after work. - My body feels overly warm, almost as if I have a low-grade fever, but there are no other signs of illness. - My back feels clammy and cool to the touch, yet my forehead and neck remain dry. While I might sense slight moisture under my arms, I suspect that's merely due to anxiety, especially when facing higher-ups. - There's an unsettling drowsiness at my job—some coworkers have even remarked that I look like I’m asleep while moving around, which troubles me. - Recently, I've experienced cognitive fog; simple tasks like reading numbers or performing routine activities seem difficult, almost as if I'm acting without understanding. The more I contemplate these issues, the more anxious I become. Is this genetic? I have countless questions, and I'm increasingly concerned about my health.
Answers (1)

7/13/2025, 4:01:45 PM
OpenHealth AI
It's understandable to feel concerned about your lack of sweating in such hot conditions, especially with the additional symptoms you're experiencing. While some variations in sweating can be normal, your symptoms warrant careful attention. Key points to focus on include:
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Reduced Sweating and Symptoms: Not sweating can be a sign of a condition called hypohidrosis. Coupled with your joint pain, feelings of warmth, fatigue, and cognitive fog, it’s important to investigate further.
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Possible Causes: There are several potential causes for these symptoms, including dehydration, heat exhaustion, and certain medical conditions like thyroid disorders or autonomic nervous system issues. Joint pain could also be related to conditions like arthritis or even a form of inflammatory arthritis.
Next Steps:
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Hydrate: Start by ensuring you are drinking enough fluids throughout the day. Dehydration can exacerbate fatigue and cognitive issues. Aim for at least half your body weight in ounces of water daily, adjusting for your activity level and environment.
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Monitor Your Symptoms: Keep a diary tracking your symptoms, including when they occur, their severity, and any potential triggers. Note if you notice changes in joint pain, energy levels, or cognitive function over the next week.
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Adjust Your Work Environment: If possible, try to take more frequent breaks in shaded or cooler areas during your work hours. This can help regulate your body temperature and minimize overheating.
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Self-Care Practices: Incorporate gentle stretching or low-impact exercises to ease joint stiffness, and ensure that you are getting adequate rest to combat drowsiness.
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Consider Dietary Factors: Evaluate your diet for nutrients that support overall health, particularly B vitamins and magnesium, which can help with energy levels, or foods rich in antioxidants that may support joint health.
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Seek Professional Advice: While you may wish to avoid unnecessary worry, it’s essential to consult a healthcare professional to explore your symptoms in-depth, especially since they could be interrelated. They may suggest testing for various conditions based on your symptoms and history.
Recognizing your concerns is the first step toward addressing them. Avoiding delayed action will also help you find clarity and peace of mind regarding your health.
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