Showing posts with label Gustatory Sweating. Show all posts
Showing posts with label Gustatory Sweating. Show all posts

Tuesday, May 10, 2016

Gustatory Sweating

Gustatory Sweating






Gustatory sweating is the sweating produced by consuming food or drink. Excess of sweating is caused when you eat spicy hot foods and there can be profuse sweating on the face, forehead and on your neck when you are ingesting food. The term “gustatory” means taste and hence this problem correlates with the taste buds and parotid glands.


Causes :










Gustatory sweating is caused when there is disruption in the nerve pathways. Damage can be caused to the nerves or its parts causing misdirected re-growth of the parasympathetic nerve receptors. There can be disruption or damage of signals that is sent to the parotid gland causing excess of sweating on the face and forehead.


It can be due to Frey syndrome in which sweating will be seen on one side of the face. When there is any trauma to the parotid gland or its pathways, wherein there is damage to the nerve, this may produce gustatory sweating. Hence, people who have undergone surgery in parotid gland or its removal (parotidectomy) are more prone to this form of sweating than others. During the process of surgery of parotidectomy, the surgeon may remove nerves in the neighborhood areas of the parotid glands, in case of malignant growth or tumor. The real problem arises during the healing process, wherein the nerves try to reconnect themselves giving connection to the sweat glands, discharging more quantity of sweat. The underlying nerves of sweat glands are triggered whenever they eat spicy or delicious foods resulting in gustatory sweating.


Gustatory sweating can also be induced due to diabetic neuropathy and the diabetic patients will sweat profusely on both sides of the head ranging from moderate to severe sweating. Since it is a rare condition observed only in diabetic patients very often they do not consult doctor for treating it.


As per the reports of The American Diabetic Association, cheese and chocolate are the two foods that triggers gustatory sweating in many people.


Symptoms :


Though there is no serious issue with gustatory sweating, still for some people it is really annoying to sweat a lot while eating. It might bother others who are eating with them. Sometimes, the sweat is produced in excess literally pouring out from the face. It would soak the forehead, cheeks and the entire face region and neck. For some people, it may produce flushing reaction causing pinkish red coloration on the face along with sweating.


Treatment :


To some extent, gustatory sweating can be controlled by using topical creams that contain glycopyrolate. Some doctors also suggest treatment in the form of oxybutynin chloride and by recommending clonidine. In case of ointment and cream, it can be applied on the face and neck region to control sweating. In case you are diabetic, you can also use anti deodorants for managing the odor caused by sweating. Botox injection is rarely used by some people for treating gustatory sweating. But it provides relief for long term without any side effects.


Given that, no type of treatment gives permanent cure for treating gustatory sweat. Any type of therapy gives only temporary relief from the symptoms and nothing can cure the nerve disruption in the parotid glands.


You can go for surgical treatment but finding expert surgeons is a real task. They perform reconstructive surgery for restoring the functions of damaged nerves but surely it is a complicate surgery made for minor cause of sweating. It is very difficult to reconnect the damaged nerves which are very small and complex.











Monday, May 09, 2016

Gustatory Sweating – Symptoms, Causes, Treatment

Gustatory Sweating – Symptoms, Causes, Treatment

What is Gustatory Sweating?


This is sweating on the face, forehead, neck and scalp that occur soon after eating. Now a certain amount of gustatory sweating is considered normal after eating – especially after eating spicy, hot foods. But, gustatory sweating is believed to be the result of damage to the nerve that goes to the parotid gland which is the salivary gland in the cheek that is very large. This sweating is normally on only one side of the head and is referred to as Frey syndrome. Gustatory sweating may also be a problem that is very rare of diabetes mellitus. In this case the sweating might develop on both sides of the head with mild or considerable severity.










Gustatory Sweating Symptoms


The symptoms and signs of gustatory sweating might bother some individuals or not, but it can be very irritating and annoying especially when the sweat is so abundant that is quite literally soaks the face. This Excessive Sweating might develop on the forehead of the patient, as well as the area around the lips or the chest. For individuals who have had the parotid glands surgically removed and have sustained injury to the auriculotermproal nerve flushing in the face might also occur.


Gustatory Sweating Causes


Frey Syndrome
When this is the cause of the excessive sweating it develops on just one side of the face and head of the patient. Frey syndrome develops following an injury to the nerve associated with the parotid gland or when the gland has been removed thru surgery. The parotid gland is the structure that is large and in the mouth produces saliva. Saliva is important in the process of digestion since it allows easier swallowing and chewing of food. Those individuals who have had a parotidectomy are usually more at risk for the development of gustatory sweating. The parotidectomy is often done to remove the existence of a cancerous tumor.


The nerves surround the parotid gland monitor and manage the amount and the rate of the production of saliva. During the parotidectomy, the nerves surrounding the parotid glands are severed. The problem develops during the process of healing where the severed nerves begin to reconnect and often they reconnect to the nerves of the sweat glands that are found thru out various parts of the face. By the time the individual goes back to consuming foods that are delicious the inducement that normally triggers the nerves to start generating saliva is targeted instead to the sweat glands and are triggered to generate sweat. This is the explanation why individuals start to sweat a lot by just thinking or looking at definite foods.


Diabetes Mellitus
Sweating that is extreme might also be caused by a rare complication of diabetes mellitus. Unlike Frey syndrome, this type of sweating caused by diabetes develops on both sides of the face.


Gustatory Sweating Treatment


For those patients with symptoms that are severe and very bothersome, there are some options that can be used for treatment. Medical treatment includes:



  • Topical anticholinergic ointments such as scopolamine or glycopyrolate

  • Topical anti-perspirants or deodorants

  • Topical agonist such as clonidine

  • Injections of Botox


Botox seems to be the safest and easiest method. It offers the longest time period of symptom relief with the fewest complications. But, none of these treatments allow for a permanent cure; relief is just temporary.


For treatment that is permanent, reconstructive surgery is the sole option. Surgeons who are very experienced in performing this type of surgery have the additional benefit of reducing any facial scars from previous incisions as well as correct any facial deformities from any prior surgery. But, most surgeons are not able to perform a true reconstruction with every tiny nerves reconnected correctly