Hyperhidrosis causes excessive sweating beyond normal body cooling. It affects millions worldwide. Primary hyperhidrosis often has no known cause and might be genetic. In contrast, secondary hyperhidrosis stems from other medical issues or medications. It commonly affects the hands, feet, underarms, and face.
According to the American Academy of Dermatology (AAD), potential causes include overactive sweat glands, genetic factors, or medications. Treatment options range from antiperspirants and iontophoresis to Botox injections and surgery for severe cases.
There are mainly two types of hyperhidrosis:
Hyperhidrosis isn’t just a physical condition—it can deeply impact emotional and social well-being. Patients often experience:
Social Withdrawal: Avoid social situations for fear of sweat stains, wet handshakes, or body odor.
Anxiety and Depression: Worrying about sweating can raise stress and cause depression. Social anxiety is common among those suffering from hyperhidrosis.
Professional Setbacks: In professions requiring close contact or presentations, the visibility of sweating can undermine confidence and affect performance.
Hyperhidrosis can be managed with treatments. They should match the sweating’s severity and location. It’s vital to consult a dermatology expert. They can select the best method for each person.
They are the first line of defense for mild hyperhidrosis. They contain aluminum chloride to block sweat glands. They are available as both prescription and OTC. They are effective for the underarms, hands, feet, and sometimes the face.
Iontophoresis is suitable for moderate cases. It uses a device that passes a mild electrical current through water. Regular sessions reduce sweating in the hands, feet, and underarms.
FDA-approved for severe underarm sweating, Botox injections block the nerves that cause sweating. They offer relief for several months, making them a favored long-term solution.
For severe hyperhidrosis that other treatments did not help, consider surgery. Options include thoracic sympathectomy. This procedure, which cuts nerves causing excessive sweating, is a last resort. It can cause side effects, like sweating in other areas.
Selecting a treatment requires comparing its benefits and side effects for each area. A dermatologist can recommend the best option for hyperhidrosis.
Living with hyperhidrosis requires daily strategies to maintain comfort:
Hyperhidrosis often links to medical issues that can cause or worsen excessive sweating. Understanding these associations is key for accurate diagnosis and effective management.
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