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Excessive sweating.

Overview

Excessive sweating is when you sweat more than you might expect based on the surrounding temperature or your activity level or stress.Hyperhidrosis is the name given to excessive and uncontrollable sweating.This sweating can occur in unusual situations, such as in cooler weather, or without any trigger at all.Localised hyperhidrosis affects armpits, palms, soles, face or other sites. Generalized hyperhidrosis affects most or all of the body. Excessive sweating can disrupt daily activities and cause social anxiety or embarrassment.

Cause

It's normal to sweat if you get hot or do exercise, but you may be sweating excessively if you're sweating when your body does not need to cool down. Excessive sweating can happen for no obvious reason, because of another condition you may have or as a side effect of a medicine you're taking.
  • Hot weather
  • Exercise
  • Fever
  • Anxiety
  • Spicy food

Symptoms

Palmar hyperhidrosis

  • Slippery hands lead to avoidance of handshaking
  • Marks left on paper and fabrics
  • Difficulty in writing neatly
  • Prone to a blistering type of dermatitis

Axillary Hyperhidrosis

  • Clothing becomes damp, stained and must be changed several times a day
  • Wet skin folds are prone to chafing, irritant dermatitis and infection

Axillary Hyperhidrosis

  • Affects soles of the feet
  • Unpleasant smell
  • Ruined footwear
  • Prone to a blistering type of dermatitis

Treatments

Hyperhidrosis can be uncomfortable. However, several treatment options can provide some relief.
Topical
  • Antiperspirants contain 10–25% aluminum salts to reduce sweating
  • Topical anticholinergics
Oral
  • Anticholinergic drugs
  • Beta blockers
Injections
  • Botox (botulinum toxin)-A
Injections
  • Botox (botulinum toxin)-A
Procedure
  • Lasers
  • Iontophoresis
  • Iontophoresis
  • Surgery
    • Surgical removal of axillary sweat glands
    • Thoracic sympathectomy

Home care / DIY care

  • Wear loose-fitting, stain-resistant, sweat-proof garments.
  • Change clothing and footwear when damp.
  • Socks containing silver or copper reduce infection and odor.
  • Bathing daily to get rid of bacteria
  • Changing your socks frequently
  • Use absorbent insoles in shoes and replace them frequently.
  • Use a non-soap cleanser.
  • Avoid caffeinated food and drink.
  • Apply antiperspirant.
  • Do not wear enclosed boots or sports shoes that may cause your feet to sweat more
  • Do not do things that might make your sweating worse – for example, drinking alcohol or eating spicy food.

FAQs

How Do I Know If I Have Hyperhidrosis?
There is no specific standard definition for hyperhidrosis. Sweating that interferes with your daily activities on a regular basis can be considered hyperhidrosis.
When to Seek Medical Care?
Consultation with a physician should be sought when over-the-counter antiperspirants/deodorants are not effective in controlling symptoms. If symptoms are debilitating, causing major lifestyle changes to avoid developing symptoms or fear or embarrassment, patients should seek consultation with a dermatologist.
When to Seek Medical Care?
How do dermatologists treat hyperhidrosis? Hyperhidrosis treatment is an area of expertise, and proper diagnosis is required to ensure that you receive the most appropriate treatment.Treatment depends on the type of hyperhidrosis and where the excessive sweating occurs on the body. Your dermatologist also considers your overall health and other factors.
How do dermatologists treat hyperhidrosis?
Hyperhidrosis treatment is an area of expertise, and proper diagnosis is required to ensure that you receive the most appropriate treatment.Treatment depends on the type of hyperhidrosis and where the excessive sweating occurs on the body. Your dermatologist also considers your overall health and other factors.
What happens if you don’t treat hyperhidrosis?
Complications of hyperhidrosis include: Infections. People who sweat a lot are more prone to skin infections. Social and emotional effects.
Is hand sweating curable?
For those with excessive hand sweating, Endoscopic Thoracic Sympathectomy (ETS) is the most appropriate cure for palmar hyperhidrosis. ETS is completely safe and effective and is the only procedure available today that is a proven cure for hyperhidrosis

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