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Hyperhidrosis

Handling Excessive Sweat in Winter? For REAL???

Handling Excessive Sweat in Winter? For REAL???

Cold weather is a time to increase layering up with clothing and staying warm. But if you are sweating through your winter layers, chances are you might be sweating for other reasons, this can put you out of the seasonal spirit. Those with hyperhidrosis or excessive sweating, also called other things like sweaty underarms, armpit sweat, hand sweat or other areas as well. You would think this would not be a problem when it is 40 outside–right, but this medical condition can be particularly challenging in the winter. These steps will help you stay dry, so you can enjoy your favorite cloths or enjoy the outdoors with confidence. No one wants to deal with armpit sweat, sweaty feet or hand sweat at this time of year.

 

What Is this clinical condition: Hyperhidrosis?

Hyperhidrosis is a condition that causes excessive sweating. If you experience hyperhidrosis, you might sweat in cold weather or when you are sitting still. This condition most often affects the underarms, face, hands, and feet.

Hyperhidrosis does not always have a clear cause, but people often experience excessive sweating because their eccrine sweat glands are always active. This may be linked to an underlying condition like thyroid issues, diabetes, and nervous system disorders. Hyperhidrosis may also be genetic.

If you sweat excessively without a clear cause, book an appointment with your doctor, or talk with your pharmacist. They can provide a diagnosis and investigate an underlying condition as a root cause. If you already have a hyperhidrosis diagnosis, a dermatologist can recommend excessive sweating treatments to keep you comfortable this winter.

 How to handle sweat in a winter jacket

How Can You Manage Excessive Sweating in the Winter?

Hyperhidrosis can cause you to sweat through your clothes, even in the winter. You might also notice that your palms and feet are sweaty when you are otherwise feeling chilly or just sitting in a chair. Risk factors can come in a variety of ways. While sweating like this can be uncomfortable and embarrassing, there are options for relief. A dermatologist can recommend several hyperhidrosis treatment options, including:

  • Prescription Antiperspirants or clinical-strength antiperspirants: Over-the-counter deodorants are NOT effective with hyperhidrosis. Primary hyperhidrosis is the main name for this disorder. Remember, deodorants do not stop sweat, they mask the body odor associated with the sweat (moisture). In this case, your dermatologist may recommend a clinical strength antiperspirant as the first step in treatment. Make sure you review with your doctor or pharmacist, on which one will be best for you, Also, check to make sure they have low skin irritation, and effectiveness. Some contain an active ingredient aluminum chloride (aluminum salt), so make sure the product does not contain alcohol. This ingredient is the main ingredient to block the sweat duct. Natural deodorants usually do not work with people with these issues). Keep side effects low, especially for sensitive skin or irritation. Perspiration can affect all parts of your body. You can generally use these products on the underarms, hands, feet, and other affected areas. Antiperspirants are the gold standard for body odor, perspiration increases in body temperature,
  • Topical Treatments: Dermatologists may recommend creams that contain glycopyrrolate as treatment for excessive sweating on the head and face. They have limited use.
  • Thermal Treatment: Through this type of treatment, a dermatologist would target the sweat glands using a hand-held thermal device. Some people will experience results in as little as one session. This is a little more aggressive and would not recommend unless all antiperspirants fail.
  • Medications: Certain oral medications can block the nerves that cause sweating. These work by preventing the nerves from communicating with each other. Since these products are taken orally, side effects are more common.
  • Botox Injections: Botox can be an effective treatment for excessive sweating in the underarms. You will likely need to return for a series of injections, since it can take four to six months to notice results. Cost is also a big factor with Botox. It should only be uses as last resort or before surgery.
  • Iontophoresis machines can be used also. Iontophoresis is a process of transdermal drug delivery by use of a voltage gradient on the skin. Molecules are transported across the stratum corneum by electrophoresis (electrical current) and electroosmosis and the electric field can also increase the permeability of the skin basically this machine runs a low voltage over the area of the sweating issue. This machine is usually used for people who have hand sweat.
  • Surgery: If alternative treatments are not effective, your dermatologist may recommend surgery. The surgical procedure would likely involve either removing the sweat glands or the associated nerves. This is a last resort. This procedure has discomfort and still could not work.

Keep in mind that you may need to try a number of treatments to control your hyperhidrosis, especially in severe cases. Be sure to track your symptoms and see your dermatologist regularly. They will ensure that your treatments are working for you. Remember you will want and effective treatment and or an effective antiperspirant for different parts of the body. A strong antiperspirant will give you an advantage over using a deodorant for stopping body odor, or overall odor. Deodorants can’t fill the void of stopping moisture related issues and keeping you from wearing your favorite wool outfit. With all the issues of 2020, you need your quality of life wherever you can.

Is Caffeine The Cause To Your Excessive Sweating?

Is Caffeine The Cause To Your Excessive Sweating?

And, the answer is YES!

And, the caffeine found in coffee and tea is still a drug and can make you sweat by increasing the stimuli of the central nervous system.

In fact, the more caffeine you drink, the more you are to perspire. If abnormal sweating is a problem for you, reducing the intake of caffeine could help reduce the amount of sweat you produce. Like:

  • Coffee
  • Tea
  • Soft Drinks (Caffeinated) 
  • Certain over the counter meds like cough syrups and Excedrin
  • Weight Loss Supplements

But according to researchers, you keep your intake of caffeine below 400 mg a day.

http://www.sciencedirect.com/science/article/pill/S02786915173017091

There are some exceptions but for now, let’s compare the science:

Caffeine

This chemical is a stimulant of psychoactive drugs. It increases alertness and changes the way your brain and body function via the central nervous system. It really targets the cardiovascular system by elevating heart rate and boosting stress hormone production.

Eccrine Glands and Apocrine Glands

Eccrine glands regulate body temperature and are found in virtually every square inch of your skin. They are mainly around the forehead, palms, and soles of your feet. This type of sweat is 98% water and does not cause much body odor.

Apocrine sweat glands produce most of the stress related sweat, and they’re found in the armpits, groin, nipple areas and the eyelids

 

So why does caffeine make you sweat? Good Question.

If you drink tea or coffee in excess and you’re wondering why you sweat so much-probably the caffeine is your culprit.

There are over five million sweat glands spread across the skin. The major function of this is to keep the skin cool. When you’re stressed, it signals the nervous system to act, ie, sweat and then add caffeine, it increases the effect, and excessive sweating is your outcome.

coffee

Does Coffee make you sweat?

Coffee is the most common source of caffeine in this country. If you drink enough of it, you’re going to sweat. And there are other side effects from high doses of coffee, such as anxiety, dehydration, and dizziness. So, the goal is two or less 5 oz cups a coffee in a six-hour period.

Will Decaf coffee make you sweat?

People drink coffee for the pick me up or energy boost, others drink it cause they like the taste. The decaf does help reduce the amount of caffeine which will help reduce the amount of sweat caused by the caffeine. But decaf does not mean no caffeine. Each 5oz. cup of coffee still has appx. 3 mg. of caffeine and some brands as much as 7 mg. Check the label.

Do energy drinks make you sweat?

Caffeine and sugar are a double hit to the nervous system and increase the risk of sweating,  and as it turns out, energy drinks have too much of both. Although most brands have reduced the amount of caffeine, the average energy drink still contains the same amount of caffeine as two cups of coffee.

Does Chocolate make you sweat?

Cocoa beans are related to coffee beans and yes, they contain caffeine too. There are about 4 milligrams of caffeine in 5 ounces of hot chocolate and the same for chocolate candy.

How much caffeine can you intake without sweating?

Studies have shown drinking less than 6 mg per kg of bodyweight will help reduce the side effects (sweating) like poor calcium absorption and male infertility. If you are pregnant, the caffeine drops to 4 mg per kg. If you know you are sensitive to caffeine, avoiding caffeine is a must (sorry).

Side effects of caffeine overload:

Irregular heartbeat, vomiting, rapid heart rate (very common), diarrhea, dizziness, alertness issues and dehydration. Of course-sweating.

Hyperhidrosis: Signs and symptoms

We all know, everyone sweats, but if you sweat even when you do not need to cool down, the issue may be hyperhidrosis. According to a report in the archives of Dermatology, issues with hyperhidrosis can cause several common symptoms: visible sweating, sweating that interferes with daily tasks, night sweats, frequent skin infections like Athlete’s Foot and wetness in the groin, hands, feet and underarms.

Hyperhidrosis can cause many issues that are everyday tasks, like turning door knobs or gripping the steering wheel. Additionally, your dermatologist or pharmacist can recommend treatments like prescription or anticholinergics: a class of medication that affects the nerves that cause the sweating. There is another option, this is where your pharmacist comes in. There are strong antiperspirants out there. They all claim to be the strongest, so check the label and compare. In our research, we found the strongest to be Monray Antiperspirant. Found at: www.monrayantiperspirant.com

This product has a very low side effect profile which makes it very tolerable.

However, if sweating only occurs when you drink a lot of caffeine, staying dry may be a s simple as cutting back on caffeinated drinks.

Sweating Too Much?

Sweating Too Much?

For many, excessive sweating, especially sweaty palms, can interfere with your job and cause embarrassment in social situations. Also known as hyperhidrosis, excessive sweating doesn’t just occur during physical exertion. It can happen at any time. But how do you know if you are actually suffering from a medical condition? And if you are, what can you do to put an end to it?

When Does Your Sweat Become Too Much?

While you may know that you sweat frequently or sweat more than most people, you may not be aware that you are suffering from hyperhidrosis. Below are five signs of excessive sweating along with methods for dealing with the condition.

1. Handshaking Embarrassment

Do you get nervous when you know you will need to shake hands? Do you find yourself wiping off your palms just before a handshake? It may be that you are suffering from hyperhidrosis, which often results in excessively sweating hands. To cut down on the embarrassment you’ll want to check your palms before a handshake. You should also consult a doctor about thoracic sympathectomy, a surgical procedure that can put an end to hyperhidrosis for good.

2. Pit Stains and Ruined Shirts

Do your casual and business shirts frequently feature pit stains, even when you’re right under air conditioning? This is another common sign of excessive sweating. Invest in lightweight, breathable fabrics. These materials will help you sweat less. They can also wick away moisture so that you aren’t consistently soaked with sweat.

3. Being Consistently Dehydrated

Sweating excessively also means you get dehydrated faster than others. Regardless of the temperature, pay attention to how much you’re sweating and be sure to drink plenty of fluids to replenish those you’re losing through sweat.

4. Losing Your Grip

When sweat builds up on your palms, it can cause you to lose your grip on what you are holding. Sweaty hands may be unable to properly hold everything from pens and pencils to weights or bats. Keep your hands dry with a towel and make sure that you have a proper grip on anything that could be dangerous if dropped.

5. Smudging Your Paperwork

Do you ever finish handwritten paperwork only to see that you have smeared ink everywhere due to your sweaty hands? It’s not only frustrating, but it can ruin your clothes and set you back during your work. Seek insight from a medical professional to learn the best hyperhidrosis treatments.

Finding Help with Excessive Sweating

At the Hyperhidrosis Center of Excellence, our team of medical professionals knows how much excessive sweating can interfere with personal and professional life. As such, we provide state-of-the-art medical procedures informed by years of experience and tailored to each patient’s unique needs. Our procedures, including thoracic sympathectomy, can permanently put an end to your hyperhidrosis and pave the wave for a healthy and enjoyable life.

Hyperhidrosis and Anxiety: Causes and Treatment Options

Excessive Sweating (Hyperhidrosis) and Anxiety: What is the Connection?

Anxiety is the body’s natural reaction to stressful situations. When faced with potential stressors or fear triggers (e.g., a job interview, a biology exam, heights, spiders) the amygdala of the brain sends a signal via the sympathetic nervous system to the adrenal glands (situated atop the kidneys), telling them to pump out adrenaline. This hormone goes right to the heart and tells it to pump faster in anticipation of either fighting or fleeing potential danger. Core body temperature rises and the eccrine glands push sweat out to the surface of the skin for evaporative cooling.

Unfortunately, the amygdala can’t tell the difference between anxiety from an actual physical threat and perceived threat. It’s going to excrete adrenaline either way, which is going to make you excrete sweat. In non-threatening situations this can increase your anxiety, which of course makes you sweat even more.

Mental disorders do not cause hyperhidrosis. Hyperhidrosis is a physical condition caused by overstimulation of the eccrine sweat glands and is not a psychiatric condition, as was previously believed by physicians. [1] Anxiety is not the only reason hyperhidrosis occurs; it is merely a symptom of the condition. Furthermore, hyperhidrosis is not dangerous, but the anxiety and stress that can result from it are detrimental if they are not treated.

Some of the Ways in Which Hyperhidrosis Causes Anxiety

Hyperhidrosis manifests in many ways. The symptoms may worsen due to particular situations such as interviewing, performing company presentations, and/or public speaking.  There are many other areas that hyperhidrosis affects one’s quality life, such as:

  • Personal hygiene – a patient may feel the need to change clothes or freshen up throughout the day. This can interfere with time schedules and affect job performance.
  • Self-worth – is often lowered due to this condition, which in turn affects all aspects of daily living.
  • Relationships – whether romantic or platonic the patient may feel unworthy, unattractive, and unclean.
  • Professional success – could be compromised due to appearing nervous or unprepared.
  • Social stigmas – something as routine as a handshake and having sweaty palms or palmer hyperhidrosis.

These are just some of the ways that hyperhidrosis can cause anxiety and lower the quality of life for those suffering. [2] Luckily, there are different ways to manage hyperhidrosis, and certain treatments are shown to reduce the anxiety produced by hyperhidrosis.

How to Deal with Anxiety Caused by Excessive Sweating

Some therapeutic approaches that can help relieve anxiety are deep breathing exercises, yoga, and meditation. Although these relaxation methods may greatly help, they generally do not eliminate all of the symptoms. In many cases, the most effective way to treat the symptoms or decrease anxiety caused by hyperhidrosis is to treat the actual condition. This often means seeking a doctor to implement a treatment plan. However, there are also some topical treatments a patient can try prior to visiting a doctor, such as antiperspirant lotions or sprays.

Medical Treatment Options for Hyperhidrosis to Decrease Anxiety

Patients with primary focal hyperhidrosis are prone to high levels of anxiety. [2] This is usually noticed during adolescence and often occurs in certain areas of the body, including the palms and the soles of the feet. [3] The most effective and well-studied medical treatments that have been shown to reduce sweating and anxiety are minimally-invasive surgical treatments for primary focal hyperhidrosis. These procedures include botox treatments for palmar, plantar, and axillary hyperhidrosis (hands, feet, and underarms). There is also a surgical procedure called endoscopic thoracic sympathectomy (ETS), in which the sympathetic nerves responsible for inducing sweating are either clamped off or cauterized. Both treatments reduce sweating to a specific area of the body and thus greatly reduce the amount of anxiety for those suffering from hyperhidrosis.

Patients should be wary of a surgical procedure called endoscopic lumbar sympathectomy. It has been shown to have potentially serious and detrimental side effects, not to mention the side effect of compensatory sweating that can be difficult to handle. Most doctors maintain the that thoracic sympathectomy is still a safe treatment, despite some of the risks. [1][2]

Hyperhidrosis sufferers also have the option of being treated with oral medications, such as anticholinergic drugs like glycopyrrolate or oxybutynin, which can reduce sweating and therefore anxiety. This treatment option has been shown to be promising, although surgical treatments are more often associated with major improvements. [2] While these treatments show promise they are costly and insurance may not cover them.

Research on Hyperhidrosis and Anxiety, and Its Findings

There have been several studies examining the relationship of stress, anxiety, and hyperhidrosis, with some mixed reviews. However, there is a definite link between anxiety and hyperhidrosis. Several studies have used psychological testing and stress hormone testing to see if there is a connection between stress levels and hyperhidrosis. While the cortisol levels stayed similar within the control group, the hyperhidrosis group exhibited higher levels of stress and depression. [4]

There are many other assessments used to determine the quality of life for those suffering from hyperhidrosis including the Dermatology Quality of Life Index, Hyperhidrosis Impact Questionnaire, Skindex, and more. [2] Researchers or doctors may use these tools to identify how or to what extent patients are suffering psychologically from hyperhidrosis.

Some people suffer from stress sweating, or sweating that is greatly worsened when a person is in an acutely stressful situation. It makes sense that hyperhidrosis, stress, and anxiety are so closely related as the symptoms of hyperhidrosis cause both physical, social and emotional discomfort. [2] Fortunately, as stated above, there are many available solutions and ways to manage the condition so that patients feel better and have an improved quality of life.

Sources

  1. Ruchinskas, R. (2007). Hyperhidrosis and Anxiety: Chicken or Egg? Dermatology, 195-196. Doi: 10. 1159/000099581
  2. Pariser, D. M. (2014). Hyperhidrosis (4th, vol. 32). Philadelphia, PA: Elsevier.
  3. Ghorpade, V. (2009). Idiopathic unilateral focal hyperhidrosis with social anxiety disorder. Indian Journal of Psychiatry, 51 (3), 214-215. Doi: 10.4103/0019-5545.55094
  4. Gross, K.M., Andrea, B., Schneider, K.K., & Meyer, J. (2014). Elevated Social Stress Levels and Depressive Symptoms in Primary Hyperhidrosis. PLoS One, 9(3). Doi: 10.1371/journal.pone.0092412
Hyperhidrosis Treatment Options

Hyperhidrosis Treatment Options

For people who suffer from hyperhidrosis, a medical condition involving excessive sweating, social interaction is a particularly troublesome endeavor. Meeting new people is often hard enough, but when one is suffering from clammy hands, underarm sweat stains, and a drenched back, the process becomes almost unbearable. Fortunately, there are hyperhidrosis treatments available to help alleviate, and in some cases cure, this embarrassing condition.

Non-Surgical Hyperhidrosis Treatment

Typically the first form of treatment for axillary hyperhidrosis is antiperspirants. Prescription antiperspirants are the most ideal choice, particularly those containing an aluminum salt concentration of 15 to 30 percent. Also, because certain foods and drinks have been named as possible triggers for the condition, a change in lifestyle and eating habits may reduce the amount of sweating suffered by individuals with hyperhidrosis. However, for patients with severe or debilitating palm hyperhidrosis, surgery may be the best first option.  Other options such as Botox and iontophoresis are also available and should be discussed with a qualified healthcare professional.

Thoracoscopic-Sympathectomy-to-Relieve-Excessive-Sweating

 

Thoracoscopic sympathectomy is a minimally invasive surgery that treats palmar and plantar hyperhidrosis. The surgery targets the root of the condition, a specific nerve chain located in the chest. After this nerve chain is cut, the symptoms of hyperhidrosis are relieved, and most patients are able to return home the same day as their surgery..

Compensatory Sweating

Side effects of the surgery can include compensatory sweating, or continued sweating on other parts of the body, such as the legs and the lower back. Though the surgery successfully alleviates excessive sweating on the hands, sweating may persist on other regions of the body. However, for the vast majority of patients, if compensatory sweating is present, it is almost always mild. Only three to five percent of patients experience a more severe form of compensatory sweating.

Despite the possible side effects of the surgery, most patients who have undergone a thoracoscopic sympathectomy are relieved to be free of embarrassing hand perspiration once and for all.  And for those who do experience compensatory sweating, the amount of sweating has been found to decrease over time. Best of all, you will finally be able to shake hands with confidence.

Deodorants and Antiperspirants for Hyperhidrosis Treatment

How-Antiperspirant-Works-for-hyperhidrosis-treatments

Solid antiperspirants are made with several ingredients, including wax, a liquid emollient and an active-ingredient compound. It’s the active ingredient that gives antiperspirants their sweat-blocking power. All antiperspirants have an aluminum-based compound as their main ingredient. If you look at the back of an antiperspirant container, the aluminum-based compound is always the first ingredient listed. Here are a few of the common active ingredients:

  • Aluminum chloride
  • Aluminum zirconium tricholorohydrex glycine
  • Aluminum chlorohydrate
  • Aluminum hydroxybromide

The aluminum ions are taken into the cells that line the eccrine-gland ducts at the opening of the epidermis, the top layer of the skin, says dermatologist Dr. Eric Hanson of the University of North Carolina’s Department of Dermatology. When the aluminum ions are drawn into the cells, water passes in with them. As more water flows in, the cells begin to swell, squeezing the ducts closed so that sweat can’t get out.

Each cell can only draw in a certain amount of water, so eventually, the concentrations of water — outside and inside the cells — reach equilibrium. When this happens, the water inside the cell begins to pass back out of the cell through osmosis, and the cell’s swelling goes down. This is why people have to re-apply antiperspirant. For those who suffer from excessive sweating, hyperhydrosis, aluminum chloride in high concentrations can prolong the swelling and may ultimately shrink the sweat gland, decreasing the amount of sweat it can produce.

An average over-the-counter antiperspirant might have an active-ingredient concentration of anywhere from 10 to 25 percent. The FDA requires that over-the-counter antiperspirants contain no more than 15 to 25 percent of the active ingredient, depending on what it is. The FDA also requires that all antiperspirants must decrease the average person’s sweat by at least 20 percent. For those who have excessive underarm sweating, there are prescription products that contain concentrations higher than those of over-the-counter antiperspirants.

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