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Coping with Illness
When Sweating Takes Control
A local woman finds a cure for hyperhidrosis, or excessive perspiration
For most of us, sweating is nothing more than the dampness that goes with a hot day or physical activity. “Perspiration is a normal function that helps control body temperature through evaporation,” says family physician David Glueck, M.D., of Lehigh Valley Hospital and Health Network. In short, it’s our personal air-conditioner.
But that asset becomes a liability for people who sweat very heavily—like Eileen Cahill of Green Lane. She suffers from a rare and socially crippling physical disorder called hyperhidrosis.
Possibly hereditary, hyperhidrosis usually affects the hands and feet and sometimes the face and armpits. The 2 percent of Americans who have the condition are well aware that they do—sweating rules their lives. “They have to wrap a towel around the steering wheel to keep their hands from slipping,” says Glueck’s colleague, cardiothoracic surgeon Michael Szwerc, M.D. “And they can’t take notes because sweat blurs the ink.” Cahill chose not to have a receiving line at her wedding, to avoid having to shake hands.
None of the many remedies she tried offered a permanent solution. Then, she learned of a procedure called endoscopic thoracic sympathectomy (ETS). Doctors work through tiny armpit incisions to locate and divide the sympathetic nerve, which controls excessive sweating. Insurance usually covers the one-hour procedure, and 95 percent of patients get good results. After surgery, some patients develop mild to moderate sweating behind the knees or on the lower back or abdomen, Szwerc says, “but most think the side effects are worth it.”
Cahill had ETS last October and left the hospital the same day, cured of her problem. “I’m so happy,” she says. “It’s wonderful having dry hands.”
If You’re a Heavy Sweater “Heavy sweating seems to be genetic and tends to be aggravated by anxiety, caffeine, alcohol and spicy food,” says family physician David Glueck, M.D. “Menopause and certain drugs and illnesses also can boost perspiration.” Here’s how to cope:
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Use an antiperspirant powder. Deodorants fight odor, but antiperspirants actually reduce wetness by blocking sweat ducts.
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Wear appropriate clothing. Natural fibers, including silk, cotton and wool, keep you cooler by letting your skin breathe.
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Change your diet. Avoid or limit alcohol, caffeine and spicy food.
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Relax. If stress triggers your perspiration, try meditation, yoga or biofeedback.
If these remedies don’t work, see your doctor. You may need a prescription (higher-strength) antiperspirant, an anti-anxiety drug or injections of botulinum toxin (Botox). The same drug that smoothes wrinkles also blocks the nerves that trigger sweat glands, but results last just three to four months.
Want to Know More about hyperhidrosis? Call 610-402-CARE. About relaxation classes at Lehigh Valley Hospital and Health Network? Click here. This page last updated 2/12/08 04:08 PM
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March April 2006
Eating Healthy
Staying Fit
Caring for Mind and Body
Just for Women
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Raising a Family
Heart of Healthy You
Protecting Your Health
Coping with Illness
Aging Well
Keeping Up to Date
Weight Control
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