Sweating when doing physical activity, it’s hot or even when you feel scared or ashamed is very normal. We usually sweat to cool our bodies down through a process called thermoregulation. It works like this: in the face of rising body temperature, our brain sends signals to more than 3 million glands to release a colorless fluid, sweat. As it evaporates from the skin, it reduces and restores balance Body temperature.
Hyperhidrosis is the excess of this sweat and it occurs more concentrated, especially in the armpits, hands, soles of the feet, inguinal region and perineum, as well as the face and head. All because of the hyperfunction of the glands. Diagnosis is made by Dermatologist Through examinations and investigation of family history.
It can be classified into primary and generalized secondary focal. Primary focal has a genetic factor, affecting about 5% of the population and is characterized by the onset of symptoms in childhood or adolescence, with complaints of excessive sweating in areas such as the armpits, palms, scalp, face and groin. The generalized secondary condition begins In adulthood it is characterized by excessive sweating throughout the body, including during sleep, and is associated with certain diseases or as a side effect of certain medications,” explains the dermatologist. Fabiana Seidel. Understand more.
Good analysis is essential
To treat hyperhidrosis, it is necessary to determine if any disease or medication is causing the condition, explains Fabiana. “In cases of primary focal hyperhidrosis, we can use deodorants and antiperspirants based on aluminum salts. Treatment with botulinum toxin is indicated in cases of moderate focal hyperhidrosis, with excellent results lasting from six to nine months, and it is necessary to maintain applications in these periods ‘, he analyzes.
For more severe cases, surgical treatment may be necessary. Surgery is usually indicated for palmar and plantar hyperhidrosis (palm and sole of the foot), but it has the downside of the risk of compensatory hyperhidrosis in another part of the body. Therefore, all treatments should be evaluated in terms of risks, costs, and benefits with a physician,” Seidl warns.
“Due to various causes (genetic, emotional or pathological), discomfort can have serious psychological and social effects, but it is treatable,” he explains. not leonor, a dermatologist at Dr. Andre Braz, Rio de Janeiro. The most used methods are:
- use specific antiperspirants for the affected area;
- Botulinum toxin: Applied to the affected area, it temporarily prevents sweating. It lasts eight to ten months and is the best alternative for those who do not wish to undergo surgeries. However, it should be avoided by people who perform joint work with their hands, such as surgeons or musicians, as there may be slight loss of skill;
- Sympathectomy: Most commonly used in cases where there is no response to clinical treatments. The surgery “turns off” the signal that tells the body to sweat a lot. Its only contraindication is compensatory hyperhidrosis – a condition in which a person begins to sweat excessively in other areas of the body.
- Iontophoresis: The treatment uses an electric current to temporarily disable the sweat glands. It is usually most effective on hands and feet.
- pharmaceutical: Although effective, they are less commonly used due to the side effects that are present, such as dry mouth, dizziness, and problems urinating.
According to Ace, lack of treatment It can cause a red rash. It can also appear after exercise, as blisters or red, itchy lumps. Symptoms can be relieved with cold water compresses, warm water, and a soothing body lotion. It is recommended to drink plenty of water to avoid drying out the skin.
Another factor is the increased oiliness and moisture of the skin, which may predispose to the appearance of onychomycosis. In these cases, a dermatologist may recommend creams or lotions that should be applied daily until the spots are completely removed,” he explains.
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