Hyperhidrosis, commonly known as excessive sweating, is a condition that can significantly impact daily life, particularly during the hot summer months.

The discomfort, social anxiety, and physical inconvenience caused by excessive sweating can be overwhelming. Effective treatments are essential to manage this condition and improve the quality of life.

Read here to explore the best remedies to control excessive sweating and enjoy a more comfortable summer.

What is Hyperhidrosis?

Hyperhidrosis is a medical condition characterized by abnormally excessive sweating, beyond what is necessary for regulating body temperature. This condition can affect various parts of the body, including the palms, feet, underarms, and face. Excessive sweat production is often unpredictable and can occur regardless of physical activity or temperature.

This sweating disorder has two types:

• Primary Hyperhidrosis. This type occurs without an underlying medical condition. It usually affects specific areas such as the hands, feet, underarms, and face.

• Secondary Hyperhidrosis. This type is associated with an underlying medical condition or medication. It typically affects larger areas of the body.

Causes of Hyperhidrosis

Understanding the causes of hyperhidrosis can help in determining the best treatment approach. Here are some common causes:

Genetics

Hyperhidrosis often has a genetic component, meaning it can run in families. If you have a close relative who suffers from hyperhidrosis, there is a higher likelihood that you might also experience this condition.

Research suggests that primary hyperhidrosis, which is not caused by any other medical condition, may have a hereditary link. Studies have indicated that 30% to 50% of people with primary hyperhidrosis have a family history of excessive sweating.

Medical Conditions

Certain medical conditions can trigger secondary hyperhidrosis, where excessive sweating is a symptom of an underlying issue. Conditions such as diabetes, thyroid disorders, menopause, and infections are known to cause excessive sweating. For instance:

• Diabetes. Low blood sugar (hypoglycemia) can cause excessive sweating as the body reacts to regulate glucose levels.

• Thyroid Disorders. An overactive thyroid (hyperthyroidism) can increase metabolism and body heat, leading to more sweat production.

• Menopause. Hormonal changes during menopause, such as hot flashes and night sweats, can lead to excessive sweating.

• Infections. Tuberculosis and other infections can trigger night sweats.

Medications

Certain medications can have side effects that include excessive sweating. These include:

• Antidepressants. Some selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) are known to increase sweating.

• Antipyretics. Medications used to reduce fever, such as aspirin and acetaminophen, can lead to sweating as the body attempts to cool down.

• Other Medications. Drugs like opioids, antihypertensives, and some cancer treatments can also cause hyperhidrosis as a side effect.

Nervous System Disorders

Issues within the nervous system can lead to hyperhidrosis. These include:

• Anxiety Disorders. Anxiety can activate the body’s fight-or-flight response, which increases heart rate and sweating.

• Overactive Nerves. Some people have overactive sympathetic nerves, which can lead to excessive sweating, particularly in the hands, feet, and underarms.

• Other Neurological Conditions. Diseases that affect the nervous system, such as Parkinson’s disease or spinal cord injuries, can also result in excessive sweating.

Understanding these underlying causes can help in diagnosing hyperhidrosis and tailoring an effective treatment plan. Whether it is addressing a medical condition, adjusting medications, or managing anxiety, identifying the root cause is crucial in providing relief for those suffering from excessive sweating.

Different Ways to Address Hyperhidrosis

Hyperhidrosis, characterized by excessive sweating, can significantly impact one’s quality of life. Fortunately, various treatments are available to manage this condition effectively. Here are some methods to address hyperhidrosis:

Pharmaceutical Drugs

Medications such as anticholinergics can help reduce sweating by blocking the chemical messengers that trigger sweat glands. These drugs are typically used when other treatments have not been effective. However, they may have side effects like dry mouth, blurred vision, and urinary retention, so their use should be carefully monitored by a healthcare provider.

Antidepressants

Certain antidepressants can reduce sweating by addressing underlying anxiety that exacerbates hyperhidrosis. Additionally, some medications have anticholinergic properties that can help decrease sweating.

Topical Medication

Topical anticholinergic gels, such as glycopyrrolate, can be applied to areas affected by hyperhidrosis. These medications work by blocking the nerve signals responsible for activating sweat glands.

Change Your Socks Often

For individuals who suffer from excessive foot sweating (plantar hyperhidrosis), changing socks frequently can help manage moisture and prevent bacterial and fungal infections. Using moisture-wicking socks and allowing shoes to dry out completely between uses can also be beneficial.

Antiperspirant

Over-the-counter or prescription-strength antiperspirants are often the first line of defense against hyperhidrosis. These products contain aluminum chloride, which blocks sweat ducts and reduces perspiration. It is important to apply antiperspirant to dry skin at night to maximize its effectiveness.

Topical Wipes

Glycopyrronium wipes, available by prescription, can reduce underarm sweating (axillary hyperhidrosis). These wipes contain anticholinergic agents that inhibit sweat gland activity. They are convenient for daily use and can provide significant relief.

Microwave Thermolysis

This treatment, known as miraDry, uses microwave energy to destroy sweat glands permanently. It is an outpatient procedure that targets underarm sweat glands. While effective, it may require multiple sessions and can be expensive.

Iontophoresis

This non-invasive treatment involves using a device that passes a mild electrical current through water and into the skin’s surface, particularly on the hands and feet. It temporarily blocks sweat glands, providing relief for several weeks. Multiple sessions are usually needed initially, followed by maintenance treatments.

Dietary Changes

Certain foods and beverages can trigger excessive sweating. Reducing intake of spicy foods, caffeine, and alcohol can help manage symptoms. Staying hydrated and maintaining a balanced diet can also contribute to overall health and reduce sweating.

For those seeking to avoid surgical and temporary short-term methods, Botox® offers a viable solution. It is effective in treating hyperhidrosis by blocking the nerve signals that stimulate sweat glands.

What is Botox®?

Botox® is a neurotoxin derived from Clostridium botulinum. It is widely used in cosmetic and medical treatments. Botox® works by temporarily blocking nerve signals to muscles or glands, preventing them from contracting or producing secretions. The FDA has approved Botox® for various medical conditions, including hyperhidrosis.

How Botox® Can Address Hyperhidrosis

Botox® is highly effective in treating hyperhidrosis, particularly in areas such as the underarms, palms, and soles of the feet. Here’s how it works:

• Blocking Nerve Signals. Botox® injections block the nerve signals responsible for activating sweat glands, significantly reducing sweat production.

• Targeted Treatment. The injections are administered directly into the affected areas, ensuring targeted and efficient treatment.

• Long-Lasting Results. Botox® can provide relief from excessive sweating for several months, with results lasting up to six months or more.

• Minimal Downtime. The procedure is quick and involves minimal downtime, allowing patients to resume their daily activities immediately.

Botox® All the Way For Hyperhidrosis

Managing hyperhidrosis, especially during the summer months, is essential for maintaining comfort and confidence. With a variety of treatment options available, from pharmaceutical drugs to innovative procedures like microwave thermolysis and Botox® injections, individuals can find relief from excessive sweating. Each method offers unique benefits, and consulting with a professional can help determine the most suitable approach for your specific needs.

Targeted Relief: Underarm Hyperhidrosis at The Medical Skin Clinic

At The Medical Skin Clinic in Nashua, NH, and Salem, NH, our experienced team is dedicated to providing comprehensive care for underarm hyperhidrosis. We offer Botox® specifically for this area to help you manage excessive sweating effectively. 

Don’t let underarm sweating hold you back—take the first step towards improved comfort and confidence with our expert treatment. Contact us today at (603) 932-5566 to schedule a consultation!