Why am I sweating so much and what can be done about it?

Why am I sweating so much and what can be done about it?

Sweating is a normal bodily function occurring to maintain a proper body temperature. When sweat evaporates it reduces the temperature of the skin.

Excessive sweating, known as hyperhidrosis, can be acquired or may run in families. The common places that people experience too much sweating are the palms, soles, underarms and face.

There are two forms of hyperhidrosis – primary and secondary.

The most common form of hyperhidrosis is primary. Primary hyperhidrosis occurs equally in men and women and usually runs in families. People in this group are healthy and sweat during the day. Sweating ceases when the person sleeps. Sweating occurs in localized areas and occurs symmetrically. Most people experience the onset of increased underarm sweating between the ages of 14 and 25. Prior to puberty children usually present with sweaty palms and soles. Primary hyperhidrosis would include the following:

1. Visible focal sweating exceeds regular sweating for at least 6 months.
2. There is no apparent reason for sweating

Plus at least two of the following:

1. Sweating occurs on both sides of the body in the same location on the body.
2. The palms, or soles, or underarms or facial areas are involved.
3. There is more than 1 episode of disruption of daily activities in a week due to sweating.
4. The episodes of increased sweating start before the age of 25.
5. There is a family history of hyperhidrosis.
6. The sweating stops when the person is asleep.

Hyperhidrosis can have a negative impact on a person’s life. It can affect social interactions, attending school, embarrassment in the work environment and unwillingness to perform one’s daily activities. The psychological impact of hyperhidrosis can result in depression and anxiety.

What are the treatments for primary hyperhidrosis?

There are many ways to treat increased sweating.

1. Over-the-counter deodorants and antiperspirants can be tried first.
2. Next prescription antiperspirants containing high concentrations of aluminum chloride can be used.
3. Prescription cloth towels containing glycopyrronium tosylate would be the next option to consider. (Must be 9 years old or older to use. Side effects may include dry mouth, dilated pupils, urinary hesitation and blurred vision.)
4. Botox injections into the areas which sweat could also be considered. Botox will substantially decrease sweating for at least 4 to 6 months

Secondary hyperhidrosis is sweating caused by a medical condition or medications.

If you are experiencing increased sweating schedule an appointment with Dr. Oshman. She will determine the cause of your condition and suggest treatment options which are most suited for you. Call the office at your earliest convenience (203-454-0743).