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Excessive Sweating

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Sweating is a normal response to specific conditions like warm weather, stress, physical activity, and feelings of anger or fear. But with excessive sweating, you sweat more than usual. Also called hyperhidrosis, seborrhea or polyhidrosis, it’s a treatable condition. Check out below all you need to know.
Concern
Excessive sweating may happen in unusual situations (like in cool weather) or without any triggers as such. It may also occur from other underlying medical problems like hyperthyroidism (hyperactive thyroid gland) or menopause.
Although not life-threatening, you can find hyperhidrosis uncomfortable and embarrassing, causing psychological trauma. It mostly affects your face, armpits, hands, feet and groin due to the presence of sweat glands in relatively high concentration in these areas. Hyperhidrosis may be inherent or develop late in life. But it mostly tends to start during adolescence. Its symptoms are treatable.
Diagnosis
Our doctor would ask you questions about your sweating like where and when it happens. He would also do specific tests like urine and blood tests for determining if you have hyperhidrosis. We usually diagnose primary hyperhidrosis depending on physical examination and history.
We may also perform a starch-iodine test, putting iodine on your sweaty site. He would sprinkle starch there after the iodine dries. The starch turning dark blue shows hyperhidrosis.
We might perform a paper test by putting a special type of paper in your sweaty region. After absorbing the sweat, this paper is weighed. If it’s heavy, you have hyperhidrosis.
We might also perform a thermoregulatory test using a special powder sensitive to moisture. This powder changes colour in sites of excess sweating in room temperature. We may then ask you to sit in a sweat cabinet or sauna for this test. If your palms sweat more than we expect, you have hyperhidrosis.
Types
Hyperhidrosis may seem to have no apparent cause. But it may even have an underlying medical reason. It all depends on your type of hyperhidrosis.
Based on the sweating site, you may have:
  • Focal hyperhidrosis
    It happens when your excessive sweating is localised. For instance, palmoplantar hyperhidrosis is excessive sweating of your soles and palms.
  • Generalized hyperhidrosis
    It happens when excessive sweating affects your whole body.
Based on the cause of your excessive sweating, you may have:
  • Primary idiopathic hyperhidrosis
    This kind of hyperhidrosis has an unknown cause (idiopathic) and is mostly localised.
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  • Secondary hyperhidrosis
    Here your excessive sweating will have an underlying medical condition like hyperthyroidism, diabetes mellitus, obesity, menopause, gout, tumour or mercury poisoning.
We provide various options of treatment to address any kind of hyperhidrosis you have effectively.
La Midas Recommendations
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At La Midas, we offer you a series of treatment options to cure your excessive sweating. As per your case, we may recommend:
  • A specialised antiperspirant
    If you have mild cases of hyperhidrosis, our doctor may prescribe you an antiperspirant having aluminium chloride. It is stronger than the over-the-counter antiperspirants.
  • Iontophoresis
    Here, we employ a device for delivering low-level electric currents (often to your armpits, hands or feet) while keeping your concerned parts submerged in water. This temporarily blocks the sweat glands. We usually provide 2-4 iontophoresis of 20-30 minutes.
  • Anticholinergic drugs
    They can relieve generalised sweating. These drugs like Robinul (glycopyrrolate) prevent the working of acetylcholine, a chemical produced by your body which helps in stimulating your sweat glands.
  • These take about 2 weeks to function and might cause side effects like dizziness and constipation.
  • Botox (botulinum toxin)
    We may give Botox injections if you have severe hyperhidrosis. These block the nerves which stimulate sweat glands. You might require several injections to make this treatment effective.
  • ETS (Endoscopic Thoracic Sympathectomy)
    We recommend this surgery only in severe cases that haven’t responded to other therapies. Here, we cut the nerves carrying messages to your sweat glands. It can treat hyperhidrosis of your face, armpits or hands but not feet (due to the risk of permanent sexual dysfunction).




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