Treatment of hyperhidrosis

Hyperhidrosis is a condition characterized by excessive sweating that exceeds the physiological need for thermoregulation. It can affect various parts of the body, including the armpits, palms, soles, and even the face, often causing significant psychological and social stress.

Consultation of a dermatologist in case of hyperhidrosis

Specialists of the Center for Dermatology and Cosmetology at MN "Dobrobut" recommend seeking a consultation if the patient has:

• Excessive sweating lasts more than 6 months for no apparent reason;

• Hyperhidrosis interferes with daily activities;
• Sweating occurs during sleep;
• Other symptoms occur, such as pain, numbness, or coldness in the extremities.

These symptoms may indicate the need for serious medical intervention and further investigation to determine the appropriate treatment.

Excessive sweating can seriously affect daily life, limiting personal and professional interactions, and reducing quality of life.

Diagnosis of hyperhidrosis

Diagnosis of this disease begins with a thorough medical history and physical examination by a dermatologist at MM Dobrobut. The key diagnostic methods are:

• Test with iodine and starch (Minor's test), which visualizes active sweating zones. Additionally, you may need:
• Blood tests to exclude endocrine disorders;
• Thermoregulatory tests to assess the function of the sweat glands.

Methods of treatment

Treatment of hyperhidrosis can be divided into conservative and invasive methods:

Conservative (medication) treatment includes:

• Antiperspirants containing aluminum compounds that temporarily block the sweat ducts;
• Medications, such as anticholinergics (e.g., glycopyrrolate), which reduce the stimulation of the sweat glands.

Invasive methods include:

• Ionophoresis: a procedure that involves passing a weak electric current through a water bath in which the hands or feet are immersed.
• Botulinum toxin therapy: injections of botulinum toxin block the nerve impulses responsible for activating the sweat glands.

Injections in the treatment of hyperhidrosis are carried out under local anesthesia, on average the procedure lasts 30 minutes. Drugs are injected subcutaneously into the area of excessive sweating using microinjections. This leads to blocking of sweat glands and cessation of sweating. The effect of botulinum therapy lasts for 6-9 months, after which it can be repeated.

After completing the treatment procedure, you should avoid physical activity for a week, as well as refrain from visiting baths, saunas and tanning salons for 7-10 days. It is not recommended to touch or massage the injection sites.

A radical, surgical method of treating hyperhidrosis is sympathectomy, which involves cutting the sympathetic nerves that innervate the sweat glands.

Prevention of hyperhidrosis

• Lifestyle changes such as increased hygiene routines and the use of natural fiber clothing;
• Stress management through relaxation techniques and meditation, as stress can increase sweating.

The choice of treatment depends on many factors, including the degree and prevalence of hyperhidrosis, as well as individual preferences and the patient's response to previous therapies. Regular evaluation and adjustment of the treatment plan based on its effectiveness and side effects is mandatory. Regular medical examinations by a dermatologist at MS Dobrobut help to monitor treatment and select effective methods of hyperhidrosis prevention.

To make an appointment to see a dermatologist, please call the Dobrobut Medical Center contact center.