I sweat a lot, I have hyperhidrosis?

Written by: Dra. Maria José Barba Martínez
Edited by: Anna Raventós Rodríguez

The "hyperhidrosis" is a chronic disorder characterized by excessive sweating sweat production in sweat glands of the body. It usually occurs in early childhood and sometimes the rest of life is prolonged. It is a benign condition of unknown origin and appears to be a genetic basis for development.


Symptoms of hyperhidrosis

Hyperhidrosis may affect one in every 100 to 200 people, and is characterized by an increase in sweat production, depending on the situation, can range from minimal to another really debilitating sweating; sometimes, even, it may be related to psychiatric disorders such as neurosis, social phobia or anxiety.

Sometimes it is triggered by stressful stimuli, often emotional and, more rarely, by heat, exercise or diet.


Types of hyperhidrosis

Depending on your location, hyperhidrosis can be of two types:

  • One that affects the whole body
  • Which it is located in certain areas of the body, particularly in the palms, soles of feet, armpits, head and face.

This is a symmetrical condition and, in half of the cases, affects hands and underarms together (so less frequently affects only hands or arms).

From the social point of view, the form that affects the hands is causing more problems and leading the patient frequently to consult the specialist in Aesthetic Medicine .

Forms of severe hyperhidrosis can pose a real problem in people who have an intense social life (political, clerks, public relations, etc.) or use their hands to work, such as painters, designers, architects, designers, etc.. Some of these people become withdrawn, avoid shaking hands or, if they do, often previously clean it quickly with a handkerchief or clothing, as it is completely drenched in sweat. In many cases, the fact of having to hand the situation worsens, generating even more sweating.

Moreover, the forms that affect the soles of the feet can cause local infections, skin maceration and blisters that stain the socks and shoes, plus give off an unpleasant odor. Axillary form causes moisture, staining and deterioration clothes and smelly.


Causes of hyperhidrosis

sudor_mujer In general, that is, which affects the whole body, have involved different processes, such as pregnancy, obesity, menopause and anxiety; diseases such as hyperthyroidism or excessive production of thyroid hormones and neurological diseases, some tumors, some skin diseases and toxins such as alcohol.


Treatment of hyperhidrosis

For many years have used different topical preparations, ie, it applied to the skin that showed excessive sweating. However, their success has been limited or temporary, so that patients, discouraged, the abandoned; many of these treatments have failed in their attempt to eliminate the excessive production of sweat.

It has also been used a technique called iontophoresis or iontophoresis, based on the mobilization of sodium ions of an aqueous solution by an electric current which enters the sweat glands and causes temporary rest, according to a well known mechanism not. It takes three to six weekly sessions and the results are dose dependent and limited in time, so in severe forms patients are discouraged and stop treatment.

In recent years it has introduced a new consistent medical treatment in the use of botulinum toxin type A, which has proven to be a safe and effective treatment for primary axillary hyperhidrosis and for hands, feet and face, neck neckline etc. in menopausal women with high levels of patient satisfaction.


Botulinum toxin for hyperhidrosis

The technique involves the subcutaneous injection of the toxin in the area corresponding hyperhidrosis, causing a blockage of the nerve endings responsible for sweat glands. The effects, ie, reduction in perspiration starting to emerge between 2 and 4 days, and the symptoms subside within a week, but can unfortunately reappear after about 3 months in the case of hands and up to 8 months then axillary hyperhidrosis.

Botulinum toxin is administered in consultation with a few injections, it preanesthesia with cold and in one week the problem of excessive sweating away in 100, 90, 80%, depending on the characteristics of the patient.

This is a non - surgical treatment that has no side effects, nor compensatory sweating in other areas of the body as usual.

After treatment for excessive sweating with botulinum toxin can be done completely normal except life directly treated with botulinum toxin, such as hair removal (with any system), implants, etc. areas, and must wait 15 days to do so.

During the first 15 days you can not bask in the treated area, nor may be massaged in the first week.

*Translated with Google translator. We apologize for any imperfection
Dra. Maria José Barba Martínez

By Dra. Maria José Barba Martínez
Aesthetic Medicine

Dr. Barba Martinez meets his 30-year career; is an expert in female intimate surgery, facial and body tension wires, laser blepharoplasty mastology addition to other treatments, such as capillaries. He has completed many related to their specialty, lectured at national and international studies, and is at the forefront of new techniques, some pioneers like female intimate surgery in Spain (ginecoestética).

*Translated with Google translator. We apologize for any imperfection

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