Treatment of sweating in men

Conservative methods of treatment for hyperhidrosis in men include psychotherapeutic help, drug treatment, the use of external agents (antiperspirants), injections of Botox, physiotherapy.

People with psychogenic forms of hyperhidrosis are recommended to take classes with a therapist, under which, under the guidance of a specialist, the patient learns to cope with anxiety and learns techniques for coping with stress. Sometimes hypnosis is used. The need to spend a long time on the course of treatment, sometimes reorganize your worldview is attributed to the shortcomings of this method. Its merit is the absence of side effects. Under condition of passage of a full course of psychotherapy, treatment is successful in 70% of cases.

Medications

Drug treatment is the use of drugs with a calming effect, anticholinergics or β-adrenoblockers that bind adrenergic receptors. Systemic treatment of psychogenic sweating is carried out in order to reduce the patient's excitability and increase its stress resistance.

Begin treatment with the appointment of drugs of natural origin on a plant basis (tincture of valerian, peony or motherwort) or potassium bromide, sodium. Also used are combined drops of Valocordin, Barbovale. These drugs depress the central nervous system, reduce excitement, facilitate falling asleep, relieve the symptoms of neurocirculatory function disorders and, accordingly, reduce sweating due to these actions. Such drugs are prescribed for a course lasting 2-2.5 months. They have less pronounced sedative effect than current tranquilizers or antipsychotics, but also much better tolerability, and most importantly - do not cause such impressive side effects, especially - addiction.

The action of herbal preparations is provided by the esters, organic acids, low-toxic alkaloids, flavonoids included in their composition. Bromine preparations basically strengthen braking processes, but are slowly eliminated from the body and have the property of cumulating and causing a specific side effect - bromism.

In the absence of effect prescribe drugs of more powerful effect - antidepressants. Of this group of drugs, many of which have a side effect such as hyperhidrosis and instead of anticipating help to increase sweating, the doctor should choose the most appropriate, depending on the degree of sweating and the prevailing symptoms of nervous system instability.

Emotionally unstable patients complaining of fears, insomnia, which the slightest excitement removes from the state of mental equilibrium can be appointed four-cycle antidepressant Lerivon, which has a strong anti-anxiety and hypnotics. This drug, at least, sweating is not listed among side effects, as, for example, in fluoxetine, which is also sometimes prescribed for psychogenic hyperhidrosis.

To the means with the optimal anxiolytic action and the absence of a number of side effects, including dependence and suicide attempts, is the Heliarium Hypericum. The antidepressant, whose active ingredient is the dry extract of St. John's wort, is characterized by the ability to normalize the neuropsychiatric status and the process of falling asleep without doing a direct hypnotic effect without weakening the ability to concentrate and not reducing the reaction speed. The only side effect that is established to date is the development of photosensitivity in people with fair skin. The possibility of developing allergic and dyspeptic reactions is also not excluded. Take one tablet three times a day, washed down with water.

Reduce the excitation of the sympathetic parts of the nervous system and reduce sweating preparations belladonna (belladonna), dope, bleached, containing Atropine - a poisonous alkaloid of plant origin. M-holinoblokator, suppressing the secretory activity of any glands, including sweat, by affecting the central nervous system and its sympathetic departments. Issued in the form of an injection solution. It is used intramuscularly, subcutaneously and intravenously.

A similar effect has tablets from the sweating of the body in men, Bicarbon, Bellacezhol, containing alkaloids belladonna. Strictly speaking, their main purpose is not sweating, but the relief of excessive production of hydrochloric acid by the stomach glands. But the action of the drug concerns the isolation of other physiological fluids - saliva, sweat. Therefore, people with insufficient secretion of gastric juice, such pills are contraindicated. You can not use them with thyrotoxicosis and prostate adenoma. Like all other drugs, they can cause sensitization reactions. And the side effects of their action is the dryness of the oral mucosa, visual impairment, the increase in heart rate (so people with a sick heart, too, they are undesirable.) And they can take no more than a month, and after lifting sweating will quickly recover.

Another holinolitik Scopolamin (vegetable alkaloid, contained in solanaceous) has an effect similar to Atropin. Calms and has a sleeping pills. The most common side effect of its intake is amnesia. Individual sensitivity to this alkaloid in different patients differs diametrically. If, on some, it produces a soothing effect, then others - it greatly excites, down to hallucinations. Inside take in a 0.05% solution of 0.5 to 1 ml or do subcutaneous injections.

Against the background of previous drugs, Apilac tablets for men from sweating will prove to be just a panacea. However, people who are allergic to bee products, taking the drug is not recommended. Also it should not be taken to patients with Addison's disease. There are no other restrictions to the use of this remedy, including age. This drug is a broad and general spectrum of action, which increases the body's defenses. He has many good reviews from patients who have suffered from excessive sweating. Given its very low cost and the ability to purchase at any pharmacy, these reviews are completely sincere. And the properties of the drug and its composition indicate that it can really help to solve the problem.

The drug is made on the basis of royal jelly and is a complex of biologically active components:

• vitamins of group B, practically all, without which the normal functioning of the nervous system is impossible, and also - choline and ascorbic acid;
• the basic necessary mineral elements - calcium, phosphorus, iron, potassium, magnesium, sodium;
• irreplaceable amino acids - methionine, tryptophan and many other components.

The cause of hyperhidrosis is often the increased excitability of the nervous system, fluctuations in blood pressure lead to the appearance of spots from sweat. The course of taking Apilaka allows you to saturate the body with many necessary elements, stabilize the nervous system, including sympathetic, normalize blood pressure, strengthen immunity. The drug can be used by people suffering from endocrine diseases and androgen deficiency, after the transfer of infections, viruses, poisoning. Adults are recommended to take one tablet two or three times a day for two weeks. Tablets are taken sublingually to complete dissolution, swallowing them does not make sense. In the stomach hydrochloric acid immediately neutralizes their properties. Some patients experience such a side effect as insomnia, so it is recommended that they be taken in the morning.

With diarrhea, rashes, maceration of the skin, you can apply Apilac ointment, which treat the area of damage once or twice a day. Depending on the degree of damage, the effect may be in a week, but sometimes longer treatment is required.

As an effective remedy for sweating in people of any gender and age, Hydronex is positioned. It is produced in two forms - for internal use (concentrated solution) and external - in the form of a spray. The multicomponent composition of the preparation from the plant raw material of the European zone and exotic plants for us does not clog the sweat glands, but affects the intensity of sweating, normalizing their functions.

The concentrate is taken inside for 20 days (the chart is attached with the instruction), and the spray is used externally, spraying it in places of increased sweat secretion.

External means-antiperspirant, cosmetic and medical-are also used. The effect of these drugs is that after application to the skin in the foci of sweating, sweat glands are clogged, and sweat on the treated areas ceases to be released, in addition, the substances have an antibacterial effect, preventing odor. As a part of such means there are salts of aluminum or zinc, formaldehyde, salicylic acid, triclosan, ethyl alcohol. These are quite effective remedies that eliminate sweat secretion. However, they can be used only with local sweating, since sweating should occur and occurs through other parts of the body. The cause of hyperhidrosis is not eliminated. There may be side effects - hydradenitis and skin inflammation, itching, swelling and eruptions at the site of application. Antiperspirants are applied overnight to cleanly washed and dried skin, freed from hair, in the morning the places of application are washed with soap. The ducts of the sweat glands remain sealed, preventing the release of sweat. Apply according to the instructions.

Much more effective than antiperspirants are considered injections of Botox or other preparations containing botulinum toxin. These injections disrupt the transmission of nerve impulses to the sweat glands for about six months. Place the increased secretion of sweat chopping in a circle.

Tablets and vitamins from sweating should always be agreed with the doctor, because the reasons for increased sweating are very different, and therefore you can provide real help only after examination and revealing the reasons for this condition. Otherwise, you can increase sweating and seriously damage your health.

Physiotherapeutic treatment

Excessive sweating of the psychogenic type is treated with fixitodes providing sedation of the body. Such treatment is quite effective, in most cases (70-80%) the result is achieved. The main disadvantage of such an effect on physiological processes is the lack of a constant effect. Sweating can return days in 30-40.

For the treatment of neurological sweating appoint electrosleep, iontophoresis in areas of increased sweating, coniferous baths with the addition of sea salt, contrast shower, galvanic collar.

Iontophoresis is prescribed for men suffering from essential hyperhidrosis, not associated with specific external factors. Through the action of a low-voltage constant electric current, penetration of zinc and aluminum ions into the surface layers of the skin is provided, narrowing the outflow channels of the sweat glands and causing dehydration of the sweating site. True, this is a temporary effect.

Drug electrophoresis with holinoblokatorami is also used.

The course of procedures is from a week to two. As a result, the equilibrium between excitatory and inhibiting neurotransmitters in the synaptic cleft of the brain is restored, respectively, the flow of nerve impulses that give "commands to sweat" into the nerve endings of the sympathetic trunk and, accordingly, to the sweat glands decreases. Repeated courses of physiotherapeutic procedures can be taken at intervals of three to four months.

Alternative treatment

The basis of any method of treatment of excessive sweating is frequent hygiene procedures. The best of them is the contrast shower - the pores, expanding and narrowing, under the influence of hot and cold water, make a kind of "gymnastics", the nervous system stabilizes during contrast doses, and the immune system gets stronger. In addition, the body is washed away particles of keratinized skin and night sweat, and it is ready for further processing.

If you can not take a shower, you need to wash the areas of excessive sweating with cool water and soap.

Axillary cavities must be released from hair in any way - from shaving to hardware epilation. This will already reduce sweating in this area, since apocrine sweat glands secrete sweat not in the skin, but in the hair follicle.

Purely washed and "bald" armpits can be treated with home-made lotion: mix equal parts of table vinegar, 4% boric water, ethyl alcohol or cologne (exclusively for the smell). Then sprinkle with baby powder with zinc.

Baths or washings of problem areas with contrasting temperature water are practiced in all parts of the body. After that, it is possible to apply Teimurov paste on the feet, there are a lot of good reviews about its effectiveness in combating sweating of the feet, although official medicine does not always approve of it.

The face can be wiped with lemon water with a few drops of lavender oil, and even ordinary tea (for dark-skinned people).

The palms are well wipe with lemon juice and do ten-minute hand baths with ammonia (a teaspoon of ammonia is added to a liter of water).

Treatment with herbs sweating, external and internal, forms the basis of alternative medicine.

For example, the bark of an oak. It is used in infusions for preparing baths and rubbing places of excessive sweating. With plantar sweating, the crusted cortex is poured into socks and put on cleanly washed feet before bed. In the morning - take off and wash your feet with cool water.

Replace in this procedure, the powder from the oak bark can be boric acid or starch.

Chamomile officinalis is also used for excessive sweating. Brew it out in proportions - per liter of water three tablespoons of crushed flowers, insist for about an hour. Filter and add a tablespoon of soda to the infusion. This solution is washed by foci of sweating.

Walnut leaves, finely chopped raw or crushed dry, insist on vodka (1:10) or diluted with water ethyl alcohol (1: 5: 5). The infusion is kept for seven days in a dark pantry or in a closed cupboard in the kitchen. Filter and wipe the armpits.

The bark of a white willow, crushed, in the volume of a teaspoon is infused night (eight hours) in two glasses of cold water. In the morning, the infusion is filtered and used for lotions on the foci of sweating.

Inside of the hyperhidrosis is taken:

• infusions of melissa and mint - crushed leaves of both plants one tablespoon pour boiling water in a volume of 200ml, after a third of an hour I strain and drink in the mornings and evenings every day for at least two weeks, but not more than a month;
• pods of peas (eight or nine pieces) or beans (five to six) without brewing 200ml of boiling water, when cooled - filtered and drunk in three meals, when it takes 30 minutes after eating, for three weeks;
• infusion of nasturtium: suited flowers (8-10 pieces), leaves (10-12 pieces) or seeds (tablespoon) - any portion of plant raw materials is poured 200ml boiling water and cools, cooled infusion filter and drink in equal portions until the end of the day three-week course.

Classic infusions valerian root, motherwort, passionflowers, soothing teas help reduce the excitement and sweating associated with it.

A bath - coniferous, with sea salt, medicinal herbs - chamomile, calendula, field horsetail, oak bark also contribute to reducing sweating, including generalized.

[1], [2], [3], [4], [5], [6]

Homeopathy

Homeopathic preparations that do not have a mass of side effects, which have a mild effect and which almost never cause allergic reactions, can constitute a worthy alternative to traumatic and not always harmless allopathic methods of treatment. Turning to a specialist in homeopathic treatment and following his recommendations, the patient has a chance to permanently get rid of excessive sweating without resorting to medication, injections, destruction of the nerve trunks of the sympathetic system and removal of the sweat glands, and, in addition, to achieve at least remission in the main a disease that causes hyperhidrosis, if any.

For example, in case of excessive plantar sweating, Arsenic album and Rhus toxicodendron are used - in cases when sweaty feet give their master moral discomfort, Arundo - for young men with impaired sexual function and infected sweaty feet ; Barium acetica (Barita acetica), silicic acid (Silicea) - in cases of sweating and fungal lesions, fetid perspiration; Charcoal (Carbo vegetabilis), Iodum (Iodum), Plune clavate (Lycopodium) - cold sweaty limbs, propensity to convulsions.

When night sweats are prescribed iron phosphate (Ferrum phosphoricum), and the best remedy for sweating underarms is Petroleum, with sweating in the daytime and in the morning on wake-up appoint Buzina black (Sambucus), and the contents of a bag of black cuttlefish (Sepia) will help with severe sweating, especially when the foci are localized in the groin, underarms, under the knees and on the back, and in case of climacteric tides.

These are just examples, since in different cases of increased sweating, different drugs are used depending on the constitutional type and patient complaints. Almost every homeopathic drug can be prescribed for the treatment of hyperhidrosis, so treatment should be supervised by a specialist.

Perhaps the same applies to complex homeopathic medicines manufactured by the pharmaceutical industry. Virtually any drug can help to stop the symptoms of a particular disease that causes sweating. Valerian-Heel and Nervo-Heel can be prescribed as sedatives with increased excitability and anxiety; Kralonin is prescribed for ischemic heart disease, neurocirculatory disorders and arterial hypertension; Sabal Gomkakord, Populus Compositum and Renel - in pathologies of the genito-urinary organs: hydronephrosis, urolithiasis, inflammation or hypertrophy of the prostate; Testis Compozutum - dysfunction of the sexual glands in men; Schwef-Heel-falsities, mycosis. In the complex treatment, many other drugs and their combinations can be prescribed.

Before using radical methods of treatment or taking holinoblokatorov and tranquilizers, it is necessary to resort to homeopathic treatment, perhaps nothing more is needed. Homeopathy often copes with problems that can not be solved by official medicine. But the doctor-homeopath must necessarily supervise the process of treatment.

Surgical treatment of hyperhidrosis in men

Any local and central surgical procedures involve a certain risk to the patient. Given this, resort to surgical treatment is meaningful only after all the therapeutic methods described have been tried, and they have not brought a solution to the problem.

Local operative intervention is carried out directly in the center of excessive secretion of sweat.

Such a surgical procedure can be liposuction axillary (axillary) area of increased sweating. This mini-operation is indicated for patients who have excess fat deposits. In the armpit, a small puncture is made, into which a tube is inserted, surgical manipulations are performed through which the fatty tissue is removed (partially or completely), which destroys the nervous receptors of the sympathetic trunk, which command the glands to secrete physiological fluid. With the intervention, local hemorrhages, hematomas, and a slight decrease in skin sensitivity may occur. In the case of the formation of fluid accumulation under the skin, it is eliminated by puncturing.

The closed curettage of the axillary region represents the removal of superfluous sweat glands through a small puncture (or two punctures) by scraping with a surgical spoon (curette) and leading to the destruction of the nerve receptors. Complications similar to the previous manipulation. After several years of absence of hyperhidrosis, the nerve receptors can be restored, and, accordingly, sweating will increase. But this does not happen often.

Excision of the skin of the axillary cavity assumes complete removal of the skin surface area together with sweat glands. The most effective of the three local methods, since hyperhidrosis is not recoverable. There remains a small scar (about 3 cm) in the area of operation.

Before and after any surgery, Minor test is done for control.

The use of local surgical procedures is considered the least dangerous in the sense of complications, is characterized by a stable positive result, much less leads to serious consequences and cosmetic deficiencies.

If local operative methods were not effective, one has to resort to the so-called central surgical intervention for hyperhidrosis - sympathectomy. The technique of carrying out this method well is well developed, since manipulations that destroy the sympathetic trunk in order to block nerve impulses to sweat glands have been practiced for more than 70 years. Modern surgeons are no longer using the open method, but they do the operation under the control of endoscopic equipment. Sympathectomy is indicated only in cases of severe forms of hyperhidrosis, which can not be corrected in other ways, although the surgery refers to low-traumatic interventions, and its positive outcome persists for life.

Early effects of the intervention may be increased dryness of the facial skin and palms (as a rule, with time, the functions of moisturizing the skin are normalized). The most serious and unpredictable complication of surgery is the risk of postoperative compensatory hyperhidrosis, which is practically not amenable to correction.

Sympathectomy, that is, a violation of the sympathetic nerve trunk function through its partial or complete destruction, is performed in several ways.

Classical open surgical intervention through cutaneous or cervical sympathectomy. These days it is not carried out because of high traumatism.

Modern and more sparing operations - the destruction of high-frequency current or chemical substances through the introduction of a needle through the skin into the area of the spinal column (performed blindly).

With the help of endoscopic equipment, operations on clipping or cutting of the sympathetic trunk are carried out.

Local operations are performed under local anesthesia, and central interventions are performed under general anesthesia.

Complications can be - hemorrhagic manifestations, increased sweat production with facial glands after taking acute (hot) food, Horner's syndrome (eyelid depression, pupil narrowing).

The most serious and practically uncontrollable consequence - compensatory hyperhidrosis occurs approximately every tenth operation. This condition is the response of the body to the immediate cessation of excessive sweating in habitual places and the migration of foci of hyperhidrosis to other places previously unaffected by it.

The possibility of eliminating this effect appears exclusively in cases of clipping by performing a second operation to remove the clip and restore the intercostal nerve. Electrical and mechanical destruction does not allow for its restoration.

Undoubtedly, as with any operation, unpredictable deaths are possible, but their probability is negligible.

Nevertheless, the effectiveness of surgical interventions is approximately 95-98%, that is - the cases of successful operations that have gone without any complications. And even the manifestations of compensatory sweating in other places may decrease with time.

The future of hyperhidrosis treatment is seen in the application of laser technologies. The effect of a laser beam on sweat gland tissue leads to its evaporation and complete cessation of work. The procedure can be performed on an outpatient basis and take no more than half an hour, complications in the form of a hematoma, infection, scarring and bleeding can not be. However, the method has not yet been disseminated because of the high cost and lack of qualified specialists.

Basically, surgical treatment is subject to axillary and palmar hyperhidrosis. Operations to eliminate sweating stops are not widely spread due to complications in the form of sexual dysfunction.