ESFB Channel - Welcome 2. gustatory sweating This is a clinical situation in which the patientwill have facial sweating while eating spicy or sour foods. http://www.esfbchannel.com/experts/2001-05_reisfeld.shtml
Extractions: A: ETS is being done today for three main clinical reasons, palmar hyperhidrosis, facial sweating, and facial blushing. The ETS can be done either by excising a segment of the sympathetic chain or destructing it with electrocautery or ultrasonic scalpel. Over the last 3 years the clamping method became available which gives a possibility of reversal. All methods are equally effective but with the clamping method a patient would get the added benefit of possible reversal* This operation should not be taken lightly, it is meant only for those who are suffering on the functional level as well as the social level. * For more information on any of my answers please refer to my up to date web site www.sweaty-palms.com
Extractions: Overview Symptoms Causes Treatment ... FAQ Symptoms: Hyperhidrosis can occur in many different areas of the body. Most commonly, hyperhidrosis appears on the palms. In this case it is known as Palmar Hyperhidrosis. The condition isn't just limited to the hands. Hyperhidrosis is also a problem on the facial area, the soles of the feet and the armpits (axillae.) Severe facial blushing may coexist. Regardless of where it is located, hyperhidrosis presents an embarrasing problem to those afflicted with it. Shaking hands becomes uncomfortable, making business and day-to-day life a problem. Patients report that they are even embarrassed to hold the hands of those they love. Patients commonly suffer from various degrees of social phobia causing them to withdraw from normal activities.
Treatment Of Hyperhidrosis (2) In all cases, gustatory sweating ceased within two days with a meanduration of effect of 17 months. gustatory sweating may also occur. http://www.regence.com/trgmedpol/medicine/med79.html
Extractions: Treatment of secondary hyperhidrosis naturally focuses on treatment of the underlying cause. A variety of therapies have been investigated for primary hyperhidrosis, including topical therapy with aluminum chloride or tanning agents, iontophoresis, botulinum toxin, upper dorsal sympathetic ganglionectomy, and endoscopic transthoracic sympathectomy. Botulinum toxin has also been investigated as a treatment of secondary gustatory hyperhidrosis, which may be a complication of parotidectomy. Other uses of botulinum toxin are discussed separately in the medical policy for botulinum toxin, drug policy number 6. Policy/Criteria Where hyperhidrosis may be secondary to a primary medical condition, that primary condition should be identified and treated where possible.
Treatment Of Palmoplantar Hyperhidrosis option, including compensatory sweating (induction of sweating in previously unaffectedparts of the body), gustatory sweating, pneumothorax, intercostal http://www.mf.uni-lj.si/acta-apa/acta-apa-02-1/altman.html
Extractions: 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. 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. 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:
Thoracoscopic Sympathectomy face, and underarms. gustatory sweating Some people experience increasedsweating when they eat. Horners Syndrome Resulting http://www.umm.edu/thoracic/thoracic5a.html
Extractions: Sympathectomy Procedure Process ... Education Resources Surgeons have known for a long time that a procedure called sympathectomy can cure excessive sweating in the hands, face, and underarms and sometimes the feet as well. It also cures problems with persistent facial blushing. Sympathectomy involves cauterizing (cutting and sealing) a portion of the sympathetic nerve chain that runs down the backbone, parallel to the spinal cord. This operation permanently interrupts the nerve signal that is causing the body to sweat excessively. In the past, this was a complicated procedure because surgeons needed to make a major incision to reach the sympathetic chain . They either had to open the chest cavity or approach through the back, just below the neck. In either case, the risks related to major surgery generally were thought to outweigh any potential benefits. However, recent advances in visually-assisted endoscopic surgery have made it possible for surgeons to perform the procedure with only very small incisionsin fact, less than one inch each. Using a fiberoptic camera and small surgical instruments, the surgeon can locate and cut the right portion of the sympathetic chain in a relatively simple operation. Most patients require just an overnight stay in the hospital.
Dorlands Medical Dictionary sweating (sweat·ing) (swet¢ing) the secretion of sweat. Called also perspiration,diaphoresis, and sudoresis. gustatory sweating, auriculotemporal syndrome. http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszS
Extractions: Department of Neurological Surgery Introduction News Faculty and Staff Clinical Divisions SERVICES Residency Program Research Hyperhidrosis Surgery Primary hyperhidrosis is a condition of excessive and inappropriate sweating due to overactivity of certain portions of the sympathetic nervous system, which controls sweating and other involuntary functions. This most often affects the palms of the hands but may also affect the axillae (underarms) and face, where it is sometimes accompanied by severe flushing or reddening. Other areas including the soles of the feet and the trunk may also be involved. Hyperhidrosis may be more common in Asian populations but can occur in any ethnic group. Although the cause of the disorder is unknown, it appears to have a tendency to run in families. Usually the excessive sweating begins around the time of puberty, when maturation of the sweat gland under the arms and in the groin region occurs; how this maturation is related to the onset of palm (and sometimes foot) sweating is not known. Sweating may be quite severe and may occur spontaneously or be brought on by anxiety, or even by wearing covering on the feet. The problem can sometimes be severe enough that sweat actually drips from the fingers. This can be not only a very difficult social problem, but in occupations requiring frequent contact with people (receptionists, physicians, food handlers, etc.) it actually can be quite disabling. Common treatments have included the use of drying powders and even galvanic stimulators, which actually run electrical current through the palms to temporarily render the sweat glands inactive. This procedure, while moderately effective, is uncomfortable and requires daily use, sometimes several times a day. More recently, the use of botulinum toxin injection into affected areas has been introduced. When performed by an experienced physician, this can also be effective. Like galvanic stimulation, it is temporary and acts only on the locally treated skin surface.
HEROS Home Page Sources Of Help Crisis Local Living Health greater cosmetic effect. Prevention of salivary leak, gustatory sweatingand facial hollowing. After superficial parotidectomy occasionally http://www.heros.org.uk/health/health.ihtml?step=4&Healthpid=1678
FAQ gustatory sweating, a condition is which sweating increases while eatingor smelling certain foods develops in uncommon cases. The http://www.nosweatsurgery.com/faq.htm
Extractions: After ETS surgery, patients may experience compensatory sweating of the chest, abdomen, thighs and legs. This occurs in 30-50% of patients. Less than 2% of patients are bothered by this side effect. Compensatory sweating often improves with time. In general, problems with compensatory sweating increase with the number of sympathetic ganglion cut during ETS surgery. For example, a patient who has the T-2, T-3 and T-4 ganglion divided is much more likely to develop compensatory sweating than a patient who is treated only at T-2. Dr. McCormack uses intraoperative nerve stimulation and monitoring to precisely lesion only the ganglion that cause the hyperhydrosis. This technique minimizes the number of sympathetic ganglion divided and reduces the incidence of compensatory sweating. Check out Advances in ETS Surgery to learn more!
ASAMS Articles - Copyright To Contributor And/or ASAMS Nocturnal diarrhoea. Postgustatory sweating (after meals). Bladder (d)Post-gustatory sweating propantheline hydrobromide before meals. (e http://www.aboutarachnoiditis.org/content/articles/neurological_aspects_arach/ne
Extractions: 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: PINS AND NEEDLES The term paraesthesiae encompasses a wide variety of abnormal sensory experiences, which tend to be described as:
Extractions: Seminars/Meeting Schedules What is hyperhidrosis? Hyperhidrosis is the medical term for excessive sweating. Sweating is the body's way of cooling itself. In the case of palmar hyperhidrosis, the sweating of the hands is excessive. People with this condition suffer terrible embarrassment from their constantly "wet" hands. These individuals cannot hold glasses of liquid safely, hold objects without getting them "wet," hold hands or shake hands comfortably. Return to top of page What causes hyperhidrosis?
Hyperhidrosis A second potential side effect is gustatory sweating. This is an increase sweatingwith eating. This occurs in 510% of patients, but is rarely severe. http://www.lunglinks.com/programs/Hyperhi/Hyperhid.html
Extractions: The main symptom is excessive sweating of the hands, armpits and/or feet. This sweating is severe, often so severe that sweat drips from the hands onto clothing or computer keyboards and causing patients to have a cold wet handshake. It is sometimes caused by emotion, stress or exercise, but can occur spontaneously. Treatment Medical Treatment Anticholinergic drugs or topical creams are inconvenient, unpleasant and the relief is temporary. Iontophoresis (placing the hands in a bath through which an electrical current is passed) provides only short term relief (6 hours to 1 week). Botox (botulinim toxin) treatment requires several injections in the palms or underarms to provide relief for 1 to 6 months. Surgical Treatment The surgical treatment of Hyperhidrosis involves cutting the sympathetic trunk. This is accomplished by a procedure called endoscopic thoracic sympathectomy (ETS) or thoracoscopic sympathectomy. General anesthesia is required for this procedure. Once asleep, 3 small incisions are made below the armpit. A telescope attached to a miniature video camera is passed through one incision. The sympathetic chain is identified. The other incisions are utilized to accommodate the surgical instruments. The lung is collapsed to allow the surgeon to maneuver. When the procedure is completed the lung is re-expanded and the incisions are closed. A small tube may be kept in place to allow evacuation of air from the chest, but this is usually removed within a few hours of surgery. After one side is completed the second side is approached in the same manner.
SH Publications A randomised controlled trial of topical glycopyrrolate, the first specifictreatment for diabetic gustatory sweating Diabetologia 40 299301. http://www.lancs.ac.uk/users/ihr/shollis/shpub.html
Extractions: Publications Sally Hollis Medical Statistics Unit , Lancaster University, UK C Preston, S Hollis . Allowing for uncertainty due to missing data in a binary meta-analysis. Better than best/worst case analysis? Statistics in Medicine (submitted 2002). S Hollis (2002) A graphical sensitivity analysis for clinical trials with non-ignorable missing binary outcome Statistics in Medicine D Langley, S Hollis , T Friede, D MacGregor, A Gatrell (2002). The Impact of Community Neonatal Services: A Multi-Centre Survey. Archives of Disease in Childhood R Foy, N Tidy, Hollis S (2002). Inter-professional learning in primary care: lessons from an action-learning programme. British Journal of Clinical Governance CD Karkos, GJ Thomson GJ, R Hughes, S Hollis , JC Hill, US Mukhopadhyay (2002). Prediction of cardiac risk before abdominal aortic reconstruction: comparison of a revised Goldman Cardiac Risk Index and radioisotope ejection fraction. Journal of Vascular Surgery ME Anderson, TL Moore, S Hollis , MIV Jayson, TA King, AL Herrick (2002). Digital vascular response to topical glyceryl trinitrate, as measured by laser Doppler imaging, in primary Raynaud's phenomenon and systemic sclerosis. Rheumatology CG Pooley, C Gerrard
HYPERHIDROSIS A second potential side effect is gustatory sweating. Patients who developthis problem note increased sweating when they are eating. http://www.sts.org/doc/4097
Extractions: Summary Hyperhidrosis is a disorder characterized by excessive sweating that occurs in up to 1% of the population. The excessive sweating can occur in the hands (palmar hyperhidrosis), in the armpits (axillary hyperhidrosis), or in the feet (plantar hyperhidrosis). Although nobody understands the exact cause of this excessive sweating in specific individuals, it is known that the sweating is controlled by the sympathetic nervous system. The human body possesses two different sets of nerves: the somatic nervous system and the autonomic system. The somatic nervous system is the system of voluntary nerves that give us sensation (pain, heat, and touch) as well as the control of our muscles that allow us to move the different portions of our body at will. The autonomic nervous system, on the other hand, is the involuntary nervous system. Many of our bodily functions occur without conscious control such as the rate at which we breathe, the beating of our heart, and the production of sweat, which is important for regulating body temperature. The autonomic nervous system is made up of two components: the sympathetic and the parasympathetic systems. It is the sympathetic nervous system that controls the sweating throughout our bodies.
Extractions: Living with diabetes Nerves (Neuropathy) The symptoms of neuropathy also depend on which nerves and what part of the body is affected. Neuropathy may be diffuse, affecting many parts of the body, or focal, affecting a single, specific nerve and part of the body. Focal Neuropathy (including multiplex neuropathy) Diffuse Neuropathy The most common type of peripheral neuropathy damages the nerves of the limbs, especially the feet. Nerves on both sides of the body are affected. Common symptoms of this kind of neuropathy are often worse at night, and include: Numbness or insensitivity to pain or temperature Tingling, burning, or prickling
Types Neuropathy its temperature. Other times, the result can be profuse sweating atnight or while eating (gustatory sweating). Focal Neuropathy http://www.burningneuropathy.com/types_neuropathy.htm
Extractions: The damage to nerves often results in loss of reflexes and muscle weakness. The foot often becomes wider and shorter, the gait changes, and foot ulcers appear as pressure is put on parts of the foot that are less protected. Because of the loss of sensation, injuries may go unnoticed and often become infected. If ulcers or foot injuries are not treated in time, the infection may involve the bone and require amputation. However, problems caused by minor injuries can usually be controlled if they are caught in time. Avoiding foot injury by wearing well-fitted shoes and examining the feet daily can help prevent amputations.
Neuropatiasuositus gustatory sweating in diabetes mellitus. A randomised controlled trial of topicalglycopyrrolate, the first specific treatment for diabetic gustatory sweating. http://www.diabetes.fi/diabtiet/hoitsuos/neuropat/lahteet.htm
Extractions: Diabetic Neuropathy Working Party. International guidelines on the out-patient management of diabetic peripheral neuropathy. London 1995. Handbook of Diabetes. Williams G, Pickup IC (toim.). Blackwell Science Ltd. London 1998. International Working Group on the Diabetic Foot. International Consensus on the Diabetic Foot. Amsterdam 1999. Neuropaattisen kivun hoito: Erdine S, Yucel A, Osyalcin S. Efficacy of tramadol hydrochloride in chronic painful diabetic neuropathy: A double-blind placebo-controlled study [abstract]. 8th Wold Congress of Pain, Vancouver, British Columbia, Canada 1996. Gooch C, Rumpf A, Kamin M. Maintenance of the long-term effectiveness of tramadol HCL in the treatment of the pain if diabetic neuropathy. [abstract]. American Pain Society Congress, San Diego, USA 1999. McQuay H ja Moore A (toim.) An evidence-based resource for pain relief. Oxford University Press 1998.
010. Poisoning By Capsicum: Anil Aggrawal's Forensic Toxicology Page It is called gustatory sweating because it differs from sweating following physicalexercise, protecting against hot environment or expressing emotional stress http://members.tripod.com/~Prof_Anil_Aggrawal/poiso010.html
Extractions: -Dr. Anil Aggrawal "Good morning doctor. Oh, my God, what are you doing today. You seem to be doing the post-mortem on a very young infant. What happened to her? Please tell me." "Good morning Tarun. The name of this young 5 month old girl is Neeta. She was born to Pyarelal and his first wife Seema. Just after her birth, Seema expired because of some complication. Pyarelal soon remarried another woman Anita, apparently because he wanted someone to look after his young daughter. But from her behavior it did not appear that Anita had any great liking for Neeta. She would often keep her hungry and would torture her in several other ways. There were rumors that Anita even wanted to do away with Neeta for good. In fact she wanted that her own children - as and when they were born- get due importance in the family....." "So you think that Anita has killed this young child?"
Autonomic Differential Diagnosis Chagas' disease (Trypanosomiasis cruzii); gustatory sweating (Frey's syndrome);Familial visceral myopathy with external ophthalmoplegia ¡Error!Referencia de http://www.geocities.com/HotSprings/Spa/3960/autonomic.html
