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Suggest remedies for excessive sweating

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Posted on Mon, 25 Jul 2016
Question: I play tennis and sweat excessively, often walking off the court soaked to the skin and dripping sweat -- from shirt, pants an even through my shoes...... Is there anything I can do to try to control this excessive sweating? I should mention I'm in FL and temps in a.m. when we play are mid 80's with high humidity but no one sweats like I do! In day to day situations I do sweat easily but nothing embarrassing...Follow-up is my sweat smells like amonia, should I be concerned?
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Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Sweating

Detailed Answer:
Sorry to learn about your bothersome symptoms.

Some possible causes of excessive sweating are:

1 An overactive Thyroid condition called Hyperthyroidism

A simple blood test called TSH can help screen for this.

2 Acromegaly

This is an uncommon disorder but can be tested for by doing a blood test called IGF1 (Insulin like Growth Factor) 1

3 Pheochromocytoma

This is another rare condition in which affected individuals get spells of sweating associated with chest pain, shortness of breath and headache.

A blood test called Plasma Free Metanephrines can be useful in detecting this.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
IGF1
Plasma Free Metanephrines
None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest remedies for excessive sweating

Brief Answer: Sweating Detailed Answer: Sorry to learn about your bothersome symptoms. Some possible causes of excessive sweating are: 1 An overactive Thyroid condition called Hyperthyroidism A simple blood test called TSH can help screen for this. 2 Acromegaly This is an uncommon disorder but can be tested for by doing a blood test called IGF1 (Insulin like Growth Factor) 1 3 Pheochromocytoma This is another rare condition in which affected individuals get spells of sweating associated with chest pain, shortness of breath and headache. A blood test called Plasma Free Metanephrines can be useful in detecting this. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) IGF1 Plasma Free Metanephrines None of these tests require any fasting and can be done at any time of the day