I am sweating very badly during eating even a medium salt and less spice triggers me lot of sweat nowadays i even sweat lot if i walk or in normal sunny weather I want to get this fixed . Is it possible to fix.
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Yes, this can definitely be improved. Sweating a lot while eating (gustatory sweating) along with excessive sweating on walking or in warm weather usually points to primary hyperhidrosis, which is an overactive sympathetic sweat response - it is not dangerous but is treatable. Before treating it I would like to rule out secondary causes, so please get a TSH (thyroid), fasting and post-meal blood sugar with HbA1c, haemoglobin and a vitamin D level; in some people an overactive thyroid or early diabetes is the reason. Treatment options in order: start with a 10-20 percent aluminium chloride hexahydrate antiperspirant applied at night to the affected areas (underarms, palms, face) and washed off in the morning - this alone helps many people. Wear loose cotton clothes, avoid very hot, spicy food, tea/coffee and alcohol which are strong triggers, and keep well hydrated. If that is not enough, an oral anticholinergic such as oxybutynin can be prescribed in a low dose and slowly adjusted by your doctor, or a topical glycopyrronium cloth can be used for facial sweating. For stubborn underarm or palm sweating, botulinum toxin injections give 6-9 months of relief and iontophoresis works well for palms - both are done by a dermatologist. Please get evaluated sooner if the sweating is mainly at night, or comes with weight loss, fever, palpitations, tremors or lumps in the neck, as those need a different work-up. Do consult me on Practo or come to Synergy Multispeciality Hospital, Miraj with your reports and we can plan this properly.
For an adult with new-onset profuse sweating while eating, I would consider:
BP and pulse
Fasting glucose + HbA1cTSH and free T4
CBC
Review of all medications
Neurological examination for peripheral/autonomic neuropathy
If episodes are associated with symptoms of hypoglycaemia: capillary glucose during the episode
The distribution of sweating is particularly useful diagnostically.
If you tell me where exactly you sweat (face/head/chest/full body), whether it is one-sided or bilateral, whether it occurs with every meal or only spicy/hot food, and whether there is diabetes or previous parotid/neck surgery, I can narrow down the most likely diagnosis and treatment.
As per your symptoms it is probably Gustatory Hyperhidrosis…which is trigger during eating ….which may be due to hyperthyroidism/diabetes/certain medication.
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Please consult me on Practo for detailed evaluation and management.
Please consult me for a proper assessment and individualized treatment plan, as diagnosis and treatment depend on your clinical history and evaluation.
We have to find out the reason for sweating after eating and after minor exertion
Do an hba1c,fasting blood sugar,TSH,ECGif there is sweating associated with palpitations .it is gustatory sweating after food hypoglycemia or autonomic causes ,hyperthyroidism or chest pain can cause this
Next Steps
See a physician and do these tests and find out the underlying cause and fix it by proper treatment
Health Tips
Other endocrine causes can also cause this like growth hormone excess
What other symptoms are present along with the sweating ? Is sweating present all over the face or involve either side ? Excessive sweating is due to sympathetic nervous system overactivity. Get Thyroid profile tested first , to rule out Hyperthyroidism , and also there are various causes for gustatory sweating (sweating present during eating) , fir example diabetes , frey's syndrome. Please visit Neurologistbfor proper evaluation for the cause.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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