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Posts Tagged ‘Profuse Sweating’
Overactive Sweat Glands
Overactive sweat glands usually are an indication of hyperhidrosis. Overactive sweat glands may occur anywhere in our body. There is no definite explanation as to what causes overactive sweat glands. Profuse sweating can occasionally affect the entire body, but it commonly attacks the palms of the hands, the feet, the underarms, and the groin region. Excessive sweating is a natural bodily reaction to fever and anxiety, using water to keep the body’s rising temperature in check. It’s only when excessive sweating continues past the fever or stressful situation that it should be a cause to worry – after all, it’s not normal to sweat so much when you’re resting in comfortable temperatures. In such cases, it may be an indication of an underlying medical condition, such as thyroid problems or a nervous system disorder.
Areas affected by profuse perspiration commonly appear white, cracked, chapped, scaly, and soft, and may sport some bad odor. The unwelcome scent is caused by the buildup and action of bacteria, which is also an indication of hyperhidrosis.
Overactive sweat glands do more than just produce wetness and body odor, however – many individuals also suffer emotional and psychological stress over the condition. Kids, for instance, may suffer teasing and ridicule from their playmates, and may ultimately result to withdrawing themselves from as much social contact as possible. Adults may suffer the same stress in the workplace. And with teenagers, who are going through perhaps the toughest times of their lives, have to deal with the social backlash that sweaty palms, feet, and underarms force them to go through.
Treatment of hyperhidrosis comes in several forms, such as surgery (thoracic surgery procedure, surgery to remove overactive sweat glands, etc.) and excessive perspiration treatment. Most hyperhidrosis treatments available today are safe and effective, and many dermatologists specialize in the medical condition.
Over activity of the sweat glands in the underarms may also be remedied by tumescent liposuction, subcutaneous curettage or a combination of these medical procedures.
Some procedures, particularly the drysol method, have been observed to cause side effects on patients who are very sensitive to drugs. However, most other popular treatments, such as Botox, have no known side effects.
Iontophoresis is another popular treatment that can curb hyperhidrosis for months after a single session. It involves passing certain drugs through the skin by passing a mild current over the affected area. Patients who have undergone iontophoresis have reported relief from excessive sweating for up to six months after the treatment.
When visiting your dermatologist regarding hyperhidrosis, the doctor will take into account the status of your health, your age, the severity of the condition, and any allergies to certain medications, procedures, and therapies. The doctor will also ask you for any family history of excessive sweating.
Other treatments for overactive sweat glands include the application of aluminum chloride solution to the affected areas. And for those who have undergone severe emotional and psychological stress due to the condition’s embarrassing symptoms, some dermatologists may recommend therapy and psychological counseling.
Hyperhidrosis Surgery
Medical treatment for hyperhidrosis typically involves careful assessment by a qualified dermatologist. At first the dermatologist may prescribe lotions or powders to try and mitigate the profuse sweating of the palms and/or underarms.
The surgical procedure to treat hyperhidrosis is called “video-assisted thoracic sympathectomy.” General anesthesia is give to patients who undergo this particular procedure. The surgeon would make 2 very minute incisions under the underarms. The incisions made are about 1 cm. (0.4 in) in length. A small quantity of carbon dioxide (referred to as “air”) is pumped into the chest cavity to shift the lung away from the operative area. The surgeon then inserts a fiber-optic camera and instrument into the incisions. The cameras are used to find the sympathetic chain that is primarily responsible for signaling the sweat glands in our body’s upper limbs and face.
It is the 2nd ganglion in the chain that directs perspiration in the palms and face, including facial blushing. The third and fourth ganglions run underarm perspiration. Your surgeon will normally talk about the different surgical choices for you based on the kind of sweating disorder that you are having.
Surgeons use various techniques in surgery to trace, fasten and get rid of the sympathetic ganglion. The procedure is termed sympathectomy. Upon the completion of the procedure, the surgeon takes out the air and seals the opening or incision. The surgery only leaves 2 minute and inconspicuous scars that are hidden in both underarms.
Success Rate and Results
Video-assisted thoracic sympathectomy’s success level ranges from about ninety-eight to a hundred percent. Surgery on Hyperhidrosis of the hands only has a recurrence rate of seven percent. It has been observed that the success rate is also encouraging for hyperhidrosis involving the axilla, however this particular procedure has a high rate of return.
Investigations have shown that around ninety-four percent of patients who undergo this surgery are satisfied with the results and would be willing to go under the knife again if the need arises. Patients normally experience compensatory sweating after surgery. This only implies that the other parts of the body, like the trunk or thighs, may exhibit more perspiration than is commonly excreted. The majority of patients think that compensatory sweating is more acceptable than hyperhidrosis.
The side effect of compensatory sweating is observed to happen more frequently when the surgical procedure corrects profuse underarm sweating. Surgeries done to correct excessive sweating on the palms, or face, and facial blushing tend to have lesser compensatory side effects. Compensatory sweating gradually decrease within the 1st 6 to 12 months. Heavy compensatory sweating happens in more or less seven percent of all patients. Risks for this surgical procedure are minimal. It is wise to discuss everything in detail with your surgeon before having the procedure done.
When complications occur, they are more often than not of minor significance and would only need an extra day or two of hospital stay to deal with. These complications may consist of:
· Pneumothorax: a tiny quantity of air may linger in the lungs after the procedure or there could be slight leakage from the lung. This usually reabsorbs on its own and treatment is not needed. It is very rare for a patient to require suction drainage to remove the air.
· Horner’s Syndrome: a somewhat smaller pupil and droopy eyelid are caused by injury to the upper ganglion (called the ganglion stellatum). This however is exceptionally uncommon. Blepharoplasty, a plastic surgery procedure to shorten the upper eyelid is call for to correct a droopy eye.
· Bleeding: excessive bleeding is an unusual occurrence. It is however effortlessly controlled by the surgeon. Please discuss the risks involved in the operation in detail with your surgeon.


