While sweating is a normal bodily function, individuals with hyperhidrosis experience excessive sweating beyond what is necessary for cooling down the body.
Hyperhidrosis is a condition where individuals sweat excessively beyond what's needed for temperature regulation. It can affect the entire body, causing discomfort and social anxiety.
While the exact cause of primary hyperhidrosis is unknown, it's believed to be a result of overactive sweat glands and genetic factors.
Secondary hyperhidrosis can be caused by various medical conditions, such as:
● Thyroid problems, such as hyperthyroidism, increase the body's metabolic rate, leading to excessive sweating.
● Diabetes can affect the body's ability to regulate temperature and sweating.
● Infections can trigger sweating as the body fights off illness.
● Certain medications, including antidepressants, antipyretics, and blood pressure drugs, may have excessive sweating as a side effect.
● Hormonal imbalances, such as those experienced during menopause or puberty, can also lead to excessive sweating.
● Stress: Emotional stress and anxiety can stimulate the sweat glands, causing increased sweating.
● Heat: Warm weather or high temperatures can lead to more sweating as the body attempts to cool itself.
● Physical Activity: Exercise and physical exertion naturally increase sweating, but for those with hyperhidrosis, the sweating can be more intense and persistent.
● Palms: People with hyperhidrosis often experience excessively sweaty palms, making everyday tasks like writing, using a computer mouse, or shaking hands uncomfortable and awkward.
● Feet: Excessive sweating in the feet can lead to damp socks and shoes, which may cause foot odour and increase the risk of fungal infections.
● Face: Facial sweating can be particularly distressing, as it is highly visible and can occur unexpectedly. This can affect social interactions and personal confidence.
● Underarms: Excessive underarm sweating can result in wet clothing and noticeable sweat stains, causing self-consciousness and limiting wardrobe choices.
Individuals with hyperhidrosis may also experience more general symptoms like clammy skin and a persistent feeling of dampness.
There are several treatment options available for hyperhidrosis, depending on the severity and underlying cause of the condition.
● Antiperspirants: Over-the-counter and prescription-strength antiperspirants can help reduce sweating. These products contain aluminium chloride, which temporarily blocks the sweat glands. This can be a simple and effective solution for mild cases of hyperhidrosis.
● Medication: Oral medications, such as anticholinergics, can reduce sweating by inhibiting the sweat glands' activity. However, they often come with side effects like dry mouth, blurred vision, and urinary retention, which can limit their use.
● Botox Injections: Botox (Botulinum Toxin), commonly known for its cosmetic uses, can temporarily reduce sweat production in targeted areas by blocking the nerves stimulating the sweat glands. It typically provides relief for several months before needing reapplication.
● Iontophoresis: This treatment uses a mild electrical current to block sweat production, mainly in the hands and feet. During the procedure, the affected areas are submerged in water while a gentle current is passed through, reducing sweat gland activity. Regular sessions are required to maintain results.
● Microwave Therapy (MiraDry): MiraDry is an approved therapy that targets and destroys sweat glands in the underarms using microwave energy. This treatment is designed to reduce underarm sweating and is performed in a clinical setting.
● Endoscopic Thoracic Sympathectomy (ETS): ETS is a surgical option for severe cases of hyperhidrosis that do not respond to other treatments. This procedure involves cutting or clamping the sympathetic nerves responsible for excessive sweating. While ETS can be highly effective, it carries risks and potential side effects, such as compensatory sweating in other body parts.
If you're experiencing excessive sweating, and it's impacting your daily life, it's essential to consult with a doctor. In Malaysia, there are various options available for hyperhidrosis treatment.
Prince Court Medical Centre’s Cardio-Thoracic Surgery Department offers advanced treatment options and minimally invasive techniques. Our expert surgeons prioritise precision and safety.
With state-of-the-art facilities, we ensure comfort and support while adopting a patient-centred approach to achieve successful outcomes. Contact us for consultations and appointments.
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