Hyperhidrosis of the palms and feet. Laser treatment, folk remedies, botox, causes

State called hyperhidrosis characterized by increased sweating. That is, people with this disorder can sweat their skin, even while sitting under an air conditioner or swimming in a pool.

Most often, pathology is noted on the palms and feet. The violation negatively affects the quality of a person's life, restricts communication. Therefore, it is necessary to know how to treat the condition with medication, laser and other methods.

What is palms and feet hyperhidrosis?

Hyperhidrosis of the palms (laser treatment can be used to get rid of the condition) is excessive sweating. That is, the release of fluid is outside the normal range.

Sweat is an aqueous solution of various substances (phosphorus, potassium, ammonia). When the liquid leaves the sweat glands, it is clear and odorless. When sweat passes through the skin, it collides with the waste products of bacteria, so a specific aroma appears. The aqueous solution comes out through the glands; there are more than 2.5 million of them throughout the body.

Normally, 400 - 600 ml of sweat should be released - this is the optimal value. But in hot weather, during sports, stress, the volume of fluid increases. In this case, the optimal indicator is up to 2 liters of sweat per day. After the provoking factors are eliminated, the glands are turned off, the release of an aqueous solution is normalized. This is a natural process that takes place in the body.

Sweating is responsible for the following:

• overheating prevention - when sweat evaporates from the skin, the body temperature decreases;
• protective function of the skin - sweat has an acidic environment, the likelihood of reproduction of pathogenic microorganisms decreases;
• reproduction signal - at different phases of the menstrual cycle, sweat can change its smell and composition.

In the Russian Federation, hyperhidrosis is not a disease. The symptom may appear due to the influence of natural or pathological causes. And in India, Great Britain, Brazil, hyperhidrosis is a pathology, specialists are engaged in the treatment of the disease.

Moreover, therapy is included in health insurance and is covered by it. But, despite the fact that in the Russian Federation, hyperhidrosis is not a disease, they determine the cause of the condition and are engaged in treatment.

First of all, high sweating is dangerous socially. A person develops discomfort and hostility towards others. Perhaps the negative effect of hyperhidrosis on communication with acquaintances or friends of the opposite sex. People with increased sweating try to avoid public speaking, teaching.

Accordingly, hyperhidrosis can influence the choice of profession. If the degree of manifestation of the symptom is severe, the person limits communication, becomes withdrawn. Another danger is that the condition may indicate pathology. Any disease needs therapy.

In addition, with hyperhidrosis, the development of a fungal infection is possible, which has a detrimental effect on the cells of the skin and provokes inflammation, ulcers.

Views

High sweating has a general classification.

There are the following types of localization of hyperhidrosis:

• Axillary. Another name is axillary sweating. This type is common. Sweat makes clothes wet quickly, and traces of watery liquid are visible on fabrics. So that the manifestations of sweating are not noticeable, the person shackles his hands. Additionally, they try to select clothes from dark fabric, light and bright colors are excluded, since the traces will be clearly visible.
• Palmar. The variety is very common. In another way, hyperhidrosis is called palmar. The upper limbs are a part of the body that is important for a career, social or personal life. Hands are used in dancing, hugging and other activities. Therefore, many people with palmar hyperhidrosis have difficulty communicating.
• Plantar. Another name is plantar hyperhidrosis. This variety has less impact on social communication than the palmar form. High sweating is characterized by an unpleasant odor. There are cases when fluid was released from the feet to such an extent that a squelch was heard when walking. With plantar hyperhidrosis, infection is allowed. High sweating may indicate a disease or exposure to factors (wearing socks made of synthetic materials, high humidity, etc.).
• Facial. In another way, hyperhidrosis is called craniofacial. High sweating is localized on the face, sometimes it can manifest itself on the neck. There is a feature of facial hyperhidrosis - the release of fluid from separate parts (nose, forehead, lip) is allowed. Sometimes the variety is combined with sweating of the palms.
• Inguinal-perineal. A rare variety, characterized by high sweating in the intimate area.

Hyperhidrosis of the palms and feet is classified. The types of state are indicated in the table.

Classification	Description
By origin	Hyperhidrosis is subdivided into the following types: Thermoregulatory. Increased sweating is associated with hot weather and high humidity. Additionally, the symptom may appear when wearing too warm clothes, impaired functionality of the glands. Psychogenic. Another name is emotional hyperhidrosis. Sweating occurs due to mental agitation. For example, anxiety, fear, anger. Hyperhidrosis manifests itself on the whole body or in individual areas (most often on the feet and palms). The variety is common in adolescents due to an unstable emotional system. Food grade. Increased sweating occurs after eating foods containing irritating ingredients (spicy). And also food hyperhidrosis happens after drinking alcoholic beverages. The face is mainly affected, but high sweating all over the body is not excluded. Spontaneous. This hyperhidrosis occurs suddenly, manifests itself acutely. Most often, the variety is characterized by high sweating of the whole body. Pharmacological. Another name for hyperhidrosis is medicinal. High sweating is associated with the use of medications. This variety appears due to the negative effect of drugs on the nervous system.
By prevalence	Types of high sweating: Local. Another name is local hyperhidrosis. The stage is characterized by high sweating in limited areas of the skin (armpits, palms, feet). And also facial hyperhidrosis is not excluded. With high sweating, a person has wet and cold limbs. Diaper rash may appear in places of folds, in addition to the feet and palms it smells unpleasant. Generalized. Increased sweating occurs throughout the entire skin.
Due to development	Varieties of the state: Primary hyperhidrosis. Another name is essential. The form is common in children. This is an independent condition that is not associated with pathology. The exact causes of the occurrence have not been identified. But scientists think that primary hyperhidrosis is related to heredity. If the mother or father has high sweating, the probability of the baby is 40%. Most often, primary hyperhidrosis manifests itself in certain areas of the body. Secondary. High sweating is associated with pathology or exposure to various factors (high temperature, physical activity, etc.). The variety can appear on a separate area of ​​the skin or throughout the body.
By severity	High sweating can be light, medium, and heavy. In the first case, the symptom does not greatly affect a person's life, there are no social problems. The light form is invisible to others. The average type of hyperhidrosis is characterized by discomfort when communicating with people. For example, in the case of high sweating of the palms, the person is embarrassed to shake hands. With severe hyperhidrosis, the symptom is constantly present. Difficulties with communication appear, as others try to avoid the person from whom the smell is unpleasant.
By flow	There are the following types of hyperhidrosis: seasonal - in this case, sweating increases only at certain times of the year (for example, in summer or spring); constant - high sweating occurs regardless of the weather and temperature; intermittent - periodically sweating worsens or subsides.

Causes and manifestations

Hyperhidrosis of the palms (laser treatment can be used to treat the condition) appears for specific reasons. They are classified into physiological and pathological factors. Details are shown in the table.

Classification of factors	Description
Physiological	The condition may indicate the following reasons: heredity - a large number of sweat glands; wearing clothes (socks, gloves) made of synthetic fabric; the choice of clothes and shoes without taking into account the weather conditions - for example, you cannot go outside in winter boots in the heat, as your feet will sweat; wearing tight shoes; neglect of personal hygiene - a person does not wash his hands, feet, body; frequent stress; changes in hormonal levels - menopause, pregnancy, adolescence; improper nutrition; abuse of bad habits; the use of medications that affect the autonomic nervous system; high air humidity; hot weather; playing sports; work activity - for example, pharmacy workers or salespeople stand on their feet for a long time, and office workers have more hands on their hands; eating food with irritating ingredients (spices, onions, garlic) or hot drinks (coffee, tea); overweight; pregnancy, adolescence, menopause - the hormonal background changes, excessive sweating is possible.
Pathological	Hyperhidrosis of the palms and feet may indicate the following pathological reasons: disturbed metabolism - diabetes mellitus, hyperthyroidism, obesity; Parkinson's disease; cardiovascular pathologies - arterial hypertension, ischemia; gout - deposition of uric acid salts in the joints; infectious pathologies - tuberculosis, AIDS; vegetative-vascular dystonia (VVD); diseases of the skin - vitiligo, dermatitis, psoriasis; diseases of the nervous system; pathology of the gastrointestinal tract (GIT); poisoning; kidney and liver diseases - hepatitis, hydronephrosis and others; neoplasms in the brain; leukemia is a cancer of the blood.

Hyperhidrosis of the palms and feet is characterized by other manifestations in addition to hypersensitivity.

Before prescribing therapy (laser treatment, drugs, etc.), the following symptoms must be considered:

• the appearance of wet traces on objects that a person touches;
• redness of the skin of the palms and feet;
• deepened lines on the arms and legs;
• difficulty holding objects in your hands (pen, pencil, etc.), as they slip out or become wet;
• cold palms and feet;
• stickiness of the skin of the hands and feet;
• unpleasant odor from hands and feet, which appears even after washing.

What kind of examination is needed?

There are studies that can determine hyperhidrosis. To prescribe a diagnosis, you must contact a dermatologist. Hyperhidrosis is within the purview of this specialist. In the clinic, you can visit a therapist - this is a general practitioner.

The specialist conducts a survey, during which it is necessary to talk about the manifestation of sweating. Then the doctor measures important indicators (blood pressure, pulse, temperature), examines the entire human body. Next, diagnostics are assigned, which are listed in the table.

Name	Description
Minor test	Another name is iodine starch test. The diagnostic method allows you to determine the increased sweating. Test steps: 1. The specialist cleans the limbs with a soap solution, dries the skin. 2. Lugol's solution (water) is applied to the palms and feet. 5% iodine can be used, but it reduces the effectiveness of botox (if it is carried out immediately after the Minor test). 3. Wait until the preparation is completely dry (1 - 5 minutes). 4. Starch is sprayed in the zone. 5. Wait 5 minutes. and evaluate the result. Sweat that protrudes through the skin will definitely stain the starch, palms and feet will be dark in color. By the size of the spot, you can determine the degree of hyperhidrosis: light - up to 10 cm in diameter; medium - a spot from 20 to 22 cm; heavy - more than 22 cm. The diagnostic result depends on the following factors: the use of an antiperspirant - it is forbidden to use it before the study, as there will be a reaction with starch; the amount of liquid you drink - you shouldn't drink a lot of water before the test; high room temperature distorts the result; a person should do the test in a calm state; the experience of the doctor - despite the simplicity of the test, it must be performed and decoded correctly.
Gravimetric method	With the help of research, the amount of fluid released per unit of time is determined. Filter paper is placed on the palm and foot of a person (after weighing it). When it is soaked in sweat, the weight is re-measured.

The specialist may prescribe additional diagnostic methods to determine the cause of the appearance of hyperhidrosis. The procedures are selected individually. For example, if you suspect diabetes (constant thirst, dry mouth, increased urination), a sugar test is prescribed.

In addition to a therapist or dermatologist, you may need to consult other specialists. For example, if kidney disease is diagnosed, visit a nephrologist.

Treatment

Hyperhidrosis of the palms (laser treatment destroys the sweat glands) needs therapy.

To eliminate increased sweating, use:

• medications;
• antiperspirants;
• physiotherapy;
• surgical intervention;
• folk remedies.

Most often, complex treatment is used. That is, a combination of several therapies. This will speed up your recovery. If increased sweating is not associated with pathology and has passed on its own, therapy is not required.

Medication

Medicines eliminate hyperhidrosis of the palms and feet.

Topical medications to help with excessive sweating:

• 5 days;
• Teymurov's pasta;
• Lassar pasta;
• Nepotoff;
• 911 Nepotin;
• Salicylic-zinc ointment;
• Formidron.

Additional funds depend on the cause of the appearance of hyperhidrosis.

The table shows drugs that can be prescribed:

Group of drugs	the effect	List of funds
Antihypertensive	Medicines lower blood pressure.	Kapoten, Enap, Lozap
Sedatives	The drugs eliminate anxiety and stress.	Novo-Passit, Afobazol, Tenoten
Sorbents	Medicines remove toxic substances from the body, are used in case of poisoning.	Smecta, Enterosgel, Filtrum-STI
Rehydration	Drugs make up for the lack of fluid in the body, are prescribed in case of poisoning.	Regidron, Hydrovit
Diuretic	Medicines remove excess fluid from the body, reduce swelling. The group is used for gout.	Veroshpiron, Hydrochlorothiazide, Diuver
Hypoglycemic	The drugs lower the sugar levels in the body.	Glucophage, Siofor, Metformin

Before prescribing any drug, the doctor examines the information specified in the instructions for the tool. Then he decides on the appointment of the medication.

Antiperspirants

Applying an antiperspirant is the easiest method to eliminate excessive sweating. But the effect of the application is short-term. Antiperspirants are not recommended for use in the presence of damage to the skin (cuts, abrasions). The therapy can be ineffective, but it happens when the sweat washes away the deodorant.

Antiperspirant List:

• Syneo 5.
• DryDry.
• Vichy.
• Odaban.

Iontophoresis

Hyperhidrosis of the palms (laser treatment based on the use of a laser) is a condition in which iontophoresis can be used. The method is characterized by the effect of a low voltage galvanic current.

As a result, the ion channels of the sweat glands are gradually damaged. More precisely, the process takes place in the nerve endings. Sweating further decreases. The procedure can be done in the clinic or at home (using a portable device).

To perform iontophoresis, the palms and feet must be kept in liquid. A current will flow through the water. To achieve the effect, 5 - 10 procedures are enough. Iontophoresis can be done daily or every other day. The procedure takes from 30 to 40 minutes. To achieve a lasting effect and maintain the skin in a normal state, it is necessary to perform iontophoresis at least once a month.

Laser therapy

Laser therapy is the use of optical radiation that comes from a laser. When using the device, burns, damage to surrounding tissues are excluded. The laser cauterizes the blood vessels, so there is no bleeding.

Most often, the method is used for armpit hyperhidrosis. Therefore, the laser is less effective on the palms and feet. The skin in these places is thicker and stronger, the glands are smaller. The laser destroys the glands, but does not affect the nerve endings and muscles. There are cases when, after this therapy, hyperhidrosis returned to the palms and feet.

Botulinum therapy

The method involves the introduction of Botox (botulinum toxin A), which blocks the transmission of nerve impulses to the sweat glands. As a result, no liquid is produced. The session does not exceed 30 minutes. The maximum effect of therapy appears after 14 days from the beginning of the treatment, it lasts 6 - 12 months.

Surgical methods

With hyperhidrosis, the use of a surgical operation is allowed. The intervention is used only in rare cases when conservative therapy is ineffective.

The surgeon can do several things:

• remove sweat glands in the problem area;
• destroy the nerves that are responsible for sweating.

The need for the operation and the type of intervention are selected by a specialist.

Folk remedies

Herbal recipes have a natural composition, so they rarely cause side effects.

Folk remedies used for hyperhidrosis:

• Oak bark infusion. For cooking, you need to take 2 tbsp. l. component and 500 ml of hot water. Cook for 5 - 10 minutes, leave for 10 - 15 minutes, filter through cheesecloth. It is necessary to pour the solution into a basin, dilute with cold water to an acceptable temperature. Put the palms and feet in the container, keep the limbs in the liquid for 30 - 40 minutes. To be effective, the recipe should be used at least once every 7 days.
• Vinegar baths. It will take 3 tsp to prepare the recipe. l. component and 1 liter of warm water. Pour liquid into a basin, lower palms and feet into a container, hold for 5 - 10 minutes. Baths should be done 3 times a day for 14 days.
• Lemon juice. The recipe is perfect for quick relief from heavy sweating. You need to squeeze the lemon juice and pour it into a bottle. The container can be taken with you, used outside the home. The liquid should be sprayed onto the palms or feet.
• Ammonia. For cooking, you need to take 1 tsp. l. component and 1 liter of water, mix thoroughly. It is necessary to pour the liquid into the basin, place the palms and feet there, hold for 10 minutes. Wash off the remaining liquid, wipe off the limbs, sprinkle the affected areas with talcum powder.

A condition called hyperhidrosis is excessive sweating. Most often, the symptom manifests itself on the palms and feet. Violation may indicate physiological and pathological reasons. As a treatment, drugs, folk remedies, botox are used.

Additionally, laser therapy, surgery is possible. The danger of hyperhidrosis lies in the negative impact on sociability, personal life, choice of profession. In addition, the development of infection is possible. Therefore, it is necessary to promptly treat increased sweating, adhere to the doctor's recommendations.

Video about hyperhidrosis

Causes and symptoms of hyperhidrosis: