Causes of Hyperhidrosis

The exact cause of primary hyperhidrosis is not fully known, but it is thought to involve overactive sweat glands, often in response to nervous system signals. Factors that may contribute to excessive sweating include:

• Genetics: Hyperhidrosis often runs in families, indicating a genetic predisposition.
  
  

• Overactive Sweat Glands: The sweat glands in people with hyperhidrosis respond excessively to stimuli that would not normally trigger such a strong response, such as slight increases in body temperature or stress.
  
  

• Underlying Medical Conditions: Secondary hyperhidrosis can be triggered by medical conditions such as:
  
  

• Hyperthyroidism
  
  

• Diabetes
  
  

• Obesity
  
  

• Menopause
  
  

• Infections
  
  

• Neurological conditions
  
  

• Medications: Certain medications, including antidepressants, painkillers, and hormone treatments, can cause excessive sweating as a side effect.
  
  

Symptoms of Excessive Sweating

The primary symptom of hyperhidrosis is excessive sweating that is disproportionate to the body's needs. Common symptoms include:

• Excessive sweating in specific areas like the palms, feet, underarms, or face.
  
  

• Sweating that occurs even without physical exertion or in cooler environments.
  
  

• Sweating that disrupts daily activities or causes emotional distress, embarrassment, or social withdrawal.
  
  

• Increased sweating during stress, anxiety, or after eating certain foods (especially spicy foods or caffeine).
  
  

• Clothing stains or dampness caused by sweating.
  
  

How is Hyperhidrosis Diagnosed?

Hyperhidrosis is typically diagnosed by a dermatologist based on a physical examination, symptoms, and medical history. In some cases, the doctor may use specific tests to confirm the diagnosis and rule out other conditions:

1. The Starch-Iodine Test: A special iodine solution is applied to the skin, and starch is sprinkled over it. Areas of excessive sweating will turn dark blue, helping to identify the sweat zones.
   
   

2. The Minor’s Test: This test involves applying a weak iodine solution to the skin and using a special paper to observe areas of excessive sweat production.
   
   

3. Sweat Production Measurement: Quantifying the amount of sweat produced in specific areas of the body using specialized equipment.
   
   

In cases of secondary hyperhidrosis, additional tests may be necessary to identify underlying medical conditions, such as blood tests, thyroid function tests, or imaging studies.

Treatment Options for Excessive Sweating

There are several treatment options available for hyperhidrosis, depending on its severity and type:

1. Topical Treatments:
   
   

• Antiperspirants (Aluminum Chloride): Stronger than regular antiperspirants, these products contain aluminum chloride, which works by blocking the sweat ducts to reduce perspiration.
  
  

• Benefit: Non-invasive and effective for mild to moderate sweating, especially underarms, hands, and feet.
  
  

2. Iontophoresis:
   
   

• Description: Iontophoresis uses a mild electrical current to temporarily block sweat glands. The procedure involves immersing the hands or feet in a water-based solution while the current is applied.
  
  

• Benefit: Effective for treating excessive sweating in the hands and feet.
  
  

3. Botox (Botulinum Toxin) Injections:
   
   

• Description: Botox injections are FDA-approved for treating excessive sweating in the underarms, hands, feet, and face. Botox works by blocking the nerve signals that trigger sweat glands.
  
  

• Benefit: Results typically last 4-6 months, providing temporary relief from excessive sweating.
  
  

• Side Effect: Temporary weakness or pain at the injection site.
  
  

4. Oral Medications:
   
   

• Anticholinergic Drugs: Medications like oxybutynin or glycopyrrolate can reduce sweating by blocking the chemical signals that trigger sweat production.
  
  

• Benefit: Effective for generalized sweating, but they can have side effects such as dry mouth, blurred vision, or constipation.
  
  

5. Microwave Therapy (MiraDry):
   
   

• Description: MiraDry is a non-invasive treatment that uses microwave technology to target and destroy sweat glands in the underarms.
  
  

• Benefit: Long-lasting results with minimal downtime. The procedure is effective in reducing underarm sweat by up to 80-90%.
  
  

• Side Effect: Mild swelling or soreness in the treated area.
  
  

6. Surgical Options:
   
   

• Sympathectomy: This surgical procedure involves cutting or removing parts of the sympathetic nerves that control sweating. It is typically used for severe cases of hyperhidrosis that do not respond to other treatments.
  
  

• Sweat Gland Removal: For localized and severe cases, sweat glands may be surgically removed or destroyed through liposuction or excision.
  
  

• Benefit: Surgical options are considered when other treatments are ineffective, but they carry a risk of complications and side effects.
  
  

7. Lifestyle Modifications and Home Remedies:
   
   

• Wear breathable clothing to reduce the risk of sweating in warm conditions.
  
  

• Avoid triggers such as spicy foods, caffeine, and hot beverages that can worsen sweating.
  
  

• Stay cool and hydrated to regulate body temperature and reduce excessive sweating.
  
  

• Practice stress-reduction techniques such as yoga, meditation, or deep breathing exercises to manage emotional triggers.
  
  

Why Choose Q Dermatology + Aesthetics Centre?

At Q Dermatology + Aesthetics Centre, we specialize in diagnosing and treating excessive sweating (hyperhidrosis). Whether you experience sweating on your hands, feet, underarms, or face, our team offers personalized treatment options that can help you regain control over your condition. We are committed to providing the most effective and comfortable treatments tailored to your needs.

Schedule a Consultation Today

If you are struggling with excessive sweating or have concerns about your condition, don’t hesitate to contact us. Our dermatologists are here to help you find the most effective treatment to manage your symptoms. Call us today at +1 604 359 9632 or click below to request an appointment.