Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Walking under the sun, only the right forearm is sweating while the left forearm is not? Recently, due to the hot weather, I've noticed that after walking in the sun for a while, I sweat easily from my chest, back, and armpits. However, I've observed that only my right ...
Dr. Zhang Junwei Reply:
Palmar hyperhidrosis and sympathetic nervous system abnormalities. Neurosurgery.[Read More] Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Understanding Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Hyperhidrosis issues? Hello, doctor. I would like to inquire about which specialty I should consult for the evaluation of hyperhidrosis. I have researched surgical options, but I am hesitant to decide due to potential compensatory sweating and other postoperative issues. Addition...
Dr. Lai Zhaokang Reply:
Hello: 1. The causes of hyperhidrosis can be divided into primary and secondary; primary hyperhidrosis accounts for the majority and is mainly caused by hyperactivity of the sympathetic nervous system leading to abnormal sweating. Secondary hyperhidrosis is often due to condition...[Read More] Understanding Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Hyperhidrosis (Excessive Sweating) Hello, Doctor! 1. I have been experiencing palmar and plantar hyperhidrosis for a long time. Currently, I am managing my hand sweating with iontophoresis, but it seems to have compensated with sweating all over my body and feet. I have tried t...
Dr. Lai Zhaokang Reply:
Hello: If you cannot coexist peacefully with hand sweating, you may consider trying medication short-term if you can accept the side effects. After that, reassess and decide whether to pursue long-term management. Wishing you well, Neurosurgeon Dr. Lai Chao-Kang. 1. Glycopyrrola...[Read More] Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Can Sympathetic Nerves Be Reconnected After Surgery?
Can the sympathetic nerves in the chest be reconnected? I underwent T4 sympathetic nerve resection for hyperhidrosis in June of this year, which has resulted in severe compensatory sweating and weakness in my hands and feet. After resting for three months, I returned to work, but...
Dr. Lai Zhaokang Reply:
Hello: In Taiwan, hand sweat surgery has been regulated for many years, requiring careful preoperative evaluation and approval from health insurance units before proceeding. This is due to the fact that many patients experience similar issues, such as compensatory sweating. If yo...[Read More] Can Sympathetic Nerves Be Reconnected After Surgery?
Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
I have a severe compensatory sweating issue? Doctor: I underwent T4 sympathetic nerve transection surgery in June of this year, and I am experiencing severe compensatory sweating postoperatively. Are there any medications or methods available to improve this compensatory sweating...
Dr. Lai Zhaokang Reply:
Hello: The surgery for palmar hyperhidrosis has been regulated in Taiwan for many years, requiring careful preoperative assessment and approval from health insurance authorities before it can be performed. This is due to the fact that many patients experience similar issues, such...[Read More] Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Will hyperhidrosis recur after surgery? Hello, doctor. I had surgery for palmar hyperhidrosis about 10 to 20 years ago (it's been so long that I don't remember the exact time), and for over a decade, my hand sweating improved significantly. However, now the sweating has...
Dr. Lai Zhaokang Reply:
Hello: 1. I personally speculate that you likely underwent endoscopic sympathectomy of the axilla years ago. After many years post-surgery, the previously severed nerve fibers may have regrown and resumed conduction. 2. I do not recommend another surgery due to higher risks as...[Read More] Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Hyperhidrosis issues? I have been experiencing sweaty hands and feet since the third or fourth grade, and it has continued into high school. Regardless of the weather, I sweat excessively, and it has become increasingly severe over the past few months. My hands sweat so much that...
Dr. Zhang Junwei Reply:
This issue is not within my specialty; I recommend consulting a thoracic surgeon.[Read More] Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Hyperhidrosis issues? Is it possible to reconnect the nerves that were severed during a sympathectomy for hyperhidrosis performed over 20 years ago, considering the compensatory sweating and metabolic abnormalities that have developed?
Dr. Lai Zhaokang Reply:
Hello, for hyperhidrosis, if the nerve has already been severed during the surgery, reconnecting it is not something that can be achieved through the endoscopic procedure performed years ago. It may require an open thoracic surgery to perform nerve anastomosis. Furthermore, there...[Read More] Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Reversing Compensatory Sweating: Can Previous Surgery Tools Be Removed?
Surgery for palmar hyperhidrosis without nerve ablation? Hello, Doctor. I underwent a surgery for palmar hyperhidrosis 13 years ago. At that time, the doctor informed me that if I could not accept the compensatory sweating that might occur post-surgery, this new type of surgery w...
Dr. Ding Xianwei Reply:
I am not familiar with your surgery, so I cannot provide an answer. I sincerely apologize.[Read More] Reversing Compensatory Sweating: Can Previous Surgery Tools Be Removed?
Understanding Compensatory Sweating After Endoscopic Sympathectomy
excuse me? 1. Is there any hope for compensatory sweating below the chest after undergoing endoscopic thoracic sympathectomy for hyperhidrosis? Are there any reversal surgeries available? 2. I've heard that if only the first and second segments are resected, recovery is pos...
Dr. Zheng Zhong Reply:
Endoscopic thoracic sympathectomy (ETS) for palmar hyperhidrosis typically involves the cauterization of the second and third thoracic sympathetic ganglia. Compensatory hyperhidrosis is a common complication that can lead to new concerns. The surgical approach using cauterization...[Read More] Understanding Compensatory Sweating After Endoscopic Sympathectomy
Understanding Sympathetic Nerve Surgery for Blushing: Risks and Treatments
Facial flushing sympathetic nerve surgery? Hello, I would like to ask if there are still significant complications from sympathetic nerve surgery for treating facial blushing? If there is compensatory sweating, are there medications available for treatment? Also, I have heard tha...
Dr. Zheng Zhong Reply:
Complications include compensatory hyperhidrosis, Horner's syndrome (ptosis, miosis, and anhidrosis on one side of the face), hemothorax, and pneumothorax. There is no medication available to treat compensatory hyperhidrosis. Neurosurgeons and thoracic surgeons at major medi...[Read More] Understanding Sympathetic Nerve Surgery for Blushing: Risks and Treatments
Understanding the Link Between Sympathetic Nerve Surgery and Facial Flushing
The relationship between sympathetic nerve resection and blushing? Thirteen years ago, I underwent a sympathectomy for hyperhidrosis. After the surgery, compensatory sweating shifted to my legs and the soles of my feet, and I also experienced facial flushing. I'm unsure if t...
Dr. Zheng Zhong Reply:
It is rare to experience hand cracking and rosacea-like skin conditions after sympathetic nerve ablation. Long-term inappropriate use of medications is more likely to be the cause. It is recommended that you consult another dermatologist for further evaluation.[Read More] Understanding the Link Between Sympathetic Nerve Surgery and Facial Flushing
Understanding Severe Hand Sweating: Surgical Options and Risks
Severe palmar hyperhidrosis? Hello, I would like to ask about my hands and feet sweating excessively every day. It seems quite severe, and I'm considering surgery. I've heard that there could be side effects. Could you please give me some advice? I’ve looked online, and...
Dr. Zheng Zhong Reply:
Currently, endoscopic thoracic sympathectomy is performed for hyperhidrosis with good results; however, about half of the patients may experience compensatory hyperhidrosis, where sweating occurs in the back, thighs, and torso. Some individuals also report that their hands become...[Read More] Understanding Severe Hand Sweating: Surgical Options and Risks
Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches
Axillary hyperhidrosis Hello, Doctor: In the department introductions of some hospitals, I see that both neurosurgery and plastic surgery list the treatment of "hyperhidrosis" (axillary sweating). Are the approaches of neurosurgery and plastic surgery the same? Is surgi...
Dr. Zhang Yuanyi Reply:
Dear Ah Xiang, Hello. The approaches of neurosurgery and plastic surgery are different. Neurosurgery involves endoscopic sympathectomy through the thoracic cavity, primarily targeting palmar hyperhidrosis. The success rate for controlling axillary sweating is lower than that for...[Read More] Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches
Can Sympathetic Nerve Ablation Be Reversed? Solutions for Compensatory Sweating
Can the sympathetic nerve recover after ablation? Hello Dr. Ding: Due to my concern with axillary bromhidrosis, I am considering treating my palmar hyperhidrosis to alleviate the sweating symptoms under my arms. My palmar hyperhidrosis is quite mild, but since the treatment for b...
Dr. Ding Xianwei Reply:
Hello: It may not be possible to recover, but medication might be able to address your issue. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Can Sympathetic Nerve Ablation Be Reversed? Solutions for Compensatory Sweating
Understanding Axillary Hyperhidrosis: Is Hospitalization Required for Endoscopic Surgery?
Axillary hyperhidrosis? Hello, doctor: I would like to ask if treatment for axillary hyperhidrosis with endoscopic surgery requires hospitalization. How long is the recovery time?
Dr. Ding Xianwei Reply:
Hello: If endoscopic surgery is performed, at least one night of hospitalization is required due to the need for general anesthesia. Recovery time varies from person to person, but generally, one should avoid lifting heavy objects and engaging in strenuous activities for about a ...[Read More] Understanding Axillary Hyperhidrosis: Is Hospitalization Required for Endoscopic Surgery?
Understanding Facial Hyperhidrosis: Causes, Treatments, and Recovery
Facial hyperhidrosis Hello, my face sweats a lot; as soon as I feel a little warm, it keeps sweating non-stop. At work in a cleanroom, when I wear a cleanroom suit, the sweat on my face just keeps flowing, but my hands and back do not sweat much. I would like to know about compen...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, excessive sweating of the face is not treated with surgery, so it is not recommended to use surgical methods to address this issue. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.[Read More] Understanding Facial Hyperhidrosis: Causes, Treatments, and Recovery
Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
Hyperhidrosis Hello, Doctor. Eight years ago, I underwent endoscopic sympathetic nerve surgery to treat palmar hyperhidrosis. At that time, I did not inform the physician that I also experienced sweating in my armpits. To this day, my axillary hyperhidrosis remains severe, and it...
Dr. Ding Xianwei Reply:
Hello: I would suggest that you undergo axillary gland excision (surgery for axillary osmidrosis), but you are not suitable for endoscopic surgery anymore, as patients who have undergone previous surgeries may experience adhesions in the lungs, which increases the difficulty of t...[Read More] Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
Understanding Hyperhidrosis: Surgical Options and Considerations
Hyperhidrosis I would like to inquire about my condition, as I have hyperhidrosis. As soon as summer arrives, standing in the sun for just 10 minutes makes my body feel as if it has been drenched in water, with sweating occurring all over (generalized). This is especially pronoun...
Dr. Ding Xianwei Reply:
Hello: Based on your situation, it is recommended to try medication first before considering surgery. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Hyperhidrosis: Surgical Options and Considerations
The Connection Between Hyperhidrosis and Sympathetic Nervous System
What is the relationship between hyperhidrosis and the sympathetic nervous system? Dear Dr. Ding Hsien-Wei, Thank you for your reply. I may have made an error in the subject line of my email to Dr. Chen Shu-Chang; it should have been "What is the relationship between palmar...
Dr. Ding Xianwei Reply:
Hello: As previously mentioned, hyperhidrosis can be treated with sympathetic nerve resection. Botulinum toxin can also be used to suppress it, but currently, botulinum toxin requires out-of-pocket payment, and most experiences with it are limited. Additionally, it may recur in 3...[Read More] The Connection Between Hyperhidrosis and Sympathetic Nervous System