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HyperhidrosisHyperhidrosis

Dermatologic Symptoms and Treatment

Hyperhidrosis is the condition of excessive sweating that is not brought upon naturally and not by internal thermoregulation mechanisms or environmental temperatures. Hyperhidrosis can cause social and psychological problems because of the significant embarrassment that can be experienced at any time during day-to-day activities. Sufferers of hyperhidrosis often need to change clothes many times during the day because of excessive sweating, even if they were not very active or had little emotional stimulation. Furthermore, individuals with hyperhidrosis can suffer from embarrassment and loss of self-confidence in certain situations, such as, when people shake hands during meetings or parties or when papers continuously get soaked with sweat when writing or working on a project. 

Symptoms of Hyperhidrosis

Excessive sweating is the common description for hyperhidrosis and this type of disorder affects many individuals in the United States. The most common form of hyperhidrosis is the excessive sweating of the palms or hands and this condition occurs even without triggers. The primary symptom and most visible sign of this condition is wetness in the affected area. Hyperhidrosis typically occurs around areas such as the underarms, feet and hands. Other symptoms of hyperhidrosis may be fever, weight loss, or night sweating.

Evaluation of affected areas

Evaluation of the affected areas is essential in deciding on a treatment program and many evaluation methods are available. The minor iodine-starch evaluation method helps identify affected areas as the iodine changes its color to purple when cornstarch is added and it makes it easier to see affected areas. The copy paper evaluation is best used for hands and this method compares absorption by a reference ranking or image processing method. The gravimetric evaluation weighs the amount of wetness or sweating produced by an individual at a given time by placing the affected area on absorbent paper and weighing the paper after one to five minutes. The gravimetric evaluation is the best test in measuring a person's rate of eccrine gland secretion.

Causes and Quality of Life

Hyperhidrosis is an eccrine sweat glands function disorder. The eccrine glands to produce excessive amounts of sweat that is above what is necessary for thermoregulation. Hyperhidrotics are healthy people who have a hyperactive autonomic nervous system. Heavy physical exertion or thermal provocation may trigger physiological hyperhidrosis. An imbalance may be present during extreme physical activity that may make the excessive sweating assume a pathological character. This kind of disorder is fever related because it brings along pyrogens, which are fever-causing bacteria.
 
The cause of hyperhidrosis is still unknown. Occurrence of the disorder may be isolated, but most of the times it affects multiple areas. Combined hyperhidrosis occurs symmetrically on predisposed regions and is triggered by emotions. It is evident that stress or fear activates the sweat glands because the emotions center of the brain communicates closely with the midbrain that is responsible for perspiration control. If the condition becomes a permanent state for an individual, it is considered to be pathological and it will create an overburdened autonomic nervous system that is extremely over activated. Continuity of the psychological stress experienced will result in excessive perspiration.
 

Common Treatment Options for Hyperhidrosis

Iontophoresis

Conservative treatments may work on mild hyperhidrosis disorders, but severe cases may require iontophoresis treatment. Iontophoresis works by applying a current to normal tap water via electrodes. Iontophoresis is a non-invasive, fully reversible treatment and has very high success rates. There are no known side-effects and in the long term, this treatment option will be the best price-performance ratio. Before considering having Botox or ETS, we would really recommend you trying the iontophoresis therapy first. There is nothing to loose, only your excessive sweat! Read more about our money-back-guarantee here.
 
Best selling units via sweating.com are: The Hidrex PSP1000 or Idromed 5 PC

Antiperspirants

The standard treatment for hyperhidrosis is the use of an antiperspirant. The individual only needs to apply the topical treatment to regions that demonstrate excessive sweating. However, depending on the antiperspirants formulation, the product could simply be cosmetically eliminating the odor and not reducing the amount of sweat. The deodorant effect of the antiperspirant is based on reducing microbial activity and not on reducing the activity of the eccrine sweat glands, which are the root of the problem. Antiperspirants with anticholinergic agents are best because they block the eccrine sweat glands from secreting fluid. The absorption of prolonged and large amounts of these antichlonergic agents, however, could produce systemic adverse effects.

Botulinum Toxin A

The botulinum toxin A has been a leading treatment for hyperhidrosis for over ten years. Botulinum toxin A is used to treat primary hyperhidrosis effectively in most cases. However, axillary hyperhidrosis treatment requires a hospital setting and a specialist accustomed to using the Botox technique. Multiple studies have confirmed botulinum toxin A's effectiveness for treating axillary hyperhidrosis disorder. It is advisable to choose this type of treatment if you are able to do so because several studies proved this well-established procedure works effectively. The treatment, however, is can be quite painful and requires that the patient to be pricked with a needle several times. Botulinum toxin also requires 1 to 3 series of injections per year.

ETS

The Endoscopic Transthoracic Sympathectomy (ETS), is a micro-invasive approach and involves accessing the patient's thorax nerve nodes that sustain the nerve supply on both the face and the upper limb's sweat glands. The ETS surgical procedure requires general anesthesia. Sympathectomy is the procedure used to cut relevant parts of the nerve that triggers hyperhidrosis in specific regions of the body. Horner Syndrome and compensatory sweating, an increase of sweating on other regions of the body after the procedure, are the most common side effecst. 
 
 

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