Hyperhidrosis, also known as polyhidrosis or sudorrhea, is really a condition observed as excessive sweating. The sweating can impact only one specific area or even the whole body.
Although not life-threatening, it may be uncomfortable and cause embarrassment and psychological trauma. On this page, we shall glance at the causes, symptoms, diagnosis, and therapy for Hyperhidrosis.
Precisely what is hyperhidrosis?
Fast facts on hyperhidrosis
Here are a few tips about hyperhidrosis. More detail and supporting information is within the main article.
Hyperhidrosis will begin during adolescence
An estimated 7.8 million Americans have hyperhidrosis
Mostly, the feet, hands, face, and armpits suffer
There are a variety of remedies that could reduce symptoms
Precisely what is hyperhidrosis?
Hyperhidrosis could be psychologically damaging.
The excessive sweating connected with hyperhidrosis is normally most active inside the hands, feet, armpits, and also the groin due to their relatively high power of sweat glands.
Focal hyperhidrosis: If the sweating in excess is localized. For example, palmoplantar hyperhidrosis is excessive sweating of the palms and soles.
Generalized hyperhidrosis: Excessive sweating affects the whole body.
Hyperhidrosis could be present from birth or might develop in the future. However, most cases of excessive sweating usually start during the person’s teenage years.
The problem can be because of a fundamental medical condition, or have no apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In the majority of cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: Anyone sweats an excessive amount of due to a fundamental health problem, including 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 are affected by hyperhidrosis; that’s around 7.8 million people.
For a few, 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 can be affected.
Fortunately, there are various options that may treat symptoms effectively. The greatest challenge for treating hyperhidrosis is the significant number of individuals who do not seek medical advice, either because of embarrassment or as they do not realize that effective treatment exists.
Signs of hyperhidrosis
Hyperhidrosis is defined as sweating that disrupts normal activities. Episodes of excessive sweating occur at least once every week for no clear reason and have an impact on dating life or daily activities.
Indications of hyperhidrosis might include:
Clammy or wet palms in the hands
Clammy or wet soles from the feet
Noticeable sweating that soaks through clothing
People who have hyperhidrosis might enjoy the following:
Irritating and painful skin problems, such as fungal or bacterial infections
Worrying about having stained clothing
Unwilling to make physical contact
Socially withdrawn, sometimes ultimately causing depression
Select employment where physical contact or human interaction is not employment requirement
Spend a lot of time every day coping with sweat, for example changing clothes, wiping, placing napkins or pads within the arms, washing, wearing bulky, or dark clothes
Worry more than other folks about body odor
Experts usually are not certain why, but sweating in excess while sleeping is just not common for people who have primary hyperhidrosis (what type not associated with any underlying medical condition).
Causes of hyperhidrosis
What causes primary hyperhidrosis are not well-understood; on the other hand, secondary hyperhidrosis has a lot of known causes.
Reasons for primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to experience a genetic component.
People used to assume that primary hyperhidrosis was connected to the patient’s mental and emotional state, that the condition was psychological and simply affected stressed, anxious, or nervous individuals.
However, recent research has demonstrated that people who have primary hyperhidrosis are no more prone to feelings of anxiety, nervousness, or emotional stress than the remainder of the population when exposed to the identical triggers.
In fact, this is basically the other way round – the emotional and mental feelings gone through by many patients with hyperhidrosis are because of the sweating in excess.
Reports have also shown that certain genes play a role in hyperhidrosis, so that it is look more likely that could be inherited. The majority of patients with primary hyperhidrosis have a sibling or parent together with the condition.
Factors behind 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 elevated blood pressure)
Initially, your doctor may try to rule out any underlying conditions, like an overactive thyroid (hyperthyroidism) or low blood sugar levels (hypoglycemia) by ordering blood and urine tests.
Patients is going to be asked concerning the patterns of the sweating – which parts of the body are affected, how many times sweating episodes occur, and whether sweating occurs while sleeping.
The person could be asked a number of questions, or need to fill a questionnaire about the impact of excessive sweating; questions could include:
Do you carry anything around to deal with instances of sweating in excess, such as napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state when you are in public places?
Has hyperhidrosis had any result on your employment?
Have you ever lost a pal on account of hyperhidrosis?
The frequency of which would you improve your clothing?
How often can you wash or use a shower/bath?
How frequently do you consider about sweating in excess?
Thermoregulatory sweat test: a powder which happens to be responsive to moisture is applied for the skin. When excessive sweating occurs at room temperature, the powder changes color. The individual is then exposed to high heat and humidity within a sweat cabinet, which triggers sweating through the entire entire body.
When in contact with heat, those who do not possess hyperhidrosis tend to not sweat excessively from the palms in their hands, but patients with hyperhidrosis do. This test also helps a doctor determine the severity of the disorder.
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 in the armpit to shield a garment from perspiration.
Clothing – certain synthetic fibers, for example nylon, may worsen symptoms. Loose clothing is way better.
Shoes – synthetic materials are more inclined to worsen symptoms. Natural materials, like leather, are recommended.
Socks – some socks are better at absorbing moisture, including thick, soft ones made of natural fibers.
If the measures mentioned above usually are not effective enough, your doctor may refer the patient into a 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 two to four 20-half hour 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 an improvement in symptoms within about 2 weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is merely recommended in severe cases that contain not responded to many other treatments. The nerves that carry messages towards the sweat glands are cut.
ETS may be used to treat Iontophoresis Machine of the face, hands or armpits. ETS is just not suggested for treating hyperhidrosis of the feet as a result of likelihood of permanent sexual dysfunction.