Excessive Sweating in Teens: Effective Solutions for Underarm and Back Issues - Dermatology

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I sweat excessively!


Hello, doctor: I am a high school student.
I tend to sweat a lot during classes at school, and even more when I exercise.
What methods can I use to improve this? Most of the sweating occurs in my armpits and on my chest and back.
Thank you!

Xiao Xingzi, 10~19 year old female. Ask Date: 2005/07/15

Dr. Jiang Zheen reply Dermatology


There isn't a very good solution; the best option is to change clothes frequently.
You can apply antiperspirant under your arms.
Wishing you safety.

Reply Date: 2005/07/15

More Info


Excessive sweating, also known as hyperhidrosis, is a common concern among teenagers, particularly during periods of physical activity or emotional stress. This condition can be particularly distressing, as it can lead to social anxiety and self-esteem issues. Fortunately, there are several effective solutions and strategies that can help manage excessive sweating in the underarm and back areas.


Understanding Hyperhidrosis
Hyperhidrosis can be classified into two main types: primary and secondary. Primary hyperhidrosis typically occurs without any underlying medical condition and is often localized to specific areas, such as the underarms, palms, feet, and face. Secondary hyperhidrosis, on the other hand, is usually caused by an underlying medical condition or medication and can affect the entire body.


Potential Causes
In teenagers, excessive sweating can be influenced by several factors, including hormonal changes, genetics, and lifestyle. During puberty, the body undergoes significant hormonal shifts that can increase sweat gland activity. Additionally, anxiety and stress, which are common during high school years, can exacerbate sweating.


Effective Solutions
1. Antiperspirants: Over-the-counter antiperspirants containing aluminum chloride can be very effective for managing excessive sweating. These products work by blocking the sweat glands and reducing the amount of sweat produced. For more severe cases, prescription-strength antiperspirants are available and may provide better results.

2. Lifestyle Modifications: Making certain lifestyle changes can help reduce sweating. Wearing loose-fitting, breathable clothing made from natural fibers like cotton can help keep the body cool. Additionally, avoiding spicy foods, caffeine, and alcohol can also minimize sweating triggers.

3. Hygiene Practices: Maintaining good hygiene is essential. Regularly showering and using antibacterial soap can help reduce body odor associated with sweating. After showering, applying a good quality antiperspirant can enhance its effectiveness.

4. Medical Treatments: If over-the-counter solutions are not effective, there are several medical treatments available:
- Botox Injections: Botulinum toxin injections can temporarily block the nerves that cause sweating. This treatment is particularly effective for underarm sweating and can last several months.

- Iontophoresis: This treatment involves using a device that passes a mild electrical current through water and into the skin's surface, which can reduce sweating in the hands and feet.

- Medications: Oral medications, such as anticholinergics, can help reduce sweating by blocking the chemical signals that trigger sweat production.

- Surgery: In severe cases, surgical options such as sympathectomy, which involves cutting nerves responsible for sweating, may be considered.

5. Cognitive Behavioral Therapy (CBT): If anxiety is a contributing factor to excessive sweating, CBT can be beneficial. This type of therapy helps individuals manage anxiety and stress, which can, in turn, help reduce sweating episodes.


Conclusion
Excessive sweating can be a challenging issue for teenagers, but there are numerous effective solutions available. It is important to consult with a healthcare professional to determine the best course of action based on individual needs and the severity of the condition. By exploring various treatment options and making lifestyle adjustments, many individuals can find relief from excessive sweating and improve their overall quality of life. Remember, you are not alone in this, and there are ways to manage and overcome the challenges associated with hyperhidrosis.

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