What is hyperhidrosis:
Hyperhidrosis is the medical term describing sweating in excess of that required for regulation of normal body temperature. It is a very common symptom that causes patient discomfort.
Around 3% of the American population suffers from hyperhidrosis of the palms and underarms or plants (feet) grouped under the name of palmar-plantar hyperhidrosis. The disease begins in childhood or adolescence (the axillary occurs later, while the palmar-plantar occurs around age 14-15 years) and can affect any part of the body. Hyperhidrosis can be idiopathic or secondary to various diseases (metabolic, nervous fever) or can occur as a reaction to certain drugs. Hyperhidrosis affects both sexes equally and can occur at any age. A significant percentage of patients (3-40%) had a family member who has this problem and because of this it is considered that the disease may have genetic transmission (in its idiopathic form).
Symptoms of hyperhidrosis:
Common symptoms that can occur with sweat are: abdominal pain or cramps; anxiety; fever and chills; muscle spam; tachycardia (rapid heart rate); shortness of breath or increased respiratory rate (tachypnea); sleep disorders; unexplained weight loss;
How to get rid of hyperhidrosis:
There are several therapeutic options, including :
Antiperspirant treatment administered without prescription : available in pharmacies without medical prescription and their side effects are minor, the most effective are antiperspirants containing aluminum chloride or those based on tannic acid dissolved in ethanol (but these have the risk of allergic reactions much higher). They are applied in the evening, before bedtime.
Antiperspirants that are much stronger and are taken only on prescription, such as aluminum chloride hexahydrate. But the treatment is not effective in patients with palmoplantar hyperhidrosis
Oral medication – there are several classes of substances effective in hyperhidrosis, including: anticholinergics, Beta Blockers, Antidepressants and anxiolytics.
Iontophoresis: consists in placing the affected area on a device containing two containers with water. Hand or foot acts like a conductor between the two. As the current passes through the skin and tissue, minerals in the water reduce the activity of secretory exocrine glands, thus reducing the amount of sweat eliminated. The process may be perceived as painful for some patients, especially in the beginning. In time, however, the body adapts iontophoresis. The treatment should be continued indefinitely. The side effects are relatively few and include changes in skin texture and local pigmentation .
Botox for hyperhidrosis: recently, administration of Botox was approved for use in the treatment of axillary hyperhidrosis. By injecting the botulinum toxin are deactivated exocrine glands sweat. The effect lasts up to 8-9 months, depending on the site of the injection, the dose and individual reactivity. The procedure is done under anesthesia because it is painful. It consists in injecting about 50 units of Botox in 15-20 different areas that cover the entire affected area.
Surgery for hyperhidrosis: sympathectomy thoracic endoscopic. There are several procedures: ETS, ETS-C, ESB. It is performed through a small incision in the armpit, with the patient under general anesthesia.
Laser for hiperhidrosis: laser therapy provides permanent solution to hyperhidrosis, can treat primary axillary hyperhidrosis.
Other therapeutic methods to get rid of hyperhidrosis: natural treatments, acupuncture, hypnosis, meditation, the use of talcum powder in the concerned areas.
Hyperhydrosis or excessive sweating can be a symptom of a disease or disorder and it is indicated to consult your doctor who will indicate the best treatment for you.
This blog post is an educational resource only and does not replace a medical consultation with a doctor .
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