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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31326
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I am 29 years old over the past 7 years I have developed a

Customer Question

I am 29 years old over the past 7 years I have developed a sweating problem. At first it was linked to anxiety, I have tried every medication with no relief. Botox helped slightly with topical antiperspirant. Tried anti depressants, SSNRI, benzodiazepines and anti cholnergics beta blockers you name it.
I can't do house hold chores without drenching my clothing. I drench my seat when I go to school. I can sweat nonstop for hours.
It's embarrassing and terrible for my health bc I don't want to move bc of sweat and the exhaustion it causes.
What can I do? Is there a test or treatment I should look into?
Just completed a basic blood panel and everything was normal.
Submitted: 4 months ago.
Category: Health
Customer: replied 4 months ago.
Have been off and on the pill for 10 years and haven't had any hormonal issues.I don't believe it's anxiety anymore because it's now happening in the comfort of my own home. When everything is fine.
Expert:  Dr. Arun Phophalia replied 4 months ago.

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

The excessive sweating in various areas of the body is considered as primary hyperhidrosis (hyper is increased and hidrosis is sweating or water), as there is no cause except the sweat gland in the skin are increased in size and they respond excessively to body's hormones (increased cholinergic sympathetic stimulation of the sweat glands). This is likely to be idiopathic hyperhidrosis. Idiopathic means; cause not known or not ascertainable. A dysfunction of the central sympathetic nervous system, possibly of hypothalamic nuclei, or prefrontal areas or their connections is suspected. But before going for any definite treatment it is ideal to check the adrenal and thyroid gland in, to rule out any abnormality, as this can secondarily cause excessive sweating. Your internal medicine specialist or primary care physician would be able to get it done.

Following is the treatment protocol;

1) dietary restriction of coffee, tea, cola soft drinks, and chocolate.

2) application of aluminum chloride hexahydrate or zirconyl chloride in absolute alcohol

3) iontophoresis, done by dermatologists in their office. Iontophoresis, the topical introduction of ionized medications into the skin using direct current, can be quite effective with hyperhidrosis. Iontophoresis is generally used for palms/soles hyperhidrosis.

4) medications like atropine, propranolol

5) Botox injection

6) Alternative therapies; St. John's wort, hyssop, sage, and black walnut bark can be brewed into a tea.

7) Surgery; results are good for the perspiration but cosmetically not acceptable due to scarring of the skin.

Hyperhidrosis need investigations for following, so you may discuss this with your doctor as he may consider investigations for these, iff there is any clinical suspicion:

1) pheochromocytoma,

2) thyrotoxicosis,

3) diabetes mellitus,

4) diabetes insipidus,

5) hypopituitarism,

6) anxiety,

7) carcinoid syndrome.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 4 months ago.

It is privilege assisting you.

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Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 4 months ago.

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Expert:  Dr. Arun Phophalia replied 4 months ago.

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Expert:  Dr. Arun Phophalia replied 3 months ago.

Hope you are doing good.

Let me know if I can help you further.