Excessive Sweating: Causes and Treatment Options - Dermatology

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Hyperhidrosis


Hello Doctor: I am currently a homemaker, and since May of this year, I have been experiencing excessive sweating.
Just a little movement, such as washing dishes, hanging laundry, or even after taking a shower (with only lukewarm water), causes me to sweat profusely, leaving me drenched.
This has been very distressing! I have chronic conditions that require long-term medication, including panic disorder and headaches; I have been on medication for five to six years, and I did not experience these symptoms before.
Could this be related to my excessive sweating? I would appreciate your advice on how to treat this condition.
Thank you!

Mrs. Hu, 40~49 year old female. Ask Date: 2005/10/04

Dr. Zheng Lizhen reply Dermatology


Hello: Changes in constitution may not always have a clear cause.
It is advisable to first consult an internist to check for any thyroid-related issues.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2005/10/04

More Info


Excessive sweating, medically known as hyperhidrosis, can be a distressing condition that significantly impacts daily life. It is characterized by an abnormal increase in sweating that is not necessarily related to heat or exercise. Understanding the causes and treatment options for excessive sweating is essential for managing this condition effectively.


Causes of Excessive Sweating
1. Primary Hyperhidrosis: This type usually affects specific areas of the body, such as the palms, feet, underarms, and face. It often begins in childhood or adolescence and can be hereditary. The exact cause is not well understood, but it is believed to involve overactive sweat glands.

2. Secondary Hyperhidrosis: This form of excessive sweating is caused by an underlying medical condition or medication. Conditions such as hyperthyroidism, diabetes, infections, and certain cancers can lead to increased sweating. Additionally, medications for anxiety, depression, and other chronic conditions may have side effects that include excessive sweating.

In your case, since you mentioned having chronic illnesses and taking medication for anxiety and headaches, it is possible that your excessive sweating could be linked to these factors. The stress and anxiety associated with your conditions may also exacerbate sweating, as the body’s response to stress often includes increased perspiration.


Treatment Options
1. Lifestyle Modifications:
- Clothing: Wear loose-fitting, breathable fabrics like cotton to help manage sweat.

- Hygiene: Regular bathing and the use of antiperspirants can help control sweating. Clinical-strength antiperspirants that contain aluminum chloride can be particularly effective.

- Diet: Avoiding spicy foods, caffeine, and alcohol may help reduce sweating episodes.

2. Medical Treatments:
- Prescription Antiperspirants: These contain higher concentrations of aluminum chloride and can be more effective than over-the-counter options.

- Medications: Anticholinergic medications can reduce sweating by blocking the chemical signals that trigger sweat glands. However, they may have side effects, so discussing this option with your doctor is essential.

- 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.

- Microwave Therapy: This procedure destroys sweat glands using microwave energy and is typically used for underarm sweating.

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

3. Cognitive Behavioral Therapy (CBT): Since you mentioned experiencing panic attacks, therapy may help manage anxiety, which can, in turn, reduce sweating episodes. CBT is effective in addressing the psychological aspects of excessive sweating.


Conclusion
It is crucial to consult with a healthcare provider to determine the underlying cause of your excessive sweating and to discuss the most appropriate treatment options for your specific situation. Given your history of chronic illness and medication use, a tailored approach that considers all aspects of your health will be most beneficial. Managing excessive sweating can significantly improve your quality of life, allowing you to engage in daily activities without discomfort or embarrassment.

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