Hyperhidrosis, also called polyhidrosis or sudorrhea, is a condition seen as a excessive sweating. The sweating could affect just one single specific area or even the entire body.
While not life-threatening, it might be uncomfortable and cause embarrassment and psychological trauma. In the following paragraphs, we shall glance at the causes, symptoms, diagnosis, and treatment of Hyperhidrosis.
Exactly what is hyperhidrosis?
Fast facts on hyperhidrosis
Here are some key points about hyperhidrosis. More detail and supporting information is within the main article.
Hyperhidrosis is likely to begin during adolescence
An estimated 7.8 million Americans have hyperhidrosis
Most frequently, the feet, hands, face, and armpits suffer
There are a variety of remedies that can reduce symptoms
What is hyperhidrosis?
Hyperhidrosis could be psychologically damaging.
The excessive sweating related to hyperhidrosis is commonly most active in the hands, feet, armpits, as well as the groin because of the 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 whole body.
Hyperhidrosis could be present from birth or might develop in the future. However, most cases of excessive sweating have a tendency to start during the person’s teenage life.
The situation could be due to an underlying health condition, or have zero apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In nearly all cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: The person sweats too much as a consequence of an actual 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 are influenced by hyperhidrosis; that’s around 7.8 million people.
For several, hyperhidrosis symptoms are incredibly severe that this becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, leisure time activities, personal relationships, self-image, and emotional well-being might be affected.
Fortunately, there are numerous options which could treat symptoms effectively. The most significant challenge for treating hyperhidrosis may be the significant amount of people that do not seek medical health advice, either on account of embarrassment or because they do not realize that effective treatment exists.
Signs and symptoms of hyperhidrosis
Hyperhidrosis is described as sweating that disrupts normal activities. Instances of excessive sweating occur at least one time a week for no clear reason and possess an impact on social life or day to day activities.
Signs and symptoms of hyperhidrosis may include:
Clammy or wet palms from the hands
Clammy or wet soles of your feet
Noticeable sweating that soaks through clothing
Individuals with hyperhidrosis might experience the following:
Irritating and painful skin problems, including fungal or bacterial infections
Worrying about having stained clothing
Unwilling to make physical contact
Socially withdrawn, sometimes creating depression
Select employment where physical contact or human interaction is not a job requirement
Spend a substantial amount of time daily working with sweat, such as changing clothes, wiping, placing napkins or pads within the arms, washing, wearing bulky, or dark clothes
Worry more than other individuals about body odor
Experts are certainly not certain why, but excessive sweating during sleep is not common for people who have primary hyperhidrosis (what type not associated with any underlying medical condition).
Reasons behind hyperhidrosis
The cause of primary hyperhidrosis are certainly not well-understood; on the flip side, secondary hyperhidrosis has a lot of known causes.
Factors behind primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to have a genetic component.
People used to feel that primary hyperhidrosis was linked to the patient’s mental and emotional state, the condition was psychological and just affected stressed, anxious, or nervous individuals.
However, recent reports have demonstrated that people with primary hyperhidrosis are no very likely to feelings of anxiety, nervousness, or emotional stress than the other population when in contact with the identical triggers.
Actually, this is basically the other way round – the emotional and mental feelings felt by many patients with hyperhidrosis are due to the sweating in excess.
Studies have also shown that particular genes be a factor in hyperhidrosis, making it look very likely that it could be inherited. The vast majority of patients with primary hyperhidrosis use a sibling or parent together with the condition.
Reasons for secondary hyperhidrosis
Spinal cord injury
Hyperthyroidism – an overactive thyroid gland
Some cancers, such as 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, including an overactive thyroid (hyperthyroidism) or low blood sugar levels (hypoglycemia) by ordering blood and urine tests.
Patients will likely be asked about the patterns of their sweating – which body parts suffer, how often sweating episodes occur, and whether sweating occurs while sleeping.
The patient might be asked a number of questions, or need to fill a questionnaire in regards to the impact of sweating in excess; questions might include:
Can you carry anything around to manage episodes of sweating in excess, such as napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state when you find yourself in public areas?
Has hyperhidrosis had any influence on your employment?
Have you ever lost a pal as a result of hyperhidrosis?
How often can you alter your clothing?
The frequency of which do you wash or possess a shower/bath?
The frequency of which do you reckon about excessive sweating?
Thermoregulatory sweat test: a powder that is responsive to moisture is used towards the skin. When sweating in excess occurs at room temperature, the powder changes color. The person is going to be in contact with high heat and humidity in the sweat cabinet, which triggers sweating through the entire whole body.
When subjected to heat, people who do not have hyperhidrosis tend not to sweat excessively within the palms in their hands, but patients with hyperhidrosis do. This test will also help the doctor determine the seriousness of the disorder.
Some alterations in daily activity and lifestyle might help improve symptoms:
Antiperspirants – deodorants do not stop sweating, but antiperspirants sprays do. Some prescription antiperspirants include aluminum chloride, which plugs the sweat glands.
Armpit shields – pads worn in the armpit to safeguard a garment from perspiration.
Clothing – certain synthetic fibers, for example nylon, may worsen symptoms. Loose clothing is much better.
Shoes – synthetic materials are more inclined to worsen symptoms. Natural materials, including leather, are recommended.
Socks – some socks are better at absorbing moisture, including thick, soft ones manufactured from natural fibers.
In case the measures stated previously are not effective enough, a physician may refer the sufferer to a skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged inside a bowl of water. A painless electric current is passed through the water. Most sufferers 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 may need several injections for effective results.
Anticholinergic drugs – these medications inhibit the transmission of parasympathetic nerve impulses. Patients generally notice a marked improvement in symptoms within a couple of weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is just recommended in severe cases which have not responded to many other treatments. The nerves that carry messages for the sweat glands are cut.
ETS may be used to treat iontophoresis from the face, hands or armpits. ETS is not recommended for treating hyperhidrosis from the feet due to the likelihood of permanent sexual dysfunction.