Excessive Sweating: Causes and Solutions for Uncontrollable Perspiration - Internal Medicine

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Excessive sweating, also known as hyperhidrosis, can be a frustrating condition that affects many individuals. It is characterized by an overproduction of sweat, which can occur even in cool temperatures or during periods of rest. In your case, it seems that you experience excessive sweating during work, and only find relief when the temperature is around 24 degrees Celsius or when you are at rest.
There are several potential causes for excessive sweating. Primary hyperhidrosis is often localized to specific areas such as the palms, feet, underarms, or face, and it usually has no underlying medical condition. Secondary hyperhidrosis, on the other hand, can be generalized and may be triggered by various factors, including hormonal changes, medications, or underlying health conditions such as hyperthyroidism, diabetes, or infections.

To address your concerns, here are some solutions and strategies you might consider:
1. Antiperspirants: Over-the-counter or prescription-strength antiperspirants containing aluminum chloride can be effective. They work by blocking the sweat glands and reducing perspiration. Apply them at night for the best results.

2. Lifestyle Modifications: Wearing loose-fitting, breathable clothing made from natural fibers can help reduce sweating. Additionally, staying hydrated and avoiding spicy foods, caffeine, and alcohol may help minimize sweating episodes.

3. Medications: If over-the-counter solutions are ineffective, your doctor may prescribe anticholinergic medications, which can help reduce sweating by blocking the nerve signals that trigger sweat production.

4. 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.

5. 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.

6. Microwave Therapy: This procedure destroys sweat glands using microwave energy. It is typically used for underarm sweating and can provide long-lasting results.

7. 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.

8. Stress Management: Since stress and anxiety can exacerbate sweating, incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises may help manage your symptoms.

9. Consult a Specialist: If your sweating is significantly impacting your quality of life, it may be beneficial to consult a dermatologist or a specialist in hyperhidrosis. They can provide a thorough evaluation and recommend the most appropriate treatment options tailored to your specific situation.

In summary, excessive sweating can be managed through a combination of lifestyle changes, topical treatments, medications, and advanced therapies. It is essential to identify the underlying cause of your sweating, as this will guide the most effective treatment approach. If you continue to experience discomfort or if your sweating worsens, seeking professional medical advice is crucial to ensure you receive the appropriate care and support.