Hyperhidrosis

Primary hyperhidrosis is the condition characterized by abnormally increased perspiration, in excess of that required for regulation of body temperature.

Hyperhidrosis can either be generalized or localized to specific parts of the body. Hands, feet, axillae, and the groin area are among the most active regions of perspiration due to the relatively high concentration of sweat glands; however, any part of the body may be affected. Primary hyperhidrosis is found to start during adolescence or even before, and interestingly, seems to be inherited as an autosomal dominant genetic trait.

Primary hyperhidrosis must be distinguished from secondary hyperhidrosis, which can start at any point in life. For some, it can seem to come on unexpectedly. The latter form may be due to a disorder of the thyroid or pituitary gland, diabetes mellitus, tumors, gout, menopause, certain drugs, or mercury poisoning.

It is not known what causes primary hyperhidrosis. One theory is that hyperhidrosis results from an overactive sympathetic nervous system, but this hyperactivity may in turn be caused by abnormal brain function.

Some patients afflicted with the condition experience a certain degree of reduction in their quality of life, depending on how severe their condition is. Sufferers feel at a loss of control because perspiration takes place independent of temperature and emotional state.

However, anxiety can exacerbate the situation for many sufferers. A common complaint of patients is that they get nervous because they sweat, then sweat more because they are nervous. Other factors can play a role; certain foods & drinks, nicotine, caffeine, and smells can trigger a response.

Excessive sweating impedes the performance of many routine activities. Things like driving, taking tests and simply grasping objects are severely hampered by sweaty hands.

Some hyperhidrosis sufferers feel they have to avoid situations where they will come into physical contact with others. Interviews, a common source of anxiety for many people, are particularly harrowing for hyperhidrosis patients. Most often, it is the handshake before and after the interview that they will be stressing most about. Hiding embarrassing sweat spots under the armpits limits the sufferers arm movements and pose. In severe cases, shirts must be changed several times during the day. Additionally, anxiety caused by self-consciousness to the sweating aggravates the sweating.

Compounding the problem is the cost of many treatments. Many people who suffer from this condition cannot afford procedures such as surgery or botox, therefore are left to deal with this problem with no solution.

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