Hyperhidrosis - excessive sweating

EXCESSIVE SWEATING - HYPERHYDROSIS

Hyperhidrosis or excessive sweating is also a medical, not just an aesthetic problem that involves excessive activity of the sweat glands. Excessive sweating most commonly occurs under the armpits and can also be present on the palms and soles of the feet. Complications such as inflammation of the skin in areas of excessive sweating can sometimes occur as a result of excessive sweating.

The basic function of sweating is to regulate body temperature. In severe forms of axillary hyperhidrosis, sweating exceeds the body’s normal need to cool the skin.

The diagnosis of this medical condition requires professional medical treatment that includes general medical history taking and specific tests. There are a number of potential causes (symptomatic hyperhidrosis as a consequence of some other disorders, emotional disturbances, etc.). Only after receiving data from the patient, it is possible to determine optimal type of treatment.

THERAPEUTIC POSSIBILITIES

Among several different treatments and products, the following are most common:

  • deodorants/antiperspirants (first line), which basically block the excretory ducts of the sweat glands and thus reduce the amount of sweat that reaches the surface of the skin. Deodorants in combination with antiperspirants “control” the body odor that occurs as a reaction between bacteria and sweat, making the skin more acidic and less attractive to bacteria.
  • alternative therapy includes various herbal preparations, as well as biofeedback, acupuncture, hypnosis and relaxation techniques, iontophoresis (current therapy).
  • Botox treatment is approved for the treatment of excessive axillary sweating when other topical preparations do not give results. Injected Botox neurotoxin controls sweating by temporarily blocking nerves that chemically stimulate the sweat glands. Sweating stops when stimulation by chemical signals stops. Sweating stops only in the applied area, while in other untreated areas it continues unhindered.
  • highly specialized surgical procedures in the most severe cases, and sometimes removal of sweat glands by liposuction.

BOTOX IN THE TREATMENT OF EXCESSIVE SWEATING - PROCEDURE

Botox treatment is the only effective therapy for increased sweating. Success has been shown in over 80% of cases, and the reduction in sweat production is over 50%. Significant results are seen within a month, and the duration of the effect is in most cases over 6 months.

Botox therapy is performed on an outpatient basis and lasts about 20 minutes. Small doses of Botox are injected with a thin needle into the previously marked areas, typically under the arm in the area most severely affected. The application is given directly under the skin where the sweat glands are located. Unfortunately, because of the somewhat more pronounced pain, therapy on the palms and soles of the feet is carried out somewhat less frequently.

However, it should be emphasized that Botox is not a cure for sweating. Sweat production does not stop, it continues undisturbed on other parts of the body that have not been treated. The symptoms gradually return to the previous condition, when the patient feels it is time for the next treatment. The most common situation is that patients conduct therapy in the spring to have the full effect during the summer months.

PRECAUTIONS AND POSSIBLE SIDE EFFECTS

The most common side effects after the injection are soreness and bleeding, sweating in other untreated areas, infection, headache, itching and short-term anxiety.

Before deciding on the application of Botox, it is necessary to assess whether there are any obstacles to safe treatment. A previous detailed dermatological history is required. Contraindications to the use of Botox are various neuromuscular diseases (muscle or nerve), previous allergic reactions or other side effects to some of the Botox preparations, breathing problems (asthma, emphysema), swallowing disorders, recent facial surgery, facial and eyelid muscle weakness, pregnancy or close pregnancy planning and breastfeeding. Information on medications and other preparations you take, with or without a prescription, is mandatory.