Hyperhidrosis, often known as polyhidrosis or sudorrhea, is actually a condition described as sweating in excess. The sweating can impact only one specific area or maybe the entire body.
While not life-threatening, it can be uncomfortable and cause embarrassment and psychological trauma. On this page, we will glance at the causes, symptoms, diagnosis, and treatment of hyperhidrosis.
What is hyperhidrosis?
Fast facts on hyperhidrosis
Here are some 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 are affected
There are many of remedies that will reduce symptoms
What is hyperhidrosis?
Hyperhidrosis can be psychologically damaging.
The unwanted sweating associated with hyperhidrosis is generally most active from the hands, feet, armpits, along with the groin because of their 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 in the palms and soles.
Generalized hyperhidrosis: Sweating in excess affects the entire body.
Hyperhidrosis can be present from birth or might develop down the road. However, most cases of sweating in excess have a tendency to start during a person’s teen years.
The problem may be on account of a fundamental health problem, or have zero apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In virtually all cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: Anyone sweats too much because of an actual health condition, 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 suffer from hyperhidrosis; that’s around 7.8 million people.
For many, hyperhidrosis symptoms are so severe which it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, spare time activities, personal relationships, self-image, and emotional well-being could be affected.
Fortunately, there are many options which can treat symptoms effectively. The most significant challenge in treating hyperhidrosis will be the significant amount of people that do not seek medical health advice, either on account of embarrassment or as they do not recognize that effective treatment exists.
Signs and symptoms of hyperhidrosis
Hyperhidrosis is described as sweating that disrupts normal activities. Instances of sweating in excess occur at least one time weekly for no clear reason and also have an impact on dating life or day to day activities.
Warning signs of hyperhidrosis can include:
Clammy or wet palms of the hands
Clammy or wet soles in the feet
Noticeable sweating that soaks through clothing
People with hyperhidrosis might enjoy the following:
Irritating and painful skin problems, for example fungal or bacterial infections
Worrying about having stained clothing
Hesitant to make physical contact
Socially withdrawn, sometimes resulting in depression
Select employment where physical contact or human interaction is not really a job requirement
Spend a substantial amount of time every day dealing with sweat, such as changing clothes, wiping, placing napkins or pads under the arms, washing, wearing bulky, or dark clothes
Worry over other individuals about body odor
Experts are not certain why, but sweating in excess while sleeping will not be common for people with primary hyperhidrosis (the type not linked to any underlying medical problem).
Causes of hyperhidrosis
The sources of primary hyperhidrosis will not be well-understood; on the other hand, secondary hyperhidrosis has a lot of known causes.
Factors behind primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to possess a genetic component.
People employed to believe that primary hyperhidrosis was connected to the patient’s mental and emotional state, that this condition was psychological and only affected stressed, anxious, or nervous individuals.
However, recent studies have demonstrated that those that have primary hyperhidrosis are no quite likely going to feelings of anxiety, nervousness, or emotional stress than all of those other population when subjected to the same triggers.
The truth is, it will be the other way round – the emotional and mental feelings felt by many patients with hyperhidrosis are due to excessive sweating.
Studies have also shown that particular genes be a factor in hyperhidrosis, so that it is look very likely that it could be inherited. Virtually all patients with primary hyperhidrosis have got a sibling or parent with the condition.
Factors 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 elevated blood pressure)
Initially, a doctor may try to eliminate any underlying conditions, for example an overactive thyroid (hyperthyroidism) or low blood glucose levels (hypoglycemia) by ordering blood and urine tests.
Patients is going to be asked in regards to the patterns with their sweating – which areas of the body suffer, how often sweating episodes occur, and whether sweating occurs throughout sleep.
The person may be asked a number of questions, or have to fill in a questionnaire regarding the impact of excessive sweating; questions might include:
Do you carry anything around to cope with episodes of excessive sweating, 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 colleague on account of hyperhidrosis?
How many times will you make positive changes to clothing?
How frequently will you wash or have a shower/bath?
How frequently do you reckon about sweating in excess?
Thermoregulatory sweat test: a powder which is responsive to moisture is applied on the skin. When sweating in excess occurs at room temperature, the powder changes color. The sufferer is then open to high heat and humidity in a sweat cabinet, which triggers sweating through the whole body.
When subjected to heat, people that do not have hyperhidrosis tend never to sweat excessively in the palms with their hands, but patients with hyperhidrosis do. This test will also help your physician determine the seriousness of the disorder.
Some alterations in daily activity and lifestyle could 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 inside the armpit to guard a garment from perspiration.
Clothing – certain synthetic fibers, including nylon, may worsen symptoms. Loose clothing is much 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 made from natural fibers.
If the measures mentioned previously are certainly not effective enough, a doctor may refer the patient to some skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged inside a bowl 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 noticable difference in symptoms within about 2 weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is merely recommended in severe cases which have not responded to other treatments. The nerves that carry messages on the sweat glands are cut.
ETS enables you to treat iontophoresis machine of your face, hands or armpits. ETS is not really recommended for treating hyperhidrosis in the feet because of the likelihood of permanent sexual dysfunction.