home Diseases Facial hyperhidrosis treatment at home. Effective treatment of hyperhidrosis at home. Products for internal use

Facial hyperhidrosis treatment at home. Effective treatment of hyperhidrosis at home. Products for internal use

Sweat glands always secrete sweat to a greater or lesser extent. Hyperhidrosis is increased function sweat glands, resulting in inappropriately excessive sweating. Sweat is 99% water. It contains trace elements, sodium and potassium salts, metabolic products (urea, creatinine, amino acids, uric and lactic acids and other organic substances), poisons, medications etc. Its evaporation from the surface of the skin helps maintain body temperature and humidity. Thus, sweating is one of the mechanisms for thermoregulation, maintaining a water-electrolyte state and ridding the body of toxins.

Classification of hyperhidrosis

A physiological increase in sweating occurs with an increase in ambient temperature, acceleration of metabolic processes during physical activity or psycho-emotional arousal, after eating. It contributes to the normal functioning of the body.

When we talk about hyperhidrosis, we usually mean the pathological functioning of the sweat glands. Distinguish the following types hyperhidrosis:

Main causes of local hyperhidrosis

Essential, or primary, idiopathic hyperhidrosis

It is a self-occurring attack of intense local sweating. The most common combination is the increased sweating of the palms and the plantar surface of the feet. It is more common in women aged 15-30 years. This disorder can go away on its own, but if left untreated it often becomes chronic.

There is no consensus on the cause of this phenomenon. Several different theories have been proposed, based on hereditary predisposition, expressed in:

the presence of an increased number of eccrine sweat glands in certain areas of the skin;
excessive reaction to external stimuli (heat, physical and psychological stress, stress) autonomic, in particular sympathetic nervous system, innervating the sweat glands; as a result, the amount of sweat produced exceeds that during a normal reaction by 10 or more times;
increased sensitivity of the eccrine glands to the hormones adrenaline and norepinephrine, which are produced by the adrenal glands during emotional and stressful conditions;
double, independent of each other, innervation of the sweat glands of the skin of the axillary, palmar and plantar areas.

How to cure hyperhidrosis in this case? The choice of treatment largely depends on the correct approach of the doctor when talking with the patient. Primary hyperhidrosis is always accompanied by symptoms indicating neurotic disorders- sleep disturbances, anxiety, psycho-emotional imbalance, decreased libido, etc. In addition, with careful investigation, in most cases the presence of local increased sweating is established in close relatives.

Eating

This form is manifested by severe sweating of the face, especially the upper lip and forehead, for several minutes immediately after consuming spicy foods and foods, hot drinks, strong tea and coffee, and chocolate. This sweating is due to the following reasons:

individual reaction to nonspecific stimuli (idiosyncrasy);
the effect on the salivary glands of severe infectious diseases caused by a virus or bacteria;
after operations on the salivary gland, during which damage to the fibers of autonomic neurons is possible; during the regeneration process, they grow not only into the salivary gland, but also into the fibers innervating the sweat glands; therefore, when eating food, simultaneous irritation by impulses and stimulation of both the salivary and sweat glands occurs;
in newborns, for the extraction of which (in case of weak labor forces in the woman in labor) head forceps were applied, as a result of which damage to the facial nerve is possible.

Operation "sympathectomy"

It is one of the methods for treating local hyperhidrosis of the face, palms and armpits. Currently, it is performed mainly endoscopically. Its essence comes down to complete intersection, electrical destruction or compression with a special clip at a certain level of the upper sections of the sympathetic trunk of the autonomic nervous system. Branches that innervate the sweat glands extend from it.

The result of such surgical treatment is a significant long-term reduction in sweating in the above areas in 98% of cases. However, in in rare cases(10%) in the first days or during the first month after surgery, a complication such as compensatory hyperhidrosis is possible. It is assumed that it occurs as a compensatory reaction to a lack of sweat production. A decrease in sweat production by the glands of some parts of the body is compensated by an increase in sweat production in others, in particular in the abdomen, back and/or thighs.

The severity of the complication may vary. In 2% of cases, pronounced compensatory hyperhidrosis develops, in which increased sweating occurs as a result of even minor fluctuations in the psycho-emotional state, air temperature, and slight physical stress.

Sometimes a spontaneous gradual decrease in these phenomena occurs, but if necessary, the clip is removed (if this option was used), as a result of which the original state is restored.

More rare causes

Among them are hyperhidrosis:

in the area of vitiligo;
with psoariasis in the area of plaques;
with congenital pachyonychia, or Jadasson-Lewandowski syndrome; he is congenital disease, which manifests itself as a combination of palmar, plantar, knee, ulnar keratosis (excessive keratinization) with increased fragility and dryness of hair, damage to the oral mucosa, often with cataracts and decreased intelligence.

The most common causes of generalized hyperhidrosis

Postmenopausal or menopausal syndrome

It is accompanied by pronounced vegetative (usually causeless) reactions - a feeling of a rush of blood to the head, face, upper half of the chest, attacks of severe diffuse sweating, palpitations and changes in blood pressure.

Dumping syndrome

This condition belongs to a group of diseases of the operated stomach, which occurs in people who have undergone gastrectomy. 15-30 minutes after eating, due to the excessively rapid release of food from the remaining stump into the intestine, there is a significant redistribution of blood to the digestive organs and the release of biologically active substances (histamine, motilin, serotonin, etc.) into the blood. They lead to a pronounced autonomic reaction in the form of weakness, dizziness, sweating, palpitations, and decreased blood pressure.

Endocrine dysfunction

Hyperthyroidism

Excessive sweating of the entire body is one of the main signs of increased hormone production thyroid gland(thyrotoxicosis). It is also accompanied by psycho-emotional instability (irritability, rapid mood swings, tearfulness), rapid heartbeat and rhythm disturbances, high blood pressure, weight loss, small-scale tremor (shaking) of the fingers, impaired menstrual cycle, increased body temperature due to increased metabolism. It is believed that hyperhidrosis in thyrotoxicosis is a protective compensatory reaction aimed at reducing body temperature.

Increased insulin levels in the blood

Occurs when:

diabetes mellitus after administration of simple insulin without subsequent intake of carbohydrates or as a result of an overdose of simple insulin;
hypoglycemia syndrome (low blood glucose), which occurs 2-3 hours after eating and goes away after taking carbohydrates (sweet tea, a lump of sugar, etc.);
acute pancreatitis and pancreatic necrosis;
insulinoma - hormone-producing (insulin) tumor of the pancreas;
poisoning with ethyl alcohol, drugs salicylic acid, sulfonylurea derivatives, etc.

The syndrome is manifested by trembling, profuse sweating, decreased blood pressure, palpitations and sometimes loss of consciousness. Presumably trigger- lack of glucose in the central nervous system due to excess insulin, which leads to a significant increase in adrenaline and norepinephrine in the blood.

Other reasons

Acute infectious diseases (malaria, tuberculosis, influenza, brucellosis), cystic fibrosis, psychogenic conditions, neurological diseases (diseases of peripheral nerves, spinal cord, stroke, etc.), drug overdose and withdrawal syndrome, overdose of antihypertensive and diuretic drugs, acute heart attack myocardium, etc.

Treatment of hyperhidrosis

The principles of treatment are:

Finding out (if possible) the cause of increased sweating and its correction or elimination.
Recommendations regarding diet and adherence to the correct regimen.
Psychotherapeutic effects and prescription of antidepressants and sedatives.
Specific therapy.

Specific treatments for hyperhidrosis include:

Use of preparations for external use containing aluminum salts, methenamine, formaldehyde, extracts with tannins plant origin. They are usually ineffective. Antiperspirants are somewhat more effective than them.

Physiotherapeutic techniques, for example, reflexology, phono- and with atropine sulfate or glycopyrrolate, hydrotherapy and electrosleep. But their effectiveness is usually short-term and appears only in mild forms of hyperhidrosis.
, by intradermal or subcutaneous administration of the drug. Botulinum toxin blocks the transmission of nerve impulses to the sweat glands.
Laser treatment of hyperhidrosis.

Truncal endoscopic sympathectomy, the principles of which are described above.
(ineffective).
Curettage (scraping) inner surface skin with axillary hyperhidrosis.
Partial excision of the skin of the armpit.

The last two operations are effective, but highly traumatic. Laser treatment of hyperhidrosis is no less effective, but at the same time causes minor tissue trauma. It is performed under local anesthesia by introducing a light guide in the form of a cannula under the skin of the problem area through a small puncture. As a result of the thermal effect of the laser beam, the sweat glands die.

Laser treatment is used for high local sweating that is resistant to other methods of therapy. It is a minimally invasive and highly effective method.

Hyperhidrosis is a pathological condition accompanied by increased sweating throughout the body (general form) or only in certain areas (local form) - in the armpits, on the feet or palms, in large folds. Local forms of hyperhidrosis are more common.

Sweating is a physiological process that performs important functions:

is part of thermoregulation mechanisms;
promotes the removal of excess fluid and harmful substances from the body;
protects the skin from drying out.

Sweat glands located in the dermis of the skin over almost the entire surface of the body (except for the genital area) are responsible for the formation of sweat in the human body. The work of these glands is regulated by the sympathetic department of the autonomic nervous system, which is activated in response to any stressful situations, so increased sweating in such conditions is a normal reaction. But when a person calms down, his skin dries out and sweating stops. The appearance of hyperhidrosis in a calm state is always a sign that something is happening incorrectly in the body or the patient is behaving incorrectly. Therefore, before you start taking any measures to reduce sweating, it is worth identifying the cause of this condition. Elimination of the identified etiological factor in most cases helps to cope with hyperhidrosis without special treatment.

TO possible reasons increased sweating include:

Diseases of the nervous system (especially vegetative-vascular dystonia, neuroses, damage to the hypothalamus).
Endocrine disorders (thyroid hyperfunction, diabetes mellitus, etc.).
Infectious diseases ().
Pathological conditions accompanied elevated temperature bodies.
Chronic.
Taking certain medications (eg, antidepressants, propranolol).
Oncological diseases.
Chronic intoxication, including drug addiction and alcoholism.

In addition, there is such a thing as physiological hyperhidrosis, which appears when the air temperature is uncomfortably high outdoors or indoors, physical stress and, as mentioned above, stressful situations, emotional arousal, and fear.

We should not forget about factors unrelated to health that can provoke increased sweating. These include:

Failure to comply with hygiene rules.
Wearing clothes made of synthetic materials.
Wearing tight shoes made of artificial leather and rubber.
The choice of wardrobe is not according to the season.

In addition, hyperhidrosis (especially general) can be a hereditary problem. IN similar cases severe sweating occurs already in childhood in the absence of any concomitant or provoking diseases in the child.

Symptoms and diagnosis of hyperhidrosis

The main manifestations of hyperhidrosis are wet hands, feet, streams of sweat running down the body, wet clothes and, possibly, an unpleasant odor emanating from the person. A doctor can assess the severity of hyperhidrosis visually - when examining the patient or his things (by the size of wet spots).

In addition, special diagnostic methods are used to identify hyperhidrosis:

Treatment of hyperhidrosis

Modern medicine has various methods treatment of hyperhidrosis:

non-surgical - the use of medical antiperspirants, iontophoresis;
minimally invasive – botulinum toxin injections;
invasive – sympathectomy, curettage, laser treatment.

Treatment usually begins with the least invasive methods - antiperspirants and iontophoresis. And only if they don't give desired result, Botox injections or surgery are performed.

These products can be used on the armpits, arms, feet and even the face. In their action they are similar to cosmetic antiperspirants, but the concentration of active substances (usually aluminum salts) in them is much higher.

The doctor selects an antiperspirant depending on the form of hyperhidrosis and gives recommendations regarding its use, since if such products are used incorrectly, severe skin irritation can occur.

Medical antiperspirants are more effective when applied to the body in the evening, when sweating decreases. The skin should be absolutely dry, not steamed, not damaged, so after depilation it is advisable not to use antiperspirant for several days and always wait 20-30 minutes after a bath or shower.

Iontophoresis is a fairly effective and safe method of treating hyperhidrosis. The essence of this method is that currents and ionizing substances, passing through the skin, “turn off” the sweat glands.

During the iontophoresis procedure, the patient immerses his feet or hands in special baths of water, to which a low-voltage current generator is connected. Special pads are used for the armpit area. The duration of such a session should be 20-40 minutes. To get results you need 5-10 sessions. As soon as sweating begins to return, procedures should be resumed.

The following conditions are contraindications to the use of iontophoresis:

Pregnancy.
The presence of implanted heart pacemakers and metal implants in the body.
Heart diseases.
Epilepsy.

Botox injections, widely used for rejuvenation, are also used to treat hyperhidrosis. When administered intradermally, botulinum toxin blocks the transmission of nerve impulses from nerves to the sweat glands and thereby reduces sweat production. This method is especially effective for axillary (axillary) hyperhidrosis. Carrying out the same similar procedures on the feet and palms can lead to temporary impairment of the fingers and is less tolerated by patients due to pain. However, the doctor’s experience and special pain relief techniques make it possible to treat hyperhidrosis of any localization with botulinum toxin.

Before starting treatment, patients undergo a Minor test, which allows them to accurately determine the area in which injections need to be made. Then, to reduce pain, a special anesthetic gel is applied to the armpit area and botulinum toxin is injected with a syringe. The effect of this treatment method lasts 6-8 months.

Contraindications to the use of botulinum toxin:

Myasthenia.
Acute infectious diseases.
Blood clotting disorder.
Taking anticoagulants.
Inflammatory processes at the sites of proposed injections.
Pregnancy.
Age less than 16 years.

Curettage is a surgical method for treating axillary hyperhidrosis. The essence is the mechanical destruction of the sweat glands using a special device - a curette. Held this procedure Under local anesthesia, a small incision is made in the skin to insert the curette. The effect after curettage lasts 4-6 months, then new sweat glands appear, but such increased sweating as before the operation is usually no longer observed. A side effect of curettage is a temporary loss of sensation in the armpits due to damage to nerve fibers.

The most modern method of treating hyperhidrosis is the use of laser. During the operation, a light guide is inserted under the skin of the axillary region through a small incision, after which a laser beam destroys the sweat glands. Recovery after such an operation is much faster than after conventional curettage.

Sympathectomy is another method of treating hyperhidrosis, which involves cutting or clipping the sympathetic nerve fibers. For excessive sweating of the palms, endoscopic thoracic sympathectomy is performed, and for hyperhidrosis of the feet, lumbar sympathectomy is performed. These operations are performed under general anesthesia.

In terms of effectiveness, sympathectomy is the first among others invasive methods treatment of hyperhidrosis, but does not exclude the development of a number of complications:

Compensatory hyperhidrosis of other parts of the body.
Pain syndrome.
Inflammatory processes.

At home, to reduce excessive sweating and enhance the effectiveness of the treatment methods used, you must do the following:

In addition, you can reduce sweat production using a number of folk remedies:

Bath for hands and feet with the addition of a decoction of medicinal herbs (sage, oak bark, chamomile, nettle).

Hyperhidrosis ( excessive sweating) – sweating that is outside the normal range. It can be a congenital characteristic of a person or a symptom of a disease: tuberculosis, obesity, thyroiditis.
Hyperhidrosis may be local and cover certain areas of the body (palms, feet, armpits) or general(generalized), when excessive sweating occurs throughout the body.
Sweating mainly manifests itself in paroxysms in response to exposure to irritants (stress, alcohol, increased hormone levels, etc.); in a small number of patients it is constantly present.

Why is hyperhidrosis dangerous?

First of all, hyperhidrosis provokes social problems. An unpleasant odor and sweat stains cause discomfort in the person himself and the hostility of others. The disease can ruin your personal life and affect your choice of profession. Such people try to avoid public speaking, which is incompatible with teaching, working on television, etc. With severe hyperhidrosis, the patient severely limits communication and begins to lead a secluded lifestyle.

Hyperhidrosis can cause the development of certain diseases. So, sweating feet creates favorable conditions for fungal development. And hyperhidrosis of the axillary and groin area increases the risk of hidradenitis - inflammation of the sweat gland and purulent damage to surrounding tissues. In addition, constant skin moisture is often accompanied by the appearance of diaper rash and pustular rashes.

Who suffers from hyperhidrosis?

Sweating is quite common. About 2% of the population are familiar with its manifestations. However, this figure may be several times higher, because most people do not turn to a specialist with this problem. Women make up more than half of patients with hyperhidrosis, which is associated with their increased emotionality and hormonal activity in certain periods life. The problem is widespread among adolescents - during adolescence, the axillary sweat glands are activated. Among adults, the number of patients remains unchanged. And after 50 years, people complain less about sweating due to the deterioration of the functioning of all glands, including sweat glands.

How does hyperhidrosis occur?

Most people develop seasonal hyperhidrosis, which worsens in the spring and summer. Permanent hyperhidrosis occurs less frequently. In this case, sweating occurs in any weather, and does not depend on stress or work. Sometimes hyperhidrosis has a recurrent course, when after a period of increased sweating the work of the glands returns to normal, but over time the problem returns. This course of the disease is associated with hormonal surges or malfunctions of the autonomic nervous system.

How does a person secrete sweat?

Sweat is an aqueous solution of calcium, potassium, phosphorus, lactic and uric acid salts, ammonia and other substances. When it leaves the sweat glands, it is transparent and odorless. The specific aroma is given to it by the waste products of bacteria living on the skin.

Sweat glands, which are appendages of the skin, are responsible for the secretion of sweat in humans. In total, there are about 2.5 million of them on the surface of the body. At room temperature and low activity, they secrete from 400 ml to 1 liter of sweat per day. At physical activity and in the heat, the amount of sweat can exceed 2 liters per day. Such indicators are considered the norm.

Sweat glands are divided into eccrine and apocrine. They are located unevenly on the body - some areas of the skin are more saturated with them. Local hyperhidrosis often appears in these places. It is divided according to the place of manifestation:

axillary;
palmar;
plantar;
facial;
inguinal-perineal.

Eccrine sweat glands produce clear, odorless sweat. It contains a large amount of acids and salts, therefore it prevents the growth of bacteria and protects the skin from inflammation. Most eccrine glands are found on the palms of the feet, chest, back and forehead.

Apocrine sweat glands secrete a whitish secretion with a specific odor. It contains cholesterol, fatty acid and other biologically active substances. This sweat is a breeding ground for bacteria. It is believed that the secretion of the apocrine glands contains pheromones, the smell of which attracts members of the opposite sex. Apocrine glands are found in the armpit and groin area, as well as near the genitals.

Why do humans need sweat glands?

Sweating has many beneficial functions:

Preventing overheating. Sweat evaporates from the surface of the skin, lowering body temperature.
Protecting skin from bacteria. Acidic environment sweat from the eccrine glands prevents the proliferation of microorganisms.
Signals for the opposite sex. Depending on the phase of the menstrual cycle, the composition and smell of sweat from the apocrine sweat glands changes, which signals opposite sex readiness or unreadiness for reproduction. Although in recent centuries this function has lost its importance.

What increases sweating?

Increased ambient temperature. Thermal receptors sense an increase in temperature and send impulses to the corresponding parts of the spinal cord and brain, which are responsible for thermoregulation. From there, signals are sent to the sweat glands to increase sweating.
Stress and nervous tension. In this case, the level of stress hormones – adrenaline and norepinephrine – increases. They bring the entire nervous system into an excited state. This includes the activation of processes in the centers that regulate the functioning of the sweat glands. As a result, they are instructed to produce more sweat. Increased sweating during stress is called - psychogenic hyperhidrosis.
Active physical work. When muscles work, a lot of energy is released, which increases body temperature. In this case, sweat provides protection against overheating.
Spicy and hot food. This phenomenon is based on reflex connections between the centers of salivation and sweating. Sweat production is increased by:

extractives of meat, fish, mushrooms;
spices;
alcohol;
tea, coffee and other drinks containing caffeine.

Disturbances in the functioning of the nervous system. The hypothalamus and the centers of the autonomic nervous system in the medulla oblongata and spinal cord, as well as the sympathetic nerve nodes (ganglia) located near the spine are responsible for thermoregulation and sweat removal. Nerve impulses travel along nerve fibers (trunks). If there is a malfunction in any of these areas of the nervous system, this may increase sweat production. The reason may be:

brain or spinal cord injury;
inflammation of surrounding tissues;
mental shock;
dysautonomia – foci of destruction in the autonomic system;
diencephalic syndrome of newborns is a congenital lesion of the hypothalamic-pituitary region of the brain in newborns. Accompanied by constantly high or low temperature, continuous crying, trembling, fluctuations in blood pressure;
Parkinson's disease - chronic neurological disease older age group, characterized increased tone muscles, trembling in the body, slowness of movements, inability to maintain balance;
stroke - acute disorder cerebral circulation. Signs are strong headache with nausea and vomiting, lethargy or agitation, speech impairment, paralysis of individual muscles;
epilepsy – sudden onset of seizures;
damage to the hypothalamus, in addition to increased sweating, is manifested by sleep disturbances, surges in blood pressure, and impaired vascular tone;
concussion or brain injury - loss of consciousness, amnesia, headache, nausea, vomiting, pale skin.

Infectious diseases, acute and chronic. The appearance of viruses and bacteria in the blood is accompanied by the production of pyrogens - substances that affect thermal sensitivity neurons. The development of fever and excessive sweating is caused by:

Tuberculosis. Its symptoms are weakness, pallor, fatigue, apathy, slight increase in temperature, cough (in the pulmonary form);
Flu – fever, weakness, headache, muscle and joint pain, dry cough;
Sore throat - fever, sore throat, purulent plaque on the tonsils or accumulation of pus in the lacunae;
Septicemia is the entry into the blood of a large number of pathogenic microbes. Manifested by fever, malaise, muscle and abdominal pain, diarrhea, severe intoxication, a characteristic rash in the form of small hemorrhages;
Malaria is a disease caused by infection with Plasmodium falciparum. Accompanied by fever, chills, headache and vomiting;
Brucellosis is an infectious disease caused by Brucella. You can become infected with it through contact with domestic animals (cows, goats, pigs), through their meat and dairy products. Manifests high temperature and headaches, soreness in muscles and joints.

Syphilis a sexually transmitted disease that affects the mucous membranes, internal organs and nervous system. Leads to damage to the nerve fibers of the dorsal roots, which is accompanied by asymmetrical local hyperhidrosis.
Hormonal imbalances cause endocrine hyperhidrosis. Sweat production is influenced by hormones of the gonads, hypothalamus, pituitary gland and thyroid gland. Excessive sweating occurs:

in adolescents with high concentrations of sex hormones;
in women during menopause when estrogen levels decrease and follicle-stimulating hormone increases;
for hyperthyroidism and other pathologies of the thyroid gland;
with pheochromocytoma - a tumor of the nervous system that synthesizes adrenaline and norepinephrine;
with carcinoid syndrome - a tumor that produces hormonal substances that stimulate the sympathetic fibers of the NS.

Elevated levels of catecholamines. These substances ensure the transmission of impulses in nerve trunks and the interaction of cells in the body. They appear in the blood:

with intense physical work;
for pain of various origins;
with medicinal or alcohol withdrawal, “withdrawal” that occurs when abruptly quitting these substances;

Tumor diseases cause an increase in temperature and sweating through an effect on the thermoregulation center in the hypothalamus. Hyperhidrosis appears in the evening and night hours and is observed throughout the body. Provokes him.

lymphocytic lymphoma is a malignant tumor of lymphatic tissue. Symptoms: weakness, weight loss, sleep and digestive disorders;
histiocytic lymphoma is an oncological lesion of lymphoid tissues. Manifestations depend on the location of the tumors;
mixed lymphoma is a malignant tumor of the lymph nodes, which is characterized by their enlargement, fever, swelling and bluishness of the facial skin and weight loss;
Burkitt's lymphoma - single or multiple oncological tumors jaws, which can subsequently affect other internal organs. Occurs with fever and deterioration of general condition.

Systemic diseases. An autoimmune process (an attack on one's own immune cells) damages blood capillaries, feeding the nerve trunks. This leads to dysfunction of the organs for which these nerves are responsible.

Raynaud's disease. Manifested by spasm of blood vessels in the fingertips. They become colder and acquire a bluish color. The spasm is quickly replaced by vasodilation;
rheumatoid arthritis– symmetrical damage to small joints, weakness, morning stiffness. Symptoms of damage to the spine and large joints gradually appear - headaches, tingling fingers, crawling sensations, pain when breathing, etc.

Taking medications. Some drugs that affect the autonomic nervous system stimulate sweat production. These side effects have:

propranolol;
pilocarpine;
physostigmine;
antiemetics;
antidepressants.

Hereditary predisposition. It has been established that the tendency to excessive sweat formation is passed on from generation to generation. The reasons for this phenomenon have not been established. People who develop hyperhidrosis for no apparent reason are diagnosed with primary hyperhidrosis" This distinguishes it from secondary hyperhidrosis, which is always associated with diseases.

As you can see, the list of reasons for increased sweating is very extensive. Often, to eliminate hyperhidrosis, it is enough to eliminate the cause that causes it.

Psychogenic hyperhidrosis

Psychogenic hyperhidrosis– increased sweating associated with stressful situations and strong emotions. When stressed and anxious, they are released into the blood large doses adrenaline. This hormone increases activity sympathetic division autonomic nervous system, responsible for the work internal organs, including sweat glands. IN nerve centers a large number of commands are generated, causing the sweat glands to work more intensely.

In people suffering from psychogenic hyperhidrosis, even minor irritants cause severe sweating. For example, if you healthy person if embarrassed, the armpits will only sweat slightly, but the patient’s face may become covered with large drops of sweat, and wet spots will appear on their clothes. This is often accompanied by redness of the facial skin. This feature of the body is probably associated with the increased sensitivity of the receptors responsible for binding adrenaline.

Due to the fact that during sleep the sympathetic nervous system rests and inhibition processes predominate in it, sweating decreases at night.

Causes of psychogenic hyperhidrosis

Psycho-emotional stress– any situation that evokes strong positive or negative emotions in a person.
Acute psychological trauma– a stressful situation that had a short-term impact on the psyche, but left serious consequences.

Chronic psychological trauma when a person has been in an unfavorable situation for a long time due to various factors:

Domestic violence;
Cheating spouse;
Divorce of parents;
Living in a dysfunctional family;
Lack of parental affection.

Neuroses– long-term reversible disorder of mental functions. It is caused by prolonged negative emotions and stress, overwork or serious illnesses. This condition is characterized by a tendency to hysterics. Neuroses are accompanied by autonomic disorders and often sweating.
Asthenia– a psychopathological disorder characterized by various disorders of the autonomic nervous system. The main symptom is chronic fatigue, which is often accompanied by tachycardia, pain in the heart, sweating and depression.
Long-term insomnia, disrupting the balance of excitation and inhibition processes in the nervous system.

Neurocirculatory dysfunction(vegetative-vascular dystonia) a disorder of the nervous system in which the tone of the sympathetic department may be increased or decreased.
Pain. When a patient experiences pain and associated anxiety, adrenaline and catecholamines are released. These substances contribute to the emergence and transmission of impulses, due to which the sweat glands are stimulated, mainly on the palms and soles.

Diagnostics psychogenic hyperhidrosis

To diagnose and treat psychogenic hyperhidrosis, patients with excessive sweating consult a neurologist or dermatologist.

Survey. At the first stage of diagnosis, the doctor collects an anamnesis. He is interested in:

When did the first signs of hyperhidrosis appear?
What preceded them (stress, illness)?
Which areas experience the most sweating?
In what situations does it intensify, is there a dependence on tension and excitement?
Do you have any complaints about night sweats?
Does the patient suffer from sweating all the time or does the problem appear periodically?
How often does the patient have to shower and change clothes throughout the day?
Does any of your relatives suffer from excessive sweating?
Does the patient have acute or chronic illnesses?

Inspection. The doctor visually assesses:

The condition of the patient’s clothing, the presence of sweat stains on it. They primarily appear in the armpit area. Less commonly on the back and in places where skin folds. Based on the size of the spot in the armpit, you can roughly estimate the degree of hyperhidrosis:

norm – up to 5 cm;
mild degree – up to 10 cm;
average degree– up to 15 cm;
severe degree – over 20 cm.

Symmetrical arrangement of spots. Unsymmetrical sweating indicates damage to the nerve fibers of the sympathetic nervous system.
Sweat on your face. Sweating is often limited to specific areas where the sweat glands are better innervated. This is the forehead upper lip. In 70% of patients, an attack of psychogenic hyperhidrosis is accompanied by redness of the facial skin.

The diagnosis of “hyperhidrosis” is established based on the patient’s complaints if excessive sweating disrupts his daily life. In most cases, the doctor makes a diagnosis based on survey data, since it is rarely possible to observe an attack of psychogenic hyperhidrosis with your own eyes.

Psychogenic hyperhidrosis is confirmed by the following signs:

sudden onset;
Patients associate the appearance of hyperhidrosis with acute or chronic psychological trauma;
increased sweating in situations that cause anxiety in the patient;
reduction of sweating during sleep;
relapsing course - exacerbations coincide with periods increased anxiety(session, business trips);
The face, palms and feet sweat the most, less often intense sweating over the entire surface of the body.

Laboratory research. Additional research is needed to rule out diseases associated with sweating.
List of necessary studies and analyses:

biochemical blood test (AST, ALT, glucose, calcium, bilirubin);
blood test for hepatitis B, C and HIV viruses;
blood test for syphilis - Wasserman reaction;

With psychogenic hyperhidrosis, test results are within the normal range– no acute or chronic diseases are detected. If the test results are not satisfactory, the patient is referred for further examination to specialized specialists.

Qualitative and quantitative assessment of sweating

Treatment of psychogenic hyperhidrosis

Treatment of psychogenic hyperhidrosis is aimed at reducing sweating, as well as reducing anxiety, increasing stress resistance and reducing the excitability of the sympathetic part of the nervous system.

Treatment method	Efficiency	How it is produced
Psychological counseling	Up to 70% if you complete the full course. The method helps to identify the problem or situation that caused sweating and resolve it. The psychologist will also tell you how to cope with situations that cause anxiety and teach you techniques for reducing stress. Disadvantages: the course can take up to several months. Requires self-discipline and strict implementation of recommendations.	The patient, together with the psychologist, analyzes the stressful situation and learns to respond adequately to it.
Medication method - sedatives, antipsychotics, tranquilizers and antidepressants	80-90%, provided the drug is correctly selected. The specialist individually selects the drug and dose, which reduces the likelihood side effects. Disadvantages: there are contraindications and serious side effects (lethargy, increased appetite, obesity, addiction). Caution: Some antidepressants increase sweating.	Sedatives funds for plant based(extract of valerian, motherwort, sedavite, soothing herbal mixtures, bromides) are used 3 times a day for 8-10 weeks. If there is no effect, consider prescribing tranquilizers or antidepressants. Tricyclic antidepressants reduce stimulation of sweat glands by the nervous system. Mianserin, lerivon. Dosage from 10 to 30 mg per day. Fluoxetine, Prozac. Dosage 20 mg 1 time per day. The effect of taking antidepressants occurs within 2-3 weeks of use. Course 6-8 weeks. Neuroleptics. Sonapax in daily dose 80-150 mg per day. The dose is increased and discontinued gradually. Tranquilizers prescribed when psychogenic hyperhidrosis is combined with a vegetative disorder. Anaprilin and clonazepam can lead to a decrease in sweating. They are prescribed in dosages from 10 to 80 mg per day. Duration of treatment is from 4 weeks.
Physiotherapeutic methods	70-80%. Sedative methods of electrotherapy restore the balance of inhibitory and excitatory processes in the cerebral cortex. They reduce the number of nerve impulses entering the areas responsible for sweat production. Reduce the level of stress hormones. Disadvantage: procedures can have a temporary effect that lasts from 20 to 40 days.	7-12 procedures are prescribed per course. Electroson. Duration of the procedure is 30 minutes. Pulse frequency 20 Hz. Frequency: every other day. Galvanic collar according to Shcherbak. Current strength up to 15 m A. Duration 7-15 minutes. Daily. in areas of increased sweating. Creates a depot of ions in the skin, which reduces sweat production. Current strength up to 15 mA. Daily or every other day. Pine-salt baths. Water temperature 36 degrees. Duration 15-25 minutes. Daily.
Medical antiperspirants	60-80%. They contain zinc and aluminum salts, salicylic acid, formaldehyde, triclosan, and ethyl alcohol. These connections narrow or block the ducts of the glands, preventing sweat from being released out. In this case, sweat is removed through other parts of the body. Validity period from 5 to 20 days. They contain antibacterial substances that stop the growth of bacteria, preventing the appearance of a specific odor. Disadvantages: they eliminate the manifestations, not the cause of sweating. Blockage of the excretory ducts of the sweat glands can cause swelling and irritation of the skin, inflammation of the sweat glands.	Apply to washed and dried skin at the frequency indicated in the instructions. Antiperspirants are applied after an evening shower and washed off with soap and water in the morning. Active substances remain in the ducts of the sweat glands, ensuring their narrowing.
Botulinum toxin injections – drugs Botox, Dysport, Ipsen, Xeomin	Over 95%. The toxin blocks the nerve endings that innervate the sweat glands. This leads to a complete stop of sweat production in the treated area. Treatment areas: face, feet, palms, armpits. Disadvantages: temporary effect. Repeated injections are necessary after 6-8 months. Possible temporary side effects: muscle weakness and numbness in the injection area. They go away on their own in 3-30 days. High price– from 20 thousand rubles.	Before the procedure, a Minor test is performed to determine the boundaries of the area of increased sweating. A syringe with a thin insulin needle is used to inject the area of increased sweating, injecting botulinum toxin preparations. One procedure is enough to treat hyperhidrosis for 6-8 months.
Laser treatment	About 80%. Using a laser introduced under the skin to a depth of 1-4 mm, the sweat glands are destroyed. In these areas, sweat production will no longer be restored. Suitable for the treatment of hyperhidrosis of the armpits, feet, palms and face. Disadvantages: only those glands that were close to the punctures stop functioning. The high cost of treatment is over 30 thousand rubles.	Determine the zone of hyperhidrosis and carry out local anesthesia. Through punctures with a diameter of 1-2 mm, an optical fiber is inserted to the depth of the sweat glands. With its help, part of the sweat glands is destroyed. A certain amount remains intact, ensuring minimal sweating in the area. During the session, hair follicles are damaged and hair growth in the armpit area decreases.
Local (local) surgery hyperhidrosis	Over 90%. After removal of the sweat gland, there is a lasting, lifelong effect. Suitable for the treatment of axillary hyperhidrosis. Disadvantage: hematomas and fluid accumulations often form at the intervention site. Scars may form at the site of the procedure. Most patients develop compensatory hyperhidrosis, which causes increased sweating of the face, chest, back and thighs. Given the likelihood of complications, surgical treatment is used when other methods are ineffective.	A Minor test is first performed to identify overactive sweat glands. The operation is performed under general anesthesia. Curettage of the axillary area. After 1-2 punctures in the axillary area, a surgical instrument is inserted, with the help of which the sweat gland is “scraped out.” At the same time, the nerve endings are injured. This is the most common local surgical treatment for hyperhidrosis. Excision of the skin of the axillary area. Skin areas are removed, sometimes subcutaneous tissue where the sweat glands are concentrated. This method is indicated for patients who have inflammation of the sweat glands, hidradenitis (“bitch udder”). Liposuction of the axillary area indicated for obese patients. During the removal of fatty tissue, nerve fibers and sweat glands are injured.
Central surgical treatment of hyperhidrosis – sympathectomy	About 100%. The effect is lifelong. During the operation, the sympathetic trunk (nerve fibers) responsible for the functioning of the sweat glands is destroyed. Indicated for severe hyperhidrosis of the armpits and palms. Disadvantages: numbness of the skin in the armpit area. Local complications at the intervention site (hematoma, edema). In 10% of patients, severe compensatory hyperhidrosis develops, which exceeds the initial one.	The operation is performed under general anesthesia. A 5 mm long puncture is made in the 3rd intercostal space. 1 liter of carbon dioxide is injected into the chest in order to displace the organs, giving the surgeon the opportunity to view and manipulate. An endoscopic surgical instrument is inserted through the hole, which is used to destroy (destruct) the nerve ganglia. When treating sweating of the armpits and palms, the centers located at the level of 2-5 thoracic vertebrae are affected. Maybe clipping(applying a clip) to the sympathetic trunk leading to the sweat glands. There are also more gentle methods of destroying the sympathetic trunk using chemicals or high-frequency electric current. However, in these cases, partial destruction of the nerve occurs. Therefore, there is a small chance that the nerve fibers will recover and hyperhidrosis will return.

Also necessary measures that complement the conservative treatment of hyperhidrosis (without surgery) are:

Compliance with personal hygiene rules. Warm or contrast shower 2 times a day, more often if necessary. Daily change of linen, which should consist only of natural fabrics that are breathable and absorb moisture well.
Taking B vitamins: B3 and B5.
General strengthening of the body, including air baths, contrast showers and other hardening methods.
Baths with oak bark decoction 2-3 times a week for 15 minutes. To treat hyperhidrosis in the armpits, you can use gauze pads soaked in a decoction.
Spa treatment. Sea bathing, sunbathing, brine baths (with salt concentrate).

Features of the treatment of psychogenic hyperhidrosis of the armpits, legs and palms

Type of hyperhidrosis	Stages of treatment
Type of hyperhidrosis	1	2	3	4	5	6
Axillary (axillary)	Antiperspirants based on aluminum chloride Dry Control, Odaban, NO SWEAT	Sedative physiotherapy	Injection of the axillary area with botulinum toxin	Systemic treatment sedatives	Curettage of the axillary area	Sympathectomy - destruction of the nerve ganglion or trunk
Palmar (palmar)	Antiperspirants with aluminum chloride more than 30% - Dabomatic 30%, Max F 30% or 35%,	Sedative physiotherapy and iontophoresis	Injection with botulinum toxin		Thoracoscopic sympathectomy
Plantar (plantar)	Aluminum chloride or glycopyrrolate topically Dabomatic 30% Dry Dry 30.5%, Max F 35%	Treatment of feet with preparations containing formaldehyde Formidron Formagel.	Botulinum toxin injection	Systemic treatment with sedatives and anticholinergics

If desired, the patient can skip the second stage and proceed to the third.

Primary hyperhidrosis

Primary hyperhidrosis– increased sweating in the absence of pathologies that may be accompanied active work sweat glands In severe cases, the skin on the face, feet and palms not only becomes wet, but becomes covered with drops of sweat.

Primary hyperhidrosis appears in childhood or adolescence, and after 40 it tends to decrease. This form of the disease has little to do with emotional state and ambient temperature.
Primary hyperhidrosis is often permanent, less often it occurs in attacks. Patients cannot clearly determine what exactly provokes an attack of sweating, since it occurs at rest, at normal temperature, in a well-ventilated room.
Primary hyperhidrosis is predominantly local. It covers one or several areas: feet, palms, armpits, face.

Causes primary hyperhidrosis

The main cause of primary hyperhidrosis is increased excitability nervous system, namely its sympathetic department. A large number of nerve impulses passing through the sympathetic trunks activate the secretion of the sweat glands.

Among the reasons are hereditary predisposition. During the survey, as a rule, it turns out that the patient’s relatives also suffer from excessive sweating.
This feature of the body may be associated with various factors affecting the excitability of the sympathetic nervous system:

high sensitivity of the body to adrenaline and norepinephrine;
high, but within normal limits, level of hormones – sex, thyroid;
features of the functioning of the nervous system, when a large number of nerve impulses are synthesized in the subcortical centers and ganglia of the autonomic nervous system;
an excess of the mediator serotonin, which ensures high conductivity in the trunks of the sympathetic nervous system.

Diagnostics primary hyperhidrosis

Survey. Taking an anamnesis is often the basis for making a diagnosis. The doctor is interested in:

When did sweating first appear?
Do other family members have similar problems?
In what situations does it increase?
How strong is it?
How much does it interfere with everyday life?
What is your general health? Do you have any chronic diseases?

Your doctor may use various hyperhidrosis quality of life questionnaires for people with axillary sweating.

Factors confirming primary hyperhidrosis:

early onset of the disease, in childhood or adolescence;
Other relatives also suffer from excessive sweating;
there is no clear connection with strong emotions and stress;
sweating is symmetrical, usually the disease affects the feet, palms and armpits. Less often the whole body;
There is no heavy sweating during sleep. Night sweats indicate other diseases and require additional diagnostics;
there are no signs of infectious or other acute and chronic diseases.

Inspection. During the examination, the dermatologist may identify:

sweat stains on clothes;
diaper rash and rashes in areas of sweating;
in some cases, drops of sweat are found on the skin.

These signs are present in all forms of hyperhidrosis, so examination does not make it possible to determine the form of the disease, but only confirms its presence.

Laboratory research:

general blood analysis;
biochemical blood test (AST, ALT, glucose, calcium, bilirubin);
blood test for hepatitis B, C and HIV viruses;
fluorography or x-ray of the lungs;
blood test for syphilis - Wasserman reaction;
blood test to determine glucose levels;
blood test for thyroid hormones (T3, T4, TSH, parathyroid hormone);
general urine analysis.

With primary hyperhidrosis, test results do not exceed the norm.
Qualitative and quantitative methods for assessing sweating

In practice, determining the amount of sweat produced during hyperhidrosis is not very important. Therefore, quantitative methods for assessing hyperhidrosis are rarely used. The most requested is the Minor test.

Treatment primary hyperhidrosis

Treatment is prescribed based on how much discomfort the disease causes a person.

Treatment method	Efficiency	How it is produced
Medication	About 60%. Anticholinergic drugs block the transmission of excitation from postganglionic nerve fibers to sweat and other glands. Due to this, sweating is reduced. The effect appears on the 10-14th day of taking the drug. The course of treatment is 4-6 weeks. Disadvantages: Large doses are required to treat sweating. Anticholinergics have an extensive list of contraindications and side effects after taking the drugs.	Natural anticholinergics drugs Bellataminal or Bellaspon. 1 tablet 3 times a day. Synthetic anticholinergics Atropine – 1 mg twice a day. Scopolamine in solution - 0.25-0.5 mg. Deprim Forte 1 capsule 1-2 times a day.
Physiotherapeutic methods - iontophoresis	Up to 70%. Exposure to low voltage current and constant frequency temporarily narrows the channels of the sweat glands at the site of exposure. The accumulation of aluminum and zinc ions in the skin causes a temporary narrowing of the sweat gland ducts. Used to reduce sweating on the palms and soles. Disadvantages: requires regular use. Repeated courses in 3-4 months.	To reduce sweating of the feet and palms, use baths filled with tap water. Under the influence of low voltage current, ions penetrate into the skin. The effect of current on the receptors causes a reflex narrowing of the gland ducts. Iontophoresis with tap water and electrophoresis with local anticholinergics showed equal effectiveness.
Medical antiperspirants	Up to 70%. The compounds penetrate into the mouths of the sweat glands and create an insoluble sediment there, which causes a narrowing or temporary blockage of the excretory duct. Disadvantages: risk of developing irritation and hidradenitis. Temporary effect from 5 to 50 days.	Prepare the skin. Hair in the axillary area is shaved. It is important that the skin is clean and dry, otherwise burning and irritation will occur. The drug is applied at night, when sweating is minimal, and the residue is washed off in the morning.
Injections of botulinum toxin preparations (Botox, Dysport, Ipsen, Xeomin)	About 95%. Are considered best method treatment if antiperspirants and physiotherapy are ineffective. The drugs disrupt the transmission of acetylcholine, which blocks the passage of impulses along the nerve fibers to the sweat gland. Disadvantages: temporary effect up to 8 months. In rare cases, side effects develop - temporary paralysis of the facial muscles, muscle weakness of the arms. In patients with high titers of antibodies against botulinum toxin, injections are not effective.	The perimeter of the hyperhidrosis site is injected with botulinum toxin. Preparations based on it are identical and have the same effect. The doctor determines the dose individually. After 1-3 days, the conduction of impulses going to the sweat glands is blocked, and sweat production stops for 6-8 months.
Laser treatment	Up to 90%. The thermal energy of the laser destroys the cells of the sweat gland and hair follicles. Flaws. High cost of the procedure. There is an insufficient number of laser installations and specialists performing this procedure.	They do a Minor test. Local anesthesia of the area is performed. A hollow needle is inserted to a depth of several mm, through which an optical fiber passes. The laser beam destroys the sweat glands. A small part of the glands remains unaffected and continues to function, this avoids compensatory hyperhidrosis.
Local (local) surgical treatment	Up to 95%. The operation is performed on the axillary area. The surgeon removes the sweat gland, or part of the skin and fatty tissue. Disadvantages: there are contraindications. Traumatic. Needs care postoperative scars. There is a risk of complications: hematomas, growth of scar tissue.	Curettage axillary zone. Through a puncture with a diameter of less than 1 cm, a curette (surgical spoon) is inserted, with the help of which the sweat gland is removed. Liposuction. Removing part of the fatty tissue allows you to destroy the nerve fibers and stop the activity of the sweat glands.
Central surgical treatment – percutaneous or endoscopic sympathectomy	About 95%. With percutaneous up to 80%. Using electric current, laser, chemicals or surgical endoscopic equipment, the doctor damages or completely destroys the nerve fibers that transmit impulses to the sweat glands. Disadvantages: swelling, hematoma, risk of developing scars that impede movement, drooping eyelids. In 50% of those operated on, compensatory hyperhidrosis develops - sweating of the torso, thighs and inguinal folds appears. In 2% of cases this causes more discomfort than primary hyperhidrosis. Based on this, sympathectomy is recommended for patients with secondary hyperhidrosis when there is no other option to cure the disease.	Endoscopic surgery. Through a puncture in the axillary area, an endoscope is passed with a surgical instrument. With its help, the surgeon cuts the sympathetic trunk or places a clamp on it - a clip - to prevent impulses from the nerve ganglia to the sweat glands. During percutaneous surgery The doctor inserts a needle into the area near the spine. Next, he destroys the nerve with electric current or chemical means. However, in this case, he cannot see the nerve itself. This causes ineffectiveness of the procedure and damage to nearby organs. Open surgery

Features of the treatment of primary hyperhidrosis of the armpits, legs and palms

Type of hyperhidrosis	Stages of treatment
Type of hyperhidrosis	1	2	3	4	5
Axillary (axillary)	Medical antiperspirants MAXIM 15%, KLIMA 15%, AHC20 classic 20%			Local surgical treatment – removal of sweat glands	Central surgical treatment: sympathectomy
Palmar (palmar)	Treatment of aluminum with Dabomatic chloride 30%, Max F 30% or 35%,	Injections Botox, Dysport, Ipsen, Xeomin	Systemic drug treatment with anticholinergics		Central surgical treatment - sympathectomy
Plantar (plantar)	Treatment of aluminum with chloride "DRYDRAY" 30.5%, foot powder "ODABAN" 20% Dabomatic 30% Dry Dry 30.5%, Max F 35%, Teymurov paste	Treatment with formaldehyde preparations, liquid Formidron, Paraformbetonite powder.	Botulinum toxin injections	Systemic drug treatment with anticholinergics

Endocrine hyperhidrosis

Endocrine hyperhidrosis– increased sweating that accompanies diseases of the endocrine glands. At the same time, the patient suffers from generalized hyperhidrosis when sweating increases throughout the body.
At endocrine pathology the level of hormones in the blood of patients increases. These substances have several mechanisms to control the sweat glands:

directly affect the thermoregulation center;
increase excitability and conduction of impulses along the sympathetic fibers of the nervous system;
enhance metabolism;
dilate blood vessels and increase blood flow, bringing more fluid to the sweat glands.

Causes endocrine hyperhidrosis

Diagnostics endocrine hyperhidrosis

Survey. At the appointment, the doctor will ask a standard list of questions:

When did the sweating start?
What are the circumstances surrounding its appearance?
In what areas is it most pronounced?
In what situations do seizures occur?
Are evening and night sweats common?
What is your general health? Are there any chronic diseases?

Characteristic signs of endocrine hyperhidrosis:

generalized sweating throughout the body;
sweating increases in the evening and at night;
symmetrical arrangement of sweating zones;
attacks of hyperhidrosis have little to do with nervous or physical stress;
The attacks are so severe that you have to change clothes.

It is important for the patient to report symptoms chronic diseases: hot flashes, rapid heartbeat, dry skin and wounds that do not heal for a long time, increased amount of urine. This will help the doctor correctly diagnose and prescribe treatment or refer for additional examination to identify hidden pathologies.

Inspection. During examination, the doctor may identify the following signs:

sweating areas are located symmetrically;
the majority have generalized sweating - over the entire surface of the body;
redness of the skin of the face and body associated with the expansion of superficial capillaries.

Laboratory diagnostics
In addition to general tests (fluorography, general and biochemical blood tests, general urinalysis) great importance pay attention to determining the level of glucose and hormones.

The following test results may indicate endocrine hyperhidrosis:

Blood test to determine glucose level - over 5.5 mmol/l;

Blood test for thyroid hormones

Free hormone T3 (triiodothyronine) – over 5.69 pmol/l;
Free hormone T4 (thyroxine) – over 22 pmol/l;
Thyroid-stimulating hormone (TSH) – over 4.0 µIU/ml;
Parathyroid hormone – over 6.8 pmol/l;

Test for sex hormones (for women and men)

Follicle-stimulating hormone (FSH) – for women less than 1.2 mU/l (the phase of the menstrual cycle must be taken into account), for men less than 1.37 mU/l;
Estradiol/estrone index – less than 1;
Inhibin – less than 40 pg/ml for women, less than 147 pg/ml for men;
Testosterone-estradiol-binding globulin or SHBG – less than 7.2 nmol/l. ml for women, less than 13 nmol/l for men.

Qualitative and quantitative methods for assessing hyperhidrosis are rarely used in the endocrine form of the disease. Due to the low information content and labor intensity of the procedure.

Treatment endocrine hyperhidrosis

Endocrine hyperhidrosis is treated by an endocrinologist, together with a dermatologist. The basis of treatment is hormonal therapy to restore normal functioning of the endocrine glands. Other methods are aimed at alleviating the condition of patients, but they do not eliminate the cause of the disease.

Treatment method	Efficiency	How it is produced
Medical antiperspirants	About 60%. The components of antiperspirants narrow the ducts and slow down the work of the sweat glands. Disadvantages: risk of developing irritation and suppuration of the sweat glands in people with low immunity. Allergy development is possible.	Antiperspirant (aerosol, sticker, powder, cream) is applied in the evening to intact skin. Before application, the body is washed with soap, and areas of hyperhidrosis are dried with dry wipes or a hairdryer. In the morning, wash off any remaining product with warm water and soap. The frequency of repetition of the procedure is indicated in the instructions (every other day, once a week).
Physiotherapeutic methods	60-70%. Under the influence of low-frequency current, a reflex contraction of the ducts of the sweat glands and blood vessels of the skin occurs. This leads to decreased sweating. Disadvantages: often the effect is not pronounced enough. The action ends after a few days.	The baths are filled with tap water and connected to an iontophoresis apparatus. Water is a conductor of current and a source of ions. The immersed parts of the body are exposed to a galvanic current, and the ions are deposited in the skin for several days. The procedures are carried out every other day, 7-12 per course.
Botulinum toxin injections (Botox, Dysport, Ipsen, Xeomin)	95%. The toxin disrupts the conduction of nerve impulses that control the functioning of the sweat gland. Disadvantages: 5% of people are insensitive to botulinum toxin. The procedure may cause a feeling of numbness and muscle weakness. With endocrine hyperhidrosis, sweating often occurs throughout the body. Therefore, piercing individual areas does not bring significant relief.	Using the Minor test, the limits of sweating are determined. Then they are injected with the drug. The manipulation is carried out using a thin insulin needle with a step of 2 cm. After 1-2 days, the toxin blocks the nerve fibers and the glands stop working.
Local surgical treatment	95%. It is used to treat local hyperhidrosis of the armpits and palms, which is rare in the endocrine form. Disadvantages: traumatic. Not effective for sweating all over the body.	Removal of individual sweat glands - curettage. Removal of subcutaneous fat, which damages the nerve fibers leading to the glands. After such an intervention, sweating significantly decreases or stops completely.
Central surgical treatment – sympathectomy	85-100%. With percutaneous up to 90%. The doctor damages or completely destroys the nerve nodes that transmit impulses to the sweat glands. Indicated for hyperhidrosis of the armpits and palms. Disadvantages: swelling, hematoma, risk of developing scars that impede movement. In 50% of those operated on, compensatory hyperhidrosis develops - sweating of the torso, thighs and inguinal folds appears. In 2% of cases this causes more discomfort than primary hyperhidrosis. Based on this, sympathectomy is recommended for patients when it is not possible to cure the chronic disease that causes sweating.	The intervention is performed under general anesthesia. Endoscopic surgery. For palmar hyperhidrosis, surgery is performed on the D2-D4 segment (ganglia near the 2-4 vertebrae of the thoracic spine). In the axillary – on the D3-D5 segment. For palmar and axillary – on the D2-D5 segment. For plantar hyperhidrosis, sympathectomy is not performed due to the risk of postoperative sexual disorders. During percutaneous surgery The doctor inserts a needle into the area near the spine. Next, he destroys the nerve with electric current or chemical means. However, in this case, he cannot see the nerve itself. This causes the procedure to be ineffective and the risk of damage to nearby organs. Open chest surgery with cutting the chest, it is practically not used due to the high level of traumatism.

The drug method for endocrine hyperhidrosis is not used, since anticholinergic drugs can worsen the patient’s condition.

Features of the treatment of endocrine hyperhidrosis of the armpits, legs and palms

Type of hyperhidrosis	Stages of treatment
Type of hyperhidrosis	1	2	3	4	5
Axillary (axillary)	Medical antiperspirants MAXIM 15% KLIMA 15% BONEDRY 20% Everdry	Botulinum toxin injections. Preparations Botox, Dysport, Ipsen, Xeomin	Iontophoresis with tap water	Removal of sweat glands - curettage	Sympathectomy – destruction of the nerve ganglion
Palmar (palmar)	Medical antiperspirants: KLIMA, Everdry, Active Dry, Odaban 30%	Botulinum toxin injections	Iontophoresis with tap water	Sympathectomy for nerve ganglion destruction
Plantar (plantar)	Antiperspirants DRYDRAY 30.5%, foot powder ODABAN 20%	Treatment with formaldehyde preparations Formidron, Paraformbetonite powder.	Botulinum toxin injections	Iontophoresis with tap water

Prevention of hyperhidrosis

Wearing loose clothing made from natural fabrics. Sweat stains are less noticeable on dark-colored items or clothes with small prints.
Wearing “breathable” shoes, and open ones in the summer.
Use of special antibacterial insoles and liners.
Fighting flat feet. Irregular foot structure is accompanied by increased sweating.
Cold and hot shower 2 times a day for general hyperhidrosis. Baths with contrast water 2-3 times a week for local hyperhidrosis. Changing temperatures improves blood circulation in the skin and helps narrow the ducts of the sweat glands.
Baths or applications with decoctions of medicinal herbs containing tannins and stopping the growth of bacteria. They use oak bark, celandine, and mint.
Baths with potassium permanganate (potassium permanganate). Every other day or 2-3 times a week. Duration 15 min.
Taking vitamins. Vitamins A, E, and B group affect the skin and sweat glands.
Taking sedatives to normalize the functioning of the nervous system. Valerian, motherwort, and ankylosing spondylitis reduce nervous stimulation of the sweat glands.
Treatment of chronic diseases that cause sweating.

Let's summarize. According to experts, the most effective method of treating local hyperhidrosis (armpits, palms, feet) is the administration of botulinum toxin. Its effectiveness is over 90%, and the likelihood of side effects is minimal compared to other methods. The cost of such treatment for hyperhidrosis starts from 17-20 thousand rubles.

Good afternoon, dear readers! Do you know what hyperhidrosis is? This is a disease accompanied by profuse sweating. Treatment for hyperhidrosis depends on its origin, causes and symptoms.

Sweating is considered a normal physiological process that accompanies a person throughout his life. Due to the work of the sweat glands, the human body maintains normal temperature bodies.

For example, during active physical activity, excessive consumption liquids, when playing sports, when spending a long time in the sun - a person sweats, his body heats up and the sweat glands, thus, contribute to the thermoregulation of the body.

At normal level sweat glands work, the person does not experience discomfort, personal hygiene products cope with this problem perfectly. But the article will talk about the disease of excessive sweating - hyperhidrosis. This disease is very delicate and problematic, it causes a lot of inconvenience and affects the quality of life.

Of course, he needs to be treated. People suffering from this disease constantly think about how to get rid of this disease, how to treat it, who to turn to?

Types of hyperhidrosis disease

Before talking about treatment methods, it should be noted that depending on the prevalence on the body, there are:

Local, when there is increased sweating of the armpits, feet, head, palms, face;
Generalized (when the whole body sweats heavily).

Due to development, excessive sweating is primary, i.e. Excessive sweating is observed for no apparent reason, and secondary when the disease is a symptom of some other disease. The second option is the most common.

In addition, pathological sweating is classified according to the intensity of the disease (mild, moderate, severe) and frequency (constant, seasonal, intermittent). Watch the video on how to recognize hyperhidrosis. Test.

By origin, hyperhidrosis occurs:

Thermoregulatory - when sweating is a way of cooling the elevated temperature of the human body, carried out by the body in an autonomous mode;
Psycho-emotional - psychological reasons associated with emotional arousal;
Food – increased sweating is observed after eating spicy foods or alcohol. Expressed mainly on the face.
Spontaneous - suddenly occurring increased sweating, caused by psychogenic factors;
Pharmacological – caused by taking medications that affect the state of the somatic nervous system.

What causes contribute to the development of hyperhidrosis?

Diagnosis of the secondary degree of the disease includes quite wide list research. Most often, the patient cannot associate his underlying diseases with the symptom of excessive sweating. People suffering from this disease should pay attention to the following diseases:

Diseases endocrine system: diabetes mellitus, pheochromocytoma, acromegaly, increased thyroid function;
Infectious diseases: malaria, brucellosis, helminthiases, sepsis, tuberculosis, HIV;
Pathologies of the nervous system: panic attacks, phobic disorders, vegetative-vascular dystonia, Parkinson’s disease, etc.;
Diseases of the cardiovascular system: hypertensive and ischemic disease hearts;
Tumors;
Kidney diseases;
Poisoning with organophosphorus compounds or fungi;
Genetic diseases;
Alcoholism and drug addiction.

Watch the video: treatment of hyperhidrosis.

In order to identify the cause, it is necessary to undergo a full examination by an infectious disease specialist, oncologist, neurologist, and endocrinologist.

The primary type of sweating is most often diagnosed in girls and women aged 15 to 30 years. Expressed in increased sweating on the palms and soles of the feet. Most often, the disease has a chaotic periodicity, but without lack of treatment it can take a chronic form.

Causes of primary hyperhidrosis in women:

Increased number of sweat glands on the body;
Reaction to external stimuli of the autonomic somatic system (stress, heat, physical activity);
Increased sensitivity of the endocrine glands to female sex hormones, which are produced by the adrenal glands in stressful situations;
Independent supply of nerve fibers to the sweat glands of the axillary, plantar and palmar areas.

In addition, the primary form is always accompanied psychological disorders. The patient experiences constant feeling anxiety, sleep disturbances, emotional imbalance, but does not connect these problems with the ongoing symptoms of the disease. Diagnosis often reveals a genetic predisposition.

How to treat hyperhidrosis at home

Self-treatment of hyperhidrosis can last several months; if the measures you take do not produce results, consult a doctor. So what can you do?

Strict adherence to the diet. Eliminate spicy foods, alcohol, tea and coffee, carbonated drinks, chocolate, and cocoa from your diet. Theobromine contained in these products causes increased sweating.

Eliminate synthetic clothing from your wardrobe and do not wear clothes that fit tightly to your body. Change things every day. Do not wear tight shoes; it is advisable to purchase leather shoes.

The use of medical antiperspirants that inhibit sweating. Among them: “Drisol”, “Maxim”, “Odoban”, “Dry dry”. The price of each of them is from 500 to 1000 rubles.

For appointment drug treatment It's better to see a doctor. Most often prescribed: tropin, propranolol, klonopin, Prozac. The drugs have side symptoms such as dry skin, eyes, nausea, and glaucoma. Therefore, they are not suitable for everyone.

Since sweating is directly related to a person’s emotional state, psychotherapy methods are often used as treatment. Some medical centers even offer hypnosis treatment. If you decide to seek the help of a psychotherapist, he advises you to attend individual sessions.

Inpatient treatment of hyperhidrosis and remedies

Inpatient treatment is most often associated with physiotherapeutic procedures. Let's look at what procedures medical centers can offer us to combat excessive sweating:

Electrophoresis. First of all, electrophoresis and iontophoresis are used. What is electrophoresis? Electrophoresis is a device with electrodes, under the influence of an electric field, necessary substances penetrate the human skin and are distributed throughout the body (ions and cations with the drug). Electrophoresis can be purchased independently in stores medical equipment and use at home. It is also effective in the treatment of hyperhidrosis of the head and face.

Iontophoresis carried out using a drionic - a portable physiotherapeutic device. Warm water is poured into its cuvettes with aluminum plates, and felt pads are placed on top. Under the influence of current, aluminum ions enter the ducts of the sweat glands and block the release of sweat.

After a month and a half, the effect disappears and sweating returns. For achievement good result the procedures must be repeated for 10 sessions, and then the effect must be maintained once a week. Considering the cost of treatment, approximately 3-5 thousand rubles, the treatment cannot be called inexpensive. Iontophoresis is used for sweating throughout the body; there are special felt pads under the armpits, for the arms and legs.

Botox and Dysport. In cosmetology, drugs based on botolutoxin (Botox and Dysport) have long been used, due to its property of interrupting the connection between muscles and nerve cells. It also does a great job of blocking sweat glands. Botox injections are a very popular treatment for hyperhidrosis. The procedure takes only 30 minutes, and the effect lasts up to six months. The cost of treatment will cost 30-40 thousand rubles.

Surgical treatment of hyperhidrosis

Suffering from excessive sweating, which affects the quality of life, of course, you want to get rid of it as soon as possible. For those who want to quickly forget about their illness, modern medicine offers the following procedures.

Sympactectomy

The nerves of the sympathetic nervous system leading to the sweat gland are clamped with a special clip. The operation lasts no more than an hour, and increased sweating disappears immediately. 85% of patients experience complete recovery.

Curettage

Curretage is a treatment for underarm hyperhidrosis surgical method. A radical treatment method involves removing the sweat glands. An incision is made below the axillary area and the glands are scraped out. The operation is performed under local anesthesia and is therefore painless for the patient.

Skin flap removal

In the area most susceptible to sweating, a piece of skin is removed. The more skin removed, the better the results. The method is truly radical, because removing the skin can lead to scarring.

Laser treatment

Laser treatment is one of the most effective methods of treating the disease. Using the iodine-starch test, the problem area that needs to be treated first is determined. This is the difference laser treatment from previous methods aimed at treating armpits.
Watch the video on laser treatment of hyperhidrosis:

Next, a puncture is made in the skin through which the optical fiber is inserted. Laser ray damages the membranes of sweat cells. Laser treatment has many advantages:

painlessness;
no consequences in the form of scars and cicatrices;
permanence.

One procedure is enough to forget about this problem forever. In rare cases, a repeat procedure is required. However, there are contraindications for laser treatment:

pregnancy and lactation period,
allergic reactions,
chronic diseases,
poor blood clotting,
inflammatory processes.

The procedure requires tests and a preparatory period. After the procedure, bruises may be observed in the puncture area, which gradually resolve. After a few years, the puncture site is completely healed and no scars remain. The cost of treatment varies between 10-15 thousand rubles.

Traditional methods of treating hyperhidrosis

Traditional medicine is rich in its recipes and has more than once saved humanity from various ailments. Many people of the old school still deny medicine and trust only traditional methods of treatment. But is traditional treatment effective in the fight against excessive sweating? Let's consider recipes, the effectiveness of which is confirmed by people's reviews on how to treat hyperhidrosis of the feet, hands and body.

Boric acid. Rub with powder boric acid feet and leave overnight. Be sure to wear warm socks over the top. In the evening, rinse with water and wash your feet well. By repeating this procedure every day, after a month you can forget about sweating feet. It is best to wash your feet with cold water.

Decoction of oak bark. Pour 100 grams of oak bark with one liter of boiling water. Bring to a boil over low heat and let it cool, be sure to strain. The resulting decoction can be used as a foot bath. Oak bark powder can be used in the same way as boric acid powder: rub your feet and leave overnight.

Medicinal herbs. Herbs can be added to socks and worn on clean feet at night. Wheatgrass, barley and oat straw are suitable. Socks should be changed in the morning. By using herbs daily, you will notice improvements within 2-3 weeks.

Baths with chamomile. Pour 7 tablespoons of chamomile into two liters of boiling water. The cooled broth can be used as a bath for feet and hands. Chamomile moisturizes and soothes the skin.

A decoction of sage and nettle. Add a spoonful of a mixture of nettle and sage herbs to half a liter of boiled water. Take 1 spoon internally 3 times a day for no more than a month.

Alcohol tincture of horsetail. Add a spoonful of horsetail herb to 10 tablespoons of vodka and 5 tablespoons of alcohol. Leave in a dark place for a week. Then dilute the tincture with water so that the volume doubles. Lubricate problem areas of the body with the resulting solution.

Acetic acid. Some sources indicate the usefulness of wiping with acetic acid after showering. 2% essence is harmless to the human body.

Valerian, motherwort. Considering that very often psychological reasons are the cause of hyperhidrosis, the use of soothing tinctures will be beneficial.

Tincture of birch buds or walnut leaves . To prepare the tincture, you need to dilute 1 spoon of buds or leaves in boiled water 1 to 10. The resulting solution can be used to wipe problem areas of the skin.

Rubbing your armpits with lemon or baking soda. Our ancestors also suffered from excessive sweating, but they were not familiar with modern treatment methods. What did they do to avoid sweating too much? There are two known methods: rubbing the armpits with lemon or baking soda. Using these methods, you will protect yourself from sweating all day long. Kombucha helps get rid of the foul odor of sweat.

Strong tea baths. Baths of strong tea or table salt. Salicylic acid solution also removes sweaty hands. If you suffer from excessive sweating of your hands, add a drop of alcohol to your liquid soap.

Treatment of hyperhidrosis in children

In a newborn, thermoregulation processes are just developing, so the slightest increase in body temperature leads to increased sweating. The optimal air temperature for the normal well-being of a child under 3 years old is 20 degrees Celsius. Increased sweating is also observed in children due to sleep disturbances, fatigue, low air humidity and insufficient water intake.

Treatment for hyperhidrosis in children depends on the cause of the disease. Among them:

Vitamin deficiencyD. Symptoms: sweating during sleep and feeding, scalp toothache. Treatment: replenishment of vitamin deficiency.
Colds and infectious diseases . Increased sweating is associated in this case with increased body temperature. Requires immediate treatment.

Lymphatic diathesis . Symptoms: enlarged lymph nodes. Treatment is prescribed only by a doctor. Most often prescribed: physical therapy, limiting sweet foods, maintaining hygiene.
Cardiovascular diseases. Symptoms: cold sticky sweat. Treatment is prescribed only by a pediatric cardiologist.
Hyperthyroidism. In other words, increased functioning of the thyroid gland. Symptoms: sudden weight loss or gain, rapid heartbeat. Most often it is of the nature of primary hyperhidrosis. Associated with genetics or a disorder of the nervous system. Treatment is prescribed by a doctor.

Prevention. Do's and Don'ts for Excessive Sweating

First of all, a person suffering from hyperhidrosis or to prevent it must strictly observe the rules of personal hygiene:

take a shower 2 times a day,
change underwear and socks every day,
change bed linen once a week,
change the pillowcase every 3-4 days,
use antiperspirant.

Wipe problem areas of the skin with a paper towel. A cloth body towel should be washed as often as possible. You should also avoid spicy foods that cause sweating. Eat more vegetables and fruits and be sure to take a vitamin complex.

It's no secret that people with overweight sweat more often and more than slim people. Therefore, if you are faced with such a problem, take care of your weight. You should also not abuse alcohol, it leads to stimulation of blood flow.

Rid yourself of stressful situations. Take if necessary sedatives. Pharmacies often offer anti-sweating medications, the effectiveness of which has not been proven. Do not buy advertised products.

If you notice that treatment for hyperhidrosis at home and preventive measures do not cope with the disease, then you are faced with the question: which doctor should you contact? First of all, you need to visit a therapist who will give directions for necessary tests and will refer you to an endocrinologist and neurologist.

Be healthy!

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Excessive hyperhidrosis refers to unpleasant symptoms accompanied by profuse sweating on the hands, armpits, face and other parts of the body. The problem requires careful diagnosis. You can understand how to get rid of sweating only after finding out the reasons and determining the area of greatest damage.

To identify the disease and prescribe the correct treatment for sweating, it is better to consult a therapist.

Who to contact?

The first person to examine a sweating patient is a general practitioner. After the examination, he will prescribe a full range of tests, the results of which will require consultation with specialists. The list of doctors is presented as follows:

Endocrinologist. Heavy sweating is a symptom of many diseases of the endocrine glands, such as thyrotoxicosis, diabetes mellitus, and menopause.
Dermatologist. Consultation is necessary, since the pathology relates to skin diseases, which are his specialization.
Oncologist. More often, sweating is the only symptom of the early stage of acromegaly, carcinoma.
Phthisiatrician The doctor helps to get rid of tuberculosis.
Infectious disease specialist. Seeing a doctor is important for hepatitis, ARVI, influenza, malaria.
Neurologist. The doctor treats Parkinson's disease and other neurological disorders accompanied by hyperhidrosis.
A narcologist is a doctor who will tell you how to get rid of the problems that arise when you withdraw from alcohol and drugs.
Psychologist, psychiatrist, psychotherapist. Specialists treat psycho-emotional disorders with consultations.
Toxicologist. Consultation is necessary in case of poisoning with various potent substances.
Cardiologist. The treatment is relevant for diseases of the cardiovascular system.

Treatment of excessive sweating

In most cases, a diagnosis of the causes of excessive sweating is required. Effective treatment of hyperhidrosis involves eliminating the underlying disease together with alleviating unpleasant symptoms.

In the list of necessary measures, area specialists include the following steps:

Maintain personal hygiene. Wash at least twice a day using antibacterial soap. Regular change of underwear, clothes, and bedding is required.
Use of local protective equipment. Special group antibacterial deodorants and antiperspirants, antiseptic "Malavit", are designed not only to mask the pungent odor of sweat, but also to reduce its production.
Wearing light, loose clothing made from natural fabrics.
Normalization of the performance of the autonomic nervous system. Treatment methods include hydrotherapy, sports, hardening, taking Grandaxin, reducing the use of psychostimulants (coffee, nicotine, alcohol), and vitamin therapy.
Conservative or surgical interventions(of necessity).

Nutrition

There are many products that increase sweating.

Pathology can be provoked by certain products. These include:

seasonings in the form of pepper, salt, ginger, coriander;
caffeine, which is found in tea, coffee, chocolate, and energy drinks;
alcohol;
garlic, ketchup, legumes;
pork.

buckwheat grain;
carrots, kohlrabi;
greenery;
figs

It is important to enrich the body with calcium, since it is this microelement that is actively removed from the body along with sweat.

Psychotherapeutic measures

Nerves are one of the reasons for excessive sweating.

If sweating is associated with a nervous disorder, or serious disease Led to prolonged depression, consulting a psychotherapist won't hurt. The doctor will teach you how to control emotions and avoid stress.

After consultation with a psychotherapist, a decision can be made to prescribe a tranquilizer. The medication is taken to suppress or reduce the severity of anxiety, anxiety, fear, and psycho-emotional tension.

How to get rid of sweat using antiperspirants?

There are a number of special ones, produced in the form of sprays, lotions, and roll-on applicators, that allow you to effectively control the intensity of sweating. Cosmetologists and dermatologists warn that any effective topical remedy for excessive sweating has some caveats:

antiperspirants block sweat production, so the products are not recommended for use in the hot season;
sweat deodorants are not recommended during physical activity.

ethanol;
salicylic acid;
formaldehyde;
zinc and aluminum salts.

According to the test results of R.P. Quartrale, described in Antiperspirants and Deodorants: The Mechanism of Antiperspirant Action in Eccrine Sweat Glands, aluminum chloride salts in the form of solid antiperspirants with temporary closure of sweat ducts. Effective treatment of hyperhidrosis depends on the concentration of the drug.

Aldehydes, such as Formagel, glutaraldehyde, methenamine, block sweat centers. Available in the form of talc and deodorant, which stop high sweating. The most popular baby sweat powders. Denatured keratin is included in soaps and powder preparations. The product closes the ducts of the sweat glands.

Treatment methods for hyperhidrosis with medications

All medications have a number of side effects.

Each group of drugs includes oral drug, which is capable of:

stop excessive sweating;
control the processes of profuse sweat secretion in the upper and lower extremities.

Doctors warn that medications for hyperhidrosis can cause a number of side effects, such as decreased visual acuity and dry mouth. Drugs for symptomatic treatment are included in the following list:

sedatives;
belladonna alkaloids;
Botox injections;
"Grandaxin"

Medicines for body sweating are selected by the doctor strictly individually, based on the results of the examination and the patient’s medical history.

External means

There are a large number of products for external treatment of sweat glands.

The following proven recipes from cosmetologists will help to effectively eliminate the pungent odor and stop sweating:

Rubbing areas with strong sweating with decoctions of alder cones, oak bark, white willow, snakeweed root, or infusions of horsetail, mint, St. John's wort.
Treat sweat-affected areas with a mixture of lavender and lemon water.
Daily wiping of the face with 2% resocin alcohol.
Wiping areas with strong sweating with a mixture of table vinegar, 4% boric acid solution, and perfume.
Mandatory armpit toilet with antibacterial soap in the morning and evening hours. After thoroughly drying the skin from sweat and moisture, you need to treat it with one of the above products, you should use a special baby powder.
Applying Teymurov's paste to clean, washed feet. Anti-sweat formagel can be used as an alternative. The course of treatment is up to 4 days.
Contrast baths with alternate immersion of limbs in hot and cold water. The course of treatment is 10 days.
Hands should be treated with tannin and zinc oxide powder.
The disinfectant “Malavit” is widely used against wide range action, produced in the form of a solution for rinsing, irrigation, baths. Used only in diluted form.

Botox injections

I. Tsurkan, leading specialist at the Beauty Laboratory clinic, recommends injections. The injections are intended to temporarily stop the functioning of the nerve responsible for the secretion of sweat in the armpits. Treatment of excessive hyperhidrosis with this method is painful. But a person stops sweating for a maximum of 6 months.

Physiotherapy

Physiotherapy helps a person not sweat for a while.

Treatment is carried out by another popular technique - iontophoresis. The essence of the method: cauterization of sweat glands with ions under the influence of electric current. But if the increased sweat production is particularly intense, the technique is preventive in nature. Other well-known physiotherapeutic procedures to stop sweating are:

aqueous electrophoresis;
climatotherapy;
hydro baths;
electrotherapy;
sanatorium treatment.