61. Hyperhidrosis - Patient UK Palmar hyperhidrosis or gustatory sweating can be sign of localised autonomicdisorder or occur before widespread autonomic impairment eg in diabetes http://www.patient.co.uk/showdoc/40001952/

PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Hyperhidrosis Humans have 3-4 million sweat glands which can secrete fluids at max 2-3 l/hour. Sweat glands are found in all areas of the skin but those in the hands, feet, axillae and face often secrete profusely without presence of general sweating. This occurs with rising body temperature, exercise and fever. Central control is found in the hypothalamus via unique postganglionic sympathetic fibres. Other causes of hyperhidrosis include: Fear and anxiety Thyrotoxicosis Acromegaly Diabetes mellitus Lymphoma Cancer Hypoglycaemia Excess alcohol consumption Nausea Lesions of the sympathetic nervous system, cortex, basal ganglia or spinal cord. Epidemiology Incidence Common Presentation Symptoms Teenagers often complain of sweaty hands and feet with associated smell. May also contribute to tinea pedis and foot eczema Signs Segmental unilateral swelling suggests a neurological lesion. Palmar hyperhidrosis or

62. Treatment Of Palmoplantar Hyperhidrosis Palmoplantar hyperhidrosis, excessive sweating from the palms and soles, In addition, gustatory sweating was noted in 36%, and a 10% reduction in heart http://www.mf.uni-lj.si/acta-apa/acta-apa-02-1/altman.html

2002, Vol 11, No 1 Treatment of palmoplantar hyperhidrosis R.S. Altman, MD, R.A. Schwartz and MD MPH Keywords Hyperhidrosis; Excessive Sweating, Treatment; Iontophoresis; Sympathectomy Summary Palmoplantar hyperhidrosis, excessive sweating from the palms and soles, is often an embarrassing and disabling condition that afflicts individuals of all ages. Diagnosis is usually evident based upon the history and visible signs of sweating. Treatment of this condition has proven to be difficult; however, numerous treatment options are now available. The therapeutic armamentarium includes topical and systemic agents, iontophoresis, botulinum toxin injections, and sympathectomy, all of which will be discussed. Introduction Diagnosis is evident by the history and visible signs of sweating. Many patients complain of social embarrassment and work-related disability due to palmoplantar hyperhidrosis. Unfortunately, this condition has not been easy to treat. Fortunately, many treatment options, including topical and systemic agents, iontophoresis, botulinum toxin injections, and sympathectomy, are now available. Treatment Therapy can be challenging both for patient and physician. Fortunately, numerous medical, surgical and electrical treatment options are now available. Treatment may require visualization of the affected area, which may be accomplished by the iodine starch test (spraying the area with a mixture of 0.5 to 1 gram of iodine crystals and 500 grams of soluble starch). The treatment options include topical and systemic medications, iontophoresis, injections of botulinum toxin, and sympathectomy:

63. Treatment Of Hyperhidrosis In India ( ETS ) gustatory sweating, pneumothorax, intercostal neuralgia, Horner syndrome, 1 month after surgery, and gustatory sweating occurred in 17% (Lai, 1997). http://www.angelfire.com/ar/laparoscopy/Hyperhidrosis.html

setAdGroup('67.18.104.18'); var cm_role = "live" var cm_host = "angelfire.lycos.com" var cm_taxid = "/memberembedded" Search: Lycos Angelfire Dating Search Share This Page Report Abuse Edit your Site ... Contact us HYPERHIDROSIS Dr Arun Prasad MS , FRCS, FRCSEd Senior Consultant Surgeon Minimal Access Surgery Apollo Hospital New Delhi India Email: s urgerytimes@gmail.com Tel: ++91-11-26925801 ext 1280 In New Delhi, India, Minimal Access Surgery, Minimally Invasive Surgery, Thoracoscopic Surgery, VATS ( Video Assisted Thoracic Surgery ), and ETS ( Endoscopic Thoracic Sympathectomy ) are terms used to describe the modality of procedure that is done to interrupt the sympathetic nerve chain as a treatment for Hyperhidrosis of face, palms and axilla ( arm pit ). FAQ - Common questions asked by patients are: How do I know this is hyperhidrosis and not nervousness / underconfidence When is it hyperhidrosis and when is it exaggerated response? Will it go away as I grow older? Is there a local treatment? What are the medicines available, their side effects, how long does it need to be taken?

64. Attract within 1 month after surgery, and gustatory sweating occurred in 17%.An effective treatment for such compensatory sweating is the intradermal injection http://www.attract.wales.nhs.uk/question_answers.cfm?question_id=995

65. The Center For Hyperhidrosis: Side Effects Of ETS gustatory sweating is a relatively rare side effect of sympathectomy. Patients whoexperience this will notice increased sweating when eating certain foods http://www.hyperhidrosiscumc.com/effects.html

Compensatory Sweating All patients undergoing ETS will experience some compensatory sweating. This is unavoidable because in patients with hyperhidrosis the propensity to have excessive sweating cannot be eliminated. Surgery only eliminates the pathway to the sweat glands of the hand. In the majority of patients, compensatory sweating is mild, well-tolerated and an acceptable alternative to severe palmar sweating. Over the past several years, several different surgical procedures have evolved to treat hyperhidrosis and eliminate or reduce the risk of compensatory sweating. Patient selection is crucial. Certain patients seem to experience worse compensatory sweating. Patients who experience excessive sweating over their entire body before ETS tend to have more severe compensatory sweating. It has been our practice to avoid ETS surgery in these patients. The surgical technique also may have an impact on both the frequency and severity of compensatory sweating. Not all patients with hyperhidrosis are the same. Some patients have predominantly hand sweating while others may also experience severe facial sweating and blushing at the same time. Since not all patients have the same symptoms, we believe the surgical procedure must be individualized to suit the symptoms. There have been several reports involving large numbers of patients from European centers that also suggest modifying the procedure depending on the dominant symptoms. In patients with either palmar or palmar and axillary sweating we isolate the T3 ganglia. This technique is equally as effective in eliminating excessive sweating as T2 sympathectomy and reduces the chances of having severe postoperative compensatory sweating. In patients who also have facial symptoms, it is necessary to isolate the T2 ganglia, and therefore there is a higher risk of developing compensatory sweating. We have modified the T2 sympathectomy procedure to reduce the risk of compensatory sweating and in some individuals we recommend the clamping technique, which may allow for reversal if compensatory sweating is severe.

66. Dalhousie Medical Journal Also referred to as auriculotemporal syndrome or gustatory sweating, In 1923,Frey described the occurrence of gustatory sweating in a patient who had http://medjournal.medicine.dal.ca/DMJONLIN/spring99/orig4.htm

May 1999 Issue ORIGINAL ARTICLE Frey's Syndrome: A Case of Aberrant Nerve Regeneration Jason G. Williams , B.Sc., MD '00, and Dr. Mark E. P. Prince , MD, FRCS(C) Dalhousie University Faculty of Medicine, Halifax, Nova Scotia Department of Otolaryngology-Head and Neck Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia ABSTRACT Frey's syndrome represents a fascinating example of how nerve regeneration can go awry. The syndrome is characterized by profuse facial sweating and flushing that occurs when salivation is stimulated. It can develop following a variety of insults, but is most commonly encountered as a complication of parotidectomy. Consequently, it is mainly otolaryngologists who see and treat this disorder; however, it is important for other clinicians to recognize what these unusual symptoms represent. Diagnosis may be based either on clinical presentation or through objective testing methods. Potential negative social and psychological implications of this condition can be significant, and treatment, ranging from topical agents, to local injections of botulinum toxin (Botox), to surgical intervention should be offered to patients. In this article, we present a clinical case and review the etiology of Frey's syndrome, its diagnosis and treatment. INTRODUCTION Profuse sweating and flushing over the preauricular and parotid regions of the face during mastication constitutes the symptom complex known as Frey's syndrome (1). Also referred to as auriculotemporal syndrome or gustatory sweating, it is most commonly encountered in post-parotidectomy patients. Its incidence is not known for certain, but it is estimated that approximately 50% of post-parodidectomy patients will report symptoms, while over 90% will test positive for gustatory sweating using objective tests. Symptoms usually become apparent within several months of surgery (1,2).

67. Hyperhidrosis Center :: Procedure gustatory sweating occurs when eating spicy foods and is typically sweating ofthe upper lip, forehead, or back of the neck. Dry Hands http://www.stopsweat.net/procedure.html

Surgical Treatment Endoscopic thoracic sympathectomy (ETS) is a minimally invasive surgical treatment for hyperhidrosis. The procedure is performed with the use of a video camera through three 1/8 incisions on each side of the chest. Through the video camera the sympathetic nerve is located in the chest along the spinal cord and the nerve is cut at the level that corresponds to the patients sweating. Different levels of the sympathetic nerve are cut, which corresponds to where excessive sweating occurs. In our experience, preferentially only one level should be performed to minimize compensatory hyperhidrosis. (See Side Effects for more information regarding compensatory hyperhidrosis.) The procedure is performed under a general anesthesia and takes approximately one hour. Following the procedure patients typically spend 2-3 hours in the recovery room and are then released to home. The sympathectomy procedures are typically done on Fridays; and although recovery times vary, most patients return to school/work on Monday.

68. ASAMS Articles - Copyright To Contributor And/or ASAMS A further 510% of patients may develop ‘gustatory sweating’ which is an increased (d) Post-gustatory sweating propantheline hydrobromide before meals http://www.arachnoiditis.info/content/articles/neurological_aspects_arach/neuro_

WEB ARTICLE (Posted 4 August 2001) Contents Part One Part Two Part Three Neurological Aspects of Arachnoiditis (extracted from "Itches and Twitches, Pains, Pins and Needles, Ringing in the Ears and Spinning: A Catalogue of Neurlogical Symptoms") by Dr. Sarah Smith IMPORTANT NOTE: The information in this article is for general purposes only and is NOT a substitute for medical consultation. You should NEVER attempt to self-diagnose. Part Three: PAIN, PINS AND NEEDLES AND OTHER SENSORY PROBLEMS TYPES OF PAIN: In arachnoiditis, the predominant pain tends to be neuropathic (neurogenic) , i.e. arising from nerve damage. However, one must also bear in mind that there may be musculoskeletal pain both from the original underlying spinal problem and also as a secondary feature due to muscle tension in response to unalleviated pain. So there may be a variety of different types of pain experienced. The commonest ones appear to be: Burning Shooting/stabbing Deep aching Muscle spasm Joint pain Headache Abdominal pain PINS AND NEEDLES The term paraesthesiae encompasses a wide variety of abnormal sensory experiences, which tend to be described as:

69. Arch Intern Med -- Abstract: Diabetic Gustatory Sweating Successfully Treated Wi Background gustatory sweating is a more common manifestation of diabetes Results gustatory sweating was relieved by application of glycopyrrolate and http://archinte.ama-assn.org/cgi/content/abstract/159/8/877

Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA (1998-2004) JAMA CareerNet For The Media Meetings Peer Review Congress Vol. 159 No. 8, April 26, 1999 Featured Link E-mail Alerts Clinical Observation Article Options Full text PDF Send to a Friend Similar articles in this journal Literature Track Add to File Drawer Download to Citation Manager PubMed citation Articles in PubMed by Urman JD Bobrove AM Articles that cite this article ISI Web of Science (6) ... Contact me when this article is cited Topic Collections Aging/ Geriatrics Dermatology Sweating Topic Collection Alerts Diabetic Gustatory Sweating Successfully Treated With Topical Glycopyrrolate Report of a Case and Review of the Literature Jeffrey D. Urman, MD Arthur M. Bobrove, MD Arch Intern Med. Gustatory sweating is a more common manifestation of diabetes mellitus than is appreciated. It is a distressing problem that has been difficult to treat safely. Daily topical application of glycopyrrolate roll-on lotion was offered as an alternative to oral anticholinergic agents to an 87-year-old woman with long-standing type 2 diabetes mellitus who complained of profuse sweating after eating.

70. The Clinical Journal Of Pain - Abstract: Volume 19(3) May/June 2003 P 192-199 Ch Pathologic gustatory sweating was present in 7/11 patients asked, and abnormalsweating (known as compensatory hyperhidrosis) in 11/13 patients asked. http://www.clinicalpain.com/pt/re/clnjpain/abstract.00002508-200305000-00007.htm

LWWOnline LOGIN eALERTS REGISTER ... Archive Characteristics and Associated... ARTICLE LINKS: Fulltext PDF (497 K) Permissions Characteristics and Associated Features of Persistent Post-Sympathectomy Pain. Clinical Journal of Pain. 19(3):192-199, May/June 2003. Kapetanos, Anastasios T. HonBSc *; Furlan, Andrea D. MD *++[S]; Mailis-Gagnon, Angela MD *+[S] Abstract: Objectives: The aim of this study is to describe the incidence and characteristics of pain, sensory abnormalities, abnormal body sweating, and pathologic gustatory sweating in pain patients with persistent post-sympathectomy pain. Methods: A retrospective chart review of a series of consecutive pain patients with persistent post-sympathectomy pain was performed. Inclusion criteria were: (1) sympathectomy performed for the indication of neuropathic pain, and (2) persistent pain after the procedure. Demographic data, patterns of pain before and after sympathectomy, patients' pain drawings, and incidence of pain had been collected concurrently at the time of referral. Additional data regarding sensory findings, surgical details of the sympathectomy, sweat patterns, and incidence of abnormal body sweating and pathologic gustatory sweating were extracted from the patients' charts or obtained in follow-up appointments. Results: Seventeen adults (13 females and 4 males) with a mean age of 37 years (range 25-52) at the time of sympathectomy met the inclusion criteria. Five of the 17 patients experienced temporary pain relief for an average of 4 months (range 2-12 months), 3/17 retained the same pain as before the surgery, 1 patient was cured of her original pain but experienced a new debilitating pain, and 8/17 patients continued to have the same or worse pain in addition to a new or expanded pain. Pathologic gustatory sweating was present in 7/11 patients asked, and abnormal sweating (known as compensatory hyperhidrosis) in 11/13 patients asked.

71. The Clinical Journal Of Pain - UserLogin Pathologic gustatory sweating was present in 7/11 patients asked, and abnormalsweating Physiological gustatory sweating in a warm climate. J Physiol. http://www.clinicalpain.com/pt/re/clnjpain/fulltext.00002508-200305000-00007.htm

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72. BJS - Your Gateway To The British Journal Of Surgery Online also known as gustatory sweating, with botulinum toxin A.Thirteen patients with a showed a decrease of gustatory sweating of more than 90 per cent. http://www.bjs.co.uk/bjsCda/cda/microJournalArticleDetail.do?DOI=10.1046/j.0007-

73. FfSo Poll - Information On Side-effects Of ETS Moderate compensatory sweating, 7. Horner s Syndrome, 11. gustatory sweating, 7.Cold or warm hands, 2. Cold or warm feet, 1 http://home.swipnet.se/sympatiska/eenkinf.htm

INFORMATION OF POSSIBLE SIDE-EFFECTS Which written information of possible side-effects did you get before the operation? Possible side-effect Number of patients who claim that such written information was given Mild compensatory sweating Moderate compensatory sweating Horner's Syndrome Gustatory sweating Cold or warm hands Cold or warm feet Dry hands Pain from the back Pneumothorax or hemothorax Out of 96 responding the poll 60 persons (62 %) claimed that no written information was given! Which verbal information of possible side-effects did you get before the operation? Possible side-effect Number of patients who claim that such verbal information was given Mild compensatory sweating Moderate compensatory sweating Stomach problems Horner's Syndrome Gustatory sweating Reduced physical capacity Cold or warm hands Cold or warm feet Other possible sideeffects (dry hands, sweaty feet, sweaty arms) Out of 93 who answered this section 15 claimed that no verbal information was given. Out of these 15 persons 14 claimed that neither written nor verbal information was given!

74. Medicdirect - Comprehensive UK Health Information Prevention of salivary leak, gustatory sweating and facial hollowing. After asuperficial parotidectomy, occasionally saliva can leak from the raw surface http://www.medicdirect.co.uk/operations/default.ihtml?pid=1663&step=4

75. Medicdirect - Comprehensive UK Health Information Prevention of salivary leak, gustatory sweating and facial hollowing. After superficialparotidectomy occasionally saliva can leak from the raw surface of http://www.medicdirect.co.uk/operations/default.ihtml?pid=1678&step=4

76. Surgical Procedures gustatory sweating, or Frey’s syndrome, refers to increased facial sweating Some degree of gustatory sweating is quite common after parotid surgery. http://www.gbmc.org/headandneckrehab/surgicalprocedures

Home About Us Cancers of the Head and Neck ... Upcoming Conferences Neck Dissection What is a neck dissection? Neck dissection is an operation done to remove groups of lymph nodes from the neck. It can be done on one or both sides of the neck. Lymph node groups in the neck are numbered I-V. Selective neck dissection is removal of only a few of the groups of lymph nodes on one side of the neck. Comprehensive neck dissection involves removal of all lymph node groups on one side of the neck (levels I, II, III, IV, and V). What is a radical neck dissection? “Radical Neck Dissection” is an operation in which the sternocleidomastoid muscle, the internal jugular vein, and the spinal accessory nerve are removed in addition to removing all of the lymph nodes in levels I-V. This operation is still sometimes performed to remove very extensive neck disease. Modified Radical Neck Dissection is performed more frequently. This operation entails removing all of the lymph node levels but sparing at least one of the 3 structures mentioned above: the muscle, the jugular vein, and/or the accessory nerve. The type of operation you have depends on the type of tumor, the location and size of the tumor, and on whether or not there is already evidence of tumor spread to the lymph nodes. Why do I need to have a neck dissection?

77. Journal Of Craniofacial Surgery - UserLogin patients undergoing conservative parotidectomy and prevents the gustatorysweating. conservative parotidectomy, and it prevents gustatory sweating. http://www.jcraniofacialsurgery.com/pt/re/jcransurg/fulltext.00001665-200409000-

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78. Hyperhidrosis - Treatment For Hyperhidrosis - Hyperhidrosis Information gustatory sweating occurred in 2 (4%) patients. A mean score of patient ssatisfaction with surgery was 8.5 + or 1.2. http://curesweatypalms.com/T-3_Hyperhidrosis_Article.shtml

var ace_path = ''; Home Email Us Payment Methods Testimonials CENTER FOR THE CURE OF SWEATY PALMS specializing in the cure of hyperhidrosis, sweaty palms, underarm and foot sweating Awards Success Stories "Thank you Center for the Cure of Sweaty Palms™. Your staff was compassionate, caring, and very professional. You made me feel like family. I was attended to in prompt and hospitable manner. Everything was thoroughly explained in detail to me. I can't wait to tell everyone how successful my surgery was! You are definitely a Five Star Facility!" - Reno, Nevada For more testimonials, CLICK HERE Millions of Americans Suffer from Hyperhidrosis. You are not alone! Make an appointment. The cure is just a phone call away. Call us Toll Free : 1 (866) PALM 911 Visit our Hyperhidrosis FREE SEMINAR Thoracoscopic T-3 Sympathicotomy For Palmar Hyperhidrosis CHEST Oct, 1999 by Kwang-Taik Kim, I H Kim, K Sun, I S Lee, H M Kim Purpose: The study was designed prospectively to evaluate the effectiveness of T-3 sympathicotomy in treatment of palmar hyperhidrosis. Methods: In the period from June to December 1998, fifty patients underwent T-3 sympathicotomy for palmar hyperhidrosis either in isolation (n=37) or in combination with axillary hyperhidrosis (n=13). Two patients of an isolated type were recurred cases after previous T-2 sympathectomy. Gender distribution was 24 males and 26 females, and the mean age was 20 years. The bilateral T-3 sympathetic trunks were severed by using 2 mm electrocoagulation scissors for an isolated type. T-4 sympathetic trunks were included bilaterally for a combined type. A linear analogue scale was used to assess the degree of sweating on the palms, face, trunk, and feet (ranged to 10; = anhidrosis vs. 10 excessive sweating) as well as the patient's satisfaction with surgery (ranged to 10; = regret vs. 10 = completely satisfied). The average follow-up period was 4.3 months.

79. Hyperhidrosis - Treatment For Hyperhidrosis - Hyperhidrosis Information the first specific treatment for diabetic gustatory sweating. toxin typeA treatment in patients with gustatory sweating (Frey s Syndrome). http://curesweatypalms.com/Treatment_Hyperhidrosis_Article.shtml

var ace_path = ''; Home Email Us Payment Methods Testimonials CENTER FOR THE CURE OF SWEATY PALMS specializing in the cure of hyperhidrosis, sweaty palms, underarm and foot sweating Awards Success Stories "Thank you Center for the Cure of Sweaty Palms™. Your staff was compassionate, caring, and very professional. You made me feel like family. I was attended to in prompt and hospitable manner. Everything was thoroughly explained in detail to me. I can't wait to tell everyone how successful my surgery was! You are definitely a Five Star Facility!" - Reno, Nevada For more testimonials, CLICK HERE Millions of Americans Suffer from Hyperhidrosis. You are not alone! Make an appointment. The cure is just a phone call away. Call us Toll Free : 1 (866) PALM 911 Visit our Hyperhidrosis FREE SEMINAR Treatment of hyperhidrosis Journal of Drugs in Dermatology, Oct, 2003 by Lewis P Stolman Abstract Hyperhidrosis, or excessive sweating, is a disorder that may cause social isolation or occupational disability. It may be generalized or localized, and although frequently idiopathic it may be a manifestation of a number of important systemic diseases. Drugs, surgical procedures, and electrical devices may all be employed by the physician as therapeutic weapons to treat hyperhidrosis. Discussion The primary function of the eccrine sweat glands is to assist in the maintenance of body temperature in response to heat exposure or exercise. Hyperhidrosis may be defined as sweating beyond what is necessary to maintain thermal regulation. It may be primary (idiopathic, essential) or secondary to a number of diseases and prescribed drugs. It may be localized, regionalized, or generalized (1). Regardless of the type or the cause of the hyperhidrosis, it is frequently socially embarrassing and occupationally disabling. Excess sweat on the hands may soil paper and art work and make it virtually impossible to play many musical instruments. Careers in fields that require contact with paper, metal, or electrical components become unrealizable. Axillary and plantar hyperhidrosis may result in stains and damage to clothing and shoes. Generalized or regionalized hyperhidrosis may leave affected individuals with wet clothing that may have to be changed a number of times each day.

80. The Straight Dope: Do Chinese Lack Sweat Glands In Their Armpits? Why Does Spicy gustatory sweating is thought to be a side effect of the reflex that makes you For ordinary gustatory sweating, just shun the jalapeños and stick to http://www.straightdope.com/columns/021004.html

Home Page Message Boards News Archive ... Recent Columns Index Do Chinese lack sweat glands in their armpits? Why does spicy food make you sweat? 04-Oct-2002 Dear Cecil: A good friend of mine, a Chinese born in Nanking, China, told me that many Chinese (including himself) do not need to use deodorant. "We don't have sweat glands under our arms," he said, "We don't need to use deodorant." I'd always thought that all humans were endowed with similar glands and organs. We all have lungs, livers, hearts, lymph glands, etc. Is Mr. Fu wrong? He's rarely wrong about anything, honest. Marshall Why does spicy food make you sweat? Mike Bethany, Denver Cecil replies: Mr. Fu exaggerates, but he's not completely wrong. It's not that Asians don't have sweat glands under their arms; the difference is that they have markedly fewer apocrine glands than black or white people. That doesn't mean they sweat less eccrine glands, the other main type of sweat gland, are a thousand times more numerous on most bodies, and Asians have plenty of them. But apocrine glands are the kind that make you stink. Those lucky Asians, you may saybut every silver lining has its cloud. For Asians it's

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