Hyperhidrosis

Hyperhidrosis is a medical condition characterized by excessive sweating, beyond what is normally required to regulate body temperature. It can affect various parts of the body, including the palms, soles, underarms, and face.

Types of Hyperhidrosis

  • Primary Hyperhidrosis: This type of hyperhidrosis is not caused by an underlying medical condition. It typically starts during childhood or adolescence and can be inherited.
  • Secondary Hyperhidrosis: This type of hyperhidrosis is caused by an underlying medical condition, such as hyperthyroidism, diabetes, or menopause. It can also be a side effect of certain medications.
  • Generalized Hyperhidrosis: This type of hyperhidrosis affects the entire body and is often caused by an underlying medical condition.
  • Focal Hyperhidrosis: This type of hyperhidrosis affects a specific area of the body, such as the palms or underarms.

Causes of Hyperhidrosis

The exact cause of primary hyperhidrosis is not known, but it is thought to be related to:

  • Overactive sweat glands
  • Nervous system abnormalities
  • Hormonal imbalances
  • Genetic predisposition

Symptoms of Hyperhidrosis

The symptoms of hyperhidrosis can vary depending on the type and severity of the condition. Common symptoms include:

  • Excessive sweating, especially in response to stress or heat
  • Wetness or dampness in affected areas
  • Stains or discoloration on clothing
  • Skin irritation or infections, such as athlete's foot or jock itch
  • Emotional distress or social anxiety due to excessive sweating

Diagnosis of Hyperhidrosis

A diagnosis of hyperhidrosis is typically made based on a physical examination and medical history. Tests may be ordered to rule out underlying medical conditions, such as:

  • Thyroid function tests
  • Blood glucose tests
  • Hormone level tests
  • Sweat tests, such as the starch-iodine test or the Minor's test

Treatment of Hyperhidrosis

Treatment for hyperhidrosis depends on the type and severity of the condition. Options may include:

  • Antiperspirants: Over-the-counter or prescription-strength antiperspirants can help reduce sweating.
  • Medications: Prescription medications, such as glycopyrrolate or aluminum chloride, can help reduce sweating.
  • Iontophoresis: A device that uses electrical currents to temporarily shut down sweat glands.
  • Botox injections: Botulinum toxin injections can temporarily block nerve signals that stimulate sweat glands.
  • Surgery: In severe cases, surgery may be necessary to remove or destroy sweat glands.

Complications of Hyperhidrosis

If left untreated, hyperhidrosis can lead to:

  • Skin infections, such as bacterial or fungal infections
  • Emotional distress or social anxiety
  • Damage to clothing or personal items due to excessive sweating

Prevention of Hyperhidrosis

While there is no sure way to prevent hyperhidrosis, the following tips can help reduce sweating:

  • Wear loose, breathable clothing
  • Avoid triggers, such as spicy foods or stress
  • Use antiperspirants or deodorants regularly
  • Practice good hygiene and keep affected areas clean and dry

Article last updated on: 11th April 2025.
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