Hyperhidrosis, also called polyhidrosis or sudorrhea, can be a condition described as sweating in excess. The sweating can impact just one single specific area or the entire body.
Although not life-threatening, it may be uncomfortable and cause embarrassment and psychological trauma. In this post, we shall glance at the causes, symptoms, diagnosis, and treatments for Hyperhidrosis.
What exactly is hyperhidrosis?
Fast facts on hyperhidrosis
Below are a few tips about hyperhidrosis. More detail and supporting information is in the main article.
Hyperhidrosis has a tendency to begin during adolescence
Approximately 7.8 million Americans have hyperhidrosis
Most often, the feet, hands, face, and armpits suffer
There are numerous of remedies that can reduce symptoms
Exactly what is hyperhidrosis?
Hyperhidrosis can be psychologically damaging.
The excessive sweating related to hyperhidrosis is generally most active within the hands, feet, armpits, along with the groin for their relatively high concentration of sweat glands.
Focal hyperhidrosis: When the sweating in excess is localized. By way of example, palmoplantar hyperhidrosis is sweating in excess of your palms and soles.
Generalized hyperhidrosis: Sweating in excess affects the entire body.
Hyperhidrosis may be present from birth or might develop later in life. However, most instances of sweating in excess tend to start throughout a person’s teenage life.
The situation could be as a result of an actual medical condition, or have zero apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In the vast majority of cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: A person sweats a lot of due to an underlying medical condition, for example obesity, gout, menopause, a tumor, mercury poisoning, diabetes, or hyperthyroidism (overactive thyroid gland).
In line with the International Hyperhidrosis Association, approximately 2.8 percent of Americans suffer from hyperhidrosis; that’s around 7.8 million people.
For some, hyperhidrosis symptoms are incredibly severe which it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, extra time activities, personal relationships, self-image, and emotional well-being can be affected.
Fortunately, there are many options which may treat symptoms effectively. The most significant challenge for treating hyperhidrosis may be the significant amount of people who do not seek medical advice, either due to embarrassment or as they do not recognize that effective treatment exists.
Signs of hyperhidrosis
Hyperhidrosis is described as sweating that disrupts normal activities. Instances of excessive sweating occur at least once a week for no clear reason and also have an impact on social interaction or day to day activities.
Warning signs of hyperhidrosis can include:
Clammy or wet palms in the hands
Clammy or wet soles in the feet
Noticeable sweating that soaks through clothing
Individuals with hyperhidrosis might go through the following:
Irritating and painful skin problems, including fungal or bacterial infections
Worrying about having stained clothing
Hesitant to make physical contact
Socially withdrawn, sometimes ultimately causing depression
Select employment where physical contact or human interaction will not be a job requirement
Spend a substantial amount of time each day coping with sweat, like changing clothes, wiping, placing napkins or pads within the arms, washing, wearing bulky, or dark clothes
Worry more than others about body odor
Experts will not be certain why, but sweating in excess while sleeping is not really common for people with primary hyperhidrosis (the type not linked to any underlying medical problem).
Causes of hyperhidrosis
What causes primary hyperhidrosis are not well-understood; alternatively, secondary hyperhidrosis has a long list of known causes.
Reasons behind primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to experience a genetic component.
People accustomed to believe that primary hyperhidrosis was linked to the patient’s mental and emotional state, the condition was psychological and simply affected stressed, anxious, or nervous individuals.
However, recent research has demonstrated that individuals with primary hyperhidrosis are no more prone to feelings of anxiety, nervousness, or emotional stress than the rest of the population when subjected to exactly the same triggers.
The truth is, it will be the other way round – the emotional and mental feelings felt by many patients with hyperhidrosis are due to excessive sweating.
Studies have also shown that particular genes be a factor in hyperhidrosis, so that it is look more inclined that could be inherited. Virtually all patients with primary hyperhidrosis have a sibling or parent with all the condition.
Reasons for secondary hyperhidrosis
Spinal cord injury
Hyperthyroidism – an overactive thyroid gland
Some cancers, including Hodgkin’s disease
Some infections – HIV, malaria, TB (tuberculosis)
Some medications, including some antidepressants, anticholinesterases (for Alzheimer’s disease), pilocarpine (for glaucoma), propranolol (for high blood pressure)
Initially, your doctor may try to rule out any underlying conditions, like an overactive thyroid (hyperthyroidism) or low blood sugar (hypoglycemia) by ordering blood and urine tests.
Patients will likely be asked about the patterns of their sweating – which body parts are affected, how frequently sweating episodes occur, and whether sweating occurs during sleep.
The sufferer may be asked some questions, or have to fill in a questionnaire about the impact of excessive sweating; questions might include:
Can you carry anything around to deal with episodes of excessive sweating, for example napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state when you find yourself in public areas?
Has hyperhidrosis had any impact on your employment?
Have you lost a colleague on account of hyperhidrosis?
The frequency of which will you change your clothing?
How often will you wash or have got a shower/bath?
How frequently do you think about sweating in excess?
Thermoregulatory sweat test: a powder which can be responsive to moisture is used towards the skin. When sweating in excess occurs at room temperature, the powder changes color. The sufferer will then be in contact with high heat and humidity within a sweat cabinet, which triggers sweating through the whole body.
When subjected to heat, people that do not possess hyperhidrosis tend to not sweat excessively from the palms of the hands, but patients with hyperhidrosis do. This test likewise helps the doctor determine the severity of the condition.
Some alterations in daily activity and lifestyle could help improve symptoms:
Antiperspirants – deodorants will not stop sweating, but antiperspirants sprays do. Some prescription antiperspirants include aluminum chloride, which plugs the sweat glands.
Armpit shields – pads worn from the armpit to shield a garment from perspiration.
Clothing – certain synthetic fibers, for example nylon, may worsen symptoms. Loose clothing is preferable.
Shoes – synthetic materials will probably worsen symptoms. Natural materials, such as leather, are recommended.
Socks – some socks are better at absorbing moisture, such as thick, soft ones made of natural fibers.
In case the measures stated earlier will not be effective enough, a physician may refer the patient to some skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged within a bowl water. A painless electric current is passed through the water. Most people need two to four 20-thirty minute treatments.
Botulinum toxin (Botox injections) – Botox injections block the nerves that trigger the sweat glands. Patients with hyperhidrosis might need several injections for effective results.
Anticholinergic drugs – these medications inhibit the transmission of parasympathetic nerve impulses. Patients generally notice a noticeable difference in symptoms within a couple of weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is only recommended in severe cases which have not responded to other treatments. The nerves that carry messages towards the sweat glands are cut.
ETS may be used to treat Iontophoresis Machine from the face, hands or armpits. ETS will not be suggested for treating hyperhidrosis from the feet because of the likelihood of permanent sexual dysfunction.