Hi, XXXXXX,

Thanks for query.

You are having hyperhidrosis in axillae.

CAUSES::
Although neurologic, metabolic, and other systemic diseases can sometimes cause hyperhidrosis, most cases occur in people who are otherwise healthy. Heat and emotions may trigger hyperhidrosis in some, but many who suffer from hyperhidrosis sweat nearly all their waking hours, regardless of their mood or the weather.

Hyperhidrosis is a common condition where a person sweats excessively, and much more than the body needs in order to regulate its temperature.
Excessive sweating doesn't usually pose a serious threat to a person’s health, but it can be embarrassing and distressing. The inconvenience of it can also have a negative impact on your quality of life.....
Excessive sweating can be challenging to treat and it may take a while to find a treatment right for you.

TREATMENT::
I usually recommend starting with the least invasive treatment, such as anti-perspirants. If this doesn’t work, you’ll move on to treatments such as medication to block the sweat glands and surgery.

#Avoid known triggers that make your sweating worse, such as spicy foods and alcohol....
#Use antiperspirant spray frequently, rather than deodorants.
#Avoid wearing tight, restrictive clothing and man-made fibres, such as nylon.
#Wearing black or white clothing can help to minimise the signs of sweating.
#Armpit shields can help to absorb excessive sweat and protect your clothes.

ALUMINIUM CHLORIDE::
You will need to apply aluminium chloride at night just before you go to sleep. To avoid irritation, make sure that the area of skin you apply it to is dry before you apply it. You will need to wash off the aluminium chloride in the morning.

IONTOPHORESIS::
Iontophoresis has proved to be effective in 80% to 90% of cases. However, you will need to make regular visits to your local hospital’s dermatology clinic to receive treatment.
If your armpits need treating, then a wet contact pad is placed against each armpit and then a current is then passed through the pad.
The current is thought to help block the sweat glands.
The treatment is not painful but the electric current can cause some mild, short-lived discomfort and skin irritation.
Each session of iontophoresis lasts between 20 and 30 minutes and you will usually need to have two to four sessions a week. Your symptoms should begin to improve after a week or two, after which further treatment will be required at one-to-four week intervals, depending on how severe your symptoms are.

BOTULINUM TOXIN::
Botulinum toxin is a relatively new treatment for people with hyperhidrosis. Botulinum toxin is a powerful protein that can be used safely in tiny (minute) doses. Around 12 to 20 injections of botulinum toxin are given in the affected areas of the body, such as the armpits, hands, feet or face.
The procedure takes about 30 to 45 minutes. The toxin works by blocking the signals from the brain to the sweat glands, reducing the amount of sweat that is produced.
The effects of botulinum toxin usually last from two to eight months, after which time further treatment will be needed.


SURGERY::
Video-assisted thoracic sympathectomy (VATS) is the most widely used type of surgery to treat hyperhidrosis. VATS is usually recommended to treat cases of hyperhidrosis that have failed to respond to other types of treatment.
During the procedure, a surgeon will make two small incisions on the side of your chest and remove some of the nerve tissue that runs from your sympathetic nervous system to the affected sweat glands.
VATS can be used to treat excessive sweating of the armpits, face and hands. However, treating excessive sweating of the feet it is not recommended because the operation carries a risk of causing permanent sexual dysfunction, such as impotence. This is because damage to the part of the sympathetic nervous system that runs down the back and into the legs could also damage the nerves that are connected to the genitals.
So far, VATS has been moderately successful in treating hyperhidrosis. However, the operation does carry a significant risk of associated side effects as outlined below.
The most common side effect of VATS is excessive sweating in another part of the body, usually the lower back or upper thighs. This is known as compensatory sweating.


I hope you got my answer, but you must consult dermatologist for perfect treatment..ok

You are welcome, if you have query.

Regards,

Dr. Ilyas Patel MD

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