Ask an expert
Question

21 Nov 2005

Sweating a lot. Please help
Hi

I sweat extremely easily, especially my head and face. When people are wearing jerseys I will be sweating. It is like this all the time. I do not have high blood pressure or thyroid problems. Is there anything I can do? I am desperate.
Answer 341 views
Expert
CyberDoc
CyberDoc

01 Jan 0001

A, assuming that you’re not overweight, don’t suffer from a thyroid problem, adhere to the accepted hygiene regimens and that you’re in good general health, you might suffer from hyperhidrosis. This is basically excessive perspiration due to over activity of the sweat glands. It usually occurs in otherwise healthy persons and is confined to the palms, soles, axillae, inframammary regions, or groin.
Hyperhidrosis may be a contributory factor in various skin diseases (fungal or pyogenic infections; contact dermatitis). Generalized hyperhidrosis frequently accompanies fever. An endocrine dysfunction (eg, hyperthyroidism) or, occasionally, a CNS disorder may also cause generalized sweating. Excessive sweating of the palms and soles may be psychogenic.
Treatment
For generalized hyperhidrosis, the underlying systemic disease must be treated, yet the hyperhidrosis may be refractory. Systemic anticholinergic drugs have only a temporary effect, and side effects (eg, dry mouth, blurred vision, difficulty with urination) are problematic. For localized hyperhidrosis, a 20 to 25% solution of aluminium chloride hexahydrate in absolute ethyl alcohol applied at night to the dried axillae, palms, or soles and covered tightly with a thin polyethylene film is usually effective. In the morning, the polyethylene film is removed and the area is washed free of salt. Two applications usually protect the area for 1 week. If the aluminum chloride under occlusion is irritating, it should be tried without occlusion. This solution should not be applied to inflamed, broken, wet, or recently shaved skin. In some patients, tap-water iontophoresis may be effective. A 5% solution of methenamine (available in some countries) in water may also be effective. Topical solutions containing glutaraldehyde or formaldehyde may be effective but can be irritating. If the anhydrous aluminium chloride treatment fails, extreme axillary hyperhidrosis may be relieved by surgically excising the concentrated group of glands in the axillary vault or injecting the area with Botox®. An operation called a sympathectomy can also be done where the nerve supply to the offending glands is cut off and keeps them from secreting any sweat. This operation is not possible for excessive sweating of the head.
All this said, the easiest would be to see a dermatologist and if he can’t help, a surgeon. Good luck.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
Voting Booth
Have you entered our Health of the Nation survey?
Please select an option Oops! Something went wrong, please try again later.
Results
Yes
34% - 9250 votes
No
66% - 17780 votes
Vote