People sweat more as they get older
If home remedies do not work, your doctor can help. He has effective options to treat pathological sweating.
The direct current therapy
If those affected mainly suffer from damp hands and sweaty feet, the so-called tap water iontophoresis achieves good results. Patients put their hands or feet in two tubs of water through which a weak current flows. The application lowers the excitability of the sweat glands. This treatment is coming often as initial therapy used because it has hardly any side effects and is still very effective. Up to 81 percent of patients notice an improvement. However, the therapy takes time. Initially, treatment should be three times a week. In order to maintain the effect permanently, another session per week is necessary. Tap water iontophoresis cannot be used during pregnancy or on people with pacemakers.
Injection of botulinum toxin
Another non-surgical therapy is the injection of the neurotoxin botulinum toxin, which is known in wrinkle treatment under the brand name "Botox". If you sweat profusely, the doctor injects the neurotoxin into the affected area - such as the armpits or the palms of the hands. That blocks them Signal transmission of the nerves and thus also the sweat output. The therapy is effective but has disadvantages. The injections on the hands and feet are painful and the result is not permanent. Depending on the part of the body, the treatment must be repeated after four to seven months. In the case of injections into the palms in particular, the side effect is known that the hand muscles can be paralyzed, at least for a short time.
If conservative therapies fail, there is still the option of surgery. If the arms are sweating profusely, a specialist - such as a dermatologist or a doctor specializing in plastic and aesthetic surgery - can cut out (excision) or scrape out (curettage) the sweat glands under the armpits.
Those who tend to sweat in the face, head or hands can do this as a last resort Cutting the responsible nerve fibers help in the area of the chest (endoscopic thoracic sympathectomy). This procedure is carried out in specialized clinics. It is interesting that this operation often improves the sweating of the feet at the same time, although the nerve tracts of the feet are not severed. This phenomenon occurs in more than half of all those treated. Doctors consider this to be primarily a psychological effect. By eliminating the emotionally stressful hyperhidrosis on the upper body, those affected become more relaxed and therefore also sweat less on their feet.
Surgery is the most effective treatment to prevent sweating, as well as having serious risks connected. A common side effect is the development of something called compensatory hyperhidrosis. After an operation, those affected suddenly begin to sweat more intensely in other parts of the body that have not been treated. In addition, as with any surgical therapy, complications such as infections or scarring can occur. Discoloration of the skin is possible, especially with surgery under the armpits.
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