Hyperhidrosis sweats too much

Dear Dr. Cockroach: Whether outside or at home, regardless of the season, my head sweats whenever I work. I get a lot of sweat from my head. Even if it is air-conditioned, it should be cooled under a fan every 30 minutes. I put ice on my head and don’t sweat anywhere else.
If I’m sitting at home and not working, I’m frozen. Wear a jacket and cover with a blanket. It’s cold whenever the house is below 74 degrees. I’m 75 years old and this has been going on for years. Have you ever heard of something like this? — Anon.
Answer: Sure, you have primary localized hyperhidrosis. Doctors love to make diagnoses and patients are often relieved to know that they have a condition that causes their symptoms, but the name is simply that you are primary (unrelated to other conditions) and localized. Gender (focusing on a part of the body-for you it is your head, but most people notice the face, scalp, or both), high (too much), sweating (sweat). Primary localized hyperhidrosis manifests itself as an excessive amount of sweating associated with normal emotional stress.
If the diagnosis is correct, there is no emotional stimulus to sweating, so we predict that sweating during sleep will not be a problem. Night sweats make you think of menopausal heat. The focal position of your head makes me think that primary localized hyperhidrosis is much more likely.
The fact that you are always cold can be due to the fact that sweating is overcooling you. But some people, especially older people, always run cool. In addition, you may have a medical condition that causes you to feel cool. Low thyroid hormone levels are classic for that.
We apologize for not being able to find a healthcare provider who could diagnose this condition. However, if you ask your doctor about it, they may prescribe topical 20% aluminum chloride hexahydrate or 2% glycopyrrolate for treatment. If these are too irritating or ineffective, a specialist should consider a second treatment.
Dear Dr. Cockroach: I am a 75 year old man who was diagnosed with thalassemia many years ago. My A1C is a little high. Sugar is carried to hemoglobin and my hemoglobin deforms in thalassemia, does it affect my A1C? — JM
Answer: Thalassemia is a group of disorders with abnormal hemoglobin molecules. The hemoglobin molecule usually has four chains. Two alphas and two betas. Clinical variability between different types is significant, from asymptomatic to prenatally fatal. It is estimated that 5% of the world’s population is affected by thalassemia. This makes the blood cells smaller than normal and shortens the lifespan of some blood cells.
A1C is a measure of the amount of sugar bound to the hemoglobin molecule. In people with normal hemoglobin levels, it is a good measure of how blood sugar levels have changed over the life of red blood cells.
The normal A1C range is invalid because the hemoglobin molecules are different. The glucose tolerance test is the best way to make a diagnosis of diabetes. Measuring and averaging many blood glucose levels is the most reliable way to track blood glucose levels in known diabetics. In that case, it is important to get measurements after meals as well as on an empty stomach.
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Dr. Roach regrets not being able to answer the individual letters, but incorporate them into the column as much as possible.Readers can email questions [email protected] Alternatively, send an email to 628 Virginia Dr., Orlando, FL32803.

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