Sweating – The Pitts by Dr Natasha Chapman

If you are like many people out there who suffer from hyperhidrosis, or excessive sweating, then you will know the embarrassment and pain that it causes. People who experience hyperhidrosis can produce a large volume of sweat on their hands, feet, chest armpits and other areas and are constantly damp which may affect their social and work lives. Some experience localized sweating whilst some people’s whole body is affected.

As far as causation goes, hyperhidrosis seems to be largely genetic, and is usually set off by various triggors such as exercise, temperature, stress, diet as well as the time of day.

Certain actions can be taken to help alleviate this problem such as wearing clothes that are loose fitting and cool, avoid foods and drinks that trigger the sweating such as spicy foods, reduce stress and anxiety levels as well as bath regularly to avoid the bacteria build-up which ultimately produces the bad odour that comes with sweating. However these do not eliminate the problem and for these cases we recommend Botox injections in badly affected areas.

Botox is a pure preparation of protein, botulinum toxin type A which is injected into the skin and blocks the action of the nerves that supply the eccrine glands, preventing the glands from producing sweat. During a course of treatment with Botox your doctor will inject a small amount into 10-15 places over the armpits/affected areas and takes about 30 minutes – but a “wrinkle in time” considering some individuals spend their whole lives with this problem. Botox ‘s affect does wear off after about 8-9 months at which stage you will need to see your doctor again for further treatment. Treatment can be stopped at any time, although the sweating will return over time.

For those who wish to go an alternative route to Botox there are other treatments which include some strong antiperspirants, antimuscarine drugs, beta-blockers, tranquilisers for anxiety, relaxation techniques as well as surgery. The different surgical options include blocking/cutting the nerves that supply sweat glands through a sympathectomy, removing the sweat glands as well as excision – cutting away the skin. All these options have their risks of complications as well as the fact that anaesthetic is used which is obviously fairly risky.

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