Is there any cure for excessive sweating?

Question
Doctor, I have hyperhidrosis. I had surgery but after the surgery, I don't have sweat on my hands and face anymore but a lot in my armpits, chest... In general, my whole body is always wet with sweat even when I sit at work. . The doctor asked me if this disease can be cured and how to cure it? Thank you doctor!
Nguyen Giap (1986)
Reply
Hello! The doctor's preliminary understanding is that you have been diagnosed with hyperhidrosis and have been treated with surgery, but it is not clear what specific treatment is surgery, whether it is accompanied by medical treatment. . Therefore, your doctor would like to discuss with you the most general way about increased sweating and current treatment measures. This is a disease and you need to be examined in reality to get a diagnosis and prescribe the right treatment for you.
If you are diagnosed with another medical condition that causes hyperhidrosis, your treatment will prioritize treating that condition first. If no obvious cause is found, treatment will focus on controlling excessive sweating. Sometimes it may be necessary to try a combination of treatments for treatment. Hypersecretion may recur even after treatment has stabilized.
Treatments for hyperhidrosis:
Medical treatment:
Medications used to treat hyperhidrosis include: Antiperspirants. Your doctor may prescribe aluminum chloride antiperspirants (Drysol, Xerac Ac). This product may cause skin and eye irritation. Apply the above medications to the areas of increased sweating before you go to bed. Then you wash it off when you wake up, being careful not to get the medicine in your eyes. If your skin is irritated, hydrocortisone cream can help. Topical cream: A topical cream containing glycopyrrolate can help enhance the effect on the face and head. Nerve depressants. Some oral medications inhibit the synaptic transmission of nerves. This may reduce sweating in some people. Possible side effects include dry mouth, blurred vision, and some bladder problems. Antidepressants ; Some antidepressants can also reduce sweating. In addition, they may help reduce anxiety thereby reducing the factors that aggravate hypersecretion. Botulinum Injections: Treatment with botulinum (Botox, Myobloc, ..) temporarily blocks the nerves that cause increased sweating. Your skin will be frozen or numbed first. Each affected area of ​​your body will be injected with a corresponding dose. The antiperspirant effect lasts six to 12 months, and then the treatment needs to be repeated. This treatment can be painful, and some people experience temporary muscle weakness in the treated area. Surgery and other methods:
Microwave therapy. With this therapy, a device that delivers microwave energy is used to destroy the sweat glands. The treatment consists of two sessions of 20 to 30 minutes each, three months apart. Side effects can be changes in skin sensation and some other skin discomfort. This therapy is rarely applied because it is expensive and only applied in a few large centers. Eliminate sweat glands. If excessive sweating is only in your armpits, removing the sweat glands can be effective. It is possible to choose the minimally invasive technique of curettage if you have not responded to other treatments. Usually applied to simple axillary hyperhidrosis. Neurosurgery (sympathectomy). During this procedure, the surgeon cuts, burns, or clamps the spinal nerves that control sweating in your hands. In some cases, this procedure triggers excessive sweating in other areas of your body (compensatory sweating). Surgery is generally not an option for head and neck hyperhidrosis alone. This new method of neurosurgery interrupts nerve signals without removing the sympathetic nerve (sympathectomy). Thank you for your trust and concern with Vinmec Health System. Best regards!
Doctor Vo Ha Bang Suong - Department of Medical Examination & Internal Medicine - Vinmec Phu Quoc International General Hospital.