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Hyperhidrosis Disease Severity Scale (HDSS)

Friday, February 6, 2009

Hyperhidrosis Disease Severity Scale (HDSS)

Hyperhidrosis can be measured using the Hyperhidrosis Disease Severity Scale (HDSS), a 4-point scale designed to assess the severity of primary axillary hyperhidrosis in everyday clinical practice or in clinical research. The HDSS can be administered by an interviewer or self-completed by the patient.

Patients rate the severity as :

1- Underarm sweating never noticeable/never interferes with daily activities.

2- Underarm sweating tolerable/sometimes interferes with my daily activities.

3- Underarm sweating barely tolerable/frequently interferes with my daily activities.

4- Underarm sweating intolerable/always interferes with my daily activities.

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NEGATIVE EFFECTS OF ETS / ETS-C

Tuesday, February 3, 2009

NEGATIVE EFFECTS OF ETS / ETS-C

After ETS, about 85% of patients will note that they seem to sweat more on the trunk and legs of the body than previously. For 75% of these people it is mild, about 5% find it moderate, and 2% have found it severe. Most feel that it is not a major problem, that it occurs during periods of excessive stress or exercise. Some find it excessive and annoying, but acceptable. A few others are significantly hampered by their CS but don’t want reversal.

Bleeding
Bleeding can occur from the port sites and also from the veins adjacent to the sympathetic chain. Special ports have been devised to prevent this problem, and surgical skill is required in dealing with the sympathetic chain to prevent any bleeding from the surrounding vessels.
Compensatory sweating (CS).

Horner’s Syndrome
This occurs if the T1 (stellate) ganglion is damaged at the time of surgery. It results them ptosis (drooping of the eyelid), myosis (constriction of the pupil) and exopthalmus (forward protrusion of the eye). Fortunately, this is a very uncommon complication by the thoracic approach, because the T1 ganglion is at or above the level of the first rib, outside the thoracic cavity, and is not easily damaged by this approach.

Intercostal neuralgia
This nerve pain can result from mild nerve damage during the operation, or as a result of insertion of one of the ports. It may affect the arm, torso, or skin in those areas. It is not a common occurrence, and usually subsides in 3-6 weeks.

Pneumothorax (persistent air leak from lung)
This would be a very unusual complication.

Gustatory Sweating (GS)
Increased sweating after eating certain foods has also been described, but is much more unusual, occurring in perhaps 3-5% of patients.


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Hyperhidrosis

Monday, February 2, 2009

Excessive sweating of the under arms is never a pleasant experience. When we are in the company of an individual who endures such a condition, people around him/her are able to realize the matter in a short span of time. This is simply because excessive sweating of under arms is almost always accompanied by a strong ad unpleasant odor that is described as obnoxious and viewed with resentment.

Hyperhidrosis is a medical term and me not be a common entrant in our vocabulary. However if you are being treated for excessive sweating under arms or extreme underarm perspiration, your medical practioner will refer to it as Hyperhydrosis. Sweat is a gland secretion and occurs in animals and humans. In our body we have particular sweat glands that produce sweat. Apart from excessive sweating under arms, people could be prone to excess sweating of other body parts. This includes the face, hands and feet. This however, does not pose as large a challenge as disproportionate underarm sweating does.

Hyperhidrosis is amongst the most extensive sweating problems one could be facing. If you are dealing with excessive sweating under arms, it is important that you understand the root cause of the problem. This is vital, especially if you are contemplating self treatment. This is because, in most cases, the problem is continuous and progressive. Hence self help may not be adequate to treat excessive sweating under arms and its time you seek professional guidance that can help resolve and control your excessive sweating under arms woes.

Sweat glands that cause sweat emission are known as Sudoriferous. The two known sweat glands that produce sweat are known as eccrine and apocrine. The Eccrine glands are present in almost all parts of the body. In ordinary conditions, they produce a watery emission in imprecise levels. However, in all totality they are not responsible for uncontrollable and excessive sweating under arms. Typically, eccrine glands produce sweat that is odorless. As compared to this, Apocrine glands are bigger and can be found only in specific areas of the human body, such as the armpits and genital skin. Sweat produced by these glands usually travels to the hair shaft around these parts and is transmitted on the hair follicles. In this situation, the hair follicles in fact help conserve the sweat for longer time periods. Subsequently one has to deal with excessive sweating under arms as the sweat is essentially trapped in such regions.

If you are amongst those who are facing Hyperhydrosis, do not lose heart. This is a common phenomenon and occurs in scores of people. What's better is that it can be easily treated. You could argue that most humans experience more sweat excretion in their underarms as compared to many other body parts and this shouldn't call for alarm bells. However detection of excessive sweating under arms can be accomplished if you monitor the intensity of the excess sweat, frequency and odor emission.

When dealing with excessive sweating under arms, you could resort to wearing loose clothes, using antiperspirants, and of increasing water intake. Wearing the right clothes allows your skin to breathe. Our skin comprises of tiny pores, and wearing incorrect clothing over your armpit region, causes sweat production to increase because of unnatural air circulation. Drinking large quantities of water acts helps cleanse the body and in return helps rid excessive sweating under arms odor.

In case you are dealing with acute or advanced stages of excessive sweating of under arms, then professional help can help resolve matters. Tests for sweating imbalances will help your practitioner diagnose correctly and you would be put on prescription drugs for a period of time. This helps control or limit excessive sweating under arms. Your physician will also try and determine if your problem is genetic, psychological, circumstantial or a result of nervous system action.

Article Source: http://www.articlesbase.com/medicine-articles/excessive-sweating-underarms-144134.html

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Excessive Sweating - The Problems

Sunday, February 1, 2009

Sweating is healthy but sweating excessively can be annoying. Whether we was meeting up with friends, on a date, giving a presentation, or just relaxing at home, our sweat problem managed to ruin our day some way or another. While it certainly didn't have any dangerous impact on our health, it just made life miserable.

People with excessive sweating (known as hyperhidrosis) doing a little tricks to hide away this problem, it's tired and a never ending story to say....

Wore black almost every day because it doesn't show the sweat marks and stain as bad.

Tried wearing multiple layers of clothing to prevent the sweat from reaching and showing on outer layer of clothing.

Always sit opposite a window on windy days.

Try to cool your body down by stand briefly in front of air conditioner.

Took showers multiple times a day, and even washed underarms during work breaks.

Spare one or more towels in your desk drawer to wipe off sweat from your face and your body.
Passed over many social invitations and events....

A lot of people with excessive sweating had tried to improved this situation using antiperspirants (even prescription antiperspirants), deodorants, pill, lotion, and expensive treatment like botox, liposuction, ultrasound and ETS surgery but it seems like its didn't work!

In 2003, ETS was banned in its birthplace, Sweden, due to overwhelming complaints by disabled patients. In 2004, Taiwanese health authorities banned the procedure on patients under 20 years of age.

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