Is There a Link Between Hyperhidrosis and Endocrine Disorders? - Internal Medicine

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Is there a relationship between hyperhidrosis and the endocrine system?


Hello, I have a problem with generalized hyperhidrosis.
I previously consulted with Dr.
Ding from the neurosurgery department, and according to his response, I am indeed an irritable person with elevated blood pressure, which is above normal but not yet classified as hypertension.
Additionally, in recent years, my appetite has increased (I get hungry easily and eat a lot), but my weight gain has been slow (I have chronic gastritis).
Despite eating a lot, my weight either doesn't change or takes a long time to increase by a kilogram.
Could this be an endocrine issue? Should I consult an internist? Thank you! (P.S.
I have seen a neurosurgeon, but the doctor didn't prescribe any medication and said there was "nothing that could be done." Traditional Chinese medicine has treated it from the perspective of excessive heat, but the results have been unclear...)

ruò shì, 20~29 year old female. Ask Date: 2004/09/03

Dr. Yang Hongzhi reply Internal Medicine


Excessive sweating, nervousness, and eating a lot without gaining weight may indicate hyperthyroidism.
Other symptoms of hyperthyroidism include palpitations, tremors, and increased bowel movements.
If these symptoms are present, thyroid function tests should be considered.

Reply Date: 2004/09/03

More Info


Hyperhidrosis, or excessive sweating, can indeed be linked to various endocrine disorders. The endocrine system plays a crucial role in regulating bodily functions through hormones, and any imbalance can lead to symptoms such as hyperhidrosis. In your case, the combination of symptoms you described—such as increased irritability, elevated blood pressure, increased appetite, and slow weight gain despite a larger food intake—could suggest an underlying endocrine issue.

One common endocrine disorder associated with hyperhidrosis is hyperthyroidism, where an overactive thyroid gland produces excess thyroid hormones, leading to increased metabolism and symptoms like sweating, weight changes, and irritability. Other potential conditions include adrenal gland disorders, such as Cushing's syndrome, which can also cause excessive sweating along with other symptoms like weight gain and high blood pressure.

Additionally, conditions like diabetes can affect sweat production. For instance, autonomic neuropathy, a complication of diabetes, can disrupt the normal functioning of sweat glands, leading to abnormal sweating patterns. Given your symptoms, it would be prudent to consider an evaluation by an endocrinologist. They can conduct tests to assess your hormone levels and determine if there is an underlying endocrine disorder contributing to your hyperhidrosis and other symptoms.

Furthermore, lifestyle factors can also play a role in hyperhidrosis. Stress and anxiety can exacerbate sweating, and since you mentioned being easily irritable, it may be beneficial to explore stress management techniques. Additionally, chronic conditions like gastritis can impact your overall health and may indirectly influence your endocrine function.

In summary, while hyperhidrosis can be a standalone condition, it is often associated with various endocrine disorders. Given your symptoms and medical history, consulting with an endocrinologist would be a wise step. They can provide a comprehensive evaluation, including blood tests to check hormone levels, and help determine the best course of action for managing your symptoms. It’s essential to address both the hyperhidrosis and any potential underlying endocrine issues to improve your overall quality of life.

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