After Lower Back Surgery I Started To Sweat In The

Posted on Tue, 11 Jun 2019

Question: after lower back surgery i started to sweat in the groin and anus area because the doctors went through the front to replace the L5 disc and somehow over stressed the sympathetic nervous system now every time i need to empty the sweat glands go crazy in the butt area and sweat through my pants and i even went to the Mayo Clinic and they and my surgeon said they have never heard of this before , my question is does anyone dr. out there know how to stop my sweating in the anus area

Answered by Dr. Dr. Ashok Kumar Choudhary (8 hours later)

Brief Answer:
TCA can be another choice

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all considering the temporal connection between onset of sweating and low back surgery it is clear that the sweating is result of some damage to sympathetic nervous system although it can not be established any form of test.

Now regarding the management, since glycopyrrolate and nerve block already attempted I feel going for Tricyclic antidepressant can be of helpful. Although there are multiple options in this category but I will recommend you to get prescription for Dothiepin as it have better anti-perspiration effect among the safer tricyclic anti-depressants at your age.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng