The early years of my injury i would get so frustrated when i start sweating ,i would sweat but still feel cold inside ,i would sweat when i am feeling uncomfortable,i would sweat when my bladder is full,i would also sweat when i need to empty my bowel. As time went by and i began to learn more about my new body after SCI i got to know that The ability to regulate body temperature is controlled by the autonomic nervous system, which can be affected after spinal cord injury.The brain and body communicate through the spinal cord. However, after a spinal cord injury, that communication is disrupted, and messages may not be able to travel past the damage. As a result, functions like sweating may be affected.
Here are some causes of sweating after spinal cord injury
Autonomic Dysreflexia: this is a condition that can occur in individuals with SCI, particularly those with injuries at or above the T6 level. It is characterized by an overactivity of the autonomic nervous system and can lead to sudden and excessive sweating. Triggers for autonomic dysreflexia include bladder or bowel issues, skin irritations, tight clothing,or sitting in a position that you should elevate already. Because of loss of sensation after SCI we may not notice when areas below the level of injury are stimulated. Therefore, it’s essential to be aware of your surroundings, perform daily body inspections, and follow a good bowel and bladder program.
Is Excessive Sweating After Spinal Cord Injury Dangerous?
Sweating after spinal cord injury is not life treating but needs to be managed properly for a healthy and quality life . Because this sweating can be so uncomfortable imagine becoming so wet , the excess moisture can be dangerous and contribute to the development of skin irritations like rashes, blisters, and pressure sores.This can also leave your bed sheets wet and always require changing . Also sweating [ hyperhidrosis ] can cause dehydration because your body is losing water at a faster rate than it is being replenished.so, it’s essential to make sure you’re drinking enough water throughout the day.
Can this sweating [hyperhidrosis] be managed,controlled or stopped ?
it is essential to figure out what is causing or triggers your sweating [hyperhidrosis] for me like i said earlier i noticed is only when i am sitting in a wrong position ,or need to empty my bladder,i also noticed when i wear tight clothing i sweat alot so now i only wear loose cloths, But If your sweating [hyperhidrosis] isn’t related to autonomic dysreflexia, other management interventions should be considered. Some common ways to address excessive sweating after SCI include:
Botox injections. Botox is a nerve blocker, meaning that it can prevent the sweat glands from receiving nerve impulses. The effects of Botox injections are temporary and typically last around 3-6 months.This can be very expensive though
Medications. Topical creams or antiperspirants may be prescribed to keep the skin dry. Another option is to take a class of medications called anticholinergics. They block acetylcholine from binding to nerves, which can help reduce sweat secretions.
Staying hydrated. As i previously mentioned, excessive sweating can cause the body to lose water at a quicker rate. To prevent dehydration, make sure that you’re drinking enough water.
Surgery. If all other treatments are ineffective, a sympathectomy may be performed. A sympathectomy is a minimally invasive procedure that involves cutting off a portion of the sympathetic nerve chain. Two tiny incisions are made under the armpit, and most patients can go home the same day with very minor or no side effects.i dont know of anyone who has had this and if its done in africa.
Iontophoresis. it involves using a device that sends low-voltage electrical currents to your hands or feet while they’re submerged in water. The electric currents stun the sweat glands, which results in temporarily reduced sweat secretion.
Depending on the level of your spinal cord injury some of this might work or not work always remember to speak with a medical doctor .Sweating is common in spinal cord injury survivors and not harmful most times. Always try to learn more about your newbody with sci and understand what works for you or not.and always speak with a doctor when necessary .