Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

170 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes excessive sweating?

Answered by
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

Posted on Wed, 6 Aug 2014 in Thyroid Problem and Hormonal Problems
Question: I am always hot all the people around me are comfortable. I sweat terrible it runs down my face. I was just to my dr and everything cam back ok. just my liver enz are a little high. I take one zolft 50 mg a day. could u help.I was also told by my dr that my liver enzymes are high. I have been taken zolft for quite a few years . I also take tramado; hcl 50 mg twice a day for my knee.
Answered by Dr. Shafi Ullah Khan 1 hour later
Brief Answer:
Need management

Detailed Answer:
Thank you for asking
Excessive sweating AKA hyperhidrosis is a wide array of manifestation to many etiologies underlying and need a lot of work up to reach one.This symptom is sweating in excess of that required for normal thermoregulation, is a condition that usually begins in either childhood or adolescence. Although any site on the body can be affected by hyperhidrosis, the sites most commonly affected are the palms, soles, and axillae. Hyperhidrosis may be idiopathic or secondary to other diseases, metabolic disorders, febrile illnesses, or medication use. Hyperhidrosis exists in 3 forms: emotionally induced hyperhidrosis (in which it affects the palms, soles, and axillae, localized hyperhidrosis, and generalized hyperhidrosis. Hyperhidrosis often causes great emotional distress and occupational disability regardless of the form and it needs to be sorted out.
Following lab work needs to be done to sort out the roots for this excessive sweating
Thyroid function tests may reveal underlying hyperthyroidism or thyrotoxicosis.
Blood glucose levels may reveal diabetes mellitus or hypoglycemia.
Urinary catecholamines may reveal a possible pheochromocytoma.
Uric acid levels may reveal gout.
A purified protein derivative (PPD) test can be performed to screen for tuberculosis.
Chest radiography may be used to rule out tuberculosis or a neoplastic cause of the hyperhidrosis.
Consult to a neurologist and endocrinologist and discuss the different management plans from conservative to interventional like topical agents as anticholinergics, boric acid, 2-5% tannic acid solutions, resorcinol, potassium permanganate, formaldehyde (which may cause sensitization), glutaraldehyde, and methenamine,Drysol (20% aluminum chloride hexahydrate in absolute anhydrous ethyl alcohol),topical application of baking soda,aluminium chloride gel are to be discussed
Systemic agents as anticholinergic medications such as propantheline bromide, glycopyrrolate, oxybutynin, and benztropine. Also sedatives and tranquilizers, indomethacin, and calcium channel blockers are also useful.
Iontophoresis (passing a direct current across the skin) Also works like charm, so does botulinum toxin.
last but not the least is the surgical parasympathectomy if the above mentioned maneuvers fail
Now the elevated liver enzymes are due to the medicines you have been taking.reduce the dose and get tested for complete liver functions and assessment of any etiology behind this.zoloft and tramadol does that too and more in chronic use as in your case.
I hope it helps. Take good care of yourself and don't forget to close the discussion please.
May the odds be ever in your favour.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics ,  

Recent questions on  Thermoregulation

doctor1 MD

I have had irregular body temperatures (lowest 94 and highest 101.5) over the past week. It was discovered that I have mild hematuria and so I was put on an antibiotic two days ago, but now, I am vomiting and running a consistently higher temperature. Any ideas?

doctor1 MD

My understanding is that for most healthy adults body temperature drops when sleeping reaching it s lowest point for the day a couple hours before waking. I have been told recently that for babies/children this is not the case...that temperature actually rises while they sleep so I should wait at least 30 minutes after they wake up to take their temperature. I am very skeptical that this is actually the case. I would appreciate some education from an expert. Thanks!

doctor1 MD

I ve been suffering from swollen glands under my jaw, on my neck, which are sore with inflamed red lumps at the back of my tongue for a couple of months now. Some days are worse than others and they are normally worse in the morning. I m also cold a lot of the time and my body temperature is 35.7.... I ve had a course of anti-biotics, do i need to go back to the gp?

doctor1 MD

On Christmas night I had a bout of food poisoning, accompanied by intense shivering and a body temp of 95.8 (taken on both a standard oral thermometer and a digital one). The vomiting / diareaha lasted about 8 hours, and the low body temp about 10. What exactly caused the low body temp, and was it dangerous?

doctor1 MD

Hi, since last year I observed that I sweat more than usual.During this period I had gained some weight.Now I am 5'9 and my weight is 77 KGS.I start sweating on my forehead after having hot cup of tea or even after walking just for a...

doctor1 MD

ExcessI've sweating. Night sweats that smell of vinegar. Dizzyness. Every day.

doctor1 MD

68 year old male who is having severe sweating episodes after being in bed 2-3 hours. this also causes belching . this last about 30- 45 minutes. any ideas as to the cause?Thank you