Hyperhidrosis, also called polyhidrosis or sudorrhea, is really a condition observed as excessive sweating. The sweating may affect just one single specific area or perhaps the entire body.
While not life-threatening, it may be uncomfortable and cause embarrassment and psychological trauma. In this article, we will glance at the causes, symptoms, diagnosis, and treatments for hyperhidrosis.
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 tends to begin during adolescence
Approximately 7.8 million Americans have hyperhidrosis
Most frequently, the feet, hands, face, and armpits suffer
There are a variety of remedies that will reduce symptoms
Precisely what is hyperhidrosis?
Hyperhidrosis might be psychologically damaging.
The unnecessary sweating associated with hyperhidrosis is generally most active in the hands, feet, armpits, as well as the groin because of their relatively high concentration of sweat glands.
Focal hyperhidrosis: Once the excessive sweating is localized. For instance, palmoplantar hyperhidrosis is excessive sweating of your palms and soles.
Generalized hyperhidrosis: Excessive sweating affects the complete body.
Hyperhidrosis may be present from birth or might develop later in life. However, most instances of sweating in excess usually start during a person’s teen years.
The situation could be on account of a fundamental 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 too much as a consequence of a fundamental health problem, like obesity, gout, menopause, a tumor, mercury poisoning, diabetes, or hyperthyroidism (overactive thyroid gland).
In accordance with the International Hyperhidrosis Association, approximately 2.8 percent of Americans are influenced by hyperhidrosis; that’s around 7.8 million people.
For a few, hyperhidrosis symptoms are so severe which it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, extra time activities, personal relationships, self-image, and emotional well-being may be affected.
Fortunately, there are many options that may treat symptoms effectively. The most significant challenge for treating hyperhidrosis is the significant amount of people who do not seek medical advice, either on account of embarrassment or because they do not know that effective treatment exists.
Symptoms of hyperhidrosis
Hyperhidrosis is identified as sweating that disrupts normal activities. Instances of excessive sweating occur at least one time weekly for no clear reason and also have an impact on self confidence or daily activities.
Symptoms of hyperhidrosis may include:
Clammy or wet palms of the hands
Clammy or wet soles in the feet
Noticeable sweating that soaks through clothing
Individuals with hyperhidrosis might feel 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 just not work requirement
Spend a large amount of time on a daily basis dealing with sweat, like changing clothes, wiping, placing napkins or pads underneath the arms, washing, wearing bulky, or dark clothes
Worry greater than other individuals about body odor
Experts usually are not certain why, but sweating in excess while asleep will not be common for those who have primary hyperhidrosis (what type not connected to any underlying disease).
Reasons for hyperhidrosis
The causes of primary hyperhidrosis are certainly not well-understood; on the other hand, 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 utilized to assume that primary hyperhidrosis was connected to the patient’s mental and emotional state, that this condition was psychological and merely affected stressed, anxious, or nervous individuals.
However, recent reports have demonstrated that those that have primary hyperhidrosis are no prone to feelings of anxiety, nervousness, or emotional stress than the remainder of the population when open to the same triggers.
In reality, this is the other way round – the emotional and mental feelings felt by many patients with hyperhidrosis are because of the sweating in excess.
Reports have also shown that particular genes be a factor in hyperhidrosis, making it look much more likely that it could be inherited. Virtually all patients with primary hyperhidrosis possess a sibling or parent using the condition.
Reasons behind secondary hyperhidrosis
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 hypertension)
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 will probably be asked in regards to the patterns of the sweating – which body parts are affected, how many times sweating episodes occur, and whether sweating occurs while asleep.
The individual might be asked a series of questions, or ought to complete a questionnaire in regards to the impact of sweating in excess; questions may include:
Would you carry anything around to manage instances of sweating in excess, including napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state while you are in public?
Has hyperhidrosis had any impact on your employment?
Have you lost a pal because of hyperhidrosis?
How often would you alter your clothing?
How frequently will you wash or use a shower/bath?
How frequently do you think about excessive sweating?
Thermoregulatory sweat test: a powder which can be understanding of moisture is applied on the skin. When excessive sweating occurs at room temperature, the powder changes color. The patient will be subjected to high heat and humidity in the sweat cabinet, which triggers sweating throughout the entire body.
When subjected to heat, people that do not have hyperhidrosis tend to never sweat excessively within the palms of their hands, but patients with hyperhidrosis do. This test will also help your physician determine the severity of the disorder.
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 from the armpit to shield a garment from perspiration.
Clothing – certain synthetic fibers, including nylon, may worsen symptoms. Loose clothing is preferable.
Shoes – synthetic materials are more inclined to worsen symptoms. Natural materials, for example leather, are recommended.
Socks – some socks are better at absorbing moisture, for example thick, soft ones created from natural fibers.
In the event the measures stated earlier will not be effective enough, a physician may refer the sufferer 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 throughout the water. Most patients 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 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 simply recommended in severe cases that have not responded to other treatments. The nerves that carry messages for the sweat glands are cut.
ETS could be used to treat iontophoresis machine in the face, hands or armpits. ETS is just not suitable for treating hyperhidrosis in the feet as a result of risk of permanent sexual dysfunction.