Hyperhidrosis, also referred to as polyhidrosis or sudorrhea, is a condition characterized by sweating in excess. The sweating may affect only one specific area or even the entire body.
While not life-threatening, it could be uncomfortable and cause embarrassment and psychological trauma. On this page, we are going to check out the causes, symptoms, diagnosis, and management of Hyperhidrosis.
Exactly what is hyperhidrosis?
Fast facts on hyperhidrosis
Here are some tips about hyperhidrosis. More detail and supporting information is within the main article.
Hyperhidrosis tends to begin during adolescence
An estimated 7.8 million Americans have hyperhidrosis
Most often, the feet, hands, face, and armpits suffer
There are a number of remedies that will reduce symptoms
Precisely what is hyperhidrosis?
Hyperhidrosis could be psychologically damaging.
The excessive sweating related to hyperhidrosis is generally most active within the hands, feet, armpits, and the groin because of the relatively high concentration of sweat glands.
Focal hyperhidrosis: Once the excessive sweating is localized. For example, palmoplantar hyperhidrosis is sweating in excess in the palms and soles.
Generalized hyperhidrosis: Sweating in excess affects the entire body.
Hyperhidrosis may be present from birth or might develop down the road. However, many cases of excessive sweating usually start throughout a person’s teenage years.
The disorder might be because of an underlying health condition, or have no apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In the majority of cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: Anyone sweats a lot of as a result of a fundamental health condition, such as obesity, gout, menopause, a tumor, mercury poisoning, diabetes mellitus, or hyperthyroidism (overactive thyroid gland).
Based on 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 really severe that 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 numerous options that may treat symptoms effectively. The greatest challenge for hyperhidrosis will be the significant amount of people who do not seek medical health advice, either because of embarrassment or because they do not know that effective treatment exists.
Symptoms of hyperhidrosis
Hyperhidrosis is described as sweating that disrupts normal activities. Episodes of excessive sweating occur at least one time every week for no clear reason and get an effect on social life or day to day activities.
Warning signs of hyperhidrosis may include:
Clammy or wet palms of your hands
Clammy or wet soles of your feet
Noticeable sweating that soaks through clothing
Those with hyperhidrosis might go through the following:
Irritating and painful skin problems, like 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 will not be work requirement
Spend a substantial amount of time on a daily basis coping with sweat, for example changing clothes, wiping, placing napkins or pads beneath the arms, washing, wearing bulky, or dark clothes
Worry greater than others about body odor
Experts will not be certain why, but sweating in excess while asleep is not common for those who have primary hyperhidrosis (what type not associated with any underlying medical condition).
Reasons for hyperhidrosis
The causes of primary hyperhidrosis are certainly not well-understood; alternatively, secondary hyperhidrosis has a lot of known causes.
Causes of primary hyperhidrosis
[Sweaty man in grey shirt]
Primary hyperhidrosis appears to experience a genetic component.
People accustomed to assume that primary hyperhidrosis was connected to the patient’s mental and emotional state, the condition was psychological and only affected stressed, anxious, or nervous individuals.
However, recent studies have demonstrated that those that have primary hyperhidrosis are no very likely to feelings of anxiety, nervousness, or emotional stress than the rest of the population when exposed to exactly the same triggers.
In reality, it is the other way round – the emotional and mental feelings seen by many patients with hyperhidrosis are due to the sweating in excess.
Reports have also shown that certain genes be involved in hyperhidrosis, rendering it look very likely that it could be inherited. The majority of patients with primary hyperhidrosis have got a sibling or parent with all 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 hypertension)
Initially, a doctor may try to eliminate any underlying conditions, such as an overactive thyroid (hyperthyroidism) or low blood glucose (hypoglycemia) by ordering blood and urine tests.
Patients is going to be asked concerning the patterns of their sweating – which parts of the body suffer, how frequently sweating episodes occur, and whether sweating occurs while sleeping.
The patient can be asked several questions, or ought to complete a questionnaire about the impact of sweating in excess; questions can include:
Would you carry anything around to cope with episodes of sweating in excess, like napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state while you are in public?
Has hyperhidrosis had any influence on your employment?
Have you ever lost a pal on account of hyperhidrosis?
How many times can you make positive changes to clothing?
The frequency of which would you wash or possess a shower/bath?
How often do you reckon about sweating in excess?
Thermoregulatory sweat test: a powder which happens to be understanding of moisture is used on the skin. When sweating in excess occurs at room temperature, the powder changes color. The individual is going to be open to high heat and humidity within a sweat cabinet, which triggers sweating through the entire whole body.
When exposed to heat, those who do not possess hyperhidrosis tend never to sweat excessively in the palms of the hands, but patients with hyperhidrosis do. This test also helps your physician determine the degree 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 in the armpit to guard a garment from perspiration.
Clothing – certain synthetic fibers, such as nylon, may worsen symptoms. Loose clothing is much 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, for example thick, soft ones manufactured from natural fibers.
In case the measures stated earlier usually are not effective enough, your doctor may refer the patient into a skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged within a bowl of water. A painless electric current is passed from the water. Most sufferers need 2 to 4 20-half hour 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 an improvement in symptoms within about 2 weeks.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is merely recommended in severe cases which may have not responded with other treatments. The nerves that carry messages for the sweat glands are cut.
ETS may be used to treat iontophoresismachine of the face, hands or armpits. ETS will not be appropriate for treating hyperhidrosis of the feet because of the chance of permanent sexual dysfunction.