How to treat sympathetic nervous system hyperhidrosis

High sympathetic nervous system hyperhidrosis can be improved through psychological intervention, medication, physical therapy, lifestyle adjustments, surgical treatment, and other methods. High sympathetic nervous system hyperhidrosis is usually caused by emotional stress, genetic factors, endocrine disorders, neurological abnormalities, drug side effects, and other reasons.

1. Psychological Intervention

Cognitive behavioral therapy can help alleviate anxiety and reduce sweating caused by psychological factors. Relaxation training such as deep breathing and mindfulness meditation can reduce sympathetic nervous system excitability. Some patients can effectively improve their coping strategies with stress through psychological counseling, thereby reducing the frequency of sweating symptoms.

2. Drug therapy

Anticholinergic drugs such as clotrimazole can inhibit sweat gland secretion, but attention should be paid to side effects such as dry mouth. Selective serotonin reuptake inhibitors such as paroxetine are suitable for patients with comorbid anxiety symptoms. Beta blockers such as propranolol can alleviate excessive sweating caused by tension, but are contraindicated for asthma patients.

3. Physical therapy

iontophoresis therapy temporarily blocks sweat gland function through weak current and needs to be repeated to maintain the effect. Microwave coagulation can selectively destroy sweat gland tissue, and the effect can last for a long time. Local cold compress can temporarily constrict sweat gland ducts, suitable for emergency treatment of local hyperhidrosis.

4. Lifestyle Adjustment

Regular sleep patterns can help stabilize autonomic nervous system function and reduce night sweats. Avoiding caffeine and spicy foods can reduce sympathetic nervous system excitability. Wearing breathable and moisture absorbing natural fiber clothing can improve physical comfort and reduce psychological burden.

5. Surgical treatment

Thoracoscopic sympathectomy is suitable for refractory hyperhidrosis, which may cause compensatory hyperhidrosis. Local sweat gland aspiration has a significant effect on axillary hyperhidrosis, but there is a risk of scarring. Surgical intervention requires strict evaluation of indications and is usually the last choice. Patients with sympathetic nervous system hyperhidrosis should maintain moderate exercise, such as low-intensity activities like yoga or swimming, which can help regulate autonomic balance. In terms of diet, whole grains and green leafy vegetables rich in B vitamins can be added to avoid alcohol and nicotine stimulation. Establish a regular sleep cycle and avoid using electronic devices before bedtime. When symptoms continue to worsen or affect daily life, it is necessary to seek medical attention promptly at a dermatologist or neurology department, and develop personalized treatment plans under the guidance of a doctor. Daily carrying of sweat absorbing products and changing of clothes can alleviate psychological pressure in social situations.