Hyperhidrosis, also referred to as polyhidrosis or sudorrhea, is really a condition described as sweating in excess. The sweating may affect only one specific area or maybe the whole body.
However, not life-threatening, it might be uncomfortable and cause embarrassment and psychological trauma. In this post, we shall glance at the causes, symptoms, diagnosis, and treatment of hyperhidrosis.
What exactly is hyperhidrosis?
Fast facts on hyperhidrosis
Here are some key points about hyperhidrosis. More detail and supporting information is within the main article.
Hyperhidrosis has a tendency to begin during adolescence
Approximately 7.8 million Americans have hyperhidrosis
Mostly, the feet, hands, face, and armpits suffer
There are a number of remedies that could reduce symptoms
Exactly what is hyperhidrosis?
Hyperhidrosis may be psychologically damaging.
The unnecessary sweating associated with hyperhidrosis is commonly most active from the hands, feet, armpits, as well as the groin because of their relatively high concentration of sweat glands.
Focal hyperhidrosis: If the sweating in excess is localized. For example, palmoplantar hyperhidrosis is excessive sweating in the palms and soles.
Generalized hyperhidrosis: Excessive sweating affects the full body.
Hyperhidrosis might be present from birth or might develop down the road. However, many cases of excessive sweating usually start during a person’s teenage years.
The problem may be because of a fundamental health problem, or have no apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In virtually all cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: The person sweats an excessive amount of due to a fundamental health condition, such as obesity, gout, menopause, a tumor, mercury poisoning, diabetes, or hyperthyroidism (overactive thyroid gland).
Based on the International Hyperhidrosis Association, approximately 2.8 percent of Americans are affected by hyperhidrosis; that’s around 7.8 million people.
For several, hyperhidrosis symptoms are so severe that it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, free time activities, personal relationships, self-image, and emotional well-being may be affected.
Fortunately, there are numerous options which could treat symptoms effectively. The biggest challenge in treating hyperhidrosis may be the significant amount of people who do not seek health advice, either on account of embarrassment or because they do not know that effective treatment exists.
Signs of hyperhidrosis
Hyperhidrosis is identified as sweating that disrupts normal activities. Instances of excessive sweating occur one or more times every week for no clear reason and also have an impact on social life or daily activities.
Symptoms of hyperhidrosis may include:
Clammy or wet palms in 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, like 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 really employment requirement
Spend a large amount of time daily working with sweat, such as changing clothes, wiping, placing napkins or pads beneath the arms, washing, wearing bulky, or dark clothes
Worry greater than other folks about body odor
Experts are certainly not certain why, but excessive sweating throughout sleep is not common for people who have primary hyperhidrosis (what type not linked to any underlying condition).
Reasons for hyperhidrosis
What causes primary hyperhidrosis usually are not well-understood; however, secondary hyperhidrosis has a long list 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, how the condition was psychological and simply affected stressed, anxious, or nervous individuals.
However, recent reports have demonstrated that people with primary hyperhidrosis are no very likely to feelings of anxiety, nervousness, or emotional stress than the other population when in contact with exactly the same triggers.
Actually, it will be the other way round – the emotional and mental feelings seen by many patients with hyperhidrosis are because of the excessive sweating.
Research has also shown that certain genes play a role in hyperhidrosis, rendering it look more inclined could possibly be inherited. Nearly all patients with primary hyperhidrosis use a sibling or parent with the condition.
Reasons behind secondary hyperhidrosis
Spinal cord injury
Hyperthyroidism – an overactive thyroid gland
Some cancers, like 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, including an overactive thyroid (hyperthyroidism) or low blood sugar (hypoglycemia) by ordering blood and urine tests.
Patients is going to be asked regarding the patterns in their sweating – which body parts are affected, the frequency of which sweating episodes occur, and whether sweating occurs while sleeping.
The sufferer may be asked some questions, or need to fill in a questionnaire about the impact of sweating in excess; questions may include:
Would you carry anything around to cope with episodes of excessive sweating, for example napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state when you find yourself in public places?
Has hyperhidrosis had any result on your employment?
Maybe you have lost a colleague because of hyperhidrosis?
The frequency of which will you make positive changes to clothing?
How many times do you wash or have a shower/bath?
How frequently do you consider about sweating in excess?
Thermoregulatory sweat test: a powder which can be understanding of moisture is applied to the skin. When sweating in excess occurs at room temperature, the powder changes color. The person will be exposed to high heat and humidity in a sweat cabinet, which triggers sweating through the entire whole body.
When in contact with heat, people that do not possess hyperhidrosis tend to never sweat excessively from the palms of their hands, but patients with hyperhidrosis do. This test also helps a doctor determine the seriousness of the condition.
Some alterations in daily activity and lifestyle could 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, 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, such as thick, soft ones manufactured from natural fibers.
In the event the measures mentioned above will not be effective enough, a health care provider may refer the patient to your 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 people need 2 to 4 20-thirty minute treatments.
Botulinum toxin (Botox injections) – Botox injections block the nerves that trigger the sweat glands. Patients with hyperhidrosis might 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 only recommended in severe cases that have not responded to many other treatments. The nerves that carry messages for the sweat glands are cut.
ETS may be used to treat iontophoresismachine in the face, hands or armpits. ETS is not really recommended for treating hyperhidrosis of your feet due to the probability of permanent sexual dysfunction.