Excessive Sweating: Solutions for Managing Body Odor and Sweat - Dermatology

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Sweating issues


I would like to ask, I sweat excessively all over my body, often when others are completely dry, I am already drenched in sweat, and my sweat has a strong odor.
Is there any way to help me sweat like a normal person, at least so I won't sweat while walking on the street? Thank you for your response, doctor.

johnson, 10~19 year old female. Ask Date: 2006/02/15

Dr. Hong Zhengsheng reply Dermatology


Hello Johnon: Wearing breathable clothing, using antiperspirants, or undergoing surgical procedures for the axillary sweat glands may help alleviate your concerns.
We recommend that when you experience the mentioned symptoms, you should promptly visit a public hospital under the Department of Health in your city or county and consult with a physician.
Our doctors are always happy to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.

Reply Date: 2006/02/15

More Info


Excessive sweating, also known as hyperhidrosis, can be a challenging condition that significantly affects an individual's quality of life. It is characterized by an abnormal increase in sweating, which can occur in various parts of the body, including the underarms, palms, feet, and face. When combined with body odor, this condition can lead to social anxiety and embarrassment. Understanding the underlying causes and exploring effective management strategies is crucial for those affected.

Understanding Hyperhidrosis
Hyperhidrosis can be classified into two main types: primary and secondary. Primary hyperhidrosis is often localized and does not have an identifiable medical cause, while secondary hyperhidrosis is usually generalized and can be attributed to underlying medical conditions, medications, or hormonal changes. Conditions such as hyperthyroidism, diabetes, and certain infections can lead to excessive sweating. Therefore, it is essential to consult with a healthcare professional to determine the underlying cause of your symptoms.

Management Strategies
1. Antiperspirants: Over-the-counter or prescription-strength antiperspirants containing aluminum chloride can be effective in reducing sweating. These products work by blocking the sweat glands and are often the first line of defense for managing hyperhidrosis.

2. Lifestyle Modifications: Wearing loose-fitting, breathable clothing made from natural fibers can help reduce sweat accumulation. Additionally, practicing good hygiene by showering regularly and using antibacterial soap can help manage body odor.

3. Dietary Changes: Certain foods and beverages, such as caffeine, spicy foods, and alcohol, can trigger sweating. Keeping a food diary to identify and eliminate these triggers may help reduce excessive sweating.

4. Medications: In some cases, oral medications such as anticholinergics may be prescribed to reduce sweating. These medications work by blocking the nerve signals that trigger sweat production.

5. Botox Injections: Botulinum toxin injections can temporarily block the nerves that cause sweating. This treatment is particularly effective for localized areas, such as the underarms, palms, and feet.

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

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

8. Surgery: In severe cases, surgical options such as sympathectomy, which involves cutting nerves that trigger sweating, may be considered. However, this is usually a last resort due to potential side effects.

9. Psychological Support: For individuals whose sweating is exacerbated by anxiety or stress, cognitive-behavioral therapy (CBT) or other forms of psychological support may be beneficial.

Conclusion
Managing excessive sweating and body odor requires a multifaceted approach tailored to the individual's needs. It is essential to consult with a healthcare provider to explore the most appropriate treatment options based on the severity of the condition and any underlying causes. By implementing a combination of lifestyle changes, topical treatments, and possibly medical interventions, individuals can significantly improve their symptoms and regain confidence in social situations. Remember, you are not alone in this, and effective solutions are available to help you lead a more comfortable life.

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