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The Doctor is In—Sweat, Calcium and Accutane


I’ve heard about a surgery that helps armpit sweat, but it’s too expensive. Any suggestions? And why do I have this sweating problem?
All of us sweat, but some people have a problem with excessive sweating known as hyperhidrosis. It often begins at puberty and usually improves as you get older. But sometimes excess sweating can be a sign of an underlying medical illness, so a doctor needs to evaluate you. He or she may choose to prescribe medications such as Drysol and Xerac.

You may also want to purchase some dress shields— undergarments that absorb excess sweat and protect your clothes from sweat stains. They’re available from most lingerie departments.

I have severe acne, and my dermatologist suggests I try Accutane. But I’ve heard this treatment can have some serious side effects.
The most serious side effect of taking Accutane is that it causes serious birth defects if you become pregnant while taking it. Only doctors who have been specially trained can prescribe Accutane, and patients must agree to use some form of birth control and take monthly pregnancy tests while taking it. Your doctor can explain the details to you.

There are other side effects your physician can discuss with you, but none are as dangerous as the one mentioned above (chapped lips, dry and itchy skin, nosebleeds, etc.). While you’re taking Accutane, your doctor will check blood tests to make sure you’re not having any other serious side effects. And remember, the side effects stop when you cease taking the medicine.

Milk I don’t like milk. My doctor and my parents say I’ll have weak bones if I don’t drink it. Are there any alternatives?
Teens need to include 1,200 to 1,500 mg of calcium every day in their diet. The good news is there are other sources of calcium. For example, 1.5 ounces of cheddar cheese, 8 ounces of low-fat yogurt or one cup of calcium fortified orange juice give you 300 mg of calcium! Start looking at food labels to see how many foods actually have calcium. The calcium content is usually reported as a percentage, using 1,000 mg as 100 percent daily value.

If a food label says it has 30 percent calcium, it has 300 mg of calcium per serving. If you still can’t get the needed amount of calcium each day through your diet, talk to your doctor, who will recommend calcium supplements for you to take.

A doctor once told me I could take birth control pills to help my heavy periods, but that seems a little extreme. Are there any other options for a 15-year-old girl?
There are several options other than birth control pills that might be helpful. Many teens have found that taking an over- the-counter NSAID (non-steroidal anti-inflammatory drug) such as Aleve helps greatly with the severity of their periods. There are also prescription medications, such as Ponstel, that can be helpful. Medical studies show that taking these medications for the first three days of a period will reduce blood flow by 25 percent to 35 percent. Remember, talk to your doctor for his or her specific recommendations.

Doctor The Doctor Is In
Diane Foley is a pediatrician with more than 20 years experience and is a Fellow of the American Academy of Pediatrics. She currently specializes in adolescent gynecology. Growing up as a missionary kid in Haiti, Diane didn’t get to play in the snow. But since moving to Colorado, she enjoys spending time outdoors in the snowy mountains. She loves skiing the blue-rated slopes and sitting outside in the hot tub.

Diane’s favorite foods are fresh tomatoes, green beans and corn from the garden; she’s also a big Starbucks coffee fan.


This article appeared in Brio magazine in January 2008. Copyright © 2008 Focus on the Family. All rights reserved. International copyright secured.

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