Hyperhidrosis is a common disorder characterized by excessive sweating that exceeds the body’s standard requirements for temperature regulation. This condition can be strenuously embarrassing for those affected, impacting daily activities and leading to psychological distress. In this article, we explore curative options for hyperhidrosis and address the frequently asked question – how is hyperhidrosis treated?
Hyperhidrosis treatment typically begins with conservative (non-surgical) approaches, before the contemplation of surgical solutions. The choice of proper treatment largely depends on the severity of the affected individual’s symptoms, their risk factors, and their personal preferences after considering the potential benefits and side effects of the treatments.
Topical Treatments
An antiperspirant is generally the first-line treatment option. These substances work by forming a plug in the sweat duct, reducing sweat production. Clinical strength antiperspirants that contain higher concentrations of active ingredients are available over the counter. Extra strength ones may be prescribed by a doctor if the over-the-counter options prove ineffective.
Oral Medications
Oral medications can help mitigate excessive sweating. These include anticholinergic drugs that work by blocking nerve signals to your sweat glands. However, these can cause side effects such as dry mouth, constipation, and blurred vision.
Iontophoresis
Iontophoresis, also referred to as a ‘no-sweat machine,’ is another non-invasive treatment ideal for treating hands and feet. This method uses water to conduct a mild electrical current through the skin’s surface. These treatments require specialized equipment and multiple sessions per week but can have a significant long-term impact on reducing sweat production.
Botox Injections
Botulinum toxin A (Botox) has been FDA-approved for treating severe underarm sweating, a condition called primary axillary hyperhidrosis. Injecting minute amounts of Botox temporarily blocks the nerves that trigger excessive sweating. This treatment lasts up to a year, but the injections can be painful.
Microwave therapy
This technique uses microwave energy to destroy sweat glands. It involves two 20-minute sessions separated by around three months. It can cause temporary discomfort or swelling and is generally used for underarm sweating.
Surgery
In extreme cases, when other treatments have failed, surgery may be considered. Three primary surgical interventions are Endoscopic thoracic sympathectomy (ETS), Sweat gland removal, and Nerve surgery (sympathectomy).
- Endoscopic thoracic sympathectomy (ETS): This involves cutting or destroying part of the nerves responsible for excessive sweating. It’s usually performed as a last resort, as it can have serious side effects.
- Sweat gland removal: This option is typically used for treating excessive underarm sweat. Here, targeted sweat glands in the armpit are surgically excised.
- Nerve surgery (sympathectomy): In this surgery, the surgeon will cut, burn, or clamp the spinal nerves that control sweating in your hands.
The takeaway from the question – how is hyperhidrosis treated – is that many viable treatment options are available, from over-the-counter antiperspirants to prescription medications, outpatient procedures, and even surgery. It’s crucial for those struggling with hyperhidrosis to consult with a healthcare professional to discuss the most suitable and beneficial treatment approach for them. It is entirely possible to manage this condition and regain control over excessive sweating, thereby improving the quality of life.
Overcoming hyperhidrosis is not an overnight conquest, and one may need to experiment with different treatments to find what works best. But with patience, persistence, and the guidance of a dedicated healthcare provider, a symptom-free life is possible.