The first step is to determine if there are any other comorbidities of the spinal nervous system.If not,Primary hyperhidrosis is most likely caused by overactive sympathetic nerves in the impar ganglion.1. As a lifestyle effort, use ventilated underwear and cushions, and try not to sit for long periods of time. 2. application of liquid glycopyrrolate medications can be tried.3. subcutaneous injections of botulinum toxin can be tried.4. If the above nonsurgical efforts do not resolve, an impar ganglion block procedure may be attempted.
For widespread hyperhidrosis like yours, medication is usually recommended.For now, you should make lifestyle efforts to avoid sudden changes in temperature and humidity and lead a regular lifestyle.Medication can be used in a variety of ways, but anticholinergics are usually the first-line medication.This is not a cure, but rather a way to avoid social discomfort on important days like meetings and presentations.As such, they need to be taken temporally and usually last a day or so.Of course, Botox treatments can also provide results that last 4-5 months, but if you're not covered by insurance, the financial cost can be an issue.Surgically, you could also consider a Endoscopic sympathicotomy surgery, but you'll have to be careful with this option due to the many side effects.
First of all, Driclor(r) does not kill sweat glands. It is an aluminum chloride agents that only blocks the entrance of the sweat glands.Hyperhidrosis can manifest and change in various areas. Hyperhidrosis, which starts from the armpit, may also appear in the hand & feet or other areas. In this case we are referred to as multiple regional hyperhidrosis. Treatment of regional hyperhidrosis can be done step by step. In addition to life-style efforts, iontophoresis, botox injection, and taking medication can be considered.And, if these non-surgical efforts can not be resolved, sympathicotomy can be considered.