Being embarrassed by the ‘absolutely normal’ level of sweating is something that is best avoided in a public setting. We use so many tricks and tips to prevent such a scenario from playing out. Well, what if you suffered from Hyperhidrosis and sweat profusely irrespective of the weather conditions? The embarrassment and health implications of this disorder are best kept at an arm’s distance.

Cosmetic Dermatology offers a couple of solutions for hyperhidrosis Treatment. To know more, keep reading.

What Is Hyperhidrosis & What It Means To You?

Hyper means ‘more’ and hidrosis means ‘sweating’. The term hyperhidrosis stands for a medical (dermatological) condition that signifies Excessive Sweating.

The skin produces sweat in hot and humid conditions to maintain the body’s temperature. In people suffering from hyperhidrosis, a copious amount of sweat is produced even the body does not need to be cooled down. Usually, body parts such as underarms, palms, feet, and head are affected with one or two of these producing excess sweat.

Hyperhidrosis can cause a hindrance to daily activities, and when it happens in areas like the underarms, it can leave clothes with large sweat marks, which is an embarrassing situation in social gatherings. In addition to this, this increased wetness makes the skin susceptible to infections.

Here are the causes and symptoms of this skin disorder.

What Are The Causes & Symptoms Of Hyperhidrosis?

Hyperhidrosis can be categorized into two types, and this is based on what causes it.

• Primary hyperhidrosis is caused due to inheriting the condition from a family member.
• Secondary hyperhidrosis is due to a condition, behavior or certain medications. A few examples of these include low glucose levels in the blood, hyperthyroidism, chronic alcoholism, hot flashes during menopause, leukemia, diabetes, gout, etc.

The symptoms of hyperhidrosis are –

• Excessive sweating in body parts without the presence of high temperatures or elevated humidity levels
• Excessive sweating without any physical activity
• Increased wetness interfering with daily activities such as holding a pen
• Soft, white, and peeling skin
• Recurrent skin infections

To treat hyperhidrosis, many methods or techniques can be employed. These are discussed in detail in the next sections.

Hyperhidrosis Treatment Options

Treatment for hyperhidrosis includes a few feasible options. Your dermatologist will recommend you with the best option depending on the body areas that are affected and also the longevity of the results that you would prefer. The options include topical treatments, non-surgical treatments, and invasive treatments that can stop the excessive sweating in your palms, underarms, feet, etc.

Types Of Treatments Available

Here are the treatments available in the market for hyperhidrosis. Opt for one under the guidance of an experienced skin specialist.

(1) Laser Treatment For Hyperhidrosis – This is often used as a treatment for sweaty armpits due to hyperhidrosis. After numbing the skin by using a topical anesthetic cream, laser treatment is begun. The light energy from the laser transforms into heat energy in the skin and this heat destroys the sweat glands. Destroyed sweat glands result in a considerable reduction in the amount of sweat that will be produced.

Laser treatment for excessive sweating in underarms gives effective and long-lasting results. The procedure possesses no levels of discomfort and has minimum to no downtime as well.

(2) Botox Treatment For Hyperhidrosis – The FDA approved usage of Botox to treat hyperhidrosis in 2004, as experiments showed 80-90% effectiveness in the results. Botox is composed of the botulinum toxin A, which is extracted from a bacterial strain. This toxin, when injected into the hyperhidrosis affected body part, blocks the chemical responsible for promoting sweat production by the glands.

Botox injections can be used for excessive sweating in underarms, palms, feet, head, under the breasts, etc. The only drawback of this treatment is that the results can last from four to 14 months. For continued blockage of sweat production, maintenance sessions are required every year.

(3) Microwave Thermolysis For Excessive Sweating – This treatment employs microwaves to destroy the sweat glands via the thermolysis mechanism, that is, heat energy from the microwaves kills the sweat glands and reduces sweat production. The FDA has approved this equipment for treating underarm hyperhidrosis so far. Performed by a certified skin specialist, the procedure takes less than an hour. No discomfort is experienced as a local anesthetic is used.

With no downtime after the session, you can go on with the rest of the day as usual after the procedure is done. Experiments are still ongoing to test the effectiveness of this treatment for other body parts affected by hyperhidrosis.

(4) Iontophoresis For Hyperhidrosis – In this treatment, the affected body part is subjected to a mild electric current generated by a medical device and passed through water, to reduce excessive sweating in hands and feet. Small pads are used to perform the procedure on body parts that cannot be dipped into the water tray. Usually, the treatment is repeated up to thrice a week and requires maintenance sessions once a week. It is best to get the treatment done by a health professional for optimal results.

(5) Hyperhidrosis Medications

(a) Oral Medications – When the hyperhidrosis is more generalized or is present in the form of excessive facial sweating, oral medications have shown decent results. Anticholinergics (a class of drugs) are often prescribed by doctors. Some examples belonging to this drug category include glycopyrrolate, oxybutynin, and others. They work by blocking the chemical receptor that triggers the sweat glands to produce sweat.

Other classes of oral medications used for hyperhidrosis are beta blockers and benzodiazepines. These work by inhibiting the chemicals that are released during an anxiety episode and thus, help to deal with hyperhidrosis triggered by certain situations (for example – a job interview). Most oral medications have side effects and should only be taken after a doctor has prescribed an ideal dosage for you.

(b) Topical Medications – Medications for hyperhidrosis treatment that can applied on the skin include topical versions of the anticholinergics, tannic acid solutions, potassium permanganate, aluminium chloride gel, and methenamine. The main mechanism of causing lesser sweat production by topical medications involves denaturation of keratin (a type of protein present in the skin), which will eventually block the sweat glands’ pores. There are many limitations for these medications such as contact sensitization, irritation, and staining. Additionally, the results do not last that long.

Irrespective of which treatment you think suits you and your budget the best, consulting a dermatologist is advisable to understand this skin condition better. Every individual is affected differently by hyperhidrosis, and individualized treatments are necessary for achieving best results.

FAQs

1) Is Hyperhidrosis Hereditary?

While the exact cause of hyperhidrosis is still elusive, a higher chance of suffering from this skin condition is seen in people for whom hyperhidrosis runs in the family. Hence, a certain type of hyperhidrosis (primary/localized symmetrical) is mostly hereditary.

2) Where In The Body Do People Experience Excess Sweating?

Excessive sweating can be seen in the following body parts –

• Palms (palmar hyperhidrosis)
• Feet (pedal hyperhidrosis)
• Underarms (axillary hyperhidrosis)
• Face (facial hyperhidrosis)
• Under the breasts

When both the hands and the feet are affected at the same time, the term Palmoplantar hyperhidrosis is often used to describe it.

3) What’s The Minimum Age For The Treatment Procedures?

While most treatments can be performed on people above the age of 18, some treatments might be safe for children and older age groups too. Likewise, some treatments might not suit certain age groups. Your dermatologist or health professional is the best person to know which treatment procedure is best for your age.

4) How Long After The Procedure Will I See Results?

This depends on the treatment procedure that you are opting for. For example, laser treatment and Botox show immediate results whereas iontophoresis might take a few weeks to show considerable results.

5) What Are The Side Effects Associated With The Treatments Available?

The side effects of laser treatment, Botox, microwave thermolysis, and iontophoresis are absolutely minimal. Slight redness and swelling might develop after the session, and this is temporary. Cold compresses work well to reduce these symptoms. When it comes to the topical and oral medications, the side effects are plenty with dry mouth, sensitivity, constipation, and blurred vision being a few examples. Also, they do not suit people of all age groups. A prescription by a doctor is mandatory before you start using them.

Hyperhidrosis or excessive sweating, no matter which body part it affects, can be an annoyance and mortifying too. The treatments mentioned above can give you relief and make this skin condition manageable to a great extent. A dermatologist appointment should be ‘on the cards’ for you so that the best treatment course can be opted for.

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