Hyperhidrosis is abnormal and excessive sweating that is not necessarily related to heat or exercise. The sweating may be so much that it soaks through your clothes or drips off hands. It not only disrupts daily routine but can also cause anxiety and embarrassment due to heavy sweating.
The specialized sweat glands (eccrine type) which are involved in this problem are particularly numerous on the feet, palms, face, and armpits. When our body is overheated, moving around, feeling emotional, or as a result of hormones, then nerves activate the sweat glands. When those nerves overreact, it causes hyperhidrosis (Excessive sweating). If the problem persists, look for the best sweaty palms treatment in Delhi.
There are two types of hyperhidrosis.
- Primary hyperhidrosis also known as focal hyperhidrosis causes excessive sweating. It may occur in the hands, underarms, face or feet without any apparent reason.
- Secondary hyperhidrosis (generalized hyperhidrosis) causes excessive sweating all over the body or in a larger area of the body and can be caused by excessive heat as well as a medical condition or medication.
Hyperhidrosis is sweating that disrupts normal activities. Episodes of excessive sweating occur at least once a week for no clear reasons and have a drastic effect on social life and daily activities.
Signs and symptoms of hyperhidrosis may include:
- Clammy or wet palms of the hands and feet
- Frequent sweating
- Noticeable sweating that soaks through clothing
- Reluctant to make physical contact
- Socially withdrawn, sometimes leading to depression.
Causes of primary hyperhidrosis are not clear; on the other hand, secondary hyperhidrosis can be because of number of reasons.
Causes of primary hyperhidrosis
The most important relation of primary hyperhidrosis is to patient’s mental and emotional state. It was though that the condition was psychological and only affected stressed, anxious, or nervous individuals.
But contrary to popular myth individuals with primary hyperhidrosis are no more prone to feelings of anxiety, nervousness, or emotional stress than the rest of the population when exposed to the same triggers.
Causes of secondary hyperhidrosis
- Spinal cord injury
- Alcohol abuse
- Heart disease
- Hyperthyroidism – an overactive thyroid gland
- Parkinson’s disease
- Respiratory failure
- Some cancers, such as Hodgkin’s disease
- Some infections – HIV, malaria, TB (tuberculosis)
- Few drugs are culprit which are antidepressants, anticholinesterases (for Alzheimer’s disease), pilocarpine (for glaucoma), propranolol (for high blood pressure)
- Substance abuse.
A doctor may refer the person to a dermatologist or skin specialist.
They may recommend:
Iontophoresis – The hands and feet are submerged in a bowl of water. A painless electric current is passed through the water. Most patients need two to four 20-30-minute treatments.
Botulinum toxin (Botox injections) – Botox injections block the nerves that trigger the sweat gland. Might need several injections/sittings for effective and continuous results.
Anticholinergic drugs – these medications inhibit the transmission of parasympathetic nerve impulses. Though beneficial, these drugs takes around 1-2 weeks for improvement and also have quite some side effects.
ETS (Endoscopic thoracic sympathectomy) – this surgical intervention is recommended in cases which have not responded to medical/conservative treatments. The nerves that carry messages to the sweat glands are cut.
It can be used to treat hyperhidrosis of the face, hands or armpits with varying degree of relief.
Hyperhidrosis if not treated, can lead to complications.
- Nail infections: Especially toenail infections.
- Warts: Skin growths caused by the HPV (human papillomavirus).
- Bacterial infections: Especially around hair follicles and between the toes.
- Heat rash (prickly heat, miliaria): An itchy, red skin rash that often causes a stinging or prickling sensation. Heat rash develops when sweat ducts become blocked and perspiration is trapped under the skin.
- Psychological impact: Does affect one’s self-confidence, job, and relationships.
- Often there is a delay between symptoms and diagnosis with a physician, which is on an average around 9 years. Therefore it is of great importance that it to be thought as a disease rather than just a minor discomfort.
In case of more difficulty, look for an excessive sweating treatment in Delhi to cure the problem. Refer to Lung Infections Treatment in Delhi in case of any breathing difficulties. For those who are having discomfort in breathing should see a lung cancer treatment in Delhi. If your doctor confirms any signs of cancer or tumor, make sure you get them investigated by the best lung surgeon in Delhi.