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Hyperhidrosis, Excessive Sweating

Excessive Sweating

Hyperhidrosis, Excessive Sweating

Hyperhidrosis or excessive sweating is a fairly common disorder affecting an estimated 4.8% of Americans. It produces embarrassment and much unhappiness for those who suffer. The first condition is known as axillary hyperhidrosis or excessive sweating of the underarms. Next is palmoplantar hyperhidrosis or excessive sweating of the palms and soles of the feet. An important thing to remember, this excessive sweating is not related to heat or exercise. Usually, a person sweats to prevent their body from overheating. But, if you have hyperhidrosis, you are sweating even when your body does not need cooling. The term “hyperhidrosis" originates from too much (hyper) and sweating (hidrosis).

In addition to excessive sweating, this medical condition creates social anxiety disorder for those suffering. Excessive sweating is only one symptom of social anxiety disorder. You may also experience:

  • Feeling hot around your face
  • Blushing
  • Feeling lightheaded
  • Onset of headaches
  • Trembling in hands and arms
  • Stuttering when you speak
  • Clammy, cold hands

Those who have hyperhidrosis are so worried about sweating excessively that it manifests into genuine anxiety. It may be generalized anxiety or social anxiety disorder. These are some critical questions to ask yourself as you seek treatment:

  1. Has excessive sweating led to social withdrawal?
  2. Are you worried about sweating during your daily activities?
  3. Does this cause you to give up and stay at home?
  4. Have you lost interest in activities you used to enjoy?
  5. Do you feel that you are experiencing depression as a result of hyperhidrosis?

Variety of Treatment Options to You

More traditional treatment options include:

  • Topical aluminum chloride is an antiperspirant that works by affecting the cells that produce sweat and is known by the brand names Drysol and Xerac.
  • Tap water iontophoresis is used to pass a mild electrical current through water (usually using shallow pans for hands or feet or specific pads for other body areas) and through the skin’s surface.
  • Oral glycopyrrolate is an off-label prescription that many hyperhidrosis patients experience success using anticholinergic therapy. It reduces the activity of acetylcholine.
  • Botulinum A toxin is also known as Botox is injected in much larger quantities into the armpits to paralyze and numb the sweat glands. This treatment is only temporary.
  • Excision of the skin and sweat gland surgery can be performed to cut the sympathetic nerves to the sweat glands (sympathectomy). Sympathectomy works best for sweaty palms.
  • Nerve blocking agents or beta-blockers like Propranolol work to prevent the physical manifestations of anxiety, which in turn cause excessive sweating.
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Minimally invasive, advanced treatments are available.

Axillary (underarm) hyperhidrosis responds well to fractional micro-needling and radiofrequency treatments. In clinical studies, patients who discontinued the use of antiperspirants one (1) to two (2) weeks before treatment had successful outcomes. Most patients needed two (2) procedures and a possible third treatment around the 6th-month mark. Most patients expressed mild side effects, which included bruising that lasted for one (1) week. Some stated they had mild swelling, redness, and soreness in their armpits for the first two (2) days after the treatment.

Radiofrequency treatments use electromagnetic heat to produce an electric current. Then this electric or heat-based current comes in contact with the tissue; it permanently destroys the sweat glands. Fractional radiofrequency is a benefit as well because it causes less discomfort and downtime. We are proud to offer this promising alternative treatment for hyperhidrosis at Bakersfield MedSpa in Bakersfield. Please contact one of our Patient Coordinators today at (661) 325-7600 to schedule your appointment and end excessive sweating once and for all!

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