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Ekkus7 karma

Have you considered transthoracic endoscopic sympathectomy?

I had hyperhydrosis of my palms for my entire life. At 33 (two years ago) I had TES surgery after trying lots of other stuff. I never did botox because its painful, expensive, and is not permanent. I did try topical antiperspirants and I took Robinol in pill form for years, which made a slight difference but left me constipated, with hemorrhoids and intestinal bleeding.

I also bought a rather expensive Iontophoresis machine. You submerge your hands or feet into pools of water daily for 15 to 30 minutes and it sends and electrical shock through your body. I had to crank it up to the point where it was slightly painful where the surface of the water met my skin, but it improved my condition slightly. It was not fun to do every single day. You are supposed to eventually be able to only do it once a week but my case was too severe and I never got there.

For the TES surgery, they go in under your armpits, blow your lungs out of the way and clip your sympathetic nerve next to your spine. It instantly stops the palm sweat. There are some side effects though. I find it quite manageable, but my torso sweats much more than it used to. Basically, I have to wear some sort of undershirt all the time, even when wearing a t-shirt, otherwise I may sweat through. If I'm sitting and relaxing, I'm not sweating anywhere, but if I have to stand for long periods of time, I start to sweat, especially above my abs and below my chest. My quality of life has improved immensely though (I can use touch screens and shake hands) and it was well worth it for me personally.

Study the side effects and talk to people who have had it to see if it is the right thing for you. For me, it was life changing.