Hyperhidrosis, also referred to as polyhidrosis or sudorrhea, can be a condition described as excessive sweating. The sweating can impact merely one specific area or even the whole body.
However, not life-threatening, it could be uncomfortable and cause embarrassment and psychological trauma. In this post, we shall check out the causes, symptoms, diagnosis, and therapy 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 is likely to begin during adolescence
Approximately 7.8 million Americans have hyperhidrosis
Most frequently, the feet, hands, face, and armpits are affected
There are many of remedies that may reduce symptoms
Exactly what is hyperhidrosis?
Hyperhidrosis could be psychologically damaging.
The unwanted sweating linked to hyperhidrosis is commonly most active from the hands, feet, armpits, along with the groin due to their relatively high power of sweat glands.
Focal hyperhidrosis: Once the sweating in excess is localized. For example, palmoplantar hyperhidrosis is excessive sweating of the palms and soles.
Generalized hyperhidrosis: Sweating in excess affects the entire body.
Hyperhidrosis can be present from birth or might develop later on. However, most instances of sweating in excess often start during a person’s teenage life.
The condition could be due to an underlying medical condition, or do not have apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In virtually all cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: The individual sweats excessive due to an underlying health condition, like obesity, gout, menopause, a tumor, mercury poisoning, diabetes mellitus, or hyperthyroidism (overactive thyroid gland).
According to 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 extremely severe which it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, free time activities, personal relationships, self-image, and emotional well-being could be affected.
Fortunately, there are various options which may treat symptoms effectively. The largest challenge for treating hyperhidrosis will be the significant number of individuals who do not seek medical advice, either as a result of embarrassment or as they do not know that effective treatment exists.
Symptoms of hyperhidrosis
Hyperhidrosis is identified as sweating that disrupts normal activities. Episodes of sweating in excess occur at least one time a week for no clear reason and also have an impact on self confidence or day to day activities.
Symptoms of hyperhidrosis could include:
Clammy or wet palms of your hands
Clammy or wet soles of the feet
Noticeable sweating that soaks through clothing
People who have hyperhidrosis might enjoy the following:
Irritating and painful skin problems, including fungal or bacterial infections
Worrying about having stained clothing
Reluctant to make physical contact
Socially withdrawn, sometimes leading to depression
Select employment where physical contact or human interaction is not a task requirement
Spend a great deal of time daily coping with sweat, like changing clothes, wiping, placing napkins or pads underneath the arms, washing, wearing bulky, or dark clothes
Worry over others about body odor
Experts are not certain why, but sweating in excess while asleep is not common for those who have primary hyperhidrosis (what type not linked to any underlying disease).
Causes of hyperhidrosis
What causes primary hyperhidrosis are certainly not well-understood; alternatively, secondary hyperhidrosis has a long list of known causes.
Factors behind primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to get a genetic component.
People accustomed to feel that primary hyperhidrosis was connected to the patient’s mental and emotional state, how the condition was psychological and only affected stressed, anxious, or nervous individuals.
However, recent research has demonstrated that those that have primary hyperhidrosis are no prone to feelings of anxiety, nervousness, or emotional stress than the rest of the population when open to the same triggers.
In reality, it is the other way round – the emotional and mental feelings gone through by many patients with hyperhidrosis are due to the sweating in excess.
Research has also shown that particular genes play a role in hyperhidrosis, so that it is look much more likely that it could be inherited. Virtually all patients with primary hyperhidrosis have a sibling or parent with the condition.
Causes of secondary hyperhidrosis
Hyperthyroidism – an overactive thyroid gland
Some cancers, like Hodgkin’s disease
Some infections – HIV, malaria, TB (tuberculosis)
Some medications, including some antidepressants, anticholinesterases (for Alzheimer’s disease), pilocarpine (for glaucoma), propranolol (for hypertension)
Initially, a doctor may try to rule out any underlying conditions, for example an overactive thyroid (hyperthyroidism) or low blood sugar (hypoglycemia) by ordering blood and urine tests.
Patients will probably be asked about the patterns of their sweating – which body parts are affected, how often sweating episodes occur, and whether sweating occurs while asleep.
The individual could be asked some questions, or have to fill in a questionnaire concerning the impact of sweating in excess; questions may include:
Can you carry anything around to cope with episodes of sweating in excess, like napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state when you find yourself in public?
Has hyperhidrosis had any influence on your employment?
Perhaps you have lost a colleague on account of hyperhidrosis?
The frequency of which do you change your clothing?
How many times do you wash or have got a shower/bath?
The frequency of which do you reckon about sweating in excess?
Thermoregulatory sweat test: a powder which is responsive to moisture is used for the skin. When excessive sweating occurs at room temperature, the powder changes color. The individual will be subjected to high heat and humidity in the sweat cabinet, which triggers sweating through the entire whole body.
When in contact with heat, people that do not possess hyperhidrosis tend to not sweat excessively within the palms with their hands, but patients with hyperhidrosis do. This test likewise helps your physician determine the severity of the problem.
Some alterations in daily activity and lifestyle might 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 within the armpit to shield a garment from perspiration.
Clothing – certain synthetic fibers, including nylon, may worsen symptoms. Loose clothing is much better.
Shoes – synthetic materials will probably worsen symptoms. Natural materials, like leather, are recommended.
Socks – some socks are better at absorbing moisture, for example thick, soft ones manufactured from natural fibers.
In the event the measures mentioned previously are not effective enough, a physician may refer the person to your skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged in a bowl of water. A painless electric current is passed with the water. Most people need 2 to 4 20-30 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 noticable difference in symptoms within a couple of weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is simply recommended in severe cases that have not responded to other treatments. The nerves that carry messages towards the sweat glands are cut.
ETS could be used to treat iontophoresismachine from the face, hands or armpits. ETS is not appropriate for treating hyperhidrosis in the feet due to likelihood of permanent sexual dysfunction.