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Ask about excessive sweating

Signs of hyperhidrosis or excess sweating


The presence of permanent wetness in clothes, especially in the underarm area.


The lack of deodorant to eliminate bad breath.


Sweating right after the shower


Sweating in cold climates is not associated with day or evening, summer or winter.


Persistent sweating in the extremities, especially in the palm of the hand and feet, and is not limited to areas known to sweat, such as the armpits and face.


Diseases associated with hyperhidrosis


Low blood sugar:

In the event that the sugar content is lower than its normal range, the body will secrete a large percentage of sweat, which appears more in the areas of the face and the back of the neck. Therefore, people with hypoglycemia have more chances of developing perspiration than others.



One of the causes of excessive sweating is a problem with the thyroid gland, as the change in the level of thyroid hormones impedes the ability to regulate the body temperature, as excessive sweating indicates hyperthyroidism, and excessive coldness indicates hypothyroidism.


A problem with hormones:

If there is a disorder in the adrenal gland, it can lead to an imbalance of hormones in the body, which leads to the secretion of sweat. Therefore, women in menopause and menopause are more prone to sweating due to changing levels of female hormones.


Lymph gland disorder:

Hyperhidrosis may indicate a malfunction in the lymph gland, so the body is cooling itself further, resulting in perspiration.


High level of salts in the body:

When the proportion of salts in the body is more than it can handle, this harms the functions of the body, the sweat gland activates to get rid of these extra salts from the body, and hyperhidrosis occurs.


Heart disease:

When you have a heart problem, the body can sweat more, as the heart needs to use more energy to pump blood in the event of an irregular heartbeat, and then the sweat appears excessively.


Independent polyneuropathy:

It is a nervous disorder that affects the body's functions, such as heart rate, blood pressure and the digestive process, as well as leading to sweating disorders, whether increased or decreased, and thus affects the regulation of body temperature.




Causes of excessive sweating


The reason for this phenomenon to occur in these areas and not others is related to the distribution of the sweat glands, which are abundant in these areas. According to the distribution of the affected areas, the case of excessive sweating is divided into two main types:


1- Primary focal hyperhydrosis


2- Secondary generalized hyperhydrosis


Primary excessive sweating may be transmitted genetically from one of the parents, and its symptoms usually begin in the teenage years, and this differs from the secondary type that may occur at any stage of life.


The main cause of this condition is not known yet, there are those who attribute it to the excessive activity of the sympathetic nervous system, justifying that in general, an increase in nervousness and anxiety may lead to an exacerbation of this condition. In some other cases it is related to certain foods and drinks, such as nicotine and coffee.




Methods of treating primary excessive sweating


1- Topical preparations:

Topical antiperspirant preparations, especially those containing aluminum chloride, some intend to increase the proportion of aluminum chloride in these preparations by a greater percentage in order to increase the effectiveness of the product.


The disadvantage of this method is that it has a limited success rate, and it may cause skin irritation in many patients.



2- Botox injection in places of perspiration:

Its effect may last from 3 to 9 months, depending on the location of the injection, this treatment has been considered a safe treatment by the US Food and Drug Administration.


The disadvantage of this method is that it needs to be repeated every 3-9 months.



3- Surgical treatment

Surgery is the permanent solution to treat this health condition, and it depends on the use of a thoracoscope. Where the sympathetic nodes responsible for the nerve nutrition of these sweat glands are cauterized or severed.


One of the disadvantages of this surgery is compensatory sweating, as the proportion of sweating in the hands and under the armpits is reduced, but on the other hand, sweating increases in other areas such as: the abdomen, back and feet in 20-80% of patients. Also, some patients experience a recurrence of symptoms after the operation. Another side effect that may occur after the operation is Horner's syndrome, which occurs in less than 1% of cases.


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