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Excessive sweating (hyperhidrosis)

Hyperhidrosis (Excessive sweating)

Hyperhidrosis is when the body produces more sweat than its normal physiological needs. It causes psychological and physical discomfort in the affected people. The amount of sweat released to the skin surface increases due to the hyperactivity of the eccrine sweat glands. It is seen with a frequency of 0.6-1% in societies. It usually begins in late childhood or adolescence. It can continue for a lifetime as well as disappear spontaneously at the age of 25-30 years.

Sweat secretion is normally odorless and milky. After bacterial destruction, a personal smell of sweat occurs. Factors such as the consumption of smelly foods that pass into body secretions and bathing habits affect the smell of sweat. Sweat secretion contains fat and cholesterol. These features do not play a role in excessive sweating.

Excessive sweating can be physiological, as well as in some diseases, it can also occur due to hormonal activity. Physiological hyperhidrosis (excessive sweating) develops after an increase in body temperature, excessive obesity (obesity), after physical exercise, in hot and humid environments and due to thick clothing.

Hyperhidrosis, which begins in childhood, is usually seen on the palms and soles. There may be a familial history. This type of sweating also increases with physical activity or stress. Axillary (armpit) and upper lip excessive sweating is also a common condition.

Any kind of excessive sweating is a condition that takes people away from social life and impairs quality of life by causing depression and panic attacks. Treatments should be selected according to the region where excessive sweating is most common. The type should be determined by physical examination, and etiological factors (laboratory, imaging, etc.) should be investigated. Treatment selection in hyperhidrosis; There should be methods accepted by the patient, applicable, meeting the expectations of the patient and the physician, and having no side effects. For example, especially underarm sweating causes serious mood changes in many young adults.

In this type of sweating “Botox applications” It gives pretty good results. It increases the quality of life of people and ensures their adaptation to social life. Botox application, which is very effective especially in armpit sweating, should be decided after a good evaluation before application in sweating on hands and feet.

exp. Dr. Nezih KARACA