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Botox for excessive sweating

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Drenched in sweat? Feeling stinky? Want to hide from friends? Botox might change your life. 

botulinum toxin

The picture above is of the botulinum toxin the protein and neurotoxin used in Botox treatments. 

Click button to listen to Botox for Perspiration and rightclick to download

IN THE MIRROR: The dry factor by Dr Nantapat Supapannachart


Recall the hot days when you were covered in sweat, or while at a soiree, you greeted someone with a sweaty handshake, or lifting your arms to say ciao while giving them a sneak peak of a wet underarm. Just the thought of it is terrifying, isn't it.

Three percent of the population endures this daily. Individuals with hyperhidrosis experience profuse perspiration regardless of the level of physical activity, or the weather. In a scent-centric society like ours, drenched in sweat at all times can be enough reason to poison yourself with botulinum toxins or botox.

ISN'T BOTOX AN ANTI-AGEING TREATMENT?

True, but that's not all it is. Although botox is most commonly linked with removing dynamic wrinkles lines particularly on the forehead, frown lines, crow's feet or lifting sagging breasts, this magical toxin can also be used to treat excessive perspiration, migraines, overactive bladders and lower back pains.

HOW DOES IT WORK?

The body's mechanic [mechanism] that is relevant for the use of botox, includes a chemical called acetylcholine, which is released by the nerves to signal muscle movements in the desired body part. For instance, to move your arm, the brain will signal the nerve to release acetylcholine to the arm muscle. When the receptor at the arm muscle receives this chemical, it contracts causing arm movement

Botulinum toxin is a complex protein produced by the bacterium clostridium botulinum.

There are seven types of botulinum toxins, serotype A to G. Out of the seven, serotype A, the most stable and researched serotype, is used for botox. Serotype A, when injected, blocks the reception of acetylcholine and stops or significantly reduces the contraction of that muscle. Botox paralyses the muscles in the injected area

HOW DOES THIS APPLY TO HYPERHIDROSIS?

By blocking the nerve endings of the sympathetic nervous system that stimulates the sweat glands, Botox temporarily controls excessive sweating. Your sweat doesn't go anywhere or get backed up because the sweat simply is not produced in the areas treated with botox. Armpits (axillary hyperhidrosis), hands, feet and the groin area are among the most active regions of perspiration due to relatively high concentration of sweat glands; however, any part of the body may be affected.

WHAT ARE THE RISKS INVOLVED WITH INJECTING THIS POISONOUS PROTEIN?

Even though the botulinum toxin is one of the most dangerous toxins, the amount used for botox and if injected correctly, is very low, so it will not have any adverse effect on the body. Minor side effects may include pain, headache, nausea or flu-like symptoms. These usually last a short period of time.

Note that botox is not recommended for pregnant or breastfeeding women and those who are allergic to drugs of the albumen group. Even people with neurological disorders do not qualify for botox treatment. Like for all remedies, it is best to consult a qualified physician first.

DO I HAVE TO PREPARE WELL IN-ADVANCE?

In fact, it's just the contrary. The procedure is quite simple. Just 24 hours before treatment, patients should avoid deodorants and antiperspirants and half an hour before the procedure refrain from exercise and hot beverages.

For the treatment, the affected area is first dried for iodine application to identify the sweat glands. A drop of botox is then injected through a very fine needle into the marked areas. There will be about 15-20 injections on each armpit and 20-25 for each palm. This non-invasive outpatient procedure takes about 10 to 15 minutes and then you can freely run your errand.

AFTER THE PROCEDURE, CAN I EXPECT TO STOP SWEATING COMPLETELY?

You should see results within 48 hours and sometimes body odour may also disappear. However, there's no guarantee for the latter, so do not toss away your deodorant until then. Another thing you should know is botox is not a permanent solution. Conditions will gradually be the same as pretreatment within an average of six months. For some patients it may last only four months but in some cases there is no sweat in the injected area for up to a year. After that, you will have to repeat the procedure to retain the benefits

SOUNDS CREDIBLE, BUT HOW MUCH WILL IT COST ME?

Prices can vary anywhere from a couple of thousands to several tens of thousands of baht, and as mentioned above, you need to repeat the procedure every few months.

IS IT WORTH IT?

It could improve the quality of your life. Weigh hanging out with friends and associates with poise for about half a year against shying away from invites for fear of humiliation.

MORE INFO

Alternative treatments for hyperhidrosis include use of deodorants and antiperspirants, anticholigernic drugs, tap water iontophoresis and surgery.

(Source: Bangkok Post, IN THE MIRROR, The dry factor, 12/05/2011, Dr Nantapat Supapannachart, link)


Botox and Medical Vocabulary

botox - the popular name of "botulinum toxin" , also the name attached to many popular medical treatments, some of them cosmetic such as removing wrinkles (See Wikipedia)
botulinum toxin - a protein produced by the bacterium Clostridium botulinum that is extremely neurotoxic (See Wikipedia)
acts by suppressing the release of acetylcholine

toxin - a poisonous substances พิษ
neurotoxin - a toxin that works on nerve cells (See Wikipedia)

bacterium - bacteria, very small living things with only one cell (See Wikipedia)
clostridium botulinum -
the bacteria that produces the botox protein-toxin (See Wikipedia)

serotype - variations within a type of bacteria or virus (See Wikipedia)
inject - put a substance or medicine into a person's body (by injecting it into the blood with a needle and syringe)

sweat (noun) - the salty water that comes out of your skin when your body is too hot (See Wikipedia) เหงื่อ
drenched in sweat - wet with lots of sweat on the body
sweaty (adjective) - having lots of sweat

sweat glands -
the small tubes in the skin that produce sweat (See Wikipedia)

perspiration - sweat (the more formal medical term that doctors use)
profuse perspiration - lots of sweat
excessive perspiration - lots of sweat

underarm - the areas of the body under the two arms (See Wikipedia) รักแร้
armpits - same as "underarm"
axillary - related to the "underarms" (medical term)
groin - the lower area of the body just before the legs begin (See Wikipedia)

hyperhidrosis
- the medical condition of abnormally increased sweating and perspiration (See Wikipedia)
axillary hyperhidrosis - abnormally increased sweating in the underarm

physical activity - moving your body around (walking, running, exrcise, etc), activity that causes sweating

scent -
a smell, often a pleasant one กลิ่น
scent-centric society - a society that places great value on how things smell
odour - a smell, often one that is unpleasant กลิ่น
deodorant - "substances applied to the body to affect body odor caused by bacterial growth and the smell associated with bacterial breakdown of perspiration in armpits, feet and other areas of the body" (See Wikipedia)
antiperspirants - same as "deodorant"

wrinkle - a line, fold, ridge or crease in the skin, that make a person look older, so people try to get rid of wrinkles (See Wikipedia) ย่น, รอยย่นบนใบหน้า
forehead -
the wide area of skin above the eyes หน้าผาก
frown lines - lines or wrinkles that appear when a person frowns
crow's feet - a wrinkle on the outer edge of the eye from aging (See article and Google Images)

sagging - hangs down loosely, has no energy, cannot stand up
lifting sagging breasts - making breasts, that are falling too much, stand up so that they are more attractive

treat
(verb) - provide medical care to cure a disease or medical condition that a person has
treatment (noun) - the process of providing medical care การรักษา

migraine - a health condition with moderate to severe headaches, and nausea that make it difficult to function normally in life; three times more common in women than in men (See Wikipedia)
bladder -
the sack that holds your urine (slang: "pee" or "piss") before urinating (slang: "pissing") (See Wikipedia)
overactive bladder -
a bladder that is working too hard (passing urine from the kidneys to outside of the body)

nerve
-   เส้นประสาท
neurological - related to the "nervous system"
disorder - a sickness, illness or problem that has a bad effect on a person's body or mind
neurological disorder
- a disease of health condition of the nerves in

sympathetic nervous system - the "fright and flight" part of the Autonomic Nervous System (ANS), together with the Parasympathetic Nervous System (PSNS) controls many of the body's organs (See Wikipedia)

stimulate -
to cause a part of the body to start working (example: stimulate a nerve to send an impulse to the brain)
signal - a change in electrical current that carries information along a nerve
receptor - a thing that receives something (example: receives a nerve signal)
reception -  the act or process of receiving something
release - to allow a substance to flow out from somewhere ปล่อย

protein - the chemical (with a complex structure built from 20 amino acids) in living things that provide the structure (muscle, hair, etc) and regulates body processes (enzymes, antibodies, etc) (See Wikipedia)
cell surface receptor - a protein chemical on teh surface of cells (such as neurons or nerves) that allows them to communicate with the outside world (See Wikipedia)
blocking - stopping and prevent a signal from passing along a nerve
paralyse - making something unable to move (blocking the nerve impulse (motor impulse) that would make it move)

acetylcholine - a neurotransmitter in nerves (See Wikipedia)
neurotransmitter - chemicals that send nerve signals between two nerves at a synapse and between nerves and muscle cells (See Wikipedia)
cholinergic -  "refers to the neurotransmitter acetylcholine... The parasympathetic nervous system, which uses acetylcholine almost exclusively to send its messages, is said to be almost entirely cholinergic" (See Wikipedia)
anticholinergic drugs - "a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. An example of an anticholinergic is dicycloverine, and the classic example is atropine"(See Wikipedia)

contract
(verb) - grow smaller, shrink
contraction (noun) - decreasing in size, shrinking, growing smaller
muscle contraction - the decrease inside of a muscle (used to generate body movement)
movement -
complex - an area that has several parts

stable - not changing frequently, suddenly or a lot, therefore predictable and easy to work with มั่นคง, คงที่, ไม่เปลี่ยนแปลง\
significantly - in an important way อย่างสำคัญ

back up - accumulating or building up when failing to pass through some place

adverse effect - having a negative or harmful effect on something ในทางลบ, เป็นผลร้าย
side effects - possible negative things that can happen to your body when you take medicine to cure an illness (same as "adverse effects")

nausea - the feeling that you are going to vomit
vomit -
when the food passes from your stomch out of your mouth and out of the body
flu - an illness with a fever that is like a severe cold (See Google Definitions)

pregnant - having a baby developing inside the body ท้อง ตั้งครรภ์
breastfeeding - when a mother gives her new born baby milk from her own breasts for a period of time  

allergy
(noun) - a negative response causing a health problem of the body to something in the environment like dust, pollen, fur, a bee sting, some food, or some chemical in the water even, "a damaging immune response by the body to a substance, esp. pollen, fur, a particular food, or dust, to which it has become hypersensitive" (See Wikipedia and Google Definitions)
allergic (adjective)  
allergic to drugs - a negative response of the body to some medicine taken

albumen group -

remedy - a cure for a sickness (or relief for pain and symptoms of a sickness); a solution to a problem

qualify for treatment - meet the conditions for treatment (not have some condition that would make treatment and side effects dangerous)
physician -
doctor
qualified physician - a doctor who has the necessary training to help you with your medical problem (cure your disease)

iodine application - putting the chemical iodine on the skin
fine needle - a very thin and sharp needle
outpatient - a patient treated at a hospital or clinic who is not staying at the hospital (walks in from the outside for treatment)
non-invasive procedure - a medical procedure for which "no break in the skin is created and there is no contact with the mucosa, or skin break, or internal body cavity beyond a natural or artificial body orifice. For example deep palpation and percussion is non-invasive but a rectal examination is invasive" (See Wikipedia)

tap water - water that comes out of the water pipes, paper supplied by the government (not bottled water, not well water)

iontophoresis - a technique using a small electric charge to deliver a medicine or other chemical through the skin. It is basically an injection without the needle (See Wikipedia)

surgery - medical treatment in which a doctor cuts open someone's body การทำศัลยกรรม, การผ่าตัด

General Vocabulary

soiree - a party or social gathering held in the evening
handshake -
shaking hands (the Western (European, American, etc) custom of greeting or saying hello to a person by holding each other's hands and moving them up and down)
ciao -
"hello" in Italian
factor - a fact or situation which influences the result of something ปัจจัย
sneak peak - seeing for just a moment (seeing something you shouldn't see)

terrifying - extremely frightening; causing great fear น่าสะพรึงกลัว

population - all the people in a country
reason - an explanation of an event, why an event happened เหตุ ; เหตุผล ; สาเหตุ

linked - connected เชื่อมโยง
dynamic - moving around (without a fixed or resting position)
excessive - too much; much greater than is usual มากเกินปริมาณที่พอดี

mechanism -
relevant - directly connected and important to what is being discussed or considered ที่เกี่ยวข้อง, ที่เกี่ยวข้องโดยตรง

temporarily - for a limited period of time, not permanent ชั่วคราว
active - working, operating, doing its job
concentration - a lot of something in one place, a large amount in a small area แหล่งชุมนุม หรือ ศูนย์รวม

well in-advance - a long time before the time it must be done
contrary - opposite, does not agree ทางตรงกันข้าม
procedure - a way of doing something ขั้นตอนการดำเนินการ
simple - easy to understand; not complicated ง่าย,ไม่ยุ่งยาก, ไม่ซับซ้อน
refrain - to stop yourself from doing something ระงับ เลิก
beverages - drinks (milk, fruit juice, beer) เครื่องดื่ม

identify - find, locate
errand - a small thing that you must do as part of everyday life (go to the bank, buy food, etc)
run your errand - go do an errand

results - what is produced in the end by an activity or task
guarantee - a promise that something will be done or will happen คำรับรอง, การประกัน (See glossary)
toss - to throw something carelessly โยน
permanent - happening or existing for a long time or for all time in the future ถาวร
retain - to keep รักษา
benefits - goods things that can happen from anm activity ผลประโยชน์

vary -  be different, have different values (within a range of values)
couple - two or maybe three
improve - to make better ทำให้ดีขึ้น
poise - done without any cause for embarassment (in a dignified, calm and self-controlled manner) 
shy away from - stay away from some activity or person because you are embarrassed
invites - invitations (to parties or social gatherings)
humiliation - an unhappy and ashamed feeling ความอัปยศ ความน่าอับอาย embarassment when you look stupid ความน่าอัปยศ


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