Excessive

Hyperhidrosis is a medical condition that causes excessive sweating. It can affect various parts of the body, such as the hands, feet, underarms, and face, or it can be all over. This condition can be distressing and interfere with daily activities, causing embarrassment and discomfort.

The main symptom of hyperhidrosis is excessive sweating that occurs even when you are not engaging in physical activity or feeling hot. It can occur unpredictably and may be triggered by stress, anxiety, or certain foods. Common areas affected by hyperhidrosis include the palms of the hands, soles of the feet, underarms, and face. Sweating can be so severe that it soaks through clothing and causes noticeable dripping.

The exact cause of hyperhidrosis is not always clear. Primary hyperhidrosis is not associated with any underlying medical condition. It often starts during childhood or adolescence and tends to affect specific areas of the body. The exact cause of primary hyperhidrosis is not known, but it may be related to overactive sweat glands and may have a genetic component. Secondary hyperhidrosis has an underlying cause such as an underlying medical condition or medication. Conditions such as menopause, thyroid problems, diabetes, infections, and certain medications can lead to secondary hyperhidrosis.

If you suspect you have hyperhidrosis, it's important to consult with a dermatologist. The dermatologist will ask about your medical history, perform a physical examination, and may conduct some tests to rule out any underlying conditions.

The treatment of hyperhidrosis depends on the severity of the condition and its impact on your daily life. Home remedies can include good hygiene practices, wearing breathable clothing, and applying over the counter and clinical strength antiperspirants, especially those containing aluminum. Avoiding known triggers like spicy foods, caffeine, and alcohol may help reduce sweating.

Prescription treatments include antiperspirants containing aluminum chloride, topical wipes that contain anticholinergics, and oral anticholinergic medications to decrease sweat production. Botox injections can also be used to temporarily block the sweat glands.

For ongoing management, it's important to follow the prescribed treatment plan and maintain good personal hygiene. If you're using prescription antiperspirants or medications, make sure to apply them as directed by your dermatologist. Stay in touch with your dermatologist to discuss any changes in your condition or if you have any concerns.

There is no known way to fully prevent hyperhidrosis, but seeking and using appropriate treatment can help improve quality of life for those dealing with this condition. Use antiperspirants regularly and look for products containing aluminum chloride for more effective sweat reduction. Choose breathable clothing that is loose-fitting and made of breathable fabrics such as cotton to allow air circulation and minimize sweating. It can also be helpful to manage stress and avoid known food and beverage triggers.

Excessive Sweating Overview

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FAQs

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A board-certified Dermatologist is a medical doctor (MD or DO) that has completed 4 years of medical school as well as 1 year of internship and a minimum of 3 years of dermatology residency. They are the experts in over 3,000 conditions affecting hair, skin, and nails. They can see patients of all ages and are able to address medical, surgical, and cosmetic concerns.
Most people see a Dermatologist once yearly for an overall skin check. If there is a personal or family history of skin cancers, abnormal moles, or other conditions such as acne, eczema, or psoriasis, the frequency of visits can be increased.
Dermatologists recommend performing a once-monthly self-skin examination to check for new or changing spots. You should examine all aspects of your skin, using mirrors or a partner as needed. Do not forget to try to examine your scalp, look between fingers and toes, check the bottoms of your feet, and examine the groin area. Please have any new or changing lesions examined by a Dermatologist to determine if any treatments are needed.
UV damage is the biggest skin aging culprit. Daily sun protection measures (even in the winter) is the best preventative step. Avoiding smoking, excessive alcohol consumption, other drugs, staying hydrated, and eating a well-balanced diet can all have positive anti-aging effects as well.
Topical vitamin A products (retinols, retinoids) are the overall most effective topicals for addressing skin aging concerns such as loss of elasticity, fine lines, skin texture changes, and dyspigmentation. There are various over-the-counter products and prescription products that contain these active ingredients. People with very sensitive skin can sometimes have a more difficult time tolerating these topicals as they can be irritating to the skin.
Excessive sweating, or hyperhidrosis, affects almost 5% of the population with close to 9% of 18-39 year-olds being affected. About 2/3rds of people suffering from hyperhidrosis has a family history of excessive sweating.
Hyperhidrosis is more common in 18-39 year-olds so, while it is possible to have excessive sweating improve later in life, it can be a persistent problem for decades for most people.
Hyperhidrosis commonly involves the underarms, hands, feet, and face/scalp, though other or multiple areas can be involved.
Clinical strength antiperspirants are now available over-the-counter and can be tried to help reduce excessive sweating. These topicals can be applied to the palms and soles as well as the underarms if needed. It is typically most effective to apply to affected areas nightly.
Depending on the location of sweating and whether there is any underlying medical condition contributing to the issue, possible treatments include: prescription antiperspirants, Botox® injections, oral medications, iontophoresis, miraDry® treatment, lasers, and other topicals such as Qbrexza®.

Hyperhidrosis is not typically a direct sign of cancer. It can be caused by various factors, including medical conditions, medications, or stress, but it is not a definitive indicator of cancer on its own. If you have concerns about unusual sweating patterns or other symptoms, it's essential to consult with a healthcare professional for a proper evaluation and diagnosis.

You should be concerned about hyperhidrosis if it significantly affects your quality of life, causing discomfort or embarrassment, or if it suddenly develops later in life as it may indicate an underlying medical condition.

Excessive sweating can be a side effect of several antidepressant medications, including selective serotonin reuptake inhibitors (SSRIs) like sertraline (Zoloft) and tricyclic antidepressants (TCAs) such as amitriptyline (Elavil). However, the degree of sweating can vary from person to person, and not everyone experiences this side effect with these medications.

Excessive sweating at night, known as night sweats, can be caused by a variety of factors, including hormonal changes, medical conditions like menopause, infections, or medications. It can also be associated with certain underlying health issues, so it's essential to consult with a healthcare professional if it becomes persistent or bothersome.

Excessive sweating can be managed through various treatments, including antiperspirants, prescription medications, Botox injections, and in severe cases, surgical procedures like sympathectomy. The most suitable approach depends on the underlying cause and the severity of the condition, and it's recommended to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan.

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