Hyperhidrosis, also known as polyhidrosis or sudorrhea, is a condition seen as a sweating in excess. The sweating can affect merely one specific area or the whole body.
While not life-threatening, it can be uncomfortable and cause embarrassment and psychological trauma. In the following paragraphs, we are going to consider the causes, symptoms, diagnosis, and treatments for Hyperhidrosis.
Exactly what is hyperhidrosis?
Fast facts on hyperhidrosis
Below are a few tips about hyperhidrosis. More detail and supporting information is with the main article.
Hyperhidrosis will begin during adolescence
Approximately 7.8 million Americans have hyperhidrosis
Most often, the feet, hands, face, and armpits suffer
There are a number of remedies that could reduce symptoms
What exactly is hyperhidrosis?
Hyperhidrosis can be psychologically damaging.
The unwanted sweating connected with hyperhidrosis is generally most active within the hands, feet, armpits, as well as the groin due to their relatively high concentration of sweat glands.
Focal hyperhidrosis: As soon as the excessive sweating is localized. For instance, palmoplantar hyperhidrosis is sweating in excess of the palms and soles.
Generalized hyperhidrosis: Sweating in excess affects the entire body.
Hyperhidrosis might be present from birth or might develop later in life. However, many cases of sweating in excess usually start in a person’s teenage life.
The situation could be because of an actual medical condition, or have no apparent cause:
Primary idiopathic hyperhidrosis: “Idiopathic” means “of unknown cause.” In nearly all cases, the hyperhidrosis is localized.
Secondary hyperhidrosis: Anyone sweats excessive as a result of an actual health condition, for example 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 some, hyperhidrosis symptoms are so severe it becomes embarrassing, causing discomfort and anxiety. The patient’s career choices, leisure time activities, personal relationships, self-image, and emotional well-being can be affected.
Fortunately, there are numerous options which can treat symptoms effectively. The most significant challenge in treating hyperhidrosis is definitely the significant amount of people that do not seek medical advice, either because of embarrassment or because they do not know that effective treatment exists.
Signs of hyperhidrosis
Hyperhidrosis is described as sweating that disrupts normal activities. Episodes of sweating in excess occur at least one time weekly for no clear reason and have an effect on self confidence or day to day activities.
Signs and symptoms of hyperhidrosis might include:
Clammy or wet palms from the hands
Clammy or wet soles from the feet
Noticeable sweating that soaks through clothing
Those with hyperhidrosis might feel the following:
Irritating and painful skin problems, like fungal or bacterial infections
Worrying about having stained clothing
Reluctant to make physical contact
Socially withdrawn, sometimes creating depression
Select employment where physical contact or human interaction will not be a task requirement
Spend a great deal of time every day handling sweat, such as changing clothes, wiping, placing napkins or pads under the arms, washing, wearing bulky, or dark clothes
Worry over others about body odor
Experts usually are not certain why, but excessive sweating while sleeping is not common for those who have primary hyperhidrosis (what type not connected to any underlying medical condition).
Reasons behind hyperhidrosis
The cause of primary hyperhidrosis 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 have a genetic component.
People employed to feel that primary hyperhidrosis was connected to the patient’s mental and emotional state, that the condition was psychological and only affected stressed, anxious, or nervous individuals.
However, recent research has demonstrated that those that have primary hyperhidrosis are no prone to feelings of anxiety, nervousness, or emotional stress than the rest of the population when open to the identical triggers.
In fact, this is basically the other way round – the emotional and mental feelings seen by many patients with hyperhidrosis are due to excessive sweating.
Studies have also shown that particular genes are involved in hyperhidrosis, making it look much more likely could possibly be inherited. Nearly all patients with primary hyperhidrosis use a sibling or parent with all the condition.
Factors behind secondary hyperhidrosis
Hyperthyroidism – an overactive thyroid gland
Some cancers, for example 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 levels)
Initially, a doctor may try to eliminate any underlying conditions, like an overactive thyroid (hyperthyroidism) or low blood sugar (hypoglycemia) by ordering blood and urine tests.
Patients will likely be asked regarding the patterns of the sweating – which areas of the body suffer, how frequently sweating episodes occur, and whether sweating occurs while sleeping.
The sufferer might be asked a number of questions, or need to complete a questionnaire regarding the impact of excessive sweating; questions may include:
Can you carry anything around to handle instances of excessive sweating, like napkins, antiperspirants, towels, or pads?
Does hyperhidrosis affect your behavior or mental state when you are in public areas?
Has hyperhidrosis had any result on your employment?
Have you lost a friend as a result of hyperhidrosis?
The frequency of which would you improve your clothing?
How frequently would you wash or have a shower/bath?
The frequency of which you think about sweating in excess?
Thermoregulatory sweat test: a powder which can be sensitive to moisture is used towards the skin. When excessive sweating occurs at room temperature, the powder changes color. The patient will be in contact with high heat and humidity in the sweat cabinet, which triggers sweating throughout the entire body.
When subjected to heat, people that do not possess hyperhidrosis tend never to sweat excessively in the palms with their hands, but patients with hyperhidrosis do. This test can also help your physician determine the degree of the disorder.
Some alterations in daily activity and lifestyle might 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 from the armpit to shield a garment from perspiration.
Clothing – certain synthetic fibers, for example nylon, may worsen symptoms. Loose clothing is much better.
Shoes – synthetic materials will probably worsen symptoms. Natural materials, including leather, are recommended.
Socks – some socks are better at absorbing moisture, for example thick, soft ones made from natural fibers.
When the measures stated previously usually are not effective enough, a health care provider may refer the individual to your skin specialist (dermatologist), who may recommend:
Iontophoresis – the hands and feet 73dexlpky submerged inside a bowl of water. A painless electric current is passed with the water. Most people 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 may need 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 only recommended in severe cases that have not responded to other treatments. The nerves that carry messages to the sweat glands are cut.
ETS may be used to treat iontophoresis of your face, hands or armpits. ETS is not really suitable for treating hyperhidrosis of your feet due to the chance of permanent sexual dysfunction.