We’ve all been in situations where we’ve found ourselves sweating profusely unexpectedly – whether it’s due to stress, high temperatures, physical exertion, or a change in environment. For some, these episodes are sporadic occurrences, but for many, it’s an ongoing struggle known as hyperhidrosis.
Dr. Alek Nikolic, emphasises that sweating is a natural and vital bodily function used to regulate body temperature. However, for individuals with hyperhidrosis, their apocrine glands, responsible for sweating, go into overdrive, producing more sweat than needed.
Dr. Nikolic sheds light on hyperhidrosis, emphasising that it can affect various parts of the body, including the underarms, palms, feet, lower back, and face.
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What Exactly Is Hyperhidrosis?
Hyperhidrosis is a medical condition characterised by excessive sweating beyond the body’s cooling requirements. This condition affects approximately 5% of South Africans and significantly impacts their daily lives.
There are two primary types of hyperhidrosis: primary and secondary.
Primary hyperhidrosis is the more common form and typically emerges during puberty.
Secondary hyperhidrosis is less common and is often linked to an underlying medical issue.
Hyperhidrosis predominantly affects areas rich in sweat glands, such as the armpits, palms, soles of the feet, and face.
Dr. Nikolic explains that a diagnosis of primary focal hyperhidrosis is established when visible and excessive sweating persists for at least six months without an apparent cause. Additionally, at least two of the following characteristics must be present:
- Bilateral and relatively symmetric areas of sweat
- Interference with daily activities
- Sweating episodes occurring at least once a week
- Age younger than 25 years
- Positive family history of hyperhidrosis
- Sweating during sleep
Treating Hyperhidrosis
Hyperhidrosis can have a profound impact on one’s life, causing social embarrassment, anxiety, and a dent in self-confidence, all of which can disrupt daily activities. Several treatment options are available, with choices influenced by budget constraints and the severity of the condition.
Non-invasive treatment options encompass the use of topical antiperspirants, oral medications, and iontophoresis. Dr. Nikolic recommends applying antiperspirants containing aluminum chloride hexahydrate on dry skin just before bedtime, as this is more effective than applying them in the morning on damp skin. Such antiperspirants temporarily block sweat gland activity.
General practitioners can prescribe oral medications, such as anticholinergics, to reduce sweating. Iontophoresis involves passing an electrical current through water and immersing the affected area, which can be an effective treatment method.
Invasive treatments include surgical procedures like local sweat gland resection and endoscopic thoracic sympathectomy. However, the most popular invasive treatment for hyperhidrosis is the use of botulinum toxin, which operates by inhibiting the nerve signals that trigger sweat production, thus reducing sweat secretion.
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Dr. Nikolic explains that there is no evidence to suggest that using botulinum toxin to treat hyperhidrosis will result in rebound or excessive sweating in other areas. A phenomenon more commonly associated with surgical interventions.
Results from botulinum toxin treatment are rapid, with the full effects usually visible about two weeks after the injections. The duration of results typically spans at least three months. Contingent on the rate of botulinum toxin metabolism and the injection site.
Dr. Nikolic underscores the importance of consulting a medical professional for individuals suffering from hyperhidrosis. They can tailor a treatment plan, address concerns, and answer questions about potential side effects. While patients may experience temporary bruising, it is manageable.
If you suspect that you’re sweating excessively, seeking medical advice is crucial. There are various treatment options available that can effectively manage your symptoms and enhance your overall quality of life.To learn more about botulinum toxin visit www.dralek.co.za.
Meet Dr. Alek Nikolic
Dr. Alek Nikolic is a renowned specialist in aesthetic medicine and is at the forefront of the latest developments in his field. With a focus on skin care, skin ingredients, and cosmetic dermatology treatments such as lasers, chemical peels, Botulinum toxin, and Dermal Fillers. He has performed over 20,000 procedures to date and is responsible for training many medical practitioners both locally and internationally.
