sweating treatment RsaNsA69 |


Sweating is a physiological system necessary to adjust body temperature during exercise and in hot or cold weather. The body may react by sweating in the face of some activities we do during the day. It is normal for the body to sweat 4-5 times a day to cool itself. If sweating is excessive, it can lead to a picture that makes the person uneasy, causes life problems, worries, creates tension, embarrasses and irritates the skin. This situation can negatively affect the person’s ability to connect with other people, the choice of job and profession, his mental health, personal appearance and quality of life.

The picture of sweating that develops out of the need for physiological sweating and can be so much that it can affect daily life is called hyperhidrosis. It is found in 2-3% of the society. It depends on the hard work of the eccrine sweat glands located throughout the body.

Hyperhidrosis is divided into two clusters, regional and diffuse. Regional hyperhydrocele is seen as excessive sweating on the face, feet and armpits. It usually begins in childhood and adolescence. The length of life is intermittent or continuous. It can be seen in all genders, races and age groups. It increases in temperature, besides, it gets lighter in winter. Ending, worry, tension, and excitement increase sweating. It is easier for bacteria to adhere to sweaty areas. That’s why it smells. It is not a discontinuous state, but it can be intermittent or continuous. In addition, hyperthyroidism, psychiatric diseases, menopause, obesity, diabetes, adrenal gland diseases and infections in the body may manifest themselves with excessive sweating. 30-35 percent of patients have a family history.


If hyperhidrosis is due to an underlying cause, the patient is directed to the relevant branch and treatment is planned. The following treatments can be applied in excessive sweating that is not due to a reason.

Antiperspirant Creams

The first recommended is the easy treatment. The most commonly used are aluminum chloride spies. It is one of the first choice drugs, especially in armpit sweating. It can be used in mild and moderate cases of hand and foot sweating. It physically clogs the mouth of the sweat duct with its compression effect and prevents sweat removal from sweat glands. In the treatment, the drug is applied to the dry skin at night and stays there for 6-8 hours. The next morning it is thoroughly washed and cleaned. It is applied daily, less frequently as the situation improves. The treatment needs to be repeated. The effect can be increased by occlusion (closure) after the application. In the early period, skin irritation may develop in half of the patients. Long-term treatments can be tedious because of skin irritation and delayed response.

What should be considered when using antiperspirant creams?

  • Before application:
  • Do not take a bath quickly before use.
  • Do not use on damaged or irritated skin.
  • During application:
  • Avoid contact with eyes or mucous membranes.

After Application:

  • Do not shave underarms for 12-24 hours.
  • Do not use depilatory.
  • Do not contact with clothing.


It is used for sweating of hands and feet. Hands and/or feet are placed in a tub containing electrolyte solution or metal plate. A low-intensity electric current is given from the solution or plate, which does not disturb the person. Its effect can be defined as closing the sweat channels of the ions formed by the electric current for a reasonable period of time.

The application time of each session is 20-30 minutes. Initially, treatment is done every 3 days, then once a week. After 4-7 weeks of treatment, sweating can be completely stopped. If sweating is not completely stopped, suitable results can be obtained when Glycopyromium Bromide is added to the bath. The period without sweating after treatment continues for 2-12 weeks. Therefore, the treatment needs to be repeated. It is a time consuming and a valuable way in total. The application is painless, a slight pins-and-needles sensation can be taken. It is a safe treatment technique. It can be applied in the home if the device is purchased. It is not applied to pregnant women, those with pacemakers and metal orthopedic implants.

Botulinum Toxin Treatment (Botox)

It is especially used for underarm sweating. It can also be applied in hand and foot sweating.
It is used to prevent sweat production from sweat glands by paralyzing the sympathetic endings that cause sweating. After the local anesthetic cream is applied, botulinum toxin, known as botox, is injected into the skin and creates a discontinuous block at the border ends. The application takes about 30 minutes.

The effect of the treatment appears after a few hours or days and continues for 8-10 months.
After treatment, there may be pain at the injection site that persists for several days. Sometimes the injection can also affect the endings to the muscles and cause a discontinuous loss of strength in the arm. Since the effect is discontinuous, the treatment needs to be repeated.

It is a very valuable formula. In addition, it is not suitable for those who are allergic to this drug, pregnant women and those with muscle problems. It should not be used with antibiotics or muscle relaxants.

Surgical treatment

In surgical treatment, endoscopic thoracic sympathectomy is applied by thoracic-cardiovascular surgeons, especially in sweating of the hands and armpits. It provides permanent analysis, and there is no recycling. The goal in this treatment is to cut or remove the sympathetic borders that cause excessive sweating by working hard. Sometimes the sympathetic chain and arms can be clamped with clips or burned with cautery. Since these ends have no function other than sweating, the operation does not have effects such as paralysis, loss of sensation, decreased reflexes.

1 cm under the armpit?

The process is carried out with a camera and small tools inserted through 1-2 holes. It is a way like knee arthroscopy or laparoscopy. The patient is given general anesthesia. Process time is less than an hour. The effect of the surgery appears quickly. When the patient wakes up, his hands are dry and warm. After the operation, the patient stays in the hospital for 12-24 hours. It leaves a trace so small that it disappears in the skin folds. Beautification takes place in a short period of time, such as one or a few days. Patients return to their usual working systems more than once in 1 week. It is an effective, permanent, safe and minimally irritating treatment. Successful results are obtained by 98% in hand sweating, over 80% in armpit sweating, and around 25% in foot sweating.

Those with severe heart-lung disease, pleural disease or lung surgery, and incurable thyroid disease are not suitable for surgical treatment.
Increased sweating (20-50%) in other parts of the body (back, hips) is the most common side effect.

However, it is valuable in very few (2%) patients. Another rare side effect is sweating during meals.

Allergic reactions to anesthetic agents and drugs, bleeding, infection and adjacent organ injury may occur rarely or in every surgical process.

Occasionally, air retention in the chest cavity (pneumothorax) may develop. However, in many, it disappears naturally and does not cause much trouble.

The picture called Horner’s syndrome (drooping of the eyelid, shrinkage of the pupil and decreased sweating on the face) is very rarely permanent, but it can return to normal within a few months.

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