DR. DORIS DAY, M.D.
DAY DERMATOLOGY & AESTHETICS

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Hyperhydrosis

stop sweatingExcessive Sweating informational PDF

What is Hyperhydrosis

Hyperhidrosis is a medical term for excessive sweating that is commonly a chronic condition affecting an estimated 2.8% of the U.S population.  Patients with hyperhidrosis produce an amount of sweat that far exceeds that needed to regulate body temperature.  

Common Sweat Problems

Hyperhidrosis can cause dehydration and skin problems, including infections secondary to skin maceration and can be accompanied by strong odors.  Some people may sweat so profusely that they need to change clothing several times a day.

What Causes Hyperhydrosis Excessive Sweating

Hyperhidrosis most frequently develops in adolescence or young adulthood.  The underlying cause of the disorder is uncertain, but genetics may play a role.  Severe sweating may be exacerbated by stress, emotion or exercise, but often occurs spontaneously.  

How is It Treated?

Powders and ointments, ranging from talcum powder to prescription salves containing aluminum, are often tried first.  Electrical stimulation (iontophoresis) involves places that hands or feet in a water bath through which an electrical current is passed, essentially “stunning” the eccrine glands to decrease sweat production.  The effects are temporary, however, and may last for just a few hours or up to a week.

Dr. Day's personalized treatments include topical treatments & injections of Botox into the area of excessive sweat production. An office visit can be scheduled to discuss these options.  

Botox® injection is a minimally invasive treatment approved by the U.S. Food and Drug Administration (FDA) in 2004 to help patients with severe primary axillary hyperhidrosis (excessive underarm sweating) inadequately managed with topical agents.  Treatment with Botox® is administered intradermally in tiny injections into the area of severe sweating.  Botox® therapy inhibits the release of a neurotransmitter, acetylcholine, blocking the signals that stimulate the eccrine glands to produce sweat.  The effects are temporary with a median duration of 6.5 months; this varies depending on the individual patient.  The treatment should be readministered to maintain maximum effect.

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