Hyperhidrosis (Excessive Sweating): Symptoms, Causes, and Treatment Methods

Hyperhidrosis is a condition characterized by excessive sweating in certain areas of the body or throughout the body. While normal sweating is essential for regulating body temperature, in hyperhidrosis, sweating occurs uncontrollably and is often unrelated to temperature or physical activity. Excessive sweating is commonly seen on the hands, feet, underarms, and face, and it can cause discomfort in social settings, affecting a person’s self-confidence. Fortunately, hyperhidrosis is a treatable condition, and dermatologists can manage it using various methods.

What Are the Symptoms of Hyperhidrosis?

The symptoms of hyperhidrosis generally manifest as excessive sweating that can significantly impact daily life. Common symptoms of hyperhidrosis include:

• Excessive Hand and Foot Sweating: Constant sweating on the palms and soles can cause discomfort in work or daily activities.
• Underarm Sweating: Excessive underarm sweating, which leaves visible wet spots on clothing, can lead to social anxiety.
• Facial Sweating: Sudden sweating in the facial area, especially during stressful or anxious situations, can occur.
• Night Sweats: Hyperhidrosis may also cause nighttime sweating in some individuals, though this is often associated with other health issues.

Hyperhidrosis can increase social anxiety and make daily life challenging. People with excessive hand sweating, for example, may struggle with simple actions like handshaking or writing.

Causes of Hyperhidrosis

The exact cause of hyperhidrosis isn’t always known, and it’s generally classified into primary and secondary types:

• Primary Hyperhidrosis: The cause of this type of hyperhidrosis is not fully understood. Genetic factors are often involved, and excessive sweating results from overactive nerves that stimulate the sweat glands. Primary hyperhidrosis typically begins in childhood or adolescence.
• Secondary Hyperhidrosis: Secondary hyperhidrosis arises as a side effect of another health condition, such as diabetes, thyroid issues, heart disease, obesity, menopause, or certain medications. In this case, treating the underlying health problem may reduce the sweating.

Treatment Methods for Hyperhidrosis

Hyperhidrosis treatment aims to reduce sweating and improve the quality of life. Dermatologists may recommend several treatment options, including:

• Topical Antiperspirants: Antiperspirants containing aluminum chloride can help reduce excessive sweating. Stronger formulations may be prescribed by a dermatologist.
• Iontophoresis: This method involves applying a low-voltage electrical current to the hands and feet, which slows the activity of the sweat glands. Effective results can be achieved with regular weekly sessions.
• Botox Injections: Botulinum toxin injections temporarily inhibit overactive sweat glands. This method is particularly effective for underarm, hand, and foot sweating. The effect typically lasts between 6 and 12 months.
• Oral Medications: Anticholinergic medications can reduce the stimulation of the sweat glands by the nervous system. These medications should be prescribed by a dermatologist, as they may have side effects.
• Surgical Treatment (ETS): Endoscopic thoracic sympathectomy (ETS) is a surgical procedure that involves cutting the nerves responsible for excessive sweating. This option is generally reserved for advanced cases that don’t respond to other treatments.

Preventive Measures for Hyperhidrosis

To alleviate the symptoms of hyperhidrosis and improve quality of life, the following measures can be taken:

• Choose Light and Breathable Clothing: Clothing made from natural fabrics, such as cotton, can reduce sweating and discomfort.
• Daily Shower and Skin Care: Regularly cleansing the skin helps prevent irritation caused by sweat. Taking daily showers also keeps the skin feeling fresh.
• Balanced Diet and Hydration: Avoid spicy and hot foods, as they can increase sweating.
• Stress Management: Stress can be a factor that increases sweating. Practicing stress management techniques like yoga, meditation, and breathing exercises can help control sweating.

Consult Your Dermatologist

Hyperhidrosis is a condition that can be diagnosed and treated by dermatologists. If excessive sweating affects your daily life or causes social or physical discomfort, it’s important to consult a dermatologist. Your dermatologist can provide suitable treatment options to help control hyperhidrosis symptoms and improve your quality of life.