OpenHealth Q&A

Get answered by medical professionals

Experiencing Uncontrollable Responses Following ETS Surgery

7/20/2025, 6:10:18 AMMale25-34

At the age of 30, I underwent ETS surgery seven years ago with the aim of alleviating my excessive sweating in my hands. While this procedure significantly curbed the sweating, it resulted in unexpected challenges for my nervous system that persist to this day. Although I no longer experience the same level of perspiration in my hands, the real concern has emerged after the surgery. My body sporadically enters a fight-or-flight response without any prior indication, and this occurs even during moments of happiness. I often find myself feeling both hot and cold simultaneously, accompanied by a pronounced rush of blood coursing through my chest, legs, and neck, which sometimes causes a tremor in my neck. Interestingly, my torso and legs sweat profusely, while my face seems to produce little to no sweat. My palms and underarms do perspire slightly, but it’s nowhere near the levels I experienced before the surgery. What complicates matters further is that these reactions occur even when I am in a mentally tranquil state; I feel no anxiety or nervousness. Yet, my body appears to react as if it is under threat, even when I’m simply enjoying my day or engaging in pleasurable activities. I have experimented with various remedies such as L-theanine, magnesium, a clean diet, proper hydration, and breathwork, but none have provided immediate relief during these episodes. I am hesitant to resort to medications or beta blockers since I wish to maintain my naturally high testosterone levels. Has anyone else encountered similar experiences post-ETS? I’m seeking advice or strategies to help recalibrate or retrain my autonomic nervous system. Any suggestions would be greatly appreciated.

Multiple SclerosisLupusFibromyalgia

Answers (1)

Cony

7/20/2025, 6:10:34 AM

OpenHealth AI

It sounds like you're experiencing significant and distressing symptoms following your ETS surgery. It's not uncommon for some individuals to notice changes in their autonomic nervous system responses after such procedures, and it’s understandable that you’re seeking ways to address these challenges.

Main Points:

  1. Your body's involuntary fight-or-flight responses and sweating patterns may indicate disruption in autonomic regulation.
  2. While lifestyle strategies have not yielded immediate relief, there are focused approaches that could help.

Explanation: After ETS surgery, some people experience a phenomenon called “compensatory sweating” where areas not treated become overactive, and autonomic responses can be altered. The sensations you're describing—flushes of heat, cold feelings, and involuntary nervous reactions—suggest your autonomic nervous system may be misfiring. This can happen without emotional triggers like anxiety, leading to confusion and frustration.

Next Steps:

  1. Mindfulness Practices: Since your body reacts even in peaceful moments, consider incorporating mindfulness techniques such as meditation or yoga. These practices may help you gain better control over your physiological responses and reduce the frequency of autonomic flare-ups. Start with 5-10 minutes daily and gradually increase.

  2. Breathing Exercises: You mentioned breathwork, which can be beneficial. Focusing on slow, controlled diaphragmatic breathing for a few minutes during episodes can help signal your body to calm down. Try to practice even when you’re not in distress to reinforce the response.

  3. Body Awareness Techniques: Engaging in somatic experiences, like gentle movement or guided body scans, can help you reconnect with your body's signals and potentially recalibrate your nervous system responses.

  4. Temperature Regulation: Explore temperature regulation strategies, such as layering clothing to adapt to your body’s hot and cold sensations. Staying cool might mitigate some discomfort when you experience sudden heat.

  5. Professional Support: Although you’re hesitant about medications, consider working with a therapist or specialist experienced in somatic therapy or chronic illness management. They can provide tailored strategies and coping mechanisms suited to your unique situation.

  6. Monitor Symptoms: Keep a detailed diary of your episodes, noting triggers, durations, and associated feelings. This can help identify patterns and inform any adjustments to your self-care approaches.

You’re taking important steps towards understanding and alleviating your symptoms, and I encourage you to continue seeking personalized strategies that resonate with you. If you need more support or want to share findings from your attempts, I'm here to help!

Related Questions

Persistent Pain in Right Shoulder and Arm After Lifting

Hello, everyone! I’m a 23-year-old male and have been engaged in weightlifting for several years now. Recently, I’ve been struggling with ongoing discomfort in my right shoulder and arm, which I haven’t been able to accurately identify. The pain manifests during particular movements, especially with lateral raises or when my arm is raised to shoulder level while rotating my wrist. Certain pressing and pulling activities can also provoke this discomfort. Rather than feeling sharp, it’s a deep, nagging sensation that sometimes seems localized in the front area of the shoulder or at the biceps tendon, and at other times it feels more like it’s situated between the shoulder and upper arm. Fortunately, there’s no numbness or tingling involved. This issue began while I was working out. I decided to take a break for around two months, but when I returned, the pain persisted. After consulting a physician, I was diagnosed with bicipital tendinitis. Since then, I’ve reduced my upper-body workouts, completely steering clear of shoulder exercises and heavy lifting, and have begun a gentle rehabilitation regimen focusing on external rotations, pendulum movements, and scapular exercises. Despite adhering to this routine for about a week, I haven’t experienced any noticeable improvement. Is it typical for this type of tendon injury to require an extended period for recovery? At what point should I consider diagnostic imaging, such as an ultrasound or MRI? Additionally, are there frequent rehabilitation errors that might impede the healing process? I appreciate your insights in advance!

ArthritisFibromyalgiaInternal Medicine
Male25-34
39 minutes ago

Understanding EEG Results for My 22-Month-Old Son: Insights Needed

Could someone help clarify this for me? My son, who is just 22 months old, hasn’t started walking yet, becomes tired easily, and has been experiencing behavioral outbursts. He had a febrile seizure in February 2025, followed by another unexplained seizure in April 2025, which led us to consult a neurologist. Since he was 3 months old, he has been receiving therapy from a physical therapist for torticollis. At birth, he spent five days in the NICU due to issues with meconium aspiration. A recent MRI showed normal results, and he also had a follow-up EEG after one conducted in July 2025. The results from this recent EEG were abnormal for a pediatric patient in awake, drowsy, and sleeping states. Notably, there were brief episodes of left frontotemporal delta slowing, which occurred mainly when he was awake and drowsy. There were no signs of epileptiform activity detected. In contrast, the EEG performed back on July 3, 2025, was deemed normal for both awake and drowsy states, again with no evidence of epileptiform irregularities, although it did not capture any sleep data. This examination was prompted by the child's existing history of febrile seizures. Importantly, he is not currently on any anti-seizure medications. The EEG procedure used standard electrode placements per the 10-20 system, conducted a single-lead EKG, and included continuous video monitoring. During the analysis, the background activity was symmetric, indicating some anterior-posterior (AP) organization, with a dominant rhythm of 50-80 microvolts at 7 Hz. His drowsy state was marked by a reduced amount of eye blink activity, less breathing motion interference, and a generalized slowing in theta/delta frequencies. Stage II sleep exhibited spindles and vertex waves patterns. Additionally, there were intermittent bursts of 250-300 microvolts in the left frontotemporal region with semi-rhythmic activity of 2-4 Hz, mostly observed during wakefulness and drowsiness. No definitive epileptiform discharge was noted. Photic stimulation during the test did not elicit a strong response, and hyperventilation was not conducted during this session.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
58 minutes ago

28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment

I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
3 hours ago

Concerns About My Toes

Age: 30, Female Currently, I am on the lookout for a reputable podiatrist in my vicinity. However, I've encountered a perplexing issue with my foot. Just last night, I noticed a growth on the side of my toe, something entirely new to me. I maintain a nutritious diet and have a demanding job that requires me to be on my feet quite often. My footwear includes brands such as Brooks Ghost Runners, Hoka Bondi 9’s, and Nike Motiva’s, and I don’t opt for restrictive socks. I also apply Vick’s Vaporub to my feet, a practice handed down from my family, and stick with simple, non-fragrant lotions like Vanicream and CeraVe SA Cream for my skin. In addition, I am curious about the my big toenail's change in color. What might be the underlying reasons for this? Also, I have these persistent dark spots on my toes that I've struggled with since my days on the runway. Despite my efforts, nothing has succeeded in lightening or diminishing their appearance. I'm just looking to determine if there might have been a factor from the past that could have contributed to these issues. I’m not sure what else to include, but I’m open to answering any questions you might have. Thank you for your attention! Best wishes from a worried soul!

ArthritisFibromyalgiaInternal Medicine
Male25-34
3 hours ago

Strange Jelly-Like Substance Observed from Wound

I’m a 21-year-old female living with an auto-inflammatory condition known as hidradenitis suppurativa (HS). Recently, I've experienced a concerning issue with one of my wounds. This particular wound causes significant pain and excessive bleeding. However, whenever I attend to it, I tend to find this unusual jelly-like substance present within it. Interestingly, this phenomenon has only occurred with this one wound and not any of the others I have. The bleeding seems to persist until I manage to remove this jelly substance, after which it typically slows down and comes to a halt completely. I’m seeking insights into what this might signify so that I can effectively discuss it with my healthcare provider.

ArthritisFibromyalgiaInternal Medicine
Male25-34
5 hours ago