Hyperhidrosis, often known as polyhidrosis or sudorrhea, is actually a condition seen as a excessive sweating. The sweating can affect only one specific area or perhaps the whole body.
However, not life-threatening, it can be uncomfortable and cause embarrassment and psychological trauma. On this page, we will look at the causes, symptoms, diagnosis, and treatment of hyperhidrosis.
Precisely what is hyperhidrosis?
Fast facts on hyperhidrosis
Here are several key points about hyperhidrosis. More detail and supporting information is within the main article.
Hyperhidrosis has a tendency to begin during adolescence
An estimated 7.8 million Americans have hyperhidrosis
Most commonly, the feet, hands, face, and armpits suffer
There are many of remedies that can reduce symptoms
What is hyperhidrosis?
Hyperhidrosis may be psychologically damaging.
The unwanted sweating related to hyperhidrosis is commonly most active from the hands, feet, armpits, and also the groin because of the relatively high concentration of sweat glands.
Focal hyperhidrosis: Once the sweating in excess is localized. For instance, palmoplantar hyperhidrosis is sweating in excess from the palms and soles.
Generalized hyperhidrosis: Sweating in excess affects the complete body.
Hyperhidrosis could be present from birth or might develop down the road. However, most instances of sweating in excess usually start throughout a person’s teen years.
The situation may be due to an underlying medical condition, or have zero apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In virtually all cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: A person sweats too much due to a fundamental health issue, like obesity, gout, menopause, a tumor, mercury poisoning, diabetes, 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 really 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 may be affected.
Fortunately, there are several options which may treat symptoms effectively. The most significant challenge for hyperhidrosis is definitely the significant amount of people that do not seek medical advice, either due to embarrassment or because they do not know that effective treatment exists.
Indications of hyperhidrosis
Hyperhidrosis is described as sweating that disrupts normal activities. Episodes of sweating in excess occur at least one time a week for no clear reason and possess an effect on self confidence or day to day activities.
Symptoms of hyperhidrosis could include:
Clammy or wet palms from the hands
Clammy or wet soles of the feet
Noticeable sweating that soaks through clothing
Those with hyperhidrosis might feel 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 leading to depression
Select employment where physical contact or human interaction is just not work requirement
Spend a great deal of time on a daily basis coping with sweat, such as changing clothes, wiping, placing napkins or pads underneath the arms, washing, wearing bulky, or dark clothes
Worry more than others about body odor
Experts are certainly not certain why, but excessive sweating while asleep will not be common for those who have primary hyperhidrosis (what type not linked to any underlying disease).
Reasons behind hyperhidrosis
The cause of primary hyperhidrosis usually are not well-understood; however, secondary hyperhidrosis has a long list of known causes.
Reasons for primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to have a genetic component.
People employed to feel that primary hyperhidrosis was connected to the patient’s mental and emotional state, that the condition was psychological and only affected stressed, anxious, or nervous individuals.
However, recent studies have demonstrated that people with primary hyperhidrosis are no more prone to feelings of anxiety, nervousness, or emotional stress than the rest of the population when exposed to a similar triggers.
The truth is, it is the other way round – the emotional and mental feelings felt by many patients with hyperhidrosis are due to sweating in excess.
Reports have also shown that certain genes play a role in hyperhidrosis, which makes it look very likely could possibly be inherited. Nearly all patients with primary hyperhidrosis use a sibling or parent with all the condition.
Reasons for 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 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 be asked about the patterns with their sweating – which areas of the body are affected, the frequency of which sweating episodes occur, and whether sweating occurs while asleep.
The patient could be asked some questions, or need to complete a questionnaire concerning the impact of excessive sweating; questions can include:
Would you carry anything around to handle episodes of excessive sweating, such as napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state while you are in public areas?
Has hyperhidrosis had any impact on your employment?
Have you lost a colleague on account of hyperhidrosis?
How frequently will you change your clothing?
How frequently do you wash or possess a shower/bath?
How frequently you think about sweating in excess?
Thermoregulatory sweat test: a powder which can be responsive to moisture is applied for the skin. When sweating in excess occurs at room temperature, the powder changes color. The patient is then subjected to high heat and humidity within a sweat cabinet, which triggers sweating through the entire entire body.
When exposed to heat, people that do not have hyperhidrosis tend to not sweat excessively from the palms in their hands, but patients with hyperhidrosis do. This test likewise helps the physician determine the seriousness of the condition.
Some alterations in daily activity and lifestyle can 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, including nylon, may worsen symptoms. Loose clothing is better.
Shoes – synthetic materials will probably worsen symptoms. Natural materials, such as leather, are recommended.
Socks – some socks are better at absorbing moisture, including thick, soft ones created from natural fibers.
In the event the measures mentioned above are not effective enough, a physician may refer the patient to some skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged within a bowl water. A painless electric current is passed through the water. Most sufferers need two to four 20-30 minute 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 marked improvement in symptoms within about 2 weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is simply recommended in severe cases that have not responded to many other treatments. The nerves that carry messages on the sweat glands are cut.
ETS may be used to treat Iontophoresis Machine of your face, hands or armpits. ETS is not appropriate for treating hyperhidrosis of your feet as a result of likelihood of permanent sexual dysfunction.