Hyperhidrosis, also called polyhidrosis or sudorrhea, is really a condition observed as excessive sweating. The sweating may affect only one specific area or even the entire body.
While not life-threatening, it could be uncomfortable and cause embarrassment and psychological trauma. On this page, we shall look at the causes, symptoms, diagnosis, and treatment of hyperhidrosis.
What is hyperhidrosis?
Fast facts on hyperhidrosis
Here are several tips about hyperhidrosis. More detail and supporting information is with 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 many of remedies that will reduce symptoms
What exactly is hyperhidrosis?
Hyperhidrosis may be psychologically damaging.
The excessive sweating connected with hyperhidrosis is generally most active from the hands, feet, armpits, as well as the groin for their relatively high concentration of sweat glands.
Focal hyperhidrosis: Once the excessive sweating is localized. For example, palmoplantar hyperhidrosis is sweating in excess of your palms and soles.
Generalized hyperhidrosis: Sweating in excess affects the entire body.
Hyperhidrosis might be present from birth or might develop down the road. However, most cases of excessive sweating have a tendency to start throughout a person’s teenage years.
The problem can be as a result of an underlying health issue, or do not have apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In the majority of cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: The person sweats an excessive amount of as a result of an underlying health issue, 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 several, hyperhidrosis symptoms are extremely severe that it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, free time activities, personal relationships, self-image, and emotional well-being can be affected.
Fortunately, there are several options which may treat symptoms effectively. The biggest challenge for treating hyperhidrosis is definitely the significant number of people that do not seek health advice, either because of embarrassment or because they do not realize that effective treatment exists.
Signs of hyperhidrosis
Hyperhidrosis is identified as sweating that disrupts normal activities. Episodes of excessive sweating occur at least one time per week for no clear reason and have an effect on social life or daily activities.
Symptoms of hyperhidrosis may include:
Clammy or wet palms of your hands
Clammy or wet soles of your feet
Noticeable sweating that soaks through clothing
Those with hyperhidrosis might enjoy the following:
Irritating and painful skin problems, such as 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 job requirement
Spend a lot of time each day coping with sweat, such as changing clothes, wiping, placing napkins or pads underneath the arms, washing, wearing bulky, or dark clothes
Worry greater than other folks about body odor
Experts will not be certain why, but sweating in excess during sleep will not be common for those who have primary hyperhidrosis (what type not associated with any underlying condition).
Causes of hyperhidrosis
The sources of primary hyperhidrosis are not well-understood; on the other hand, secondary hyperhidrosis has a lot of known causes.
Reasons behind primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to have a genetic component.
People accustomed to feel that primary hyperhidrosis was linked to the patient’s mental and emotional state, how the condition was psychological and simply affected stressed, anxious, or nervous individuals.
However, recent research has demonstrated that those that have primary hyperhidrosis are no quite likely going to feelings of anxiety, nervousness, or emotional stress than the remainder of the population when in contact with the same triggers.
In fact, it will be the other way round – the emotional and mental feelings felt by many patients with hyperhidrosis are as a result of sweating in excess.
Studies have also shown that certain genes be a factor in hyperhidrosis, rendering it look very likely that could be inherited. The majority of patients with primary hyperhidrosis possess a sibling or parent using the condition.
Factors behind 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, for example an overactive thyroid (hyperthyroidism) or low blood glucose levels (hypoglycemia) by ordering blood and urine tests.
Patients will be asked in regards to the patterns of their sweating – which body parts suffer, how many times sweating episodes occur, and whether sweating occurs while asleep.
The sufferer could be asked a series of questions, or have to complete a questionnaire regarding the impact of excessive sweating; questions might include:
Would you carry anything around to manage episodes of sweating in excess, for example napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state if you are in public?
Has hyperhidrosis had any influence on your employment?
Maybe you have lost a colleague due to hyperhidrosis?
The frequency of which can you alter your clothing?
How many times can you wash or use a shower/bath?
How frequently you think about sweating in excess?
Thermoregulatory sweat test: a powder which is sensitive to moisture is applied on the skin. When excessive sweating occurs at room temperature, the powder changes color. The individual is going to be subjected to high heat and humidity in the sweat cabinet, which triggers sweating through the entire entire body.
When subjected to heat, people who do not have hyperhidrosis tend not to sweat excessively in the palms of the hands, but patients with hyperhidrosis do. This test likewise helps your physician determine the severity of the condition.
Some alterations in daily activity and lifestyle may 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 inside the armpit to guard a garment from perspiration.
Clothing – certain synthetic fibers, including nylon, may worsen symptoms. Loose clothing is better.
Shoes – synthetic materials are more likely to worsen symptoms. Natural materials, such as leather, are recommended.
Socks – some socks are better at absorbing moisture, for example thick, soft ones created from natural fibers.
When the measures mentioned above are not effective enough, a doctor may refer the patient to your skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged in a bowl water. A painless electric current is passed from the water. Most people need 2 to 4 20-half hour treatments.
Botulinum toxin (Botox injections) – Botox injections block the nerves that trigger the sweat glands. Patients with hyperhidrosis may require 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 about 2 weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is merely recommended in severe cases which have not responded with other treatments. The nerves that carry messages on the sweat glands are cut.
ETS could be used to treat Iontophoresis Machine from the face, hands or armpits. ETS is just not recommended for treating hyperhidrosis of the feet due to the likelihood of permanent sexual dysfunction.