Dr. Shilpa Gandhi | Leading Consultant Minimally Invasive Thoracic Surgeon In Nagpur

Hyper Hidrolysis

Hyper Hidrolysis

What is Hyperhidrosis

Hyperhidrosis is a condition characterized by excessive sweating, beyond what is necessary to regulate body temperature. It can occur unexpectedly, even during rest or in cool environments.

Sweat, an odorless fluid, is produced by eccrine glands (sweat glands) located in the skin. Its primary role is to help cool the body by evaporating from the skin’s surface. Sweat travels through ducts from the glands and transforms from liquid to gas upon reaching the skin, aiding in temperature regulation.Hyperhidrosis arises when sweat glands become excessively active, leading to increased sweat production.

What are the symptoms of hyperhidrosis?

The primary symptom of hyperhidrosis is excessive sweating, which can manifest as:

  • Feeling moisture on your skin.
  • Damp clothing.
  • Beads of sweat dripping from your face or forehead.

Over time, hyperhidrosis can lead to additional symptoms such as:

  • Itching and skin inflammation due to prolonged exposure to sweat.
  • Body odor caused by the interaction of sweat with skin bacteria.
  • Cracked or peeling skin on the feet.

Symptoms of hyperhidrosis vary in intensity, ranging from occasional and mild to persistent and disruptive to daily activities.

Where will I have symptoms of hyperhidrosis?

The primary symptom of hyperhidrosis is excessive sweating, which can cause:
  • Sensation of wetness on the skin.
  • Damp clothing.
  • Beads of fluid dripping from the cheeks or forehead.
Over time, hyperhidrosis can lead to:
  • Itching and skin inflammation due to prolonged exposure to sweat.
  • Body odor resulting from the interaction of sweat with skin bacteria.
  • Cracked or peeling skin on the feet.
Symptoms of hyperhidrosis vary in intensity, ranging from occasional and mild to persistent and significantly affecting daily activities.

How is hyperhidrosis diagnosed?

To diagnose hyperhidrosis, a healthcare provider will conduct a physical exam and gather details about your symptoms and medical history. They use diagnostic criteria which may lead to a hyperhidrosis diagnosis if you’ve experienced excessive sweating for at least six months and answered affirmatively to at least two of the following questions:
  • Do you sweat excessively on your underarms, palms, soles, or face?
  • Is your sweating symmetrical on both sides of your body?
  • Do you sweat less or not at all at night?
  • Have you had episodes of sweating lasting at least one week?
  • Is there a history of hyperhidrosis in your biological family?
  • Does sweating interfere with your ability to perform certain activities?
  • Are you younger than 25 years old?

How is hyperhidrosis treated?

Treatment for hyperhidrosis varies depending on the affected body area, the severity of the condition, and individual treatment responses. Healthcare providers or dermatologists can assist in finding effective management options tailored to your needs, as there is no universally effective treatment.

At-home hyperhidrosis management: You can manage mild hyperhidrosis symptoms at home by:

  • Using antiperspirants and deodorants, particularly aluminum-based products recommended by your provider.
  • Showering or bathing more frequently to alleviate symptoms.
  • Opting for breathable, absorbent clothing like cotton to enhance comfort and reduce sweating.

Hyperhidrosis medications: Providers may prescribe medications to alleviate symptoms, such as:

  • Anticholinergic agents (glycopyrrolate, oxybutynin).
  • Antidepressants.
  • Beta-blockers.
  • Medicated wipes (glycopyrronium tosylate, Qbrexza®).

Discuss potential side effects with your provider before starting any medication.

Advanced hyperhidrosis treatments: If home treatments and medications are insufficient, your provider may recommend specialized therapies, including:

  • Iontophoresis: Using a device that emits a low electrical current through water to block sweat glands, often performed at home with insurance coverage.
  • Botulinum toxin (Botox®) injections: Injected to temporarily halt sweat production in treated areas, requiring repeat treatments.
  • Microwave therapy (miraDry®): In-office procedure using thermal energy to permanently destroy sweat glands, typically completed in one session.

Consult your healthcare provider to determine the most suitable treatment approach based on your specific symptoms and medical history.

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