Skin Condition » Hyperhidrosis
What is hyperhidrosis?
Hyperhidrosis, or excessive sweating, is a common disorder that interfere social interaction. An estimated 2%-3% of Americans suffer from excessive sweating of the underarms (axillary hyperhidrosis) or of the palms and soles of the feet (palmoplantar hyperhidrosis). Underarm problems tend to start around puberty, while palm and sole sweating may begin earlier, often during childhood. Untreated, these problems may continue throughout life.Severe cases can have serious practical consequences as well, making it hard for people who suffer from it to hold a pen, grip a steering wheel, or shake hands.
What is the cause of hyperhidrosis?
Although neurologic, metabolic, and other systemic diseases can sometimes cause excessive sweating, most cases occur in people who are otherwise healthy. Heat and emotions may trigger hyperhidrosis in some, but many who suffer from hyperhidrosis sweat nearly all the time, regardless of their mood or the weather.
What is the treatment for hyperhidrosis?
Through a systematic evaluation of causes and triggers of excessive sweating, followed by approaching to treatment, many people with this annoying disorder can achieve good results and improved quality of life.
• Antiperspirants: Antiperspirants containing aluminum chloride may be more effective when other antiperspirants have failed. So-called "natural" antiperspirants are often not very helpful.The main side effect with aluminum chloride is irritation
• Prescription-strength antiperspirants: those containing aluminum chloride hexahydrate, the aluminum salts in this preparation collect in the sweat ducts and block them. Over time, sweating may diminish to the point at which little or no further treatment is needed
• Iontophoresis: a device which passes direct electricity through the skin using tap water
However, this procedure must be done every other day to gain the good result. For this reason, this is rarely practical
• Microwave or laser destruction: a device destroys the sweat glands purportedly causing minimal damage to other tissues. From several reports, the result has been disappointed
• Botox (botulinum toxin): approved in the U.S. by the FDA for treating excessive axillary (underarm) sweating. Botox is injected into tissues of the armpit or hand. This may produce approximately six months of relief from sweating. The injection use a very small injection needle minimizes discomfort.
• Surgery:Endoscopic thoracic sympathectomy (ETS) refers to surgical interruption of the sympathetic nerves responsible for sweating.However, compensatory excessive sweating in other parts of the body as well as lung and nerve problems as well as serious complication following surgery have been always found.
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