Excessive sweating: Causes and Treatment

Written by: Dr. Antonio Cueto Ladrón de Guevara
Edited by: Top Doctors®

Hyperhidrosis is a disease characterized by a malfunction of the sympathetic nervous system that regulates sweating. Thus, the primary symptom of hyperhidrosis is excessive sweating.

Causes of hyperhidrosis

For its etiology or possible causes of hyperhidrosis two types are distinguished:

  • Primary hyperhidrosis: its causes are unknown, but may benefit from surgical treatment. It is characterized by manifest itself more focal form (palms, armpits, soles or skull and face).
  • Secondary hyperhidrosis is caused by hormonal changes related to changes of menopause, thyroid disease, taking certain drugs and even tumors. Its manifestation is more diffuse and treatment should be the disorder that causes prescribed by a specialist in Endocrinology or Internal Medicine physician.


Treatment of primary hyperhidrosis

To treat primary hyperhidrosis, the patient should visit the thoracic surgeon to undergo thoracic sympathectomy, a video - assisted surgery that aims to disrupt the continuity of the sympathetic nervous system at the thoracic level.

So, this surgery involves cutting the sympathetic nerve intrathoracic path of both hemithorax, usually through a long instrument of 5 millimeters thick or less, finish hook at its inner end and connected to an electric scalpel. Once the path intratorácio sympathetic nerve hooks, the scalpel to cut is activated.

The patient may receive from the hospital 24 hours after the intervention and, if closely monitored after surgery, can be shortened to between 12 and 16 hours. Anyway, for the patient to return to normal duties, it is best to wait between five and seven days, but may vary depending on the person and the type of activity usual for her.

Thoracic sympathectomy has as its main adverse effect the compensatory hyperhidrosis, which affects between 50 and 60% of patients undergoing surgery and is characterized by increased sweating level abdomen, back or English, although usually much less annoying than the palmar or axillary hyperhidrosis.

*Translated with Google translator. We apologize for any imperfection
Dr. Antonio Cueto Ladrón de Guevara

By Dr. Antonio Cueto Ladrón de Guevara
Thoracic & Cardiac Surgery

Dr. Cueto Ladron de Guevara is a renowned thoracic surgeon with nearly 40 years of experience. An expert in thoracic oncology, is the head of department of the University Hospital Virgen de las Nieves and associate professor of Health Sciences at the Department of Surgery and its Specialties of the Faculty of Medicine of Granada professor. During his long career he has also published numerous articles in specialized Thoracic Surgery national and international levels. Currently, he is a member of associations of Thoracic Surgery and Pulmonology of regional, national and international level and teacher Department of Surgery and its Specialties of the Faculty of Medicine of Granada.

*Translated with Google translator. We apologize for any imperfection

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