Truncal Hyperhidrosis
Truncal hyperhidrosis is excessive sweating of the trunk area. Although this is commonly the chest and the back, it can also include other area such as the groin, thighs and buttocks.
This type of sweating gets much less attention than other types for a couple of reasons. First of all, it is quite rare compared to hand, feet and armpit sweating. Secondly, most people consider chest and back sweating to be acceptable and less serious than other types which may have greater social implications e.g. bad odor from armpits, soggy paper due to sweaty hands.
Compensatory Sweating
In fact, most cases of truncal hyperhidrosis are due to people who have had surgery or other methods to prevent sweat from occuring elsewhere.
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What then often happens is that the body produces compensatory sweating elsewhere on the body and this is usually on the chest or the back. Compared to the original source of sweating, most people consider this an acceptable side effect of surgery.
Sweating Of Extremities
Sweating in the groin and buttocks area is the least common but is nevertheless a reality for many thousands of people. Some possible treatments are below.
Treatments
Prescription antiperspirants such as Dricolor or Drysol are best used for all types of truncal hyperhidrosis.
Botulinum toxin or “Botox” is not recommended for truncal hyperhidrosis due to the large area of the chest and back and the sensitive areas in the groin area.
ETS surgery in this area of the body is especially controversial and side effects can be very bad. For instance, men can suffer from potential erectile dysfunction or retrograde ejaculation.

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