SWEATOPEDIA

Sweatopedia is a leading source of comprehensive, objective, and accurate information on hyperhidrosis.

WHAT IS HYPERHIDROSIS?

Hyperhidrosis, or excessive sweating, is basically when you sweat beyond comfort. People with hyperhidrosis just have overactive sweat glands.

The medical definition is sweat that is produced in excess of what is necessary for thermoregulation (the ability to maintain a healthy temperature.

Sweating is a perfectly natural and necessary function the body uses to cool itself down. We need to sweat to live, however, with hyperhidrosis, you’ll sweat even when your body isn’t overheating.[1]

SIGNS YOU MAY HAVE HYPERHIDROSIS:

When dressing, you take into account how your clothes will be affected by sweat and whether they will show sweat stains.
You are always aware of your environment and whether or not you can influence the temperature.
You've hesitated to shake someone's hand.
You tailor your routine to take in account a need for reapplying your deodorant.
You worry about taking off you shoes in front of others.
You leave a sweat trail.
Noticeable sweat even when you aren't working out or overheated.

WE DON'T JUST SWEAT UNDER THE ARMS:

All can be affected:

Feet
Hands
Groin
Chest/Breasts
Thighs
Buttocks
Face
Scalp

You could have sweat in just one of these areas, or like the lucky few experience full body excessive sweating.

Hands, feet, and underarms are the parts of the body that are most likely to be affected by hyperhidrosis.[3]

People who suffer from hyperhidrosis have the same number and size of sweat glands as people who don’t have the condition. Their sweat glands are just overactive.[1]

THERE ARE SOLUTIONS:

Good news, you don't have to live with uncomfortable sweat.

SOME OPTIONS:

Over-the-counter topical treatments
Prescription oral medications and creams
Botox
Surgery

If you are interested in medical solutions, you can book an appointment with your dermatologist and learn how to manage hyperhidrosis with a dermatologist.[3]

THERE ARE TWO MAIN FORMS OF HYPERHIDROSIS

The vast majority of people will either have primary focal hyperhidrosis or secondary generalized hyperhidrosis.

Primary Focal Hyperhidrosis

Primary Focal Hyperhidrosis (PFH) is by far the most common type, affecting up to 90 percent of people who have hyperhidrosis.

People with primary focal hyperhidrosis only sweat in particular areas like the hands, feet, armpits, face, and groin.

Sweat will occur on both sides of the body in the same place and often in more than one area — like both hands and feet. [3]

Symptoms usually begin in childhood or adolescence and tend to last for a person’s entire lifetime. There is evidence that primary focal hyperhidrosis is hereditary, meaning it often runs in families.[3]

Secondary Generalized Hyperhidrosis

While primary focal hyperhidrosis appears to be something you’re born with, secondary generalized hyperhidrosis (SGH) is a condition that shows up during adulthood. Think of SGH as an uninvited guest who arrives on your doorstep with no warning. [3]

When someone has secondary hyperhidrosis the biggest problem isn’t the hyperhidrosis – it’s the disease or condition that might be causing it. [3]

The source of this type of hyperhidrosis can also be a medication. Many common medications can cause hyperhidrosis as a side effect.[3]

Unlike primary focal hyperhidrosis, the sweating from secondary hyperhidrosis tends to occur all over the body. This is a telltale sign of the condition.[3]

Unlike primary hyperhidrosis, this condition doesn’t have to be permanent. If the instigating condition is found and treated, it can fix the hyperhidrosis. It may take a little work.[3]

If you are concerned that your hyperhidrosis might have an underlying cause, schedule an appointment to talk to your doctor and find out.[3]

THE IMPACTS OF HYPERHIDROSIS

While hyperhidrosis isn’t particularly dangerous physically, it can be embarrassing.[3]

Unfortunately, hyperhidrosis is more serious than just uncomfortable sweating.

Up to a third of people who deal with excessive sweating from hyperhidrosis say that they are constantly bothered by their sweating.

75% of respondents reported that hyperhidrosis negatively impacted their social, emotional, and mental health.[4]
Hyperhidrosis and anxiety often go hand in hand.[3]

HOW COMMON IS HYPERHIDROSIS?

3% of the US population struggles with hyperhidrosis. In other countries the percentage of the population that has it is even higher.[3]

Because hyperhidrosis is such an embarrassing and overlooked condition, many individuals avoid reporting the issue to their doctor. This means that the number of people who have hyperhidrosis might even be higher than we currently think.[3]

What Causes Hyperhidrosis?

Doctors don’t truly understand what causes primary focal hyperhidrosis yet. One theory is that particular nerves that control the amount of sweat overreact or malfunction. That malfunction can cause the excessive sweating that can be life-changing for those who suffer from it.[7]

Since hyperhidrosis affects so many people, researchers are now shifting into full gear to discover the causes of excessive sweating so they can develop better treatments. Future treatments and research for hyperhidrosis are being developed more rapidly than ever before.[3]

What Conditions Can Cause Secondary Generalized Hyperhidrosis?

Many diseases and medical conditions can cause hyperhidrosis. However, just because you have one of the conditions listed below this paragraph doesn’t mean you’ll develop hyperhidrosis.

Here are some of the more common conditions that may be causing the hyperhidrosis you have developed as an adult.

A febrile illness
Menopause
Hyperthyroidism
Heart failure
Diabetes
Frostbite
Alcoholism - Alcohol can cause excessive sweating when someone is intoxicated, withdrawing, or in someone with an intolerance.
Gout
Lymphoma and some other cancers and tumors.
Obesity
Pregnancy
Parkinson’s disease
Rheumatoid arthritis
Stroke[3]

There are also several types of common medications that cause hyperhidrosis as a side effect. So, if you are on medication and you begin experiencing new or increased amounts of sweating mention it to your doctor. Some of these medications include antidepressants, painkillers, blood pressure medications and many others.a [3]

If you think you might have secondary generalized hyperhidrosis it is very important that you speak to a doctor. Many of the things that cause it can be resolved, and it could be a sign of a more serious problem. Don’t panic, but it is wise to look into the reason you are sweating more.

What Are the Treatments for Primary Focal Hyperhidrosis?

If you are diagnosed with primary focal hyperhidrosis, there are many things you can do.These are the existing treatments for hyperhidrosis, but new treatments are currently being explored by scientists:

Antiperspirants:There are many over-the-counter antiperspirants that can be very useful when trying to curb sweat. If a regular antiperspirant isn’t cutting it for you, ask your doctor to write a prescription for a stronger one. You can apply antiperspirant to places other than just your underarms. Use it on your hands, hairline, or feet as well. There are even antiperspirants for the face and groin that are made specifically for sensitive areas.
An Iontophoresis machine:This medical device sends low-voltage currents into a pan of water where your hands or feet are sitting. The electricity can lessen the activity of your sweat glands, at least for a while. However, it can take up to 10 sessions with the iontophoresis machine to deactivate your sweat glands. You may need to use this machine up to three times a week in the beginning and one treatment can take up to 40 minutes. Although iontophoresis as a treatment for palmar and plantar hyperhidrosis may give your hands and feet a much needed break, the iontophoresis machine is anything but convenient. Iontophoresis really does work, but patients have to be willing to keep up with a regular treatment regimen for it to work successfully.
Botox:If other treatments aren’t enough in your, you might need Botox injections. Botox can be particularly useful for axillary hyperhidrosis, but botox can also be a treatment for palmar and plantar hyperhidrosis. Botox can provide up to 6 months of reduced sweating. If you’re going to pursue this route, you should look for someone who is experienced at doing Botox injections in the underarms to ensure the right area is targeted.
Anticholinergics:A few oral medications can for hyperhidrosis can reduce the amount of sweat you produce by stopping your sweat glands from working. Most commonly patients are prescribed anticholinergics like glycopyrrolate or oxybutynin as a treatment for hyperhidrosis. These medications also have several side effects, including heart palpitations, blurry vision, and dry mouth.
ETS Surgery:An endoscopic thoracic sympathectomy (ETS) is a surgical treatment for primary focal hyperhidrosis. It is an operation where an individual actually has the nerve endings that transfer sensory information to the sweat glands destroyed. Since no known successful reversal of an ETS surgery has ever been recorded, this option isn’t usually on the table unless the other treatments have failed. As with any surgery, it can be risky. There is also a type of surgery called an endoscopic lumbar sympathectomy which is used to treat plantar hyperhidrosis, but this surgery can be very dangerous and is almost never recommended.[3]

Defeating Hyperhidrosis

Undoubtedly, hyperhidrosis can be a hard condition to cope with. Until recently, the lack of research into hyperhidrosis had made hyperhidrosis difficult to manage. Thankfully, however, new treatments and awareness has made hyperhidrosis much easier to handle. Keep trying treatments until you find what works for you and remember that you are not alone in suffering with this condition. It’s just a matter of figuring out what you can do to control your sweat instead of your sweat controlling you!

Sources

MedicineNet Medical Journal. (2016, May 13). Definition of Hyperhidrosis. Retrieved May 14, 2018, from https://www.medicinenet.com/script/main/art.asp?articlekey=16272
Diaphoresis: What causes excessive sweating? (n.d.). Retrieved May 20, 2020, from https://www.medicalnewstoday.com/articles/321663#overview
Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Amsterdam: Elsevier Pub. Co., 2014. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
Lenefsky, M., & Rice, Z. P. (2018). Hyperhidrosis and Its Impact on Those Living With It. AJMC. Retrieved from https://www.ajmc.com/journals/supplement/2018/hyperhidrosis-managed-markets-update-treatments/hyperhidrosis-and-its-impact--on-those-living-with-it

Nordqvist, C. (2017, December 21). Hyperhidrosis: Symptoms, causes, diagnosis, and treatment. Retrieved May 14, 2018, from https://www.medicalnewstoday.com/articles/182130.php

Doolittle, James, et al. “Hyperhidrosis: an Update on Prevalence and Severity in the United States.” Archives of Dermatological Research, vol. 308, no. 10, 2016, pp. 743–749., doi:10.1007/s00403-016-1697-9. Retrieved from https://pubmed.ncbi.nlm.nih.gov/27744497/

Huddle, J. R. (2014). Hyperhidrosis: Causes, Treatment Options and Outcomes. New York, NY: Nova Science. Retrieved from https://www.bookdepository.com/Hyperhidrosis-Janine-R-Huddle/9781633215160

How Hyperhidrosis Causes Sweaty Hands

The reason why humans sweat is to cool down the body and maintain a healthy internal body temperature (thermoregulation), but for people with hyperhidrosis, sweating occurs much more frequently than is necessary to keep the body cool.[1]

Hyperhidrosis causes sweat glands to be overactive which leads to excessive sweating, even in the absence of sweat triggers like heat. It doesn’t matter what the weather is like, people who have hyperhidrosis will experience excessive sweating even when there are no external reasons for it.[1]

The hands are one of the most common areas of the body affected by hyperhidrosis.[1] If you have hyperhidrosis, you may find that your hands are constantly sweaty and have no idea why. The skin on your hands may be white and peeling from the constant moisture.

Most people who struggle with sweaty hands have a form or hyperhidrosis called primary focal hyperhidrosis. Primary focal hyperhidrosis can also cause you to sweat excessively from your feet, armpits, face, or groin. Hyperhidrosis that affects the hands is known medically as palmar hyperhidrosis. Many times people with hyperhidrosis are affected on several parts of their body. Therefore, it is likely that you are dealing with excessive sweating on another part of your body in addition to your hands. If this is the case then don’t worry, there are several effective sweaty hand treatments you can use to help stop sweaty hands and improve your quality of life.[1]

Factors that Make Sweaty Hands Worse

If you are struggling with sweaty hands you’ll know just how debilitating and embarrassing this condition can be. There are several surprising factors that can cause palmar (hand) hyperhidrosis or worsen the condition.

Your Genes

Unfortunately, those constantly sweaty palms could be the result of some bad luck with your genes. One famous study carried out at the University of California in 2002 demonstrated that many debilitating cases of palmar hyperhidrosis are indeed the result of ‘faulty’ genes passed down from generation to generation. It is now thought that hyperhidrosis is hereditary, at least in part.[3]

This highlights the fact that your symptoms aren’t necessarily the result of stress or emotional issues, although hyperhidrosis and anxiety are often related. However, don’t think that healing is an impossibility - there are many treatments that can make a big difference.[1]

You’re Battling Stress

Most of us have experienced sweaty palms when something stressful happens, such as an examination, a marriage proposal or speaking in public.

This is because the stress has triggered our fight-or-flight response, releasing the stress hormones epinephrine and cortisol. These hormones help us cope with the stress, but also raise our body temperature.[4] Naturally, our bodies work to reduce this temperature in the way they know best - by activating your sweat glands. If you’re under chronic stress, your body is constantly on high alert and you are likely to continue to sweat around the clock and experience what is known as stress sweat.[5]

Social Phobia

It’s often hard to tell which came first - social anxiety or sweaty hands. However, there’s no doubt that the two feed a vicious cycle. Hyperhidrosis and anxiety often go hand in hand.

The scenario is a familiar one - you feel terribly ashamed about your sweaty hands and feel that other people will look at you in disgust and judge you negatively. So, when the bank manager goes in for the formal handshake, you feel yourself becoming insecure. Or when your gorgeous date reaches for your hand affectionately, that familiar dread rises up. Scenarios like these trigger your fight-or-flight response, your stress hormones kick in, and your palms get sweaty.[5] This will only reinforce your social phobia and make you more likely to avoid this kind of scenario in the future.

Low Blood Sugar

If you constantly crave sugary snacks and often skip meals you could be suffering from low blood sugar. This can also happen if you are suffering from diabetes.

Blood sugar issues could be worsening your palmar hyperhidrosis. Your body needs a constant supply of energy in order to work efficiently. However, when you eat these kinds of sugary foods or go for a long time without eating, your blood sugar levels can fluctuate wildly. In order to cope, it releases stress hormones like epinephrine which stimulate the release of sugar from your body stores. It also triggers symptoms of stress like sweaty palms and shaking.[6]

Too Much Alcohol

Many of us enjoy a glass or two of something alcoholic to help us wind down at the end of a long day. There’s nothing wrong with that!

Nonetheless, alcohol can be a big problem if you’re vulnerable to sweaty palms. Alcohol can cause excessive sweating, and it can worsen, or even trigger symptoms to begin. This is because alcohol causes your blood vessels to dilate which has a warming effect on your skin. This causes your parasympathetic nervous system to kick in, releasing plenty of sweat to help bring your body temperature back down.

These symptoms get worse the more alcohol you consume, and can hit chronic levels for those who become addicted.[7]

Spicy Foods and Coffee

While spicy foods and coffee are unlikely to cause severe sweaty palms, they can have an effect on the body’s ability to maintain its internal temperature. These substances can worsen sweating symptoms you might already be suffering, especially if you are sensitive to spice or caffeine. Caffeine can be a trigger for excessive sweating, so it is a good idea to use it in moderation.

Both spices and caffeine can activate neurotransmitters like acetylcholine, which cause your sweat glands to overreact and produce excessive amounts of sweat. They can also trigger the release of stress hormones which can further worsen the problem.[8]

Secondary Generalized Hyperhidrosis

Certain underlying diseases, conditions, or medications can cause a subtype of hyperhidrosis called secondary generalized hyperhidrosis. If you have one of these conditions it can increase your likelihood of experiencing sweaty hands, although sweating caused by secondary hyperhidrosis tends to affect the whole body rather than specific areas.[1]

Thyroid diseases are known to cause excessive sweating. Hyperthyroidism is an autoimmune disease which causes your immune system to attack your healthy cells, which then increases your body temperature.[9] This is similar to the way your body reacts when you are fighting off the flu. In an attempt to bring your temperature down, your parasympathetic nervous system will kick-in, releasing yet more sweat.

Hormonal fluctuations related to menopause can also cause excessive sweating. Hot flashes and night sweats are a well-known part of the menopause and can cause excessive sweating on the palms, hands, feet, and the rest of the body. This is due to fluctuating levels of the reproductive hormones estrogen and progesterone, which interfere with the body’s temperature regulation process. These hormones trigger those hot and sweaty moments. If you’re especially hormone-sensitive, this process can lead to severe symptoms that can last many years if not addressed.[10]

Sweaty palms are not your fault or a sign of weakness! There are many potential causes of sweaty hands, including lifestyle factors, genetic factors, and health conditions and none of them should be considered to be a personal failing.

What are Some Tips for Dealing with Sweaty Hands?

There are both medical and nonmedical approaches to dealing with sweaty hands and help stop sweaty hands embarrassment. Deciding which method works best for you is a personal choice that depends on your preferences and needs. Here are some options you may want to consider!

Practical Tips

There are a number of sweaty hand treatments you can pursue to reduce your sweating. Before we get to that, let’s look at some of the alternative methods you can use to manage hyperhidrosis of the hands:

Wearing gloves:While this clearly isn’t a permanent solution, it can be a temporary fix that will let you pursue some recreational activities with more confidence. Batting gloves can be worn during softball or baseball to let you get a better grip on your bat to help with your hitting. You won’t look out of place because many athletes wear these kinds of gloves. When kayaking, you can wear gloves to help you hold on better to the paddle. As an extra perk, the gloves will help you avoid any blisters you might get from longer paddling sessions. There are many instances where wearing the right clothes can help people who sweat excessively.
Finding your happy place:Finding ways to relax can alleviate some of the sweating. It isn’t a cure-all, but people with hyperhidrosis sweat more often than when they are anxious, so relaxing can help. Whether it’s meditation or yoga, using anxiety reduction methods can lessen excessive sweating and help you avoid some avoid and control anxiety.[5]

Medical Treatments for Sweaty Hands

If you’re looking for something to help you substantially reduce the sweat on your hands here are some medically proven treatments you may want to consider. You don’t have to simply put up with sweaty hands for the rest of your life – there are measures you can take to banish this problem, or at least significantly reduce your symptoms.

Antiperspirant

Surprisingly, antiperspirant is another type of sweaty hand treatment. Your armpits aren’t your only body parts that can benefit from wearing antiperspirant - you can use it on your hands to help stop sweaty hands as well. It is also important to understand what antiperspirant does and how it differs from deodorant. Antiperspirant actually blocks sweat glands so that sweat can't reach the surface of the skin. This is unlike deodorant which masks the smell of sweat and contains some antibacterial properties.[1]

The good thing about antiperspirant is that it is widely available and noninvasive. You can start off by trying over-the-counter antiperspirants, but you may end up needing a prescription antiperspirant. It can be confusing for people to figure out how to choose the right over-the-counter antiperspirant, but understanding the ingredients in antiperspirants can help. Before you upgrade to the next level of antiperspirant, you’ll want to make sure you’re applying the over-the-counter products correctly to give it the best chance of being successful. Here is how you should be applying it:

Put it on at night:This is a good strategy to follow because most people with primary focal hyperhidrosis find they don’t sweat while they’re sleeping. And to give antiperspirant time to set, it should be applied while hands are as dry as possible.
Wash your hands first:By washing and drying your hands right before applying your antiperspirant, you’ll be getting your hands dried off so the antiperspirant will adhere to your skin better.[9]

Some have had concerns that antiperspirant is not safe, but no studies have found that to be true. However, if you’ve tried antiperspirant for a while with limited or no success and you want to try another treatment, you’re in luck. There is more you can be doing. [11]

Iontophoresis Machine

Iontophoresis is a treatment for palmar and plantar hyperhidrosis that can be very effective. This low-intensity sweaty hands treatment sends low-voltage electrical currents into a pan of water in which your hands or feet are sitting.[1]

The electric current can reduce how active your sweat glands are. However, it won’t work right away. You might have to do as many as 10 sessions before you notice a real improvement. After that, you can reduce the frequency of the treatments and just set up a maintenance schedule.[1]

This procedure can be performed in a doctor’s office or at home after your doctor writes you a prescription for the equipment. Iontophoresis really does work, and if you’re struggling and unable to get results, there are ways to make iontophoresis more effective.[1]

Although it may take a few sessions to see results, iontophoresis does work. Some studies have shown it helps stop sweaty hands and feet by as much as 81 percent. Although it doesn’t offer total sweat control, that 81 percent can be a life-changing amount for someone suffering from hyperhidrosis. [1]

Botox Injections

Botox treatment for palmar and plantar hyperhidrosis can be extremely helpful. The same compound that immobilizes people’s foreheads and is frequently used as a way to look younger can help with your sweaty hands as well. Botox injections can decrease the amount of sweat your palms produce for up to six months.[1]

The biggest drawback to this type of treatment is that it can be uncomfortable when receiving the botox injections.

Before consenting to botox injections you should find an experienced dermatologist. You should look for a doctor who is experienced in treating hyperhidrosis. To find a suitable professional, you might want to use the Physician Finder function on the International Hyperhidrosis Society’s website. [12]

Endoscopic Thoracic Sympathectomy Surgery

Many people have success in managing their sweaty hands by using a combination of sweaty hand treatment options. For some, however, these treatments are not enough. In that case, surgical treatment for primary focal hyperhidrosis may be necessary. This type of surgery is called endoscopic thoracic sympathectomy.[1]

This surgery should only be performed as a last resort though because it does carry side effects, like compensatory sweating, that may be worse than dealing with sweaty hands. [1]

Keep A Positive Outlook

Although having sweaty hands isn’t easy, there are many things you can do to improve your symptoms and help stop sweaty hands. There are better treatments on the horizon as future treatments and research for hyperhidrosis are being developed. One day in the near future, you may not even give your hands a second thought as you move through your day-to-day life. Until then, do what you can to limit the impact hyperhidrosis has on your life and do your best not to let your sweat get you down.

Sources

Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Amsterdam: Elsevier Pub. Co., 2014. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
“Hyperhidrosis and Sweating: When Should You See a Doctor?” WebMD, www.webmd.com/skin-problems-and-treatments/hyperhidrosis-sweating-when-should-you-see-doctor#1.
University Of California - Los Angeles. (2002, March 6). UCLA Study Finds Evidence That "Sweaty Palms" Syndrome Is Genetic And Underreported. ScienceDaily. Retrieved May 5, 2020 from www.sciencedaily.com/releases/2002/03/020301071230.htm
The Effects of Stress on Your Body. (n.d.). Retrieved from https://www.healthline.com/health/stress/effects-on-body#1
Stress Sweat Is Real, Here’s How to Manage It. (n.d.). Retrieved from https://www.healthline.com/health/stress-sweat
How does diabetes cause abnormal sweating? (n.d.). Retrieved from https://www.medicalnewstoday.com/articles/317366
Are night sweats a sign of alcohol withdrawal? (n.d.). Retrieved from https://www.medicalnewstoday.com/articles/324104
What Makes You Sweat. (n.d.). Retrieved from https://www.webmd.com/skin-problems-and-treatments/ss/slideshow-sweat-causes
Hyperthyroidism. (n.d.). Retrieved from https://www.healthline.com/health/hyperthyroidism
Suszynski, M. (n.d.). Menopause and Sweating. Retrieved from https://www.webmd.com/menopause/features/menopause-sweating-11#1
Nordqvist, C. (2017, December 21). Hyperhidrosis: Symptoms, causes, diagnosis, and treatment. Retrieved May 14, 2018, from https://www.medicalnewstoday.com/articles/182130.php
Kamudoni, P., Mueller, B., Halford, J., Schouveller, A., Stacey, B., & Salek, M. (2017, June 8). The impact of hyperhidrosis on patients' daily life and quality of life: A qualitative investigation. Retrieved May 21, 2018, from https://hqlo.biomedcentral.com/articles/10.1186/s12955-017-0693-x

Skin Irritation

The first line treatment that dermatologists will recommend for hyperhidrosis is the use of antiperspirant. Antiperspirant is a type of topical treatment for hyperhidrosis that prevents skin from producing sweat.[1] It is considered to be a drug by the FDA due to the fact that it changes the function of skin. Most antiperspirants, even powerful ones, can be found over-the-counter and are quite effective at stopping a person from producing excessive sweat.[2] Typically, antiperspirant is used for axillary sweating although it has been used on other parts of the body more frequently as time goes on. One of the most bothersome side effects of antiperspirant is the irritation it can cause. When used on the less sensitive skin of the armpit this is not as big of an issue, but it is a problem when antiperspirant needs to be used on other, more sensitive, areas of the body.[1]

The reason that antiperspirant can be so irritating is because of its active ingredient. Most antiperspirants use aluminum chloride, aluminum chloride hexahydrate, or a newer generation ingredient, like aluminum zirconium trichlorohydrex. These products can easily irritate skin. One study published in the journal of Dermatologic Clinics found that 26% of patients being treated with aluminum chloride antiperspirant reported stinging and itching sensations after use. If you are struggling to use antiperspirant because of skin irritation there are things you can do. Using antiperspirant consistently over a period of time seems to reduce skin irritation. You can also apply 1% hydrocortisone cream the morning after applying antiperspirant to clear up irritation. If you are sensitive to irritation then you may benefit from trying a newer generation antiperspirant with aluminum zirconium hexahydrate as the active ingredient. Studies have found that these antiperspirants tend to cause less irritation. There are also specific antiperspirants that are made for sensitive skin that you can try. Ultimately, you shouldn’t have to put up with skin irritation to talk to your doctor and see if you can find the antiperspirant that works best for your skin.[1]

Stains

Antiperspirants can be extremely helpful for those with excessive sweating, but they come with another major downfall - they stain clothing. Unfortunately, antiperspirant can leave a yellowish stain on clothing, especially when it is mixed with sweat. One study showed that up to 70% of people with axillary hyperhidrosis reported having to change their clothes at least two times a day. If a person is regularly sweating through their clothes it is safe to assume that they are also getting antiperspirant residue on their clothing. Antiperspirant is usually worth the inconvenience, and thankfully, there are effective ways to get antiperspirant out of clothes.[1]

Medication Side Effects

Doctors often treat hyperhidrosis with oral medications when other, more conservative, therapies have failed to work. Most of the time patients are prescribed a type of medication that falls into the class of anticholinergics. Anticholinergics work on the part of the nervous system that innervates sweat glands and stops the body from producing as much sweat. Unfortunately, they can also act on other parts of the body as well and cause unintended and unwanted side effects. The side effects a person will experience depend on their individual biological makeup and the specific medication they use. Some of the side effects of anticholinergics include dry mouth, constipation, nausea, vomiting, and many other possibilities. If you are planning to try oral medications for your hyperhidrosis, make sure that you work closely with your doctor to make sure that you aren’t suffering from intolerable side effects so that you can find the best medication for your body.[1]

Not Trying Less Invasive Therapies First

Almost all doctors that treat hyperhidrosis will recommend that patients begin trialing the most conservative treatments first before they move on to more invasive options. Sometimes, however, patients are exasperated with their condition and want to move on to more extensive options before trying all of the more conservative treatments. This is a big mistake because some of the most effective options are local therapies which are less invasive.[1] For example, a patient with palmar hyperhidrosis who didn’t respond well to an antiperspirant may try iontophoresis, but be inconsistent with their routine and fail to see a benefit. They may want to move on to botox injections, or even surgery, when iontophoresis may have worked if they had given it a proper chance. This would require them to take less risk and cost them less money. However, this isn’t the case for everyone and sometimes patients decide to go with more invasive treatments first for a variety of legitimate reasons. The most important thing is that you communicate openly with your doctor to find the treatment that is most effective for you.

Giving Up

Sometimes, despite their best efforts, patients can’t find an effective treatment for their hyperhidrosis. This can be extremely frustrating and disheartening because hyperhidrosis is a condition that negatively impacts quality of life.[1] However, it is important that patients continue to try new treatments as they come out and that they remain open to using the treatment options they do have. Even if your hyperhidrosis symptoms are not completely under control, most people find at least some relief from treatment. There are new treatments coming out every year and as awareness grows the future continues to look brighter for those with hyperhidrosis.

Sources

Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
Zirwas, M. J., & Moennich, J. (2008). Antiperspirant and Deodorant Allergy Diagnosis and Management. The Journal of Clinical and Aesthetic Dermatology, 1(3), 38-43. Retrieved August 22, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3013594/

#1 Wear the Right Gear

As many athletes know, it is imperative to wear the right type of clothing when performing. This is also the case when it comes to protecting yourself from sweat. If you have hyperhidrosis, or even if you just sweat a lot, wearing the right clothing during a workout session can protect you from chafing, skin breakdown, and irritation.[4] The most important clothes for people who sweat excessively are underwear and socks.This is because they are the clothes that will come in contact with your sweat the most. The best type of underwear tend to be manufactured by athletic brands. It is best to go with underwear that is made from new types of fabrics that have moisture wicking technology. This advice holds up for athletic socks as well. These materials will keep sweat away from your skin and keep it dryer for longer.

When buying clothes to workout in try and find shirts and pants made out of natural, lightweight fibers - like cotton. These types of fabrics are breathable and absorbent allow sweat to transfer away from the skin. You may not have as much choice of what to wear when you are in an actual game, but keeping your skin safe during practices can ensure that you are ready to perform on days when you have less control over your wardrobe.

You may also want to try:

Wearing a headband if you struggle with sweat dripping and burning your face.

Use gloves to prevent slippage when throwing and catching the ball.

Wear extra padding under your uniform if you are worried about sweat leaking through to the outside.

#2 Use Antiperspirant and Powder to Improve Grip

Antiperspirant is a must have for anyone with excessive sweating, especially athletes. Antiperspirant allows skin to produce less sweat by forming a superficial plug within sweat glands.You can use antiperspirant on specific problem areas of your body which makes it even more ideal for athletes. For example, if you are struggling with your grip on the ball you can apply antiperspirant to your hands so you won’t sweat as much from them. This way it won’t affect the rest of your body. Antiperspirant is the first line treatment doctors recommend for hyperhidrosis because it works locally and it is considered to be very effective.[5] Powders, like baby powder, can also be useful to keep your hands and feet from slipping when you have extra sweat. They can be applied before practice or a game and have virtually no side effects. You can find over-the-counter topical treatments for hyperhidrosis, like antiperspirants and powders, at your local pharmacy or grocery store. There are several types and brands to choose from. Some brands, like Carpe, have antiperspirant lotion that is useful for sensitive skin. The same brand make a groin powder to help cut down on chafing and discomfort. Other brands offer antiperspirants that come in spray, roll on, and stick forms. It is important to read labels and stay informed so you can choose the right antiperspirant for you.

#3 Protect Yourself from Jock Itch

ock itch, as the name implies, is a common ailment for male athletes. It is a type of fungal infection that is medically referred to as tinea cruris. It is caused by a type of fungus called ringworm and it thrives on warm moist areas of the body. It can be a common problem for people who deal with excessive sweating on a regular basis, especially athletes. You may have ringworm if you are experiencing the following around the area of the groin:

Itching and burning

Red, scaly rash with raised edges

Cracking, flaking, or peeling skin[6]

If you suspect that you have jock itch then you need to treat it. Most cases can be resolved fairly easily with an over-the-counter antifungal. It is easy to prevent jock itch by doing the following:

Showering frequently, especially after sweating

Don’t share your personal items like towels with others

Wear clean clothes and change after a workout

Wear loose fitting clothes and switch to boxers if you have an ongoing problem[6]

#4 Check Your Anxiety Levels for Better Performance

Hyperhidrosis and anxiety are closely related as anxiety can be a result of the condition and it can also make it worse. This can be especially pertinent for football players as performance anxiety prior to games can make sweating worse which can, in turn, affect performance. If you are dealing with anxiety try to find ways to relax so that you focus on your game and not on your sweat. There are some relaxation techniques like meditation, biofeedback, hypnosis, and yoga that have been shown to reduce stress, and in some cases, reduce sweating.[7] Working on your anxiety will help you focus better on football, improve your skills, and reduce your sweating. If anxiety is a big problem for you then talking to a doctor can help.

#5 Stay Clean

This may seem obvious, but it is imperative that athletes who have been sweating profusely shower after every workout. This won’t reduce the amount you sweat, but it will improve other associated problems. It is a good idea to shower and use antibacterial soap, especially after touching equipment used by many other people. This is prevent bacteria on the surface of your skin from breaking down sweat and producing foul smelling byproducts and it will reduce your chance of catching fungal and bacterial infections. When you sweat often it is important to prevent skin breakdown and staying clean is necessary for that. It is also a good idea to change into clean clothes after every workout. If you decide to apply antiperspirant it is best to do so later in the day after a shower when your skin is dry.[8]

If these tips aren’t cutting it and you are still struggling with sweat, then it may be time to see a doctor. There are several effective treatments available for people with hyperhidrosis and they can improve your ability to play football as well as your quality of life if you need them. Don't give up and give it your best this season!

Sources

Heid, M. (2015, July 8). You Asked: Is It Healthy to Sweat A Lot? Time. Retrieved from https://time.com/3947804/sweating-healthy/
Godek, S. F., Bartolozzi, A. R., Burkholder, R. B., Sugarman, E., & Peduzzi, C. (2008). Sweat Rates and Fluid Turnover in Professional Football Players: A Comparison of National Football League Linemen and Backs. Journal of Athletic Training, 184–189. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267333/
Doheny, K. (n.d.). How Much Sweating Is Too Much? Retrieved from https://www.webmd.com/skin-problems-and-treatments/features/dont-sweat-it#1
Doheny, K. (n.d.). When You Sweat Too Much. Retrieved from https://www.webmd.com/skin-problems-and-treatments/features/dont-sweat-it#1
Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
What Causes Jock Itch? Can You Prevent It? (2019, May 15). Retrieved from https://www.webmd.com/men/causes-and-prevent-jock-itch#1
Shenefelt, P. D. (2017). Use of Hypnosis, Meditation, and Biofeedback in Dermatology. Clinics in Dermatology. doi:10.1016/J.clindermatol.2017.01.007
Excessive Sweating: Treatment Tips. (2017, October 21). Retrieved from https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis-treatment-11#1

Causes of Hyperhidrosis

Essential Facts About Hot Flashes, Menopause, and Sweating

By Chris Reid / September 3, 2019

Menopause is a universal experience for all women who have a menstrual cycle. As if years of dealing with a period weren’t stressful enough, menopause brings its own batch of bodily changes and experiences. Menopause and sweat have an unfortunate link. Some of the most notorious symptoms that menopause causes are hot flashes, night sweats, and excessive sweating. These symptoms can be difficult to deal with for some and downright debilitating for others. If you or someone you love is struggling to deal with these specific symptoms then read on to learn these crucial facts about menopause and sweating.

#1: About 75% of women going through menopause will experience hot flashes and night sweats.

Sweating is one of the first and most common indications of impending menopause. As many as 75% of women who are in perimenopause or menopause will experience hot flashes and night sweats to varying degrees. This means these symptoms affect more women more often than not, making them very common. What’s more concerning is that for 25% to 30% of the women who experience hot flashes and night sweats the symptoms will be so severe that they interfere with their quality of life. Luckily, for those with severe symptoms due to menopause and sweating there are effective treatments that can help.[1]

#2: Doctors think that hot flashes and excessive sweating associated with menopause is caused by decreasing levels of estrogen, but there are a few other theories as well.

Once menstrual cycles stop women experience a dramatic drop in the level of estrogen in their body. This drop in estrogen is thought to affect the part of the brain that regulates body temperature in such a way that even small changes in external temperature can cause a core rise in body heat. Sweating is the body’s natural way of keeping itself cool so the body begins the process of sending blood to the skin and sweating when its core temperature increases. Hot flashes are essentially your body’s way of trying to cool itself down and keeping your internal temperature stable.[1]

No one is really sure what causes the relationship between menopause and sweating. So naturally, there are a few other theories about what causes menopausal women to experience hot flashes. One theory suggests that women have super sensitive skin during this time in life which makes them more prone to vasodilation (blood vessels opening up) and hot flashes. Another theory holds that a brain chemical imbalance is at play. The level of a hormone called leptin (a hormone that influences appetite) can be affected during menopause in addition to blood sugar levels. Some think that these hormonal shifts may lead to hot flashes.[1]

#3: Menopause begins once you haven’t had a period for 12 months in a row - but hot flashes and night sweats can begin much sooner.

Menopause occurs in three stages: perimenopause, menopause, and postmenopause. Perimenopause is the first stage. During this stage, the body begins to produce less estrogen (a sex hormone) which is when menopause and sweating symptoms like hot flashes and night sweats begin. This process typically starts some time during a woman’s 40’s, but it can begin as early as a woman’s late 30’s. Menopause comes next. This stage starts when a woman hasn’t had a period for 12 months in a row. Generally this is when hot flashes and night sweats actually tend to subside, although the time frame is different for each woman. Postmenopause is the third stage and most women will no longer have significant symptoms once they reach it.[2]

#4: Hot flashes and excessive sweating related to menopause can last for a long time. The average time women experience perimenopause symptoms is 4 years!

Hot flashes and night sweats seem to peak during perimenopause (the first stage of menopause). It is thought that perimenopause lasts for around four years in the average woman. One research study found that women with moderate to severe hot flashes struggled with them for a median of 10.2 years! This is a longer timeframe than is generally thought to occur (thankfully). If you are dealing with hot flashes it could be a while before your body adjusts to its new normal and they taper off.[2]

#5: The excessive sweating associated with menopause is actually considered to be a form of secondary hyperhidrosis and it can be treated.

Hot flashes, night sweats, and excessive sweating are considered to be normal physiological changes that occur during menopause. However, it may be interesting to note that the excessive sweating caused by menopause is considered to be a type of secondary generalized hyperhidrosis. Secondary hyperhidrosis is just a medical term for excessive sweating that is caused by an underlying physiological condition, disease, or medication side effect.[3] It may be beneficial to look into some of the ways that people deal with hyperhidrosis when learning how to cope with persistent menopause and sweating symptoms. Companies like Carpe, make antiperspirant lotions that can reduce sweating production and make you more comfortable.

#6: Menopause Hormone Therapy (MHT) and other medications can be used to treat hot flashes, night sweats, and excessive sweating.

Menopause hormone therapy consists of replacing a woman’s lowered levels of the sex hormone estrogen with artificial estrogen. This type of treatment is the most effective way to reduce symptoms of hot flashes and night sweats. Unfortunately, it is associated with a higher risk of developing heart disease, blood clots, stroke, and breast cancer. The longer a person uses hormone therapy the higher their risk of developing a health problem. There are also other medications that can be used to treat symptoms such as gabapentin, clonidine, and SSRI’s. Each medication has its own potential benefits and drawbacks, so speak with your doctor if you are struggling with symptoms and considering treatment.[1][2]

#7: Hot flashes were thought to be associated with negative mood symptoms during menopause, but that has changed.

Several years ago researchers thought that the development of hot flashes were associated with depression that can accompany menopause. It has recently been found that depression typically occurs before the development of hot flashes if it is going to occur as a result of menopause. So, just because you have hot flashes does not mean you will also get depression. Some women struggle with depression as a side effect of fluctuating hormones during menopause which can also make other physiological symptoms more difficult to deal with.[4]

#8: There are non medical ways to manage menopausal sweating.

There are several ways to manage hot flashes and night sweats that don’t involve medications. While there is no conclusive scientific evidence, some people believe that supplements like black cohosh, DHEA, dong quai, ginseng, kava, red clover, and soy are beneficial in relieving symptoms.[1] You can also use practical strategies to manage your sweat like avoiding caffeine and alcohol, staying in cool environments when possible, dressing in layers, keeping your bedroom cool, and using over-the-counter topical products like antiperspirant. Even though these changes might seem small they can make menopause and sweating more manageable.[2]

Sources

Suszynski, M. (n.d.). Menopause and Sweating. Retrieved from https://www.webmd.com/menopause/features/menopause-sweating-11#1
Scaccia, A. (2018, May 16). How Long Do Symptoms of Menopause Last? Retrieved from https://www.healthline.com/health/menopause/how-long-does-menopause-last
Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Amsterdam: Elsevier Pub. Co., 2014. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
Santoro, N., pperson, C. N., & Mathews, S. B. (2016). Menopausal Symptoms and Their Management. Endocrinol Metab Clin North Am., 44(3), 497–515. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890704/

Body Areas Affected by Hyperhidrosis

How Do I Apply Powder to my Groin?

By Chris Reid / August 8, 2019

SHAKE IT, SHAKE IT, SHAKE IT

How to Apply Powder to the Groin

Seems like a no brainer, point and shake right?

However, it is a little different depending on whether you are a man or woman:

For Men:

Clean the area. (Powders work best if used right after the skin is cleaned.)
Dry completely.
Shake into hands, a cloth, or directly onto crotch
Use less than you think you need
Fully cover area (front, back, under, in between)
Actually rub it it until the powder is evenly spread around the problem area.
Check it, It should not come off on hands.
Get dressed and enjoy your day, dry and confident[5]

For Women:

Clean the area. (Powders work best if used right after the skin is cleaned.)
Dry completely.
Shake into hands, a cloth, or directly onto crotch
Use less than you think you need
Actually rub it it until the powder is evenly spread around the problem area.
Check to make sure the powder is spread out well and will not come off on your hand. I
NOTE: It is important to make sure that you do not put any powder in your vagina, instead dust it around your vulva.
NO TALC. It is also important that women avoid using powders made of talc so they do not expose themselves to unnecessary risk.[6]

Do you need a groin powder?

Excessive sweating and constant moisture can wreak havoc on the skin that covers the groin.

It can cause issues like:

maceration
jock itch
body odor
warts
bacterial infections
among others.[2]

This makes it crucial for people who experience consistent moisture around their groin to find ways to keep it dry. So yes, you likely need it!

While powders will not prevent sweat production, they can protect the skin from moisture damage in a few different ways.

When powder is applied to the groin it is able to:

Absorb moisture and promote a dryer environment

Cool and soothe the skin around the groin

Prevent and lessen itching

Prevent chafing and skin break down[3]

Types of Groin Powder:

Talcum powder or Talc
Cornstarch powders
Baking soda
Oat flour,
Commercially made powders.[3]

There are various types of products available on the market made especially for use on the groin, like Carpe’s No Sweat Groin Powder, that use different types of powders for safe and effective use.[4]

NOTE: Some studies have linked the use of talcum powder to a higher risk of developing ovarian cancer in women. This is because some natural forms of talc have been found to contain asbestos, which is a cancer causing agent.

WHAT CAUSES IT?

Aside from exercise, temperature, or clothing, excessive groin sweating can be caused by several factors, but for those who suffer from chronic excessive groin sweating it is often caused by either primary focal hyperhidrosis or secondary generalized hyperhidrosis.

Unfortunately for those with hyperhidrosis, groin sweating can become so intense that people may frequently soak through underwear, experience embarrassment, and have to deal with health complications that arise when skin is exposed to constant moisture.[1]

However, there are ways to decrease groin sweat and manage it effectively.

What to Do if Powder Isn’t Enough

If you are regularly using powder on your groin and not finding enough relief, consider looking into other ways to prevent groin sweat production.

Sources

Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
Common Complications of Hyperhidrosis. (n.d.). Retrieved August 8, 2019, from https://www.webmd.com/skin-problems-and-treatments/common-complications-of-hyperhidrosis
What Causes Excessive Testicular Sweating, and How Can I Treat It? (n.d.). Retrieved August 8, 2019, from https://www.healthline.com/health/what-causes-excessive-testicular-sweating-and-how-can-i-treat-it
Carpe Takes Aim At Groin Sweat, Launches Groin Powder With Precision Lever Sprayer. (2019, May 22). Retrieved August 8, 2019, from http://classifieds.usatoday.com/press/carpe-takes-aim-at-groin-sweat-launches-groin-powder-with-precision-lever-sprayer/
How to Apply Talcum Powder. (n.d.). Retrieved August 8, 2019, from https://manscipated.com/how-to-use-talcum-powder-for-men/
Butler, K. (2019, June 5). Why You Get So Sweaty Around Your Vagina—and How to Deal With It. Retrieved August 8, 2019, from https://www.prevention.com/health/a21097060/sweaty-vagina/

Body Areas Affected by Hyperhidrosis

6 Common Complications of Hyperhidrosis

By Katie Crissman / August 19, 2019

Hyperhidrosis is a skin disorder that causes people to sweat in excess of what is needed by the body. It is suspected that nearly 3% of the population struggles with the condition, making it quite common. While there are a few different types of hyperhidrosis, the two most common kinds are primary focal hyperhidrosis and secondary generalized hyperhidrosis. Primary focal hyperhidrosis is the most common type and it produces excessive sweating on specific areas of the body like the hands, feet, face, armpits, and sometimes other areas, like the groin. It is a lifelong condition and typically shows up during puberty. Secondary generalized hyperhidrosis is caused by an underlying condition or medication and it tends to cause all over sweating and can show up suddenly. Regardless of which type of hyperhidrosis a person has, the effects of producing too much sweat can cause other secondary health complications. It is important to know that hyperhidrosis is not dangerous, but it can cause some unfortunate health related issues.[1] Here are some of the most common complications of hyperhidrosis and what you can do about them:

Emotional Complications

One of the most profound effects that hyperhidrosis has on people is how it affects them emotionally and socially.[2] This is because the nature of the disorder is embarrassing and it can make people feel isolated. Specifically, hyperhidrosis is known to affect several aspects of daily life like emotional well-being, interpersonal relationships, leisure activities, self-esteem, personal hygiene, and work. All of these are important facets of a person’s life and because hyperhidrosis disrupts them, it makes sense that hyperhidrosis can lead to anxiety and depression. One large study published in the Journal of Dermatologic Clinics stated that 63% of people with hyperhidrosis reported feeling depressed or unhappy as a result of the condition and 74% had less confidence than they would like. While these statistics may sound daunting, when hyperhidrosis was addressed with proper medical treatment a significant number of people saw significant emotional improvement.[2]

Maceration

One of the most common skin issues that can come about from hyperhidrosis is called maceration. Maceration is the name for skin that is mushy and wet from constant exposure to sweat and moisture.[2] Skin that is macerated is usually lighter in color and appears wrinkly. Hyperhidrosis usually causes mild cases of maceration which can usually be treated by exposing skin to the air and keeping the affected area dry. While maceration itself is not physically dangerous, it can lead to delayed wound healing, susceptibility to infection, discomfort, pain, and skin breakdown. This is why it is imperative to keep skin dry and clean as much as possible.[3]

Infection

Hyperhidrosis can lead to a higher likelihood of developing a few types of infections. These include bacterial, viral, and fungal infections.[2] One study published by the American Academy of Dermatology found that patients with hyperhidrosis had a 30% chance of developing a skin infection of any type compared to only 12% of people from the general population. This is a significantly higher risk.[4] Maceration causes skin to be less effective as a barrier and viral and bacterial infections can enter the body more readily.[3] Wet conditions also provide an ideal environment for fungal infections to grow. The most common types of fungal infections that people with hyperhidrosis have to deal with are athlete’s foot which affects the feet and jock itch which affects the groin.[2] Keeping skin as dry as possible and using topical, and sometimes, oral medications can keep these conditions in check.

Warts

Warts are another skin condition that is more likely to appear as a result of hyperhidrosis. When skin is exposed to moisture it begins to break down and becomes a less effective barrier for keeping infections out. Unfortunately, some of the infections that can affect the skin cause warts to grow.[2] Most cases of warts are caused by a type of virus called HPV. It is suggested that people with warts keep them covered to prevent infecting others, that they treat them with an appropriate medication and that they do not shave over top of warts. Luckily, they are easily treatable.[5]

Body Odor

Body odor is an unfortunately common side effect of hyperhidrosis. Medically, body odor is referred to as bromhidrosis. Sweat is actually odorless when it is released from the body but it becomes stinky when bacteria on the surface of the skin digest proteins and create foul smelling byproducts. Body odor tends to be the worst when produced by the skin of the armpits and groin. This is because those areas have apocrine sweat glands which create a thicker type of sweat. Hyperhidrosis feet that have been enclosed in socks and shoes for a long period of time also tend to create a worse smell than other parts of the body. You can cut down on body odor by keeping skin as clean and dry as possible, although this can be tricky for those with hyperhidrosis. There are other ways to reduce sweating and body odor that can also help.[2]

Economic Consequences

While economic consequences may not directly impact health, they certainly impact a person's lifestyle. According to several quality of life studies published in the journal of Dermatologic Clinics hyperhidrosis can have a significant impact in the workplace. This can manifest due to social anxiety or be a direct result of hyperhidrosis. For example, a person with severe palmar hyperhidrosis may struggle to manipulate objects and with activities like holding a pen. These issues can lead to lower work performance. Unfortunately, certain hyperhidrosis treatments are not covered by insurance at this time and this can also deplete hyperhidrosis patients financially. Luckily, treatments can improve a person’s economic position and relieve some of the burden.[1]

The complications associated with hyperhidrosis can be frustrating and make the condition even more daunting to deal with. However, it is important that you don’t lose hope! Hyperhidrosis is highly treatable and most of its complications are fairly simple and can be reversed.

What Can You Do About It?

If you are struggling with the complications that come along with hyperhidrosis there are several things you can do. The first thing most doctors recommend is trying an over-the-counter antiperspirant. Antiperspirant enables the skin to produce less sweat by blocking the sweat glands. There are several different types of antiperspirant to choose from that can be used for a variety of needs.[1] Some brands, like Carpe have antiperspirants lotions that are specifically designed for sensitive skin, while others have spray on or roll on versions of intense strength products. If you haven’t had luck with antiperspirant alone, there are several other medical interventions that can improve your symptoms. These include procedures like iontophoresis, botox injections, oral medications, and even surgery. If you are struggling, don’t give up! There are many options and new treatments are being developed every day.

Sources

Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
Common Complications of Hyperhidrosis. (n.d.). Retrieved August 21, 2019, from https://www.webmd.com/skin-problems-and-treatments/common-complications-of-hyperhidrosis
Everything You Need to Know About Macerated Skin. (n.d.). Retrieved August 21, 2019, from https://www.healthline.com/health/macerated-skin
Walling. (2009). Study finds that patients with excessive sweating condition are more likely to develop skin infections. American Academy of Dermatology. Retrieved August 21, 2019, from https://www.aad.org/media/news-releases/study-finds-that-patients-with-excessive-sweating-condition-are-more-likely-to-develop-skin-infections.
How to heal warts more quickly and prevent new ones. (n.d.). Retrieved August 21, 2019, from https://www.aad.org/public/diseases/contagious-skin-diseases/warts/how-to-heal-warts

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How to Get Rid of Body Odor from Sweating

By Chris Reid / July 7, 2020

Body odor has plagued people for thousands of years. In fact, soap was invented by the Phoenicians in 600 B.C. and ancient Egyptians are known to have bathed in perfumed water in an attempt to figure out how to get rid of their body odor![1] Luckily, these days we know how to stop body odor from becoming a problem. First, it’s important to understand how sweat causes body odor in the first place.

How Sweat Causes Body Odor

Humans have two types of sweat glands: eccrine and apocrine.[2]

Eccrine glands cover most of the skin’s surface and are used to maintain thermoregulation (the body’s temperature) by cooling the body in times of high heat. They produce sweat that is initially clear and odorless.[2]

Apocrine glands, on the other hand, are larger than eccrine glands and are located within hair follicles. They only appear on the armpits, groin, and areolas. Apocrine glands produce sweat that is thicker and yellowish. The sweat from apocrine glands is most often associated with body odor. This is because it is made up of fatty acids and proteins that bacteria on the skin metabolize.[2]

The byproducts that bacteria create - the things that bacteria break sweat down into (like isovaleric acid and androsterone) - give off a strong, unpleasant smell that we recognize as body odor.[2]

Some people have conditions that make them sweat excessively or have especially stinky sweat that make dealing with sweat and body odor even more difficult. Hyperhidrosis is a condition that causes people to sweat in excess of what is needed by the body for thermoregulation.[2]

Depending on the type of hyperhidrosis they have, a person may sweat excessively from certain areas of the body at random times (primary focal hyperhidrosis) or they may sweat all over (secondary generalized hyperhidrosis). Unfortunately, because people with hyperhidrosis produce so much sweat they also tend to struggle with the odor it can cause.

When someone has especially stinky sweat it is referred to as bromhidrosis. People with bromhidrosis have body odor that is significantly worse than the average person and it can be socially isolating. However, people with hyperhidrosis and bromhidrosis can learn how to stop body odor by using treatments to control their sweat.[3][4]

How to Get Rid of Body Odor Caused by Sweat

There are several ways to stop the sweat. The most important, and most obvious, way we know how to stop body odor is to prevent it by having good basic hygiene. This means showering once a day, changing clothes every morning or after sweating significantly, and applying antiperspirant and deodorant as needed. Removing the bacteria and sweat from your skin prevents body odor from forming in the first place. Unfortunately, in the real world people don’t always have time to wash up every time they sweat a little bit, which is where the use of antiperspirant and deodorant come into play.

Antiperspirant and Deodorant

Many people do not realize what antiperspirant is and how it differs from deodorant. Antiperspirants are agents that can be applied to the skin which prevent the production of sweat. They are considered to be the first line treatment for people with hyperhidrosis and can be extremely helpful for anyone who deals with sweat and stink on a regular basis. Antiperspirant is one of the best ways we know how to get rid of body odor.[3]

When it comes to choosing the right over-the-counter antiperspirant there are a lot of options. There are several companies like Carpe, Dove, SweatBlock, Certain Dri, and many more that offer options with different active ingredients and in different applicators. The FDA regulates the active ingredients in antiperspirant as it is considered to be a drug. There are different active ingredients, but most antiperspirants use some type of metallic salt to plug sweat glands and prevent sweat production.[3]

Most of the time antiperspirant comes in a stick, spray, or gel form which can be applied to the body. Some companies, like Carpe and SweatBlock, also sell antiperspirant lotions and wipes that can be especially helpful for those who struggle with sweaty hands and feet.

Deodorant is different from antiperspirant because it is made to mask any odors that are already present and kill bacteria on the skin to prevent them from producing more odor. There is no one best deodorant, but often combination products that contain both antiperspirant and deodorant are the most effective when combating body odor. Combination products are called antiperspirant deodorants.[4]

Other Treatments

Aside from maintaining good hygiene and using antiperspirant and deodorant products, there are a few things you can do to get rid of body odor caused by sweat. One other simple adjustment you can make is to wear fibers that are breathable, like organic cotton, or moisture wicking. There are some specific types of clothes that are best for people who struggle with excessive sweating. Finally, if all else fails, there are some medical treatments you could pursue.

A visit to your local dermatologist will give you a sense of how to get rid of body odor using medical treatments, but here are a few ideas you can consider. If you struggle with excessive underarm sweating and smell you could try a local permanent procedure for axillary hyperhidrosis that stops your sweat glands in that area from being able to produce sweat. One example of this type of procedure is MiraDry. There are also prescription antiperspirants and antiperspirant wipes, called Qbrexza, that can help. There are many ways to manage sweat with and body odor with a doctor.

If you are struggling with sweat and body odor don’t give up because there are lots of treatments out there. Don’t let sweat be a drain on your life - you can fix it!

Sources

Ramirez, A. (1990, August). All About/Deodorants; The Success of Sweet Smell. Late Edition. Retrieved March 7, 2019, from https://www.nytimes.com/1990/08/12/business/all-about-deodorants-the-success-of-sweet-smell.html
Huddle, J. R. (2014). Hyperhidrosis: Causes, Treatment Options and Outcomes. New York, NY: Nova Science. Retrieved from https://www.bookdepository.com/Hyperhidrosis-Janine-R-Huddle/9781633215160
Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Amsterdam: Elsevier Pub. Co., 2014. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
Eshini, P., & Sinclair, R. (2013). Hyperhidrosis and bromhidrosis: A guide to assessment and management. Australian Family Physician, 42(5), 266-269. Retrieved March 7, 2019, from https://www.racgp.org.au/afp/2013/may/hyperhidrosis-and-bromhidrosis/

DERMATOLOGIST SELECTED ARTICLES

Hot Flashes, Menopause, and Sweating

By Katie Crissman / September 18, 2019

Everyone will experience the effects of aging as they get older, but only 50% of the population will go on to deal with the symptoms and changes that occur with menopause. Menopause is a natural part of the aging process for women and it usually begins some time in a woman’s 40s, although it can occur a few years earlier or later. It is the process that occurs when a woman’s fertility begins to decline and she is no longer able to bear children or experience a period. There are three distinct phases of menopause: perimenopause, menopause, and postmenopause. Perimenopause is the first stage of menopause in which women begin ovulating less frequently and they often experience less frequent periods and physical symptoms like hot flashes, night sweats, trouble sleeping, and other hormonal shifts. Menopause officially begins when a woman hasn’t had a period for 12 consecutive months.[1]

Menopause can be a frustrating time for many women because of the physical side effects that occur as a result, especially hot flashes and night sweats. As many as 75% of women will experience hot flashes at some point during perimenopause and menopause, making it a very common symptom. Hot flashes can feel intense and last anywhere from one to five minutes each. Their frequency varies for each woman, some only experience a few a week while others have several hot flashes a day. Some women will also experience night sweats - bouts of intense sweating that only occur during sleep. While hot flashes and night sweats may sound benign, they can be incredibly frustrating, and even debilitating, for some people.[2]

What Causes Hot Flashes and Night Sweats?

No one is entirely sure what causes hot flashes and night sweats to occur, but most doctors agree that it most likely has something to do with fluctuating, and often decreasing estrogen levels that menopausal women experience. Researchers suspect that dropping estrogen levels affect the part of the brain that controls temperature. The body has an acceptable window of what a person’s normal internal temperature can be and it is suspected that decreasing levels of estrogen make this window more narrow. This means that external temperatures can more easily cause a rise in body temperature. Sweating is the body’s natural way of cooling itself down. So, when a woman’s body senses that her internal temperature has risen more than it should it reacts by dilating blood vessels and sweating. This is when a woman experiences a hot flash.[2]

There are a few other theories about the causes of hot flashes and night sweats, although they are not currently proven. The first theory suggests that some women have especially sensitive skin during this time which makes them more prone to experiencing vasodilation and sweating. The second implies that menopause causes an imbalance in the hormone leptin which can in turn cause blood sugar imbalances. These blood sugar imbalances are then thought to cause hot flashes, and possibly night sweats. No matter what the cause, night sweats and hot flashes are hard to deal with![2]

Interestingly, hot flashes and night sweats are considered to be a type of secondary generalized hyperhidrosis. This means that they are a type of excessive sweating that is caused by an underlying medical state or condition. Luckily, there are several medical and practical solutions for this type of sweating. The most effective treatments focus on eliminating the underlying cause while others aim to minimize symptoms and reduce their impact on a person’s quality of life.[3]

Medications that Can Help

There are a few medical treatments that can help women who experience hot flashes. The most effective treatment is called menopause hormone therapy (MHT), it is also sometimes known as hormone replacement therapy (HRT). This type of therapy consists of patients taking a combination of hormones, most often estrogen and progesterone, to keep their hormone levels stable while they are going through menopause. It can greatly reduce symptoms like hot flashes, night sweats, irritability, vaginal dryness, and sleep problems. Unfortunately, MHT can be dangerous for some women and it can cause alarming side effects in others. Studies have shown that women using hormone replacement therapy are at an increased risk of developing heart attack, stroke, and blood clots. This is similar to the risk women take when they use hormonal birth control, but the effects can be more likely to occur in women of a more advanced age. Some evidence suggests that non oral forms of hormone replacement may reduce the risk of blood clots and stroke.[1][2]

Some other medications can be used for women who can take hormones. SSRIs, which are normally used to treat depression, can be taken in a lower dose to reduce sweating in some people. Ironically, SSRIs can also be a cause of secondary hyperhidrosis in some people so watch out for increased sweating if you choose to try them. Another medication used to treat seizures called Neurontin can be beneficial for some. Finally, a medication called clonidine which is normally used to treat high blood pressure can be useful in reducing symptoms for some people.[2]

Other Ways to Improve Symptoms

While medications work well for some people, others prefer to treat their symptoms naturally. There are several practical things you can do to reduce the severity and frequency of hot flashes and night sweats. Here are some solutions that may help you:

Lose weight: Studies have shown that overweight women who lost weight had a lower frequency of hot flashes than those who did not.

Exercise: This is not confirmed by a study, but it is suspected that exercise lessens the amount of hot flashes people experience.

Stop smoking: Smoking is related to a higher frequency of hot flashes, so reducing or quitting can have a positive effect.

Avoid trigger foods and beverages: Caffeine, alcohol, and spicy foods have been shown to trigger excessive sweating.

Use other strategies to manage sweat: Use other means to manage your sweat like dressing in layers, staying in cooler temperatures, and avoiding stress.[2]

Some people have claimed success when they use certain supplements or employ dietary changes. Eating more soy is thought to reduce hot flashes, although this is currently not supported by studies. Other supplements like DHEA, dong quai, ginseng, kava, and red clover have been used by some to manage symptoms. However, no scientific evidence has yet backed the claims that these supplements work up as of yet. Any time you decide to use supplements it is important to consult a doctor and they can cause side effects and interact with other medications.[2]

Sources

Scaccia, A. (2018, May 16). How Long Do Symptoms of Menopause Last? Retrieved from https://www.healthline.com/health/menopause/how-long-does-menopause-last
Suszynski, M. (n.d.). Menopause and Sweating. Retrieved from https://www.webmd.com/menopause/features/menopause-sweating-11#1
Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
Santoro, N., pperson, C. N., & Mathews, S. B. (2016). Menopausal Symptoms and Their Management. Endocrinol Metab Clin North Am., 44(3), 497–515. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890704/

DERMATOLOGIST SELECTED ARTICLES

What are the Causes of Groin Sweat?

By Katie Crissman / August 12, 2019

Sweating is a normal, healthy occurrence if it helps your body to cool itself down. However, some people experience excessive sweating that is burdensome rather than beneficial. This is especially problematic when sweat accumulates on certain parts of the body - like the groin. If you experience the following symptoms it could be a sign that your groin sweating has become excessive and may require some intervention:

Chafing

Itching

Irritation

Bad odor or negative changes in body odor

Sweating disrupts you daily routine

You regularly soak through your undergarments and/or pants

So, what causes this type of unsettling groin sweat production? There are many possible culprits. Keep reading to learn about the most common causes![1][2]

Primary Focal Hyperhidrosis

Hyperhidrosis is the medical term used to describe unusual, excessive sweating that is not related to the heat or exertion. The two most common types of hyperhidrosis are called primary focal hyperhidrosis and secondary generalized hyperhidrosis. Most commonly, night sweats are a symptom of secondary hyperhidrosis - which is a type of hyperhidrosis caused by an underlying medical condition or medication. For example, some medications cause excessive sweating as a side effect. Due to the fact that the excessive sweating has a causative agent, the medication, a person would be said to have secondary hyperhidrosis. In contrast, primary focal hyperhidrosis develops earlier on in life and has no causative factor.[3] While primary focal hyperhidrosis could potentially cause night sweats, this is much less common.[1] The other causes of night sweats discussed in this article are actually types of secondary generalized hyperhidrosis.

Pregnancy and Menopause

One of the most common causes of excessive groin sweating is called primary focal hyperhidrosis (PFH). Hyperhidrosis is a skin disorder that causes sweating to occur in excess of what is needed by the body for normal physiological functioning. Most of the time, primary focal hyperhidrosis affects specific areas of the body like the hands, feet, armpits, face, and less commonly, the groin. A specific type of PFH called Hexsel’s hyperhidrosis is used to describe the condition when hyperhidrosis specifically affects the inguinal (groin) region. People with this type of hyperhidrosis usually struggle with sweating on the upper thighs, suprapubic area, external genitalia, gluteal folds, and the gluteal cleft. Sweating can become so severe that patients often experience soaking their clothes and deal with embarrassing situations as a result.[3]

Researchers aren’t sure how many people struggle with primary focal hyperhidrosis that causes excessive groin sweating. It is thought to be less than the population of people that have hyperhidrosis that affects other parts of the body. One retrospective chart review published in the journal of Dermatologic Clinics observed that only 1.3% of the patients reviewed experienced groin sweating. It is known that about 50% of patients who have Hexsel’s hyperhidrosis have a family history of the condition, leading doctors to believe that there is at least some heritable component to hyperhidrosis. No one is sure why people develop primary focal hyperhidrosis, but it typically begins during puberty and can affect a person over their lifetime. While there is no cure for hyperhidrosis, there are ways to stop or decrease groin sweating.[3]

Secondary Generalized Hyperhidrosis

Secondary generalized hyperhidrosis is excessive sweating that is caused by an underlying factor like a medical condition or medication. Typically the sweating from this type of hyperhidrosis causes sweating to occur evenly all over the body and it can appear suddenly during any stage of life. Secondary hyperhidrosis is not known to only affect the groin area, but it can certainly cause excessive groin sweating. People with this type of hyperhidrosis often also experience night sweating in contrast to those with primary focal hyperhidrosis.[3]

There are several possible causes of secondary generalized hyperhidrosis. Below is a list of conditions that could possibly cause secondary hyperhidrosis:

Menopause

Low blood sugar (hypoglycemia)

Pregnancy

Certain infections

Some cancers

Anxiety disorder or stress

Hormonal imbalances

Medications (antidepressants, painkillers, antibiotics, some cold medications, and many others)

Hyperthyroidism[1]

There are several other factors that can cause secondary hyperhidrosis, some of which are benign and others that are medically serious. Therefore, if you think you might have secondary hyperhidrosis it is important that you speak to a doctor about the potential causes. Luckily, secondary hyperhidrosis can be fixed by treating the underlying condition or stopping the medication that is causing it.[3]

Other Factors

While lifestyle factors aren’t going to cause excessive groin sweating to the point of needing medical attention, they can make a bad problem worse. You might be experiencing increased groin sweat production if you are wearing underwear that are tight, constricting, or made of fabrics with moisture-retentive properties. As unimportant as this may seem, it can actually be an important factor for some people. Exercise is another reason some people experience excessive groin sweating. So, if your sweat is only an issue after you are physically active then you probably don’t have a problem but you may want to dress accordingly. Finally, other lifestyle factors like obesity and pubic grooming can lead to differences in sweat production.[4]

If you are struggling with excessive groin sweat then don’t give up! It can be difficult to find a treatment that works for you, but there are options available. There are treatments that allow patients to control groin sweat and that will help you to move on from the stress that excessive sweating causes.

Sources

Is the Sweating Between My Legs Excessive? (n.d.). Retrieved August 14, 2019, from https://www.healthline.com/health/how-do-i-stop-sweating-between-my-legs
Sweating and body odor. (2017, February 14). Retrieved August 14, 2019, from https://www.mayoclinic.org/diseases-conditions/sweating-and-body-odor/symptoms-causes/syc-20353895
Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
Eske, J. (2018, November 16). What causes sweating around the vagina? Retrieved August 14, 2019, from https://www.medicalnewstoday.com/articles/323719.php

Body Areas Affected by Hyperhidrosis

How to Stop Groin Sweat: 10 Ways to Deal with Crotch Sweat

By JP Carter / October 9, 2020

Unfortunately, some people have to deal with excessive crotch sweat on a daily basis.

10 WAYS TO DEAL WITH GROIN SWEAT (AKA SWASS)

1. The Right Underwear

What you wear matters when it comes to excessive crotch sweat - especially what you wear under your clothes.

The Key:

DON'T DO:

Overly tight
Non-breathable material
Polyester/synthetic fabrics

DO:

Cotton or moisture wicking materials.
If extreme sweat, padded underwear which are made to absorb excess sweat

2. Use Antiperspirant

Using antiperspirant is one of the most effective things you can do to stop crotch sweat production.

Antiperspirant works best when it is applied after a shower to dry skin before bed time, this allows it to sink into sweat glands and form a barrier that will be effective the next day.

3. Use Hygiene Hacks

Shower twice a day
Change your clothes any time sweating becomes excessive
Wash your groin in between changes
Keep baby wipes with you
Store extra underwear [2][4]

4. Apply Powder

There are a few types of powder that can be useful when you have crotch sweat but they all serve to:

Absorb moisture
Reduce irritation
Prevent chafing
Reduce itching.

It’s important to avoid powders that contain talc as it has been associated with the development of ovarian cancer when used by women.

However, there are powders with bases like cornstarch or baking soda, among others.[5] Some brands, like Carpe, make powders that are specifically formulated for use on the groin and are considered to be safe.[6]

5. Groom to Your Advantage

While grooming your pubic region will not completely hinder crotch sweat production it may lessen how much you trap and make it easier to keep clean.

Retaining some pubic hair may be to your advantage as it has the ability to reduce friction between clothing and skin and wick moisture away from the skin’s surface.

However, keeping hair short and trimmed is recommended because this makes it less likely for bacteria, which are responsible for body odor, to stay trapped on the surface of the skin. It also makes your groin easier to clean so that hygienic practices are more effective.[2]

6. Wear Loose Fitting Clothing

This one may seem obvious, but wearing loose fitting clothing can make you less likely to sweat and keep the sweat you do produce from lingering on your skin.

Tight fitting pants will raise the temperature of your groin and make crotch sweat worse.

This applies to underwear as well, men may want to opt for boxers instead of briefs and women should probably avoid skin tight panties.[2]

7. Try Relaxation Techniques

For some people, anxiety can make groin sweating worse.[2]

It is also known that anxiety is related to hyperhidrosis and relaxation techniques have had some success in helping people to control their symptoms[1].

You may want to try biofeedback, mediation, yoga, or another type of relaxation activity to relax your mind and body.

Relaxation by itself will not cure hyperhidrosis, but it can improve the symptoms and help you deal with the repercussions of having a stressful condition.

8. Get Botox Injections

When more conservative approaches have failed, it may be time to seek out medical intervention.

Botox injections are known to stop the production of sweat and have successfully been used to treat crotch sweat.

They are used to treat excessive sweating on other parts of the body like the armpits, hands, and feet. The effects of botox injections last between three and six months and they have been highly effective for some who use them.

If you are interested in trying botox then make an appointment with a knowledgeable dermatologist.[1]

9. Try Oral Medications

Some doctors will prescribe medications to stop the body from producing as much sweat. Usually these medications come from a class of medications called anticholinergics. They can be helpful for some people but have the potential to cause undesirable side effects like dry mouth, constipation, nausea, drowsiness, and many others. This is because oral medications affect the whole body rather than just target the specific problem area. In some cases doctors may use antidepressants, beta blockers, or benzodiazepines to reduce anxiety and therefore improve the symptoms of hyperhidrosis.[1]

10. Adopt a Healthier Lifestyle

Sometimes excessive sweating can be worsened by a person’s lifestyle. This can be due to the fact that a person is obese, has a poorly treated underlying medical condition, or if they consume too much alcohol or caffeine. The symptoms of hyperhidrosis, or sweating in general, can be improved by taking steps to remedy these issues. If someone is obese, losing weight may help and if someone is driniking too much caffeine or alcohol reducing consumption can make a difference. If you think your sweating is due to an untreated medical condition then it is imperative that you speak with your doctor. Receiving proper treatment may solve several of your health issues.[2]

Dealing with excessive crotch sweat is frustrating and sometimes people feel like there isn’t much they can do. These tips and tricks may help. Try them out so that you can get on with your life not worry about sweating down there.

Sources

Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Amsterdam: Elsevier Pub. Co., 2014. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
Sweaty Vagina: Why It Happens and What You Can Do. Retrieved from https://www.healthline.com/health/womens-health/sweaty-vagina#wicking-underwear
Zirwas, M. J., & Moennich, J. (2008). Antiperspirant and Deodorant Allergy Diagnosis and Management. The Journal of Clinical and Aesthetic Dermatology, 1(3), 38-43. Retrieved August 26, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3013594/
Is the Sweating Between My Legs Excessive? Retrieved from https://www.healthline.com/health/how-do-i-stop-sweating-between-my-legs#overview
What Causes Excessive Testicular Sweating, and How Can I Treat It? (n.d.). Retrieved August 26, 2019, from https://www.healthline.com/health/what-causes-excessive-testicular-sweating-and-how-can-i-treat-it
Carpe Takes Aim At Groin Sweat, Launches Groin Powder With Precision Lever Sprayer. (2019, May 22). Retrieved August 26, 2019, from http://classifieds.usatoday.com/press/carpe-takes-aim-at-groin-sweat-launches-groin-powder-with-precision-lever-sprayer/

Body Areas Affected by Hyperhidrosis

How to Stop Excessive Foot Sweating

By Katie Crissman / June 3, 2019

While there is no exact standard as to how much foot sweat is too much in a 24 hour period, there are ways to determine whether you are sweating in excess of what is normal or not. It is normal to sweat from your feet during periods of intense activity and when exposed to high heat. However, many people struggle with a condition called hyperhidrosis which causes causes them to sweat excessively. Hyperhidrosis is defined as sweating that is in excess of what the body needs for thermoregulation. Typically, people sweat in order to cool down their body temperature, but when someone sweats so much that it is no longer serving this function it is considered to be excessive.[1]

There are two main types of hyperhidrosis: primary focal hyperhidrosis and secondary generalized hyperhidrosis. Both types can cause someone to have excessively sweaty feet, but primary focal hyperhidrosis is more likely to affect the feet. Primary focal hyperhidrosis causes excessive sweating on specific parts of the body like the hands, feet, armpits, face, and head. According to a retrospective chart review published in the Journal of Dermatologic Clinics, about 25% of people with hyperhidrosis have palmar (hand) and plantar (foot) involvement while only 15.5% of people have hyperhidrosis that only affects their feet. Even though that seems like a relatively small number of people, about 2.8% of the US population has hyperhidrosis so it is relatively high number of people who are affected.[1]

If you aren’t sure whether or not your foot sweating is excessive, there are certain signs that can alert you to whether or not you might have hyperhidrosis. People with hyperhidrosis can sweat up to four times more than the average person and this can have a negative on their quality of life.[2] Here are some ways that excessively sweaty feet may interfere with your life if you have a problem:

Your shoes are consistently soaked, stained, or destroyed by your constant production of sweat.

You have difficulties wearing flip flops, sandals, and slippers because the sweat on your feet causes them to be slippery.

You struggle to walk around barefoot because your feet are so wet.

You need to wear especially absorbent socks in order to keep your feet and shoes dry.

Your feet are often cold because of the constant presence of sweat.[1]

If you sweat so much from your feet that you are experiencing some or many of the symptoms listed above, you are probably sweating in excess of what is normal. Another way to determine whether you are sweating too much from your feet is to determine how it is affecting your life. If you think about your sweating frequently and often change your behaviors to deal with it, then you are probably sweating more than the average person. For example, if you refuse to wear flip flops because you know they won’t stay on your feet because of sweating, then you are sweating too much.[2]

If you suspect that you have hyperhidrosis then it is a good idea to speak with a dermatologist, as the are the best type of doctors to treat hyperhidrosis. Doctors have several tools to measure whether you have hyperhidrosis. Most of the time, doctors will administer a type of questionnaire that asseses how much sweating is impacting a person’s life. One of these questionnaires is called the Hyperhidrosis Disease Severity Scale (HDSS). This questionnaire has patients rank their symptoms on a scale from 1 to 4, with higher scores corresponding to more severe symptoms. Doctors also use other types of self-reporting questionnaires to determine whether or not a patient has hyperhidrosis and to determine how severe it is.[1]

There are also other types of tests that doctors can use to determine how much you are sweating, but they are not normally needed to assess whether or not someone has hyperhidrosis. These types of tests include the iodine-starch test, skin conductance, and a thermoregulatory sweat test.[3] An iodine starch test can be used to outline the area where excessive sweating is occuring. In this test an iodine solution is spread over the area in question and a few minutes later starch powder is sprinkled over the area. The starch and iodine interact in the presence of sweat and create a purplish color. This can tell the doctor how much a person is sweating and where the specific problem is. It also allows doctors to determine whether hyperhidrosis treatments, like botox injections, are working or not.[4] Skin conductance tests and thermoregulatory tests are not typically needed for a hyperhidrosis diagnosis, but they can help to determine how much sweat a person is producing.

If you do find that you sweat more from your feet than is normal, there are many treatments for sweaty feet that you can look into. Treatments for hyperhidrosis tend to be quite effective, so talk to a doctor if your sweaty feet are getting you down.

Sources

Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier
Nguyen, A. (n.d.). How Much Sweating Is Excessive? Retrieved May 31, 2019, from https://www.webmd.com/skin-problems-and-treatments/features/how-much-sweat-is-normal#1
Hyperhidrosis. (n.d.). Retrieved May 31, 2019, from https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/diagnosis-treatment/drc-20367173
Haider, A., & Solish, N. (2005). Focal hyperhidrosis: Diagnosis and management. CMAJ, 172(1), 69-75. Retrieved May 31, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC543948/

WHY IS MY FACE SWEATING?

By Chris Reid / August 26, 2020

Struggling with a sweaty brow, face, forehead? You are not alone.

Sweaty face is the number one search around sweat control and affects almost a quarter of the population.

It might be hyperhidrosis.

THE STATS

According to an article published in the American Journal of Clinical Dermatology, about 22.8% of people who have excessive sweating deal with sweating on their face and head.[1]

CAUSES

But what causes excessive sweating on the face and head?

Sometimes it can be the result of intense heat or exercise, but if you are sweating profusely for no obvious reason - you may likely be dealing with a form of hyperhidrosis.

Hyperhidrosis is just a big word to describe sweating more than your body needs in order to regulate your temperature and stay healthy.

The type of hyperhidrosis that affects the face and head is medically known as craniofacial hyperhidrosis.

Craniofacial sweating usually happens on the:

forehead
scalp
nose
chin
cheeks
brows

If you have hyperhidrosis, your sweating may be influenced by levels of anxiety and stress - but often (and somewhat frustratingly) it may have no obvious cause.[1]

There are three types of hyperhidrosis that are known to cause excessive sweating of the face and head:

Face and Head Sweat Types

Primary Focal Hyperhidrosis

One of the most common causes of facial and head sweating is called primary focal hyperhidrosis.

It is a condition that causes people to sweat in excess of what is needed by their body.

Primary hyperhidrosis affects specific parts of the body like the hands, feet, underarms, and face. About 7 million people in the US have hyperhidrosis, so the condition is quite common.[2]

Researchers aren’t exactly sure why primary focal hyperhidrosis occurs, but they suspect that it is caused by an overactive nervous system.

The sympathetic nervous system activates the sweat glands and is responsible for the “fight or flight” response. When the sympathetic system is activated at inappropriate times it can cause sweat glands to become overactive.[3]

Hyperhidrosis is suspected to be somewhat hereditary.[2]

Secondary Generalized Hyperhidrosis

An excessive sweating face and head can also be caused by another type of hyperhidrosis called secondary generalized hyperhidrosis.

This is sweating that occurs all over the body due to an underlying condition.

Secondary hyperhidrosis means there is another health condition or medication that is causing your excessive sweating.

Secondary hyperhidrosis usually begins suddenly during adulthood, as opposed to primary focal hyperhidrosis, which typically develops during adolescence.

You can experience excessive facial and head sweating from secondary hyperhidrosis, but if you have this condition you will most likely also experience excessive sweating on other parts of your body at the same time.

It is important to seek medical attention if you think you have secondary hyperhidrosis (and don’t know the cause), because it can be the result of an underlying factor.

There are certain diseases and conditions that cause secondary hyperhidrosis, which range from benign to more serious. There are also many medications that can also cause secondary hyperhidrosis as a side effect.[2]

If you think you have secondary hyperhidrosis, don’t panic, but please talk to your doctor so you can get more information and take control of your sweat.

Gustatory Sweating (Frey’s Syndrome)

Most people will never have to deal with this condition, but it can be a surprising cause of an excessively sweating face.

Unlike primary focal hyperhidrosis and secondary hyperhidrosis, gustatory sweating is quite uncommon.

Gustatory sweating is when you experience excessive sweating and flushing on your face when you’re eating.

It can even happen as a result of someone thinking about food!

It is most often caused by an injury to the parotid gland and its associated nerves. This little known gland is located near the sides of the face and can be affected by an injury to those areas. After an injury those nerves struggle to regrow in the proper place and communication signals are affected.

Essentially, the body responds inappropriately to stimuli after an injury or disease damages the nerves. It is unlikely that gustatory sweating is the cause of your sweating woes, but if these symptoms sound familiar you should check with your doctor and find out. [2]

SOLUTIONS

Thankfully, there are effective ways to reduce and stop facial sweating so that it doesn’t have as big of an impact on your quality of life.

Are you still curious about whether you have hyperhidrosis? Take this quiz.

Sources

Nicholas, R., Quddus, A., & Baker, D. M. (2015). Treatment of Primary Craniofacial Hyperhidrosis: A Systematic Review. American Journal of Clinical Dermatology, 16(5), 361-370. doi:10.1007/s40257-015-0136-6 Retrieved March 14, 2019, from https://www.ncbi.nlm.nih.gov/pubmed/26055729
Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
Huddle, J. R. (2014). Hyperhidrosis: Causes, Treatment Options and Outcomes. New York, NY: Nova Science. Retrieved from https://www.bookdepository.com/Hyperhidrosis-Janine-R-Huddle/9781633215160