Thanks to sweating, which is a natural and physiological phenomenon for the body, our body temperature is balanced and harmful substances are thrown out. Sweat is also a natural moisturizer. It is considered normal for the body to sweat 4-5 times a day to cool itself. The excessive sweating that occurs outside of this physiological sweating is called “hyperhidrosis”. Excessive sweating, with or without cause, affects the life of the person negatively and causes the individual to feel bad in social life and work environment.
Hand sweating is the most troublesome regional form of excessive sweating and often causes the person to cut off hand contact with other people. Foot sweating is the second most common form of excessive sweating and is often accompanied by hand sweating. In addition to the unpleasant appearance of wet clothes in underarm sweating, the person may also have a bad odor. Facial sweating is also exacerbated by stress and anxiety.
It is necessary to investigate the causes of sweating before treatment.
Whether the person has a weight problem, diabetes, hypo or hyperthyroidism, alcohol withdrawal period, psychiatric diseases, excessive nicotine use and excessive caffeine intake, pregnancy, menopause and the presence of heart diseases, Parkinson’s and some spinal cord diseases. The drugs used should be investigated.
In cases where the whole system is questioned and the problem cannot be detected, congenital overworking of the sympathetic nerves is considered as the cause of excessive sweating. Sweating prevents heat accumulation in the body and is beneficial in summer. Therefore, sweating treatment should be done in winter or spring.
In the treatment, first of all, general treatment approaches are applied:
Lifestyle change: it is recommended to wear more white colored light, cotton fiber-containing clothes and socks, it is requested to reduce salt and spices. It is recommended to use drying powders and solutions for the area. Methods such as systemic anticholinergic drugs, surgical blocking of sympathetic nerves with botox injection or removal of sweat glands (only applicable for armpits) can be applied. In people with mild sweating, external applications called “topical” are often sufficient. Iontophoresis is a method that can be considered successful, especially used in excessive sweating of the hands, feet and armpits. With this method, which should be repeated frequently, people with regional, mild or moderate sweating can get a good response and a recovery period of 1-3 months. Iontophoresis is not frequently preferred because it is not economical and causes the person to lose a lot of time in today’s intense working tempo.
The most effective treatment is botox
Botox, which is defined as the “miracle of the age”, provides successful results both by improving the lines on the face and by treating the complaints of moderate and intense sweating. Botulinum toxin acts by inhibiting the substance called “acetylcholine” from the nerve endings at the neuromuscular junction, which causes the sweat glands and surrounding muscles to contract excessively. Thus, sweating is prevented as sweat cannot be secreted. It can be applied to the palms, under the feet, armpits and any area where sweat glands are overworked. There is no systemic side effect observed after the procedure. Although the efficiency of the procedure varies between 6 months and 9 months, the average is 7 months. Repeated treatment prolongs this period.
Surgical methods are also used in the treatment of sweating. Botox continues its effectiveness as the best conservative method that can be applied, since the surgical method does not have a significant advantage over botox compared to botox.
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