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Doctor insights on: Sympathectomy For Hyperhidrosis

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Tried and true antiperspirant for hyperhidrosis?

Tried and true antiperspirant for hyperhidrosis?

Hyperhidrosis: Compounded topical Glycopyrrolate 3% used at night is very effective for hyperhidrosis and very well tolerated. You will need a prescription and a compounding pharmacy to have the topical medication made. ...Read more

Dr. Emily Altman
228 doctors shared insights

Excessive Sweating (Definition)

can be associated with increased sweating through out the body or just limited to underarms, face, soles, palms. It occur when one sweats more than would be expected for activity level, stress level or ...Read more


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How effective is drysol for sweaty hands&feet?

How effective is drysol for sweaty hands&feet?

Effective: Not everything works for everyone, but it is a commonly used preparation for this problem. ...Read more

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Is dysport effective for underarm sweating?

Is dysport effective for underarm sweating?

Sweat treatment: Theoretically both dysport and botox are from botulinum toxins and so both should be effective. ...Read more

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Is there a solution to hyperhidrosis and palm sweating other than botox ,surgery ?

Is there a solution to hyperhidrosis and palm sweating other than botox ,surgery ?

Biofeedback: Biofeedback is a technique of training which allows a person to control facets of their autonomic nervous system. Often used for migraine and other chronic pain patients when trying to control things such as blood pressure, heart rate, and breathing patterns...I don't see why the technique couldn't be used to influence the autonomic system where sweating were concerned. Interesting possibility. ...Read more

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What are treatments besides surgery for palmar hyperhydrosis?

Several: Best care starts with evaluation by primary care physician. They will possibly refer you to a dermatologist. Topical agents such as drysol may help. Botox injections may help. Iontophoresis (mild electrical shock treatment) may help. This site may help: http://goo.Gl/ubyjq. ...Read more

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Which is better for treating hyperhidrosis: ditropan (oxybutynin) or glycopyrrolate?

Which is better for treating hyperhidrosis: ditropan (oxybutynin) or glycopyrrolate?

Depends: Both are used to treat hyperhidrosis. Effects are different to different patients although pts tend to complain about ditropan (oxybutynin) side effects more: drowsiness, decrease mentation...The number one side effect I hear about robinyl is dry mouth. ...Read more

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Besides Iontophoresis, botox, and ETS will there be a cure for severe palmer hyperhidrosis? Nothing else works for me

Besides Iontophoresis, botox, and ETS will there be a cure for severe palmer hyperhidrosis? Nothing else works for me

Sympathectomy : Endoscopic Thoracic Sympathectomy is a Surgery I have assisted in to treat hyperhidrosis at UCLA. Studies show it is a viable treatment option. My advice is to carefully weigh how much it affects your life and choose a profession and future where it will not affect your work. Read: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2749196/ ...Read more

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Which antiperspirants work best for excessive sweating?

Which antiperspirants work best for excessive sweating?

Antiperspirants: Once size does not fit all. I would start at your local grocery and spend some time looking at the information on each of the available products. When you find one you think will work best start by taking the smallest, least expensive product. you hope will work. ...Read more

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What can be done for palmar hyperhydrosis?

What can be done  for palmar hyperhydrosis?

Medications,procedur: Medications: Botox injections, anticholinergic medications, antiperspirants procedures: sympathetic injections, sympathectomy, sweat gland removal options should be discussed with your physician. ...Read more

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What is the best age to have ets surgery for palmar hyperhidrosis?

What is the best age to have ets surgery for palmar hyperhidrosis?

AGE 49: There is no "best" age. With your concern you should make an appointment to see your Primary doctor. He/she will help you decide what needs to be done. Hope all goes well - please keep me posted! ...Read more

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Cure for exessive sweating???

Find the cause: If the sweating is widespread it could mean you have a disease process that could be treated instead of just covering the symptoms. If it is just underarm sweat, botox injections, and some new energy treatments (ultrasound, RF, laser) can be used. Good luck! ...Read more

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Does a dermatologist treat hyperhidrosis?

Does a dermatologist treat hyperhidrosis?

Yes: Dermatologist treats hyperhidrosis. I also know many primary care physicians (internal med or family med), endocrinologists and neurologists who also treat hyperhidrosis. ...Read more

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Hyperhidrosis treatment for plams (hand & foot)?

Antiperspirant: Begin with the same thing sold for under arms. It is very important to apply to DRY skin. A dermatologist can work with you. You might try 20% or even 35% aluminum chloride, always on completely dry skin. Covering with saran wrap or plastic gloves for a few hours twice a week often makes the antiperspirant more effective. Surgery, pills, botox not to be considered except in rare cases. ...Read more

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Will there be a cure for palmer hyperhidrosis other than ETS?

Other treatments: There are several other treatments but they are not all FDA approved. Botox works, but needs to be applied by an experienced physician as it as you do not want to use the function of the muscles in your hand for a month. Iontophoresis with an anticholinergic also works; your dermatologist can tell you how to get both of these working. ...Read more

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Is there any cure for hyperhidrosis? Home remedy or surgery procedures?

Is there any cure for hyperhidrosis? Home remedy or surgery procedures?

Evaluation: Best care starts first in family physician's office. Surgery can be quite successful for appropriate candidates. While done often by experienced thoracic surgeons (vats), it is chest surgery (major surgery). There are risks and benefits. Appropriate candidates should be selected. This link to consensus: http://goo.Gl/voqx5. ...Read more

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I was wondering what are the side effects of a sympathectomy to cure hyperhidrosis?

Hyperhidrosis: The most common side effect is a 5-10% chance of recurrence. Rare complications include air in the lung (pneumothorax) that requires a chest tube, excessive bleeding, and a droopy eyelid (hornet's syndrome). ...Read more

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What side effects are commonly associated with a sympathectomy to cure hyperhidrosis?

Compensatory sweat: The main side effect is compensatory sweating which usually occurs in the lower back. The amout you will have is unpredictable and also depends on which level sympathectomy is being done. ...Read more

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Im suffering from hyperhidrosis?

Hyperhidrosis: Texas wedding is a frequent problem on my hands and under arm areas. In fact sometimes on the feet it can be so bad that the patient actually rocks his or her shoes with all the swelling. You might ask your dermatologist about Drysol which is a special solution of aluminum chloride which is applied in certain ways and you might find this very helpful. There are also internal medications. ...Read more

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What is the cause of hyperhidrosis?

What is the cause of hyperhidrosis?

"The cause"?: Hi. There is no "the cause" of sweating a lot. There are countless causes of excessive sweating, and only after many causes are excluded do we then diagnose "hyperhidrosis". Have you seen a doctor about this? Good luck! ...Read more

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I have hyperhidrosis--what do I do for it?

Sweat Treatment: Excessive sweat is easy to treat with Botox injections. These are very tiny injections and not usually uncomfortable. The treatment should last at least 6 months and is often covered by insurance. Alternatively, one can use clinical strength antiperspirant available off the shelf. The secret is to apply it at night before bed. It can be washed in the morning and will still work. ...Read more

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Are there any medicines for hyperhidrosis?

Are there any medicines for hyperhidrosis?

Yes: Topicals such as aluminum chloride (ie: drysol) help stop sweating temporarily but has to be reapplied daily to be effective. Botox injections help stop sweating for 6-9 months. ...Read more

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What is the mildest solution for hyperhidrosis?

What is the mildest solution for hyperhidrosis?

Hyperhidrosis: Compounded topical Glycopyrrolate 3% used at night is very effective for hyperhidrosis and very well tolerated. You will need a prescription and a compounding pharmacy to have the topical medication made. ...Read more

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Could needlescopic thoracic sympathectomy work?

Could needlescopic thoracic sympathectomy work?

Micro ETS: micro ETS is very effective and time tested for palmoplantar hyperhidrosis. Seek someone with expertise who has done a large number of cases. ...Read more

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Tried and true antiperspirant for hyperhidrosis?

Hyperhidrosis: Compounded topical Glycopyrrolate 3% used at night is very effective for hyperhidrosis and very well tolerated. You will need a prescription and a compounding pharmacy to have the topical medication made. ...Read more

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What is the best antiperspirant for hyperhidrosis?

Antiperspirant: I would start at your local pharmacy that will guide you through the over-the-counter options. ...Read more

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Hyperhidrosis between the thighs. What is the cure?

Depends: Is it only in the thighs ? When does it occur - when its hot, during strenuous activity? There are topical treatments like certain dri, drysol. There also medications that are prescribed like robinul (glycopyrrolate). Surgery may be option but it is usually not done for thighs only. ...Read more

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What can I do I think I have palmar hyperhidrosis?

Excessive sweating: If you have excessive sweating in your palms you can try a prescription antiperspirant called Drysol. Apply once a day. If you are having other symptoms with this such as weight loss, diffuse sweating, elevated heart rate consider a thyroid or other endocrine issue and see your doctor ...Read more

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To what extent does endoscopic sympathectomy surgery cost?

To what extent does endoscopic sympathectomy surgery cost?

Ask for an estimate: It depends on your insurance status - if you have insurance you can work with them to estimate YOUR cost of the surgery. If you don't then ask your doctor's business manager for a proposal and estimate. Since you would pay everything yourself you can also to a certain extent negotiate at that point. ...Read more

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Nobody can determine why I have the excessive hyperhidrosis. Any ideas? Thanks

in sufficient histor: You do not say if you sweat all over or just in certain places such as your armpits and the palms of your hands.If you sweat all over excessively you should see an endocrinologist. ...Read more

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I have hyperhidrosis and i smell so bad it's socially ruining my life. Is there any help for me?

There is hope!: Possible treatments may include: tea soaks, antiperspirants, medications, iontophoresis, Botox and endoscopic thoracic sympathectomy (ets). ...Read more

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I need to know what is thoracoscopic sympathectomy, and where can this operation be done in the us?

Sympathectomy: An endoscopic thoracic sympathectomy is most commonly done for excessive sweating. The procedure is done by a thoracic surgeon. I would contact your local medical society or medical university and see if you can get a recommendation for a local surgeon ...Read more

Dr. Loki Skylizard
226 doctors shared insights

Hyperhidrosis (Definition)

A condition where a person sweats excessively, usually from the hands, armpits, and feet, even when ...Read more


Dr. Emily Altman
274 doctors shared insights

Increased Sweating (Definition)

Hyperhidrosis is a condition in which the body sweats more than is needed for ...Read more