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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer from severe palmar hyperhidrosis. Excessive sweating. Tried aluminium chloride. Alternate treatment?

I am a college student. Male 17 years. i have been suffering from severe palmar hiperhydrosis for the past 4-6 years. i sweat so much it that it is impossible for me to even hold a pen and write something. i have already tried ientopherosis and 20% aluminium chloride hexahydrate solution. both have not worked for me. surgery or botox injections are out of the question. what should i do?
Mon, 13 May 2013
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Dermatologist 's  Response
Hello,
Welcome to Healthcare Magic,
If you are having increased sweating only when you are anxious or stressed then you need to see a psychiatrist. He will help you with de stressing methods, exercises and medications to help you control your anxiety. But if your sweating is present throughout, no matter whether you are anxious or not, you should see a dermatologist.
It is better to get your sugar levels and thyroid status checked as diabetes and thyroid abnormalities can cause this.
Treatments available are topical application of aluminium chlorohydrate lotion, tap water iontophoresis and botox (Botulinum) injections.
In my experience Iontophoresis is very effective and all my patients have responded to it. Maybe the method and frequency of treatment has to be reviewed. You need to take it daily till you get good improvement following which it can be decreased in frequency. You have to find time for that. Vacation time is the best for that.
Botox is effective but very expensive as you need a lot of units to be injected and the results last for 4 to 6 months.
Please see a dermatologist who personally monitors iontophoresis sittings. Continue aluminium chloride solution.
Hope this helped
Take care
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Suffer from severe palmar hyperhidrosis. Excessive sweating. Tried aluminium chloride. Alternate treatment?

Hello, Welcome to Healthcare Magic, If you are having increased sweating only when you are anxious or stressed then you need to see a psychiatrist. He will help you with de stressing methods, exercises and medications to help you control your anxiety. But if your sweating is present throughout, no matter whether you are anxious or not, you should see a dermatologist. It is better to get your sugar levels and thyroid status checked as diabetes and thyroid abnormalities can cause this. Treatments available are topical application of aluminium chlorohydrate lotion, tap water iontophoresis and botox (Botulinum) injections. In my experience Iontophoresis is very effective and all my patients have responded to it. Maybe the method and frequency of treatment has to be reviewed. You need to take it daily till you get good improvement following which it can be decreased in frequency. You have to find time for that. Vacation time is the best for that. Botox is effective but very expensive as you need a lot of units to be injected and the results last for 4 to 6 months. Please see a dermatologist who personally monitors iontophoresis sittings. Continue aluminium chloride solution. Hope this helped Take care