Human beings are warm-blooded animals. Sweating is a normal body process to control body temperature. Sweating is regulated by the sympathetic nervous system.
In a very small percentage of people sweating occurs in excess of amount needed to maintain the body temperature. This condition is known as hyperhidrosis.
Hyperhidrosis is usually a permanent problem, affecting person for years, and maybe since early childhood. It might get a little better with age. It may not be affected too much by surrounding temperature also.
- Clammy hands
- Smelly feet/shoes
- Staining of clothes along with wetness
- Inability to grip objects particularly fine work.
- Professional inability to continue work particularly likes electricians.
- Social problems like handshakes, etc.
- Can also lead to recurrent infections, particularly in feet.
- Depression and decreased confidence.
TYPES OF HYPERHIDROSIS
Primary (or focal) Hyperhidrosis
- Palmar (hands)
- Plantar (feet)
- Axillary (underarms)
- Rare (Face, scalp, back, neck, groin, legs and buttock)
- Generalized hyperhidrosis
- Overactive thyroid
- Antidepressant drugs
No specific cause is known but over-activity of sympathetic nervous system has been attributed to the problem.
This is excessive sweating of the palms. It can range from minimal wetness to almost continuous dripping of sweat.
- Difficult to write on paper
- Holding fine instruments/tools, pens, etc.
- Shaking hand can be embarrassing
- Particularly disabling for professions like surgeons, electricians, chefs, etc.
ENDOSCOPIC THORACIC SYMPATHECTOMY (ETS)/ CERVICAL SYMPATHECTOMY
- Permanent solution
- Safe and short surgery
- Can be done minimally invasive way, with good cosmetic and functional result
- Long term results are good
- Cost effective in long run
- Can be used to treat unilateral or bilateral hands/axilla. Though the results are better in hands.
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