We are human, and sweating is normal. Without sweat, our bodies would never be able to cool down and could shut down due to heat exhaustion.
However, when do we know whether we are sweating too much? What are the signs? What are the causes, and most importantly, is there a cure? Join us as we talk about hyperhidrosis.
Hyperhidrosis Explained
Hyperhidrosis is a common condition characterised by unpredictable and excessive sweating in the hands (wet palms), feet (dripping feet), underarms (sweat stains), or on the head, face, and scalp, beyond what is typical for sweating caused by hot environments, exercise, anxiety, or stress, or what is necessary for thermoregulation.
While it might sound like a rare condition, hyperhidrosis is actually quite common! It affects nearly 5% of the world’s population (that is roughly 385 MILLION people) and can significantly impact daily life, causing discomfort and embarrassment. We can all agree that nobody should have to feel uncomfortable or ashamed in their own body.
Factors Leading To Hyperhidrosis
Hyperhidrosis can be classified into primary and secondary types. Primary hyperhidrosis often starts during adolescence and is thought to be related to overactive sweat glands, though its exact cause is not fully understood. It typically affects specific areas such as the palms, soles of the feet, underarms, and face.
Secondary hyperhidrosis, on the other hand, is usually due to an underlying medical condition such as diabetes, thyroid problems, menopause, or certain medications. It goes without saying that identifying the underlying cause is essential for effective treatment.
Diagnosis And Medical Evaluation
Diagnosing hyperhidrosis involves a thorough medical history and physical examination. Your healthcare provider may also conduct certain tests, such as the starch-iodine test, to determine the extent and location of sweating. In cases where secondary hyperhidrosis is suspected, additional tests may be necessary to identify any underlying medical conditions contributing to the excessive sweating.
Treatment Options
1. Lifestyle Modifications
- Antiperspirants: Antiperspirants are considered the first line of treatment for excessive sweating of the underarms, hands, feet, and sometimes face. Over-the-counter or prescription-strength antiperspirants containing aluminium chloride can effectively reduce sweating when applied to affected areas.
- Clothing Choices: Wearing loose-fitting, breathable fabrics and moisture-wicking materials can help manage sweating. Polyester, polyester blends such as cotton-polyester, and other synthetic fabrics are likely to leave you feeling clammy.
- Stress Management: According to the International Hyperhidrosis Society, up to 32% of people with social anxiety experience hyperhidrosis. When the body is reacting to an emotion, like anxiety, stress or excitement, sweat is released from the apocrine glands. Techniques such as meditation, yoga, and deep breathing exercises may help reduce stress-related sweating.
2. Medical And Non-Surgical Treatments
- Botulinum Toxin Injections: Injecting botulinum toxin (Botox) into specific areas like the underarms can temporarily block nerve signals responsible for sweating. This treatment is widely used, and is highly recommended by doctors all over the world due to its efficacy and its long-lasting results. The procedure is also relatively quick, virtually painless, minimally invasive, approved by regulatory authorities in many countries, and has been used safely for years. Botox can be used to treat hyperhidrosis in various areas, including underarms, palms, feet, and even the face. It typically provides relief for about 4 to 12 months per treatment, depending on your specific case.
- Medications: Certain oral medications can help reduce sweating by blocking the chemical signals that stimulate sweat glands. With the help of a healthcare professional, most patients can find a dose that is effective without having too many side effects.
3. Surgical Options
- Sweat Gland Removal: Surgical procedures such as scraping away sweat glands (curettage), suctioning them out (liposuction), a combination of both (suction curettage), sympathectomy, or laser surgery can provide long-term relief for severe cases of hyperhidrosis.
- Microwave Therapy: Using a handheld device that emits microwave energy to destroy sweat glands under the skin is another option for those seeking a more permanent solution.
Living With Hyperhidrosis
Hyperhidrosis can be effectively managed but typically cannot be cured permanently. Therefore, living with hyperhidrosis requires effectively managing your symptoms in ways that best suit your specific needs and preferences.
Apart from medical interventions, seeking support from support groups and engaging with online communities can offer invaluable emotional support and practical guidance in navigating the challenges associated with excessive sweating.
These resources not only provide a platform to share experiences but also empower individuals with strategies and coping mechanisms to enhance their quality of life amidst the condition.
To Round Things Off
Hyperhidrosis is an extremely common condition globally, and although it can significantly disrupt daily activities and social interactions, it is important to remember that you are not alone in this.
Consult with a qualified healthcare provider to accurately diagnose and manage your condition so that you can live a fulfilling life without, proverbially speaking, sweating the small stuff.