Regional hyperhidrosis can be defined as sweat produced more than normal in the armpits, hands and feet. You will find this situation, which negatively affects social life and makes life difficult, and its solution methods in the article below.
-What is excessive sweating, in which parts of the body is it common?
- Regional excessive sweating In other words, people with hyperhidrosis produce 4-5 times more sweat than normal in the armpits, hands and feet. In these people, there is hypersensitivity, that is, overactivity, in the signals that go from the brain to the nerve endings and manage sweating. Although the structure and number of sweat glands of the patients are normal, the glands are overactive. In these patients, emotional stress, fear, excitement, anger, physical activities and of course hot weather initiate excessive sweating. Our patients usually apply during this season.
Excessive sweating is seen in 1-2% of the population. At least 60% of these people have a family history, that is, a genetic predisposition.
-How does excessive sweating affect the patient, what complaints does it cause?
-Sweat stains on clothes, Constantly moist palms and wet feet are the main complaints. We see that patients are embarrassed when shaking hands, and that they have problems in school and work life because the paper and all the materials they work with get wet. Increasingly, social and sports activities are avoided. Self-confidence is decreasing. All of these negatively affect the quality of life of patients.
-Does excessive sweating cause other diseases in the body?
-Yes. All microorganisms that like a moist environment easily settle on excessively sweaty skin. Bacteria multiply, causing boils and fungal infections begin. Warts on hands and feet are common. In addition, since sweat is acidic, it causes irritation and eczema may occur. For example, we started to see contact allergies, which appear as redness and peeling on the fingertips due to mobile phone contact.
-Can regional sweating be a sign of important diseases, who should get tested?
-Regional excessive sweating. People with the problem only sweat excessively when they are awake, they do not sweat while sleeping. If the patient has night sweats or is accompanied by weight loss, regional sweating If it started after the age of 25, it should be investigated for many diseases such as infectious diseases and tumoral events.
-How is regional sweating treated?
-The first step is antiperspirant roll containing aluminum salts, which we can find in pharmacies. -on and creams should be tried. However, these are not effective enough in some patients. Another form of treatment is iontophoresis. This method is applied with a device that provides a mild electric current in a container filled with tap water. The released ions act by closing the sweat channels.
One of the most important approved treatment methods is the application of botulinum toxin (botox).
-What is the treatment of sweating with Botox and how long does its effect last?
-On the face. Botox, which is widely used for wrinkles, has long been preferred in the treatment of regional sweating. Botox protein shows its effect by preventing the release of substances that stimulate sweating from nerve endings. In this treatment, before the application, we ensure that the area is numb by applying anesthetic creams or holding ice packs to the area. Then, we determine the boundaries of the sweating area with a short test using iodine on the relevant area. During the procedure, we inject 10-15 points under the skin with very fine-tipped needles, at 1-2 cm intervals. The injection process takes approximately half an hour and patients can return to daily life immediately. There is no bruising, bleeding or pain after the procedure. I would like to add that since we dry the already excessively secreted sweat with Botox, other areas carry out the normal sweating function and maintain the temperature balance without any problems.
-When does the effect begin, how long does it last?
-Effect. It starts in the first 3 days. Sweating stops completely in the first week. This effect continues for an average of 8 -12 months. Therefore, with one application per year, the quality of life increases significantly. Another advantage of the method is that the procedure is completed in a single session. To summarize, botox is a treatment method that is both practical and gives very successful results, especially in the armpit.
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