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The Harley Street Skin Clinic

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The condition

Manage Excess Sweat

What is Hyperhidrosis?

Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably far more than the body actually requires for temperature regulation. Sweating is a natural bodily function regulated by sweat glands, but for someone with hyperhidrosis, specific areas of the body produce perspiration that exceeds what is needed.

It usually occurs in areas like the: hands, feet, underarms, or face, which can make simple activities like shaking someone’s hand or speaking in public more difficult and even unbearable.

Those with hyperhidrosis may struggle with unmanageable symptoms that can interfere with both their ego and daily lives. The silver lining here is that there are solutions out there that can treat and relieve the symptoms and for total body health.

What are the types of hyperhidrosis?

  • Primary Focal Hyperhidrosis: This Specified type will show no medical explanation for your sweating other than that your body produces more sweat in certain parts of the body as on palms, soles, underarms or face. It can start in childhood or puberty and even be hereditary. The sweating is very localised and what specifically causes it isn’t known. Also, primary axillary hyperhidrosis is a form of primary hyperhidrosis in which excessive underarm sweating has no apparent underlying medical cause.
  • Secondary Hyperhidrosis: Caused by another medical condition, such as diabetes, thyroid issues or a side effect of certain medications. The second type of Hyperhidrosis, which is generalized hyperhidrosis, is different from focal hyperhidrosis that is the excessive sweating from all over the body and it occurs later on into adulthood. The type can be treated by addressing the root cause, usually.
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The symptoms

The most tell-tale sign is sudden hair loss in small and circular patches, usually on the scalp but also can be noticed anywhere on the body.

In some cases, the hair loss is likely to develop into extensive patches and even full loss either on the scalp (alopecia totalis) or whole body alopecia (alopecia universalis).

Any changes in your nails, such as pitting and ridges or ending up being brittle.

Others may experience tingling or itching in the regions of hair loss before losing their strands.

When to see a doctor?
Spot Sweat Signals
Hyperhidrosis may be a concern if you notice any of the following signs

For diagnosis of hyperhidrosis, our dermatologists will ask you about physical symptoms and your situation. However prior to this make a note of these points and discuss any of this information with your doctor.

  • All medications you are using.
  • How long is excessive sweating an issue?
  • What conditions do you sweat more than normal?
  • Where on the body do you tend to sweat the most?
  • Anybody in your family with a history of sweating excessively?
  • What does that look like on a daily basis?

This can be diagnosed with a physical exam by your dermatologist, some tests where starch iodine test and sweat test may also help uncover the source of hyperhidrosis.

Advised treatments
The causes
What causes hyperhidrosis to develop?

There are two types of hyperhidrosis categorised by whether there is an underlying clear cause. These are known as primary and secondary hyperhidrosis.

Overactive sympathetic nervous system

The sympathetic nervous system oversees things like digestion or when it’s too hot, you start sweating to regulate the body temperature. Primary hyperhidrosis results from the system mistakenly telling the sweat glands to produce perspiration anyway, even when external temperature control is unnecessary. Eccrine glands or sweat gland produce sweat in certain areas like the armpits, palms and sole of your feet, as well as on your face.

Hereditary

While hyperhidrosis is genetic in that it can be inherited, and many cases of excessive sweating are not associated with any ongoing medical condition, some run so strongly through the family bloodline.

Causes of secondary hyperhidrosis

  • Pregnancy
  • Menopause
  • Anxiety
  • Low blood sugar (hypoglycemia)
  • Overactive thyroid (hyperthyroidism)
  • Obesity
  • Drugs (e.g., antidepressants, propranolol)
  • Alcohol or drug use, or withdrawal
  • Infections (e.g., tuberculosis, HIV)
  • Neurological disorders (e.g., Parkinson’s disease)
  • Blood or bone marrow disorders (e.g., Hodgkin lymphoma)
The risk factors
What makes a person more likely to get hyperhidrosis?
  • Family history
  • Hormonal changes
  • Stress and anxiety
  • Certain medications
  • Medical diseases
  • Medication
  • Obesity
  • Infections

Knowing these risks can help you better manage the disease. If you find that your sweaty underarms get in the way of everyday activities, talk to us about some potential next steps.

The complications
Quality Of Life
Discomfort from sweating excessively
  • Fungal Infections

    It can cause you to develop a fungal infection on your feet due to all of the things that extra sweat brings with it. This can eventually cause issues like fungal nail infections and athlete’s foot, both of which love warm wet conditions in your shoes.

  • Skin Issues

    Having excessive sweating leads to skin infections also like warts from HPV virus, boils and eczema, a condition that may be exacerbated by overproduction of sweat.

  • Body Odour

    The bacteria may break in your pores because of excessive sweating and that’s what makes you stink.

  • Emotional Impact

    Apart from the anxiety, hyperhidrosis can also make you feel depressed as well. If you do begin to feel depressed or disinterested in things, then certainly talk with your healthcare team about finding resources. Alternatively, you can consult the International Hyperhidrosis Society (IHHS) for helpful tools and community resources on this topic.

The prevention
Stay Cool, Confident
What is the best for hyperhidrosis?

Opt for antiperspirants with aluminium chloride as it is the most potent. Aluminium chloride when applied to the skins works by blocking sweat ducts and thus decrease sweating. Over the counter are available, while a physician can prescribe stronger versions if it is necessary to treat hyperhidrosis.

Antiperspirant guidelines

The best approach with antiperspirants as hyperhidrosis treatment is to apply the antiperspirant at night as it has more chances to work its magic as we sleep and forms a layer for protection from sweat. The skin should be dry to touch before it is applied and always go as per the instructions on the product.

How do you know if your sweating is due to anxiety and stress?

If you question if the stress is the biggest influence on your excess sweating, write in a diary when stressful situations happen and compare it with hyperhidrosis manifestation. If you notice extra sweat is present during or just after stressful events, stress will be a major player.

Reduce stress

Also, there are various relaxation techniques that help you decrease the effect of stress on your sweating like deep breathing, warm baths, sports, music or a simple laugh. Get professional help when necessary.

Cool Comfort Choices
Which materials are best to limit sweat and keep you comfortable?

Pick the breathable fabrics like cotton or linen and wash them every time you wear it. Steer clear of wearing synthetic materials like polyester, since this will trap the heat and moisture on your skin, causing it to make you sweat even more.

How often should you change clothes to stay comfortable?

Obviously the first is changing out of damp or wet clothing to make yourself comfortable and ease control over your sweating. Regular changes of damp clothing so that your skin does not get any problems. Carrying a spare set of attire, especially if you are indulging in a strenuous activity ensures they keep dry and relaxed.

How does hydration aid in managing hyperhidrosis?

Keeping hydrated will allow your body to better manage the common noted base temperature and makes it easier for dealing with hyperhidrosis. When our bodies sweat we reduce excessive perspiration, one of the ways this occurs is when your whole system is properly hydrated. Drink at least 8 cups of water everyday. Drink prior to when you exercise and exactly how hot or cold it is, to rehydrate yourself correctly.

Avoid sweat stimulators

Limit drinks which may make you sweat excessively such as caffeinated drinks and alcohol. Caffeine can activate the nervous system also leading to increased sweat, alcohol however affects your body’s temperature regulation. Stick to water or herbal tea, it’s also easy on body and sweat levels.

Freshness Every Day
How often should you wash and dry the affected areas to prevent odour?

Wash the affected areas regularly with antibacterial soap, to prevent sweat bacteria growth which would eventually lead you feeling smelly.Ideally, these areas should be cleaned at once or maybe two times a day if you perspire heavily. It should also be ensured that the areas completely dry after cleanse to minimise moisture and reduce bacterial growth.

Products to use

One can keep the skin dry by use of body powders and absorbent pads etc. There are specially designed products in the market for the purpose of adding a more comfortable experience against excess perspiration.

  • collapse expand
    What is the best for hyperhidrosis?
  • collapse expand
    Which materials are best to limit sweat and keep you comfortable?
  • collapse expand
    How often should you wash and dry the affected areas to prevent odour?
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