Hyperhidrosis, also referred to as polyhidrosis or sudorrhea, is a condition described as excessive sweating. The sweating can affect merely one specific area or even the entire body.
While not life-threatening, it could be uncomfortable and cause embarrassment and psychological trauma. In this post, we are going to glance at the causes, symptoms, diagnosis, and treatment of Hyperhidrosis.
Precisely what is hyperhidrosis?
Fast facts on hyperhidrosis
Here are some key points about hyperhidrosis. More detail and supporting information is in the main article.
Hyperhidrosis has a tendency to begin during adolescence
Approximately 7.8 million Americans have hyperhidrosis
Most commonly, the feet, hands, face, and armpits are affected
There are a number of remedies that will reduce symptoms
Exactly what is hyperhidrosis?
Hyperhidrosis may be psychologically damaging.
The unnecessary sweating linked to hyperhidrosis is normally most active within the hands, feet, armpits, and also the groin due to their relatively high power of sweat glands.
Focal hyperhidrosis: As soon as the sweating in excess is localized. By way of example, palmoplantar hyperhidrosis is sweating in excess of the palms and soles.
Generalized hyperhidrosis: Excessive sweating affects the entire body.
Hyperhidrosis could be present from birth or might develop later on. However, many cases of excessive sweating tend to start during a person’s teenage years.
The problem could be as a result of an underlying health problem, or have zero apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In the vast majority of cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: A person sweats a lot of as a consequence of an underlying health problem, 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 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, free time activities, personal relationships, self-image, and emotional well-being could be affected.
Fortunately, there are various options which may treat symptoms effectively. The most significant challenge for treating hyperhidrosis is definitely the significant number of individuals that do not seek medical health advice, either as a result of embarrassment or as they do not recognize that effective treatment exists.
Symptoms of hyperhidrosis
Hyperhidrosis is described as sweating that disrupts normal activities. Episodes of excessive sweating occur at least once every week for no clear reason and also have an impact on social interaction or day to day activities.
Indications of hyperhidrosis can include:
Clammy or wet palms of the hands
Clammy or wet soles of the feet
Noticeable sweating that soaks through clothing
People who have hyperhidrosis might go through 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 just not employment requirement
Spend a substantial amount of time on a daily basis handling sweat, including changing clothes, wiping, placing napkins or pads within the arms, washing, wearing bulky, or dark clothes
Worry greater than others about body odor
Experts are certainly not certain why, but excessive sweating during sleep is not really common for people who have primary hyperhidrosis (the type not linked to any underlying medical condition).
Reasons behind hyperhidrosis
What causes primary hyperhidrosis will not be well-understood; however, secondary hyperhidrosis has a lot of known causes.
Causes of primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to possess a genetic component.
People used to believe that primary hyperhidrosis was linked 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 people with primary hyperhidrosis are no prone to feelings of anxiety, nervousness, or emotional stress than the remainder of the population when in contact with a similar triggers.
Actually, this is the other way round – the emotional and mental feelings seen by many patients with hyperhidrosis are due to sweating in excess.
Research has also shown that certain genes are involved in hyperhidrosis, making it look more likely that it could be inherited. The majority of patients with primary hyperhidrosis have 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, a 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 probably be asked about the patterns of the sweating – which parts of the body are affected, the frequency of which sweating episodes occur, and whether sweating occurs while asleep.
The patient may be asked a series of questions, or have to fill a questionnaire regarding the impact of sweating in excess; questions may include:
Would you carry anything around to handle episodes of sweating in excess, including napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state when you find yourself in public places?
Has hyperhidrosis had any effect on your employment?
Maybe you have lost a colleague due to hyperhidrosis?
The frequency of which will you alter your clothing?
How frequently would you wash or possess 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 to the skin. When sweating in excess occurs at room temperature, the powder changes color. The individual is then in contact with high heat and humidity in the sweat cabinet, which triggers sweating through the entire body.
When subjected to heat, people who do not have hyperhidrosis tend to never sweat excessively from the palms in their hands, but patients with hyperhidrosis do. This test likewise helps your physician determine the degree of the problem.
Some alterations in daily activity and lifestyle may help improve symptoms:
Antiperspirants – deodorants usually 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 guard a garment from perspiration.
Clothing – certain synthetic fibers, including nylon, may worsen symptoms. Loose clothing is way 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, like thick, soft ones manufactured from natural fibers.
If the measures stated previously will not be effective enough, a doctor may refer the sufferer to some 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 sufferers 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 might require several injections for effective results.
Anticholinergic drugs – these medications inhibit the transmission of parasympathetic nerve impulses. Patients generally notice a noticeable difference in symptoms within a couple of weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is merely recommended in severe cases which may have not responded to other treatments. The nerves that carry messages for the sweat glands are cut.
ETS may be used to treat iontophoresis machine from the face, hands or armpits. ETS is just not suitable for treating hyperhidrosis from the feet due to the chance of permanent sexual dysfunction.