Read the answer and treatment details - Woman’s nonstop dren
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Dr. Neelam Singh
Read the answer and treatment details - Woman’s nonstop drenching sweats were a medical mystery
Doctors referred the case of a 56-year-old woman with severe idiopathic generalized hyperhidrosis — profuse widespread sweating with no known medical cause — who was apparently cured of the problem after taking oxybutynin, a drug she was given to treat urinary urgency. Six months after starting the drug, the woman, whose sweating had been so bad she couldn’t leave her house without taking towels, had no such difficulty. The Dutch doctors speculated that the drug’s anticholinergic effect — it blocks the neurotransmitter acetylcholine and has a drying effect — might be responsible. Unlike cases where sweating is limited to a body part — the underarms, palms or feet, which can be treated with Botox injections, antiperspirants or even surgery — there are few treatments other than hormones for generalized hyperhidrosis. Five days after taking oxybutynin, Ruddock’s sweating stopped; three years later, it has not recurred. She still takes the drug every day. Other than dry mouth and an increased risk of heat stroke — the inability to cool the body through perspiration can be dangerous — Ruddock says she has her life back.

The case details given in the question —

Janet Ruddock had tried to live with what she assumed were hot flashes, which began sometime in 2001. While sitting at a friend’s cottage that summer, Ruddock suddenly experienced a drenching five-minute episode, her in­trac­table sweating went into overdrive. Ruddock hadn’t consulted her doctor, assuming that the episodes — which ranged in severity and lasted from a few seconds to more than five minutes — would dissipate with time. But after a year the sweating showed no sign of abating and she became increasingly embarrassed when it occurred in public. The doctor performed a complete physical but found nothing amiss. Ruddock was prescribed hormone replacement therapy, which is sometimes used to treat severe hot flashes. When the first drug failed to help, she began taking a second, which didn’t seem to do much, either. Ruddock kept a symptom diary but noticed no pattern. Her sweating was not triggered by temperature, stress, activity level or time of day. And unlike many menopausal women, she never experienced night sweats. Oddly, her palms, underarms and the soles of her feet remained dry. Some weeks were better than others, containing days with only mild episodes, while at other times the sweating was much severe. Can you tell what was causing the trouble?

Option 1: Diabetes

Option 2: lymphoma

Option 3: Overactive thyroid

Option 4: Something else
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