Ask the Doc...
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Our panel of doctors offers advice and suggestions to queries from readers.
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Sweating
D. Sahoo
I am 28. My hands and feet are always sweating. I have problems when shaking hands, my pen slips when I write and the paper becomes wet. Sometimes I have chest pain and my palms and feet seem hotter. Some doctors said that this is due to excess body heat, some say it is due to fear. I have taken NEO, Probanthin tablets, but there has been no relief. What is this problem?
Dr. Usha Sriram, Consultant Endocrinologist and General Physician, replies:
Sweating of palms and soles can be quite normal for some and may be due to anxiety or overactive thyroid. Hyperhidrosis (the medical term for increased sweating) is common and can run in families. Many people try simple home remedies like talcum powder, anti-perspirants and solutions containing aluminium to soak their feet. Passing a small current (15mA) through the skin to stop sweating called iontopheresis has been tried. Medications like Propranolol, Atropine, Probanthine, Glycopyrollate have all been tried with varying results. A recent surgical approach called the Endoscopic thoracic sympathectomy that is done at the T3-4 level for palm sweating has been helpful for many patients. Please consult your physician about the above options.
Micturition
Mani Natarajan
I am 72. I have been suffering from micturition for the past one year. When I consulted an Urologist last year, he recommended me that I should undergo "TURP". Since I had undergone two operations — one in 1999 and the other in 2001 — for Hernia, I declined the surgery. He recommended me to take "URIMAX - 0.4 mg" daily. Should I continue with Urimax still?
Dr. S. Duraisamy, Consultant Urologist, replies:
You seem to be suffering from enlarged prostate obstructing the flow of urine and Urimax (Tamsulosin) does not give you a permanent cure. It will give you a temporary relief as long as you take it. Even if you have undergone two operations for hernia in 1999 and 2001 that does not mean you should not undergo a TURP operation. However, the operation can be recommended after a complete evaluation, which includes ultrasound test for the residual urine and uroflow studies by an Urologist.
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