Can Hand Sweating and Body Odor Be Treated Together?

Palmar hyperhidrosis

Hello, can palmar hyperhidrosis and axillary odor occur simultaneously? My son just graduated from elementary school.
He was originally scheduled for surgery for his hand sweating during the summer, but since he will be learning to swim, the surgery is postponed to August.
However, I have recently noticed that he has developed body odor, so I would like to ask the doctor if it is possible to address both conditions in one surgery.
What should we be aware of? Thank you.

Ling, 30~39 year old female. Ask Date: 2001/07/06

Dr. Ding Xianwei reply Neurosurgery

Palmar hyperhidrosis and axillary bromhidrosis are essentially similar issues.
If you wish to undergo surgery for both conditions simultaneously, it is theoretically feasible.
However, there may be significant complications related to compensatory sweating.
Therefore, it is advisable to discuss the feasibility with your surgeon before making a decision.

Reply Date: 2001/07/06

More Info

Hand sweating, also known as palmar hyperhidrosis, and body odor, particularly axillary odor (commonly referred to as "body odor" or "B.O."), can indeed occur simultaneously. Both conditions are related to the body's sweat glands, but they involve different mechanisms and areas of the body.
Palmar hyperhidrosis is characterized by excessive sweating of the palms, which can be triggered by various factors, including stress, heat, or even without any identifiable cause. On the other hand, body odor is primarily caused by the bacterial breakdown of sweat in areas like the armpits, which can lead to an unpleasant smell. This odor can be exacerbated by factors such as diet, hygiene, and the presence of certain bacteria on the skin.

When considering treatment options, it is essential to understand that both conditions can be addressed through various methods, including surgical interventions. In cases of palmar hyperhidrosis, one common surgical procedure is endoscopic thoracic sympathectomy (ETS), which involves cutting the sympathetic nerves that trigger sweating in the hands. For body odor, surgical options may include axillary sweat gland removal or liposuction of the axillary area to reduce the number of sweat glands.

If your son is experiencing both conditions, it is possible to address them in a single surgical procedure, depending on the surgeon's expertise and the specific techniques used. However, it is crucial to consult with a qualified surgeon who specializes in these types of procedures. They will evaluate your son's overall health, the severity of both conditions, and discuss the potential risks and benefits of combining treatments.

In preparation for surgery, there are several considerations to keep in mind:
1. Consultation: Ensure that you have a thorough consultation with a surgeon who has experience in treating both hyperhidrosis and body odor. They can provide insights into whether simultaneous treatment is advisable.

2. Medical History: Discuss any underlying medical conditions your son may have, as these can influence the choice of treatment and the surgical approach.

3. Post-operative Care: Understand the post-operative care required for both procedures. Recovery times may vary, and your son may need to follow specific guidelines to ensure proper healing.

4. Alternative Treatments: Before opting for surgery, consider discussing non-surgical treatments with your healthcare provider. Options such as antiperspirants, iontophoresis (a procedure that uses electrical currents to reduce sweating), and Botox injections can be effective for hyperhidrosis. For body odor, maintaining good hygiene and using clinical-strength deodorants may help.

5. Lifestyle Factors: Encourage your son to maintain good hygiene practices, wear breathable fabrics, and consider dietary changes that may reduce body odor, such as avoiding spicy foods and certain strong-smelling items.

In conclusion, while hand sweating and body odor can occur together, they can be treated effectively, potentially even in a single surgical procedure. However, it is essential to have a comprehensive evaluation by a medical professional to determine the best course of action tailored to your son's specific needs. Always prioritize safety and informed decision-making when considering surgical options.

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