Hyperhidrosis : Causes-Symptoms-Diagnosis-Treatment

  What is Hyperhidrosis?

In polyhidrosis, your body’s sweat glands overact. This bodily process causes you to sweat a lot, ANd then|every now and then} and places wherever others wouldn’t.

Sometimes, a medical condition or feeling (like anxiety) triggers excessive sweating. For several people with hyperhidrosis, dominant symptoms will be a continuing challenge.Hyperhidrosis is excessive sweating that will or might not have an underlying cause. folks that have hyperhidrosis sweat to the purpose that wetness may virtually drip from their hands.

Normally, your sweat glands turn out perspiration that’s carried to the skin’s surface once the air temperature rises, you develop a fever, you’re exercising, or you’re feeling ANxious, nervous, or underneath stress. Once those factors are no longer an issue, the nerves that signal sweating are placed on hold.

For the 1% to 2% of the population who have polyhidrosis, the sweat glands don't shut off. They sweat even when the circumstances don’t incorporate it: when they’re in very air conditioning, or whereas they’re sitting and looking at television. Some individuals even tell their doctors that they sweat in a swimming pool.

The causes of hyperhidrosis depend upon the sort of sweating that’s happening. Most times, excessive sweating is harmless. In some cases, doctors don’t grasp why individuals sweat too much. In alternative cases, the causes of polyhidrosis could also be a medical condition that you simply have to be compelled to remember.

Medical terms

Hyperhidrosis is a medical condition characterized by excessive sweating beyond what is necessary to regulate body temperature. This condition can affect various parts of the body, including the hands, feet, underarms, face, and other areas. Hyperhidrosis can be either primary (idiopathic) or secondary:

1. Primary Hyperhidrosis: This is the most common form of hyperhidrosis and typically begins in childhood or adolescence. It usually affects specific areas of the body, such as the palms, soles of the feet, underarms, and face. The exact cause of primary hyperhidrosis is not well understood, but it is thought to be related to overactive sweat glands and may have a genetic component.

2. Secondary Hyperhidrosis: Secondary hyperhidrosis is caused by an underlying medical condition or medication. It can affect the entire body and usually develops later in life. Common causes of secondary hyperhidrosis include menopause, certain medications (such as antidepressants or antipsychotics), thyroid problems, diabetes, infections, and other medical conditions.

Hyperhidrosis can significantly impact a person's quality of life, leading to embarrassment, discomfort, and social anxiety. It can also lead to skin issues, such as rashes and fungal infections, in areas prone to excessive sweating.

Treatment options for hyperhidrosis may include:

1. Antiperspirants: Over-the-counter or prescription-strength antiperspirants containing aluminum chloride can help reduce sweating.

2. Medications: In some cases, doctors may prescribe medications like anticholinergics to reduce sweating.

3. Botox injections: Botulinum toxin (Botox) injections can temporarily block sweat gland activity in specific areas, such as the underarms or palms.

4. Iontophoresis: This involves using a device to deliver a mild electric current to the affected area, which can reduce sweat production.

5. Surgery: In severe cases of primary hyperhidrosis that do not respond to other treatments, surgical options like sympathectomy (a procedure that interrupts the sympathetic nerve signals to sweat glands) may be considered.

6. Lifestyle modifications: Making certain lifestyle changes, such as wearing moisture-wicking clothing, using absorbent pads, and avoiding triggers like spicy foods or caffeine, can help manage symptoms.

If you believe you have hyperhidrosis or are concerned about excessive sweating, it's important to consult with a healthcare professional. They can diagnose the condition and recommend appropriate treatment options based on the underlying cause and severity of your symptoms.

Disease Definition Question and Answer American Hospitals Alternative Medicine

Symptoms Hyperhidrosis

Most people sweat after they exercise or exert themselves, are in an exceedingly hot environment, or are anxious or beneath stress. The excessive sweating fully fledged with diaphoresis way exceeds such traditional sweating. The kind of hyperhidrosis that sometimes affects the hands, feet, underarms or face causes a minimum of one episode a week, throughout waking hours. and therefore the sweating usually happens on either side of the body. Diaphoresis symptoms will vary widely in their severity and impact on your life. Minor symptoms might ebb and flow over a protracted time. Or excessive sweating is also an everyday challenge, a constant supply of frustration and insecurity. 

Hyperhidrosis affects people differently. Sweat may:

  • Pool under your arms or around your back.

  • Soak your shirt to the point that you need to change clothes to feel comfortable.

  • Bead on your cheeks or forehead.

  • Dampen or drip down your hands or soak your socks.

Excessive sweating may also lead to:

  • Itching and inflammation when sweat irritates the affected area.

  • Body odor, when bacteria on the skin mix with sweat particles.

  • Residue from combinations of sweat, bacteria and chemicals (deodorants), leaving noticeable marks on clothing.

  • Skin changes, such as paleness or other discoloration, cracks or wrinkles.

  • Maceration (unusually soft or disintegrating skin) on the soles of your feet.

Your symptoms might supply clues to the kind of diaphoresis you have. Excessive sweating because of focal hyperhidrosis typically affects either side of the body (both hands or feet). Focal hyperhidrosis doesn’t cause night sweats and doesn’t escape while not treated. folks with generalized hyperhidrosis may sweat whereas sleeping.

When to see a doctor

Sometimes excessive sweating is a sign of a serious condition.

Seek immediate medical attention if your significant sweating is amid lightheadedness, hurting or nausea. See your doctor if: 

  • Sweating disrupts your daily routine

  • Sweating causes emotional distress or social withdrawal

  • You suddenly begin to sweat more than usual

  • You experience night sweats for no apparent reason

Causes Hyperhidrosis

Sweating is your body' mechanism to chill itself. Your systema nervosum mechanically triggers your sweat glands once your temperature rises. Sweating conjointly unremarkably occurs, particularly on your palms, when you're nervous. The foremost common variety of hidrosis is named primary focal (essential) hyperhidrosis. With this type, the nerves liable to signify your sweat glands become overactive, even supposing they haven't been triggered by physical activity or an increase in temperature. With stress or nervousness, the matter becomes even worse. This kind usually affects your palms and soles and generally your face. There's no medical cause for this kind of hidrosis. it's going to have a hereditary component, as a result of it generally runs in families. Secondary hyperhidrosis happens once excess sweating is because of a medical condition. It's the less common type. It probably causes sweating everywhere in your body.Sweating is your body's mechanism to chill itself. Your systema nervosum mechanically triggers your sweat glands when your temperature rises. Sweating conjointly unremarkably occurs, particularly on your palms, when you're nervous. The foremost common variety of hyperhidrosis is named primary focal (essential) hyperhidrosis. With this type, the nerves liable to signify your sweat glands become overactive, even supposing they haven't been triggered by physical activity or an increase in temperature. With stress or nervousness, the matter becomes even worse. This kind sometimes affects your palms and soles and generally your face. There's no medical cause for this type of hidrosis. it's going to have a hereditary component, as a result of it sometimes runs in families. Secondary hyperhidrosis happens once excess sweating is because of a medical condition. It's the less common type. It's probably caused by sweating everywhere in your body. 

Focal hyperhidrosis commonly results from:

  • Certain odors and foods, including citric acid, coffee, chocolate, peanut butter and spices.

  • Emotional stress, especially anxiety.

  • Heat.

  • Spinal cord injury.

Generalized or secondary hyperhidrosis can result from:

  • Dysautonomia (autonomic dysfunction).

  • Heat, humidity and exercise.

  • Infections, such as tuberculosis.

  • Malignancies, such as Hodgkin disease (cancer of the lymphatic system).

  • Menopause.

  • Metabolic diseases and disorders, including hyperthyroidism, diabetes, hypoglycemia (low blood sugar), pheochromocytoma (a benign tumor in the adrenal glands), gout and pituitary disease.

  • Severe psychological stress.

  • Some prescription drugs, including certain antidepressants (bupropion or Wellbutrin) and insulins (Humulin R).

In secondary hyperhidrosis, a medical condition or medication causes you to sweat over usual. physicians haven’t uncovered what causes the body to supply further sweat in focal hyperhidrosis.

Complications Hyperhidrosis

Complications of hyperhidrosis include:

  • Infections. People who sweat profusely are more prone to skin infections.

  • Social and emotional effects. Having wet or dripping hands and perspiration-soaked garments are often embarrassing. Your condition could have an effect on your pursuit of labor and academic goals. 

Diagnosis Hyperhidrosis

During your appointment, your doctor can raise concerns about your medical record associated with degreed symptoms. you will additionally want a physical communication or tests to more appraise the reason for your condition.Initially, a doctor may try and rule out any underlying conditions, similar to an hyperactive thyroid (hyperthyroidism) or low glucose (hypoglycemia) by ordering blood and excretory product tests. Patients are going to be asked about the patterns of their sweating – that elements of the body are affected, however typically sweating episodes occur, and whether or not sweating happens throughout sleep. The patient could also be asked a series of questions, or got to fill during a form concerning the impact of excessive sweating; queries might include: 

  • Do you carry anything around to deal with episodes of excessive sweating, such as napkins, antiperspirants, towels, or pads?

  • Does hyperhidrosis affect your behavior or mental state when you are in public?

  • Has hyperhidrosis had any effect on your employment?

  • Have you ever lost a friend due to hyperhidrosis?

  • How often do you change your clothing?

  • How often do you wash or have a shower/bath?

  • How often do you think about excessive sweating?

Lab tests

Your doctor might suggest blood, pee or different work tests to examine if your sweating is caused by an associate degree other medical condition, resembling an hyperactive thyroid (hyperthyroidism) or low blood glucose (hypoglycemia).

Sweat tests

A number of tests are obtainable to pinpoint the areas of sweating Associate in Nursing estimate the severity of your condition, as well as an iodine-starch test, skin electrical phenomenon and a thermoregulatory sweat test.

Treatment Hyperhidrosis

There is no cure for focal sudation. Treatments target reducing your symptoms and raising your quality of life. however your health care supplier treats secondary hyperhidrosis can depend upon the underlying problem. Once you establish and treat the reason for excessive sweating, excessive sweating usually stops.If an underlying medical condition is causative to the problem, that condition is treated first. If no clear cause is found, treatment focuses on dominant excessive sweating. generally you will have to be compelled to attempt a mixture of treatments. And though your sweating improves once treatment, it should recur.


Drugs used to treat hyperhidrosis include:

  • Prescription antiperspirant. Your doctor might dictate Associate in Nursing toiletry with chloride (Drysol, Xerac Ac). This product will cause skin and eye irritation. It's sometimes applied to the affected skin before you move to bed. Then you wash the merchandise off after you get up, taking care to not get any in your eyes. If your skin becomes irritated, Cortef cream might help. 

  • Prescription creams. A prescription cream that contains glycopyrrolate may help hyperhidrosis that affects the face and head.

  • Nerve-blocking medications. Some oral medications block the chemicals that allow bound nerves to speak with every other. This may cut back sweating in some people. attainable aspect effects embrace dry mouth, blurred vision and bladder problems. 

  • Antidepressants. Some medications used for depression can also decrease sweating. In addition, they may help decrease the anxiety that worsens the hyperhidrosis.

  • Botulinum toxin injections. Treatment with neurolysin (Botox, Myobloc, others) quickly blocks the nerves that cause sweating. Your skin is going to be iced or anesthetized first. every affected space of your body can want many injections. The consequences last six to twelve months, and so the treatment has to be repeated. This treatment is often painful, and a few individuals experience temporary muscle weakness within the treated area. 

Surgical and other procedures

Other hyperhidrosis treatments include:

  • Microwave therapy. With this medical aid, a tool that delivers microwave energy is employed to destroy sweat glands. Treatments involve 2 20- to 30-minute sessions, 3 months apart. doable aspect effects are an amendment in tactual sensation and a few discomfort. This therapy is also costly and not widely available. 

  • Sweat gland removal. If excessive sweating happens simply in your armpits, removing the sweat glands there could help. A minimally invasive technique known as curettement is also an associate option, too, if you aren't responding to alternative treatments. 

  • Nerve surgery (sympathectomy). During this procedure, the operating surgeon cuts, burns or clamps the spinal nerves that manage sweating in your hands. In some cases, this procedure triggers excessive sweating in different areas of your body (compensatory sweating). Surgery is usually not a choice for isolated head and neck sweating. A variation on this procedure interrupts the nerve signals while not removing the sympathetic nerve (sympathectomy). 

Lifestyle and home remedies

The following suggestions may help you cope with sweating and body odor:

  • Use antiperspirant. Nonprescription antiperspirants contain aluminum-based compounds that quickly block the sweat pore. This reduces the number of sweat that reaches your skin. This kind of product could facilitate minor hyperhidrosis. 

  • Apply astringents. Apply over-the-counter products containing tannic acid (Zilactin) to the affected area.

  • Bathe daily. Regular bathing helps keep the number of bacteria on your skin in check. Dry yourself thoroughly, especially between the toes and under the arms.

  • Choose shoes and socks made of natural materials. Shoes made from natural materials, love leather, will facilitate stop perspiring feet by permitting your feet to breathe. Once you're active, moisture-wicking athletic socks are an honest choice. 

  • Change your socks often. Change socks or hose once or twice a day, drying your feet totally every time. you'll need to undertake tights with cotton soles. Use over-the-counter foot powders to assist in absorbing sweat. 

  • Air your feet. Go barefoot when you can, or at least slip out of your shoes now and then.

  • Choose clothing to suit your activity. Generally, wear natural materials, adore cotton, wool and silk, which permit your skin to breathe. After you exercise, you would possibly like fabrics designed to wick moisture away from your skin. 

  • Try relaxation techniques. Consider relaxation techniques similar to yoga, meditation and biofeedback. These will assist you learn to manage the strain that triggers sweating. 

Coping and support

Hyperhidrosis is the explanation for discomfort and embarrassment. you will have trouble operating or enjoying recreational activities attributable to wet hands or feet or wet stains on clothing. you may feel anxious concerning your symptoms and become withdrawn or self-conscious. you will be annoyed or upset by others' reactions. Besides talking together with your doctor, you may need to speak with a counselor or a medical social worker. otherwise you may notice it useful to talk with different people who have hyperhidrosis.

Preparing for your appointment

You may begin by seeing your medical care provider. He or she may refer you to a specialist in skin diseases (dermatologist). If your condition isn't responding to initial treatments, your care may involve a medical specialist or a surgeon. Here's some data to assist you prepare for your appointment.

What you can do

Before your appointment, you would possibly need to list answers to the subsequent questions:

  • Has anyone in your immediate family ever had similar symptoms?

  • Does your sweating stop when you're asleep?

  • What medications and supplements do you take regularly?

What to expect from your doctor

Your doctor is likely to ask you several questions, such as:

  • When did you first experience heavy sweating?

  • Where on your body does it occur?

  • Have your symptoms been continuous or occasional?

  • What, if anything, seems to improve your symptoms?

  • What, if anything, appears to worsen your symptoms?

General summary

It's essential for individuals experiencing excessive sweating to consult with a healthcare professional to determine the cause and explore appropriate treatment options for their specific situation.

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