Underarm Sweating After Weight Loss: Causes and Solutions - Neurosurgery

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Axillary hyperhidrosis?


Hello, I would like to ask a question.
I used to be overweight, but after losing weight, I have noticed that I experience unexplained sweating under my arms (which I did not have when I was heavier), often making my clothes damp.
I initially thought it was due to hot weather, but I have found that this symptom occurs even in winter.
Although I do not have symptoms of body odor, the constant dampness under my arms is quite bothersome.
Is this related to my weight loss? Would you recommend surgical removal of the sweat glands, dietary control, or do you have other suggestions? If surgery is necessary, should I consult a neurosurgeon directly?

Sony, 20~29 year old female. Ask Date: 2006/03/25

Dr. Qiu Yushu reply Neurosurgery


Hello! Please visit the outpatient clinic to understand the actual situation.
Thank you, Dr.
Yu-Shu Chiu.

Reply Date: 2006/03/25

More Info


Hello! It's great to hear about your weight loss journey, but I understand that experiencing unexpected underarm sweating can be quite bothersome. Let's delve into the potential causes and solutions for this issue.


Understanding Underarm Sweating After Weight Loss
1. Physiological Changes: When you lose weight, your body undergoes various physiological changes. One of these changes can be an alteration in your sweat gland activity. The body may react differently to temperature regulation, leading to increased sweating in certain areas, including the underarms. This can happen even if you didn't experience excessive sweating before your weight loss.

2. Hormonal Fluctuations: Weight loss can also lead to hormonal changes in the body. Hormones play a significant role in regulating sweat production. For instance, changes in estrogen or testosterone levels can influence sweat gland activity. If your weight loss was rapid, your body might still be adjusting to these hormonal shifts.

3. Dietary Factors: Sometimes, dietary changes associated with weight loss can contribute to increased sweating. For example, consuming spicy foods, caffeine, or alcohol can stimulate sweat production. If you've altered your diet significantly during your weight loss journey, consider reviewing your food intake to identify any potential triggers.

4. Nervous System Response: The autonomic nervous system controls sweating. Stress, anxiety, or even excitement can trigger sweating responses. If your weight loss journey has been stressful or if you're feeling anxious about maintaining your new weight, this could also contribute to increased sweating.


Solutions and Recommendations
1. Lifestyle Adjustments:
- Clothing Choices: Opt for breathable fabrics like cotton that allow for better air circulation. Loose-fitting clothes can also help reduce the feeling of dampness.

- Antiperspirants: Consider using clinical-strength antiperspirants that contain aluminum chloride, which can help reduce sweating. Applying them at night can be more effective as they have time to work while you sleep.

2. Dietary Modifications:
- Monitor your intake of spicy foods, caffeine, and alcohol, as these can exacerbate sweating. Keeping a food diary may help identify any specific triggers.

- Staying hydrated can also help regulate body temperature and potentially reduce sweating.

3. Consulting a Professional:
- If the sweating persists and significantly impacts your quality of life, it may be beneficial to consult a dermatologist or a healthcare provider specializing in sweat disorders. They can offer treatments such as prescription antiperspirants, Botox injections, or other medical interventions.

- Surgical options, such as sweat gland removal (surgery known as sympathectomy), are available but are typically considered a last resort after other treatments have failed. This procedure is usually performed by a surgeon specializing in minimally invasive techniques rather than a neurosurgeon.

4. Stress Management: If anxiety or stress is a contributing factor, consider incorporating stress-reducing practices into your routine, such as yoga, meditation, or regular exercise, which can help regulate your body's response to stress.


Conclusion
In summary, the increase in underarm sweating after weight loss can be attributed to various factors, including physiological changes, hormonal fluctuations, dietary adjustments, and nervous system responses. While it can be uncomfortable, there are several strategies you can implement to manage this issue effectively. If the problem persists, seeking professional advice is a prudent step to explore more targeted treatments. Remember, your comfort and well-being are paramount, so don't hesitate to reach out for help if needed.

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