There was severe sweating. Problems with the heart and blood vessels

What is hyperhidrosis

Excessive sweating (hyperhidrosis)– a serious pathology in which constantly sweaty feet, palms, increased sweating of the armpits, severe redness of the face during stress. Approximately 1% of the population suffers from excessive sweating.

Deodorants and others cosmetical tools to eliminate excessive sweating and unpleasant odor are ineffective. Excessive sweating reduces the quality of life: difficulties arise when communicating with other people, shaking hands, and especially many problems arise in intimate life.

The reasons for the increased function of the sweat glands are not known, but perhaps they lie in a local disorder nervous regulation sweating. Idiopathic hyperhidrosis is characterized by increased sweating in one or more areas of the body, most often the armpits, palms and soles. Pathology occurs for reasons that are still unclear and is more common in women.

Causes of excessive sweating

Some scientists explain increased sweating by a disorder of the autonomic nervous system, which regulates the activity of the sweat glands, as well as, accompanying these disorders, by an increase in the concentration of stress hormones in the blood - adrenaline and norepinephrine. The theory is confirmed by the fact that hyperhidrosis often accompanies mental disorders such as neuroses or depression.

According to some reports, this condition is associated with hereditary characteristics and an increase in the number of merocrine sweat glands, according to others - with their increased sensitivity to common irritants. As a result, at the slightest excitement, tension, or fear, the sweat glands begin to produce sweat in an amount 10 times higher than normal sweating.

Food-related hyperhidrosis most often occurs after consuming certain type foods such as pepper, garlic, chocolate, coffee or any hot food. Increased sweating in the forehead and above the upper lip appears a few minutes after the start of the meal and disappears within 1 hour after finishing it.

Increased sweating with hyperthyroidism

Increased sweating in hyperthyroidism is always general, caused by increased tissue metabolism and is a compensatory condition necessary for the body to prevent an increase in body temperature. Along with excessive sweating, the patient is concerned about:

• increased heart rate;
• high blood pressure;
• general weight loss;
• weakness;
• increased appetite;
• emotional instability;
• nervousness;
• slight trembling of the limbs;
• violations menstrual cycle.

The skin of the entire body is moist and, despite increased sweating, hot. As a rule, the higher the level of thyroid hormones in the patient's blood, the more severe the sweating.

Sweating in diabetes

Generalized sweating in diabetes mellitus is associated with damage to the peripheral nervous system characteristic of the disease and increased heat production caused by increased metabolism. Often, along with heat intolerance and general sweating, patients experience especially pronounced sweating in the upper body, in the head and neck area.

Increased sweating, combined with trembling and lightheadedness, in patients with diabetes may be associated with a sharp drop in blood glucose levels (hypoglycemia) that accompanies an insulin overdose. Hypoglycemia can also develop in completely healthy people in a state of hunger, with ethyl alcohol intoxication (drinking alcohol), or taking salicylates (aspirin).

Hyperhidrosis in menopausal syndrome

Hyperhidrosis in menopausal syndrome is one of the most characteristic manifestations of the disease and is combined with sensations of heat in the upper half of the body and face - hot flashes.

The causes of increased sweating, as well as other disorders that accompany menopause, lie in the aging of the hypothalamic structures that control the functioning of the endocrine glands and the release of biologically active substances (bradykinin and histamine) into the bloodstream, causing a sharp dilation of skin vessels, and therefore increased sweating.

Increased sweating with tumors

Increased sweating in malignant tumors occurs as a result of the production cancer cells biologically active substances that have a vasodilating effect.

It's interesting that skin manifestations It is often possible to judge the location of the tumor. Thus, ileal cancer is accompanied by increased sweating in the face and neck, lasting only a few minutes, and malignant bronchial tumors are accompanied by hot flashes that can last for days.

Excessive sweating associated with stomach tumors may be accompanied by blistering of the skin, especially on the palms of the hands or soles of the feet. Hyperhidrosis in carcinoid syndrome is always combined with other manifestations of tumors.

Excessive sweating may be a symptom of the following diseases:

Treatment of excessive sweating

To solve the problem, modern aesthetic medicine offers a well-proven method - the use of drugs based on botulinum neurotoxin type A. We are talking about Lantox or Dysport. The fact is that each muscle gland is suitable muscle fiber. When it contracts, sweat is released.

Often during a stressful or nervous situation, the sweat gland receives a false signal and produces too much sweat. Dysport and Lantox injections block signals from nerve endings to muscles, preventing the production of sweat. Before the procedure, it is necessary to conduct a special test - the so-called Minor test - to determine the area of ​​sweating and the degree of severity. Then the doctor begins to treat all sweating areas.

The procedure itself takes about 30 minutes: first, a special cooling cream is applied to the skin in the injection area, and then the doctor carefully injects small doses of the drug into areas of increased sweating. The number of injections is calculated individually. After the procedure, excessive sweat production is blocked for 2–3 days and is restored only after 6–12 months, after which the injections can be repeated.

Thermoregulation is not disturbed; on the contrary, the condition of the skin improves, as its level of hydration is normalized. With the help of injections, you can quickly, effectively and permanently improve the quality of your life, getting rid of eternally wet feet, wet palms and armpits. In just 10-15 minutes you can return to your normal lifestyle and enjoy freedom from the unpleasant odor of sweat!

Which doctors should I contact if I have excessive sweating?

Medicines for excessive sweating

Sweaty feet

As a rule, sweating and foot odor can be dealt with by following general hygiene rules and using various sprays and powders. However, for some people, sweaty feet are a chronic problem.

Why do my feet sweat?

The cause of sweaty feet is the work of the sweat glands on the feet. Excessive sweating causes intensive proliferation of bacteria, which in the process of vital activity decompose tissue particles on the surface of the skin, which leads to the formation of organic gases and the appearance of an unpleasant odor. Sweaty feet become more intense when:

• high temperature;
• physical activity;
• excitement or other emotions.

If you experience excessive sweating, you should consult a doctor, as there are many reasons for this condition. Sweating may occur when eating salty foods, increased activity thyroid gland, diseases of the endocrine, cardiovascular or nervous system.

How to get rid of sweaty feet

To get rid of sweaty feet and the resulting unpleasant odor, it is necessary to reduce sweating and the growth of bacteria on the feet. To do this, you should carefully follow the rules of hygiene: keeping your feet dry will help changing socks several times a day, A washing feet with antibacterial soap will prevent the growth of bacteria.

In addition, you can use powders that absorb odor. Can be effective use of drisol - aluminum chloride solution. If you apply Drisol to your feet before bed, it inhibits the growth of bacteria and reduces sweating. However, using this drug may cause skin irritation.

The essence of another method is to use iontophoresis- penetration of an ionized substance through intact skin under the influence of direct current. With iontophoresis, the skin loses its ability to produce sweat. Success from using iontophoresis is possible after training, so the possibility of using iontophoresis should be discussed with your doctor.

In addition, there are other types of therapy: the use of atropine-like substances, the use of antibiotics and glutaraldehydes, but these can cause unwanted side effects.

Treatment of sweaty feet with folk remedies

Questions and answers on the topic "Excessive sweating"

Question:Hello, my name is Sergey, I'm 22 years old. For the last five years I have been suffering from generalized hyperhidrosis. Not only armpits and palms sweat, but also many other parts of the body. Very interesting, how much does endoscopic sympathectomy cost?

Answer: In generalized hyperhidrosis, endoscopic sympathectomy is contraindicated due to the risk of developing very severe compensatory hyperhidrosis.

Question:Is it possible to treat hyperhidrosis at home?

Answer: At home, treatment can be carried out using iontophoresis and the use of aluminum chlorides. In principle, there is a practice of performing Botox injections at home, which is not entirely correct from a medical point of view. If you were thinking about home remedies, then I have to disappoint you. There are no effective home remedies for treating hyperhidrosis.

Question:Hello! Please tell me, can there be local hyperhidrosis from birth? My baby's feet and palms are sweating and they are cold. The neurologist diagnosed him with vegetative-vascular dystonia and prescribed him to drink Cavinton. I'm afraid to give him this medicine. The boy is 6 months old. I developed hyperhidrosis when I was 9-10 years old and still have it. Your palms and feet also sweat. I'm afraid it was passed on from me. In general, the child is healthy, born without pathologies. Maybe there are still signs of this dystonia, I didn’t want to give him extra medications. After all, I know that hyperhidrosis cannot be cured. Help me figure out whether the child has dystonia or hereditary hyperhidrosis. Thank you in advance.

Answer: At 6 months, this may still be a reflection of the immaturity of the autonomic nervous system. It seems to me that special treatment is not worth it. If hyperhidrosis is transmitted (and this happens in half of the cases), then it will still not be possible to cure it with Cavinton.

Question:Hello! I'm 20, about a year and a half ago I started having problems with sweating, wet armpits, palms and legs! I went through all the doctors, blood tests, hormones, heart, etc. But the doctors just smiled and said that I was doing nonsense. Although this problem is killing my whole life. During the day I sweat, and around 12 at night I become dry and the sweat disappears, it’s gone! I feel human! Then I go to bed and wake up and my armpits, palms, legs are wet again, and so on all day. I quit smoking and it became less. But sweat does not obey laws. Sometimes it pours like a bucket, and sometimes it’s gone for 5 minutes. Then again. Dry at night. What could it be?

Answer: If sweating is limited to the armpits, palms, feet, is absent at night, increases with excitement, decreases with alcohol intake, then obviously you are in the 3% of the population suffering from local primary idylopathic (without an obvious cause) hyperhidrosis.

Question:Good afternoon. About six months ago I began to sweat a lot, especially my palms, armpits and feet. He was examined several times for infections, immune status, and the condition of internal organs - in general, everything is normal. Nowadays, excessive sweating causes great discomfort at work - the constant sweating of the palms is especially disturbing. How can you get rid of this disease or at least reduce sweating of your palms? I read that drugs like Maxim are quite effective, but are they suitable for me and what are their main side effects? Thank you!

Answer: You didn't indicate your age. This has some implications for defining the problem. Maxim will not help with the palms. It makes sense to try iontophoresis or Botox. If hyperhidrosis is particularly persistent, a sympathectomy can be considered, but this is a last resort and in any case only after a detailed discussion.

Question:I got sick with the flu, treated myself for a week - it didn’t help. I went to the doctor. They injected me with antibiotics, intravenous calcium, inhalation, etc. (it turned out to be tracheitis). I thought I had recovered, but increased sweating appeared after the illness. Tell me what to do? Thanks in advance!

Answer: Please clarify, is sweating general (the whole body sweats) or local (only the palms, armpits, etc. sweat)? When is sweating more pronounced: at night or during the day? There are several main reasons for increased sweating, including during recovery from a serious illness, after treatment with antibiotics, and increased sweating may also indicate disorders of the nervous system, etc. We recommend that you consult a therapist or neurologist.

Question:My 35 year old husband and 5 year old son sweat a lot after falling asleep for 2 hours (approximately). Is this related to some kind of disease or is it just a feature of the vegetative-vascular system (passed on to my son from my husband)?

Answer: Most likely, increased sweating is associated with the peculiarities of the autonomic system of your husband and child, but you need to check whether the sweating is accompanied by an increase in body temperature.

Question:Hello. I am 16 years old. I have excessive sweating in my legs, armpits, and face. My feet are sweating a lot. This greatly spoils shoes and air. Every day before school I wash my feet and apply Teimur paste, wash my shoes, and change my insoles. It's all useless. It's definitely not about shoes and lack of cleanliness. My armpits are still sweating a lot. Every day after coming home from school, large white spots remain on my jacket in the armpits. I still have a constantly oily face, especially my nose, it’s already shiny! I wash it every morning, within 2 minutes after washing it’s all greasy again, you’d think a person hasn’t washed for a month. Please tell me how this problem can be solved or mitigated? Thank you in advance.

Answer: Hello, the reason for excessive sweating and oily skin is the increased function of sweat and sebaceous glands skin (which in turn may be associated with some hormonal changes occurring in your body). It is likely that the symptoms you mentioned are temporary nature and will soon decline. We strongly recommend that you consult a dermatologist who will determine the exact cause of the disorder and prescribe treatment.

Question:Hello. My sweating suddenly and severely increased. Please tell me how to get rid of this quickly and what could be the reason for this? I’m not overweight, but I recently started running.

Answer: To combat hyperhidrosis, you should use antiperspirants and try to wear lighter clothing to avoid overheating. In which parts of your body do you sweat excessively?

Question:I am 23 years old, I have been suffering from the problem of sweating for a long time when I walk, do something and just sit. I recently noticed that my body is constantly hot, I examined the functioning of the thyroid gland, everything is normal, but I often have a rapid heartbeat. Can the work of the heart affect the occurrence of my problems? Thanks for the answer!

Answer: The work of the heart does not affect sweating, however, profuse sweating and rapid pulse may be a manifestation of vegetative-vascular dystonia. Have you tried using antiperspirants?

Question:My daughter is 4 years old, 2 days ago she started coughing, the cough is not strong, dry, mainly at night; there is no fever, no runny nose, but these 2 days she has been sweating a lot, her skin is constantly moist and cool, her body temperature is exactly 36, she has no complaints, what could this mean?

Answer: Judging by the description, it can be assumed that the child has a mild ARVI. If the child’s condition does not improve over the next 3-4 days, be sure to show him to the doctor. There is no need to carry out any treatment before contacting a doctor. Just make sure your child drinks more.

Question:IN Lately My feet began to sweat very much, which is accompanied by severe unpleasant smell no matter what shoes I'm wearing. The skin of the feet is clean. What is it and how to treat it? Thank you!

Answer: It is possible that you have fungal disease foot skin See a dermatologist.

Sweat is a product released as a result of thermoregulation human body. This is a natural process, but some people experience an increased degree of sweating, which indicates that the exocrine glands are working too hard.

Excessive sweating is medically called “hyperhidrosis.” It can be permanent or temporary, but regardless of this it causes discomfort in Everyday life both women and men.

Constant heavy sweating has a pathological nature, so first of all, you need to find out the reasons for this phenomenon.

What are the causes of constant body sweating?

Most often, constant heavy sweating can be caused by heredity. But in most cases, disruption of the sweating system is a symptom of a serious illness. Let's look at the main ones.

To find the cause of constant intense sweating and a final diagnosis, you need to consult a doctor. Only experienced specialists can prescribe the correct course of treatment.

Why do women experience constant profuse sweating?

Women should be especially attentive to such a signal from the body as constant. Sweating is considered normal during:

• puberty,
• menstruation,
• pregnancy,
• menopause.

During these periods, constant profuse sweating of the body in women may be accompanied by:

• nausea,
• weakness,
• dizziness,
• painful sensations,
• nervousness,
• insomnia.

This is normal and there is no reason to worry. But if, in addition to weakness, fainting, convulsions, or numbness of the limbs occur, then women should immediately go for examination. This is a sign of a nervous system disorder that will lead to dire consequences.

Women experience constant heavy sweating more than men. It is important for them to have a pleasant body odor.

Wet, dirty, foul-smelling spots under the arms or legs that exude a terrible odor force women to take emergency measures to correct the situation. Therefore, women should be grateful for the constant profuse sweating, because thanks to her, it became possible to diagnose many diseases at the very beginning. If women can still ignore weakness or insomnia, they will definitely not want to put up with constant sweating.

Methods of traditional medical treatment

People with a diagnosis are offered several methods and treatment methods.

1. Reception medical supplies(atropine, Prozac, Clonopil).
2. Electrophoresis procedures consisting of regular courses of several sessions.
3. Repeated injections into the armpits to block the sympathetic nerve.
4. Sympathectomy is a surgical intervention with the installation of a clip on the nerves responsible for the work.
5. Curettage is the mechanical cleaning of the skin from the inside through a small incision.

What does traditional medicine offer?

The main folk methods of combating sweating are the use of lotions, compresses, baths, powders, as well as the use of herbal decoctions.

Preventive measures

Prevention of constant excessive sweating consists of a set of several rules, the implementation and observance of which will allow you to smell it.

Heavy, constant sweating is not a disease. In most cases, it is only a symptom of some disease or malfunction in the body. If sweating is combined with other troubles, for example, weakness, lower back pain or cough, then this is an indication for a kidney examination or a signal of the onset of the flu. When trying to eliminate the smell of sweat and excess moisture from sweating, do not delay visiting a doctor.

Excessive sweating is a problem that is familiar to many people. Sometimes increased sweating occurs for completely natural physiological reasons, but in some cases the cause of excessive sweating is may be the presence of any disease or the use of certain medicines.

Sweating is a natural function of the body. By secreting sweat, your body performs a cooling function. Typically, sweating occurs when elevated temperature due to physical activity or emotionally unstable state. However, in some cases, sweat production exceeds natural norms, and without any objective reasons. Excessive sweating is medically called hyperhidrosis. The reasons for increased sweating can be very different.

Emotional disorders

In some cases, increased doses of sweat are released when mental disorders and emotional instability. For example, severe anxiety often provokes panic and, as a result, increased sweating. Often people sweat a lot in stressful situations, and even in a state of depression or depression. In such cases, you need to contact a specialist who is able to solve this problem. Most often, in such situations, medications are prescribed that eliminate feelings of anxiety or depression and reduce sweat production as a consequence of such conditions.

Health problems

Excessive sweating can be a sign of a medical condition, such as diabetes, lung or heart disease, Parkinson's disease, or even cancer. Sometimes excessive sweating accompanies the presence of a serious infectious infection, in particular tuberculosis. If you notice that you sweat a lot, regardless of the presence or absence of physical activity, change weather conditions or manifestations of emotions, consult a dermatologist. A specialist will help determine the cause of excessive sweating and, possibly, identify the disease that causes this condition. Proper treatment and following all the doctor’s recommendations will help make the problem of excessive sweating a thing of the past.

Hormonal disorders

Increased doses of sweat are often a consequence of hormonal changes in the body. Hormonal surges are usually observed in women during menopause; hot flashes are often accompanied by reddening of the skin and the release of increased amounts of sweat. Pregnancy greatly affects hormonal levels, so increased sweating in pregnant women is not uncommon. In addition to hormones, the work of the sweat glands is influenced by excess weight and increased blood microcirculation.

If hot flashes and excessive sweating are associated with hormonal changes, try wearing lighter, looser clothing, spending most of your time in well-ventilated, cool areas if possible, and drinking plenty of fluids. During menopause, taking antidepressants is very effective and hormone therapy.

Medicines

Many drugs, both prescription and sold in pharmacies without a doctor's prescription, can cause increased sweating. If you think that you are sweating more due to taking a drug, but are not completely sure about this, seek advice from a specialist who can make the correct diagnosis. Be sure to take it with you to your doctor's appointment. full list medications you are taking. If the cause of excessive sweating is really lies in taking the drug, the specialist will prescribe you other remedies.

Excess weight

Excess weight and obesity are another reason for increased sweating. If you are overweight, the body has a hard time; to support the weight of the work, a person has to expend many times more energy and strength than with normal weight. If your excessive sweating is caused by excess weight, try to change your lifestyle, start playing sports, try to eat a balanced diet, and it is quite possible that by losing a few kilograms, you will get rid of excessive sweating. If it is difficult for you to change your habits and diet, try to at least wear light clothes made from natural fabrics, ventilate the room and use special powders to absorb excess liquid.

Excessive sweating not only causes discomfort, but also often causes feelings of depression and alienation. Fortunately, this problem is not eternal; do not hesitate to seek help from specialists; a professional will help identify the causes of your problem and suggest ways to get rid of it.

Hyperhidrosis (excessive sweating)– sweating that is outside the normal range. It can be a congenital characteristic of a person or a symptom of a disease: tuberculosis, obesity, thyroiditis.
Hyperhidrosis may be local and cover certain areas of the body (palms, feet, armpits) or general(generalized), when excessive sweating occurs throughout the body.
Sweating mainly manifests itself in paroxysms in response to irritants (stress, alcohol, increased hormone levels, etc.); in a small number of patients it is constantly present.

Why is hyperhidrosis dangerous?

Hyperhidrosis can cause the development of certain diseases. Thus, sweating feet creates favorable conditions for the development of fungus. And axillary hyperhidrosis and groin area increases the risk of hidradenitis - inflammation of the sweat gland and purulent damage to surrounding tissues. In addition, constant skin moisture is often accompanied by the appearance of diaper rash and pustular rashes.

Who suffers from hyperhidrosis?

How does hyperhidrosis occur?

How does a person secrete sweat?

Sweat

Sweat glands, which are appendages of the skin, are responsible for the secretion of sweat in humans. In total, there are about 2.5 million of them on the surface of the body. At room temperature and low activity, they secrete from 400 ml to 1 liter of sweat per day. During physical activity and in the heat, the amount of sweat can exceed 2 liters per day. Such indicators are considered the norm.

Sweat glands are divided into eccrine and apocrine. They are located unevenly on the body - some areas of the skin are more saturated with them. Local hyperhidrosis often appears in these places. It is divided according to the place of manifestation:

• axillary;
• palmar;
• plantar;
• facial;
• inguinal-perineal.

Apocrine sweat glands secrete a whitish secretion with a specific odor. It contains cholesterol, fatty acid and other biologically active substances. This sweat is a breeding ground for bacteria. It is believed that the secretion of the apocrine glands contains pheromones, the smell of which attracts members of the opposite sex. Apocrine glands are found in the armpit and groin area, as well as near the genitals.

Why do humans need sweat glands?

• Preventing overheating. Sweat evaporates from the surface of the skin, lowering body temperature.
• Protecting skin from bacteria. The acidic environment of the sweat of the eccrine glands prevents the proliferation of microorganisms.
• Signals for the opposite sex. Depending on the phase of the menstrual cycle, the composition and smell of sweat from the apocrine sweat glands changes, which signals the opposite sex whether it is ready or not ready to reproduce. Although in recent centuries this function has lost its importance.

What increases sweating?

• Temperature increase environment . Thermal receptors sense an increase in temperature and send impulses to the corresponding parts of the spinal cord and brain, which are responsible for thermoregulation. From there, signals are sent to the sweat glands to increase sweating.
• Stress and nervous tension . In this case, the level of stress hormones – adrenaline and norepinephrine – increases. They bring the entire nervous system into an excited state. This includes the activation of processes in the centers that regulate the functioning of the sweat glands. As a result, they are instructed to produce more sweat. Increased sweating during stress is called - psychogenic hyperhidrosis.
• Active physical work. When muscles work, a lot of energy is released, which increases body temperature. In this case, sweat provides protection against overheating.
• Spicy and hot food. This phenomenon is based on reflex connections between the centers of salivation and sweating. Sweat production is increased by:

• extractives of meat, fish, mushrooms;
• spices;
• alcohol;
• tea, coffee and other drinks containing caffeine.

• Disturbances in the functioning of the nervous system. The hypothalamus and the centers of the autonomic nervous system in the medulla oblongata and spinal cord, as well as the sympathetic nerve nodes (ganglia) located near the spine are responsible for thermoregulation and sweat removal. Nerve impulses travel along nerve fibers (trunks). If there is a malfunction in any of these areas of the nervous system, this may increase sweat production. The reason may be:

• head injury or spinal cord;
• inflammation of surrounding tissues;
• mental shock;
• dysautonomia – foci of destruction in autonomic system;
• diencephalic syndrome of newborns is a congenital lesion of the hypothalamic-pituitary region of the brain in newborns. Accompanied by constantly elevated or low temperature, continuous crying, trembling, hesitation blood pressure;
• Parkinson's disease - chronic neurological disease older age group, characterized increased tone muscles, trembling in the body, slowness of movements, inability to maintain balance;
• stroke is an acute disorder of cerebral circulation. Signs are strong headache with nausea and vomiting, lethargy or agitation, speech impairment, paralysis of individual muscles;
• epilepsy – sudden onset of seizures;
• damage to the hypothalamus, in addition to increased sweating, is manifested by sleep disturbances, surges in blood pressure, and impaired vascular tone;
• concussion or brain injury - loss of consciousness, amnesia, headache, nausea, vomiting, pale skin.

• Infectious diseases, acute and chronic. The appearance of viruses and bacteria in the blood is accompanied by the production of pyrogens - substances that affect thermal sensitivity neurons. The development of fever and excessive sweating is caused by:

• Tuberculosis. Its symptoms are weakness, pallor, fatigue, apathy, slight increase in temperature, cough (in the pulmonary form);
• Flu – fever, weakness, headache, muscle and joint pain, dry cough;
• Sore throat - fever, sore throat, purulent plaque on the tonsils or accumulation of pus in the lacunae;
• Septicemia is the entry into the blood of a large number of pathogenic microbes. Manifested by fever, malaise, muscle and abdominal pain, diarrhea, severe intoxication, a characteristic rash in the form of small hemorrhages;
• Malaria is a disease caused by infection with Plasmodium falciparum. Accompanied by fever, chills, headache and vomiting;
• Brucellosis is an infectious disease caused by Brucella. You can become infected with it through contact with domestic animals (cows, goats, pigs), through their meat and dairy products. Manifested by high fever and headache, soreness in muscles and joints.

• Syphilis venereal disease, affecting the mucous membranes, internal organs and nervous system. Leads to damage to the nerve fibers of the dorsal roots, which is accompanied by asymmetrical local hyperhidrosis.
• Hormonal imbalances cause endocrine hyperhidrosis. Sweat production is influenced by hormones of the gonads, hypothalamus, pituitary gland and thyroid gland. Excessive sweating occurs:

• in adolescents with high concentrations of sex hormones;
• in women during menopause when estrogen levels decrease and follicle-stimulating hormone increases;
• for hyperthyroidism and other pathologies of the thyroid gland;
• with pheochromocytoma - a tumor of the nervous system that synthesizes adrenaline and norepinephrine;
• with carcinoid syndrome - a tumor that produces hormonal substances that stimulate the sympathetic fibers of the NS.

• Elevated levels of catecholamines. These substances ensure the transmission of impulses in nerve trunks and the interaction of cells in the body. They appear in the blood:

• during intense physical work;
• for pain of various origins;
• with drug or alcohol withdrawal, “withdrawal” that occurs when abruptly quitting these substances;

• Tumor diseases cause an increase in temperature and sweating through an effect on the thermoregulation center in the hypothalamus. Hyperhidrosis appears in the evening and night hours and is observed throughout the body. Provokes him.

• lymphocytic lymphoma – malignant tumor lymphatic tissue. Symptoms: weakness, weight loss, sleep and digestive disorders;
• histiocytic lymphoma is an oncological lesion of lymphoid tissues. Manifestations depend on the location of the tumors;
• mixed lymphoma is a malignant tumor of the lymph nodes, which is characterized by their enlargement, fever, swelling and bluishness of the facial skin and weight loss;
• Burkitt's lymphoma - single or multiple oncological tumors of the jaw, which can subsequently affect other internal organs. Occurs with fever and deterioration of general condition.

• Systemic diseases. An autoimmune process (an attack by one’s own immune cells) damages the blood capillaries that supply the nerve trunks. This leads to dysfunction of the organs for which these nerves are responsible.

• Raynaud's disease. Manifested by spasm of blood vessels in the fingertips. They become colder and acquire a bluish color. The spasm is quickly replaced by vasodilation;
• rheumatoid arthritis - symmetrical damage to small joints, weakness, morning stiffness. Symptoms of spinal damage gradually develop and large joints– headaches, tingling fingers, crawling sensation, pain when breathing, etc.

• Taking medications. Some drugs that affect the autonomic nervous system stimulate sweat production. These side effects have:

• propranolol;
• pilocarpine;
• physostigmine;
• antiemetics;
• antidepressants.

• Hereditary predisposition. It has been established that the tendency to excessive sweat formation is passed on from generation to generation. The reasons for this phenomenon have not been established. People who develop hyperhidrosis without obvious reasons, make a diagnosis primary hyperhidrosis" This distinguishes it from secondary hyperhidrosis, which is always associated with diseases.

Psychogenic hyperhidrosis

Psychogenic hyperhidrosis

In people suffering from psychogenic hyperhidrosis, even minor irritants cause strong discharge sweat. For example, if a healthy person’s armpits only slightly sweat when embarrassed, then a sick person’s face may become covered with large drops of sweat, and wet spots. This is often accompanied by redness of the facial skin. This feature of the body is probably associated with the increased sensitivity of the receptors responsible for binding adrenaline.

Due to the fact that during sleep the sympathetic nervous system rests and inhibition processes predominate in it, sweating decreases at night.

Causes of psychogenic hyperhidrosis

• Psycho-emotional stress– any situation that evokes strong positive or negative emotions in a person.
• Acute psychological trauma– a stressful situation that had a short-term impact on the psyche, but left serious consequences.

• a loss loved one;
• a break up;
• conflict;
• loss of property, work;
• fright;
• speaking in front of an audience;
• making a serious diagnosis.

• Chronic psychological trauma when a person has been in an unfavorable situation for a long time due to various factors:

• Domestic violence;
• Cheating spouse;
• Divorce of parents;
• Living in a dysfunctional family;
• Lack of parental affection.

• Neuroses– long-term reversible disorder of mental functions. It is caused by prolonged negative emotions and stress, overwork or serious illnesses. This condition is characterized by a tendency to hysteria. Neuroses are accompanied by autonomic disorders and often sweating.
• Asthenia– a psychopathological disorder characterized by various disorders of the autonomic nervous system. The main symptom is chronic fatigue, which is often accompanied by tachycardia, pain in the heart, sweating and depression.
• Long-term insomnia, disrupting the balance of excitation and inhibition processes in the nervous system.

• Neurocirculatory dysfunction(vegetative-vascular dystonia) a disorder of the nervous system in which the tone of the sympathetic department may be increased or decreased.
• Pain. When a patient experiences pain and associated anxiety, adrenaline and catecholamines are released. These substances contribute to the emergence and transmission of impulses, due to which the sweat glands are stimulated, mainly on the palms and soles.

Diagnostics psychogenic hyperhidrosis

Survey. At the first stage of diagnosis, the doctor collects an anamnesis. He is interested in:

• When did the first signs of hyperhidrosis appear?
• What preceded them (stress, illness)?
• Which areas experience the most sweating?
• In what situations does it intensify, is there a dependence on tension and excitement?
• Do you have any complaints about night sweats?
• Does the patient suffer from sweating all the time or does the problem appear periodically?
• How often does the patient have to shower and change clothes throughout the day?
• Does any of your relatives suffer from excessive sweating?
• Does the patient have acute or chronic illnesses?

• The condition of the patient’s clothing, the presence of sweat stains on it. They appear first in axillary area. Less common on the back and in places where skin folds form. Based on the size of the spot in the armpit, you can roughly estimate the degree of hyperhidrosis:

• norm – up to 5 cm;
• mild degree– up to 10 cm;
• medium degree – up to 15 cm;
• severe degree – over 20 cm.

• Symmetrical arrangement of spots. Unsymmetrical sweating indicates damage to the nerve fibers of the sympathetic nervous system.
• Sweat on your face. Sweating is often limited to specific areas where the sweat glands are better innervated. This is the forehead, upper lip. In 70% of patients, an attack of psychogenic hyperhidrosis is accompanied by redness of the facial skin.

Psychogenic hyperhidrosis is confirmed by the following signs:

• sudden onset;
• Patients associate the appearance of hyperhidrosis with acute or chronic psychological trauma;
• increased sweating in situations that cause anxiety in the patient;
• reduction of sweating during sleep;
• recurrent course - exacerbations coincide with periods of increased anxiety (session, business trips);
• The face, palms and feet sweat the most, less often intense sweating over the entire surface of the body.

• biochemical blood test (AST, ALT, glucose, calcium, bilirubin);
• blood test for hepatitis B, C and HIV viruses;
• blood test for syphilis - Wasserman reaction;

Qualitative and quantitative assessment of sweating

Treatment of psychogenic hyperhidrosis

• Compliance with personal hygiene rules. Warm or contrast shower 2 times a day, more often if necessary. Daily change of linen, which should consist only of natural fabrics that are breathable and absorb moisture well.
• Taking B vitamins: B3 and B5.
• General strengthening of the body, including air baths, contrast showers and other hardening methods.
• Baths with oak bark decoction 2-3 times a week for 15 minutes. For the treatment of hyperhidrosis in armpits ah, you can use gauze napkins soaked in the broth.
• Spa treatment. Sea bathing, sunbathing, brine baths (with salt concentrate).

Features of the treatment of psychogenic hyperhidrosis of the armpits, legs and palms

Primary hyperhidrosis

Primary hyperhidrosis

Primary hyperhidrosis appears in childhood or adolescence, and after 40 it tends to decrease. This form of the disease has little to do with the emotional state and ambient temperature.
Primary hyperhidrosis is often permanent, less often it occurs in attacks. Patients cannot clearly determine what exactly provokes an attack of sweating, since it occurs at rest, at normal temperature, in a well-ventilated room.
Primary hyperhidrosis is predominantly local. It covers one or several areas: feet, palms, armpits, face.

Causes primary hyperhidrosis

Among the reasons are hereditary predisposition. During the survey, as a rule, it turns out that the patient’s relatives also suffer from excessive sweating.
This feature of the body may be associated with various factors affecting the excitability of the sympathetic nervous system:

• high sensitivity of the body to adrenaline and norepinephrine;
• high, but within normal limits, level of hormones – sex, thyroid;
• features of the functioning of the nervous system, when a large number of nerve impulses are synthesized in the subcortical centers and ganglia of the autonomic nervous system;
• an excess of the mediator serotonin, which ensures high conductivity in the trunks of the sympathetic nervous system.

Diagnostics primary hyperhidrosis

• When did sweating first appear?
• Do other family members have similar problems?
• In what situations does it increase?
• How strong is it?
• How much does it interfere with everyday life?
• Which general state health? Do you have any chronic diseases?

Factors confirming primary hyperhidrosis:

• early onset of the disease, in childhood or adolescence;
• Other relatives also suffer from excessive sweating;
• there is no clear connection with strong emotions and stress;
• sweating is symmetrical, usually the disease affects the feet, palms and armpits. Less often the whole body;
• There is no heavy sweating during sleep. Night sweats indicate other diseases and require additional diagnostics;
• there are no signs of infectious or other acute and chronic diseases.

• sweat stains on clothes;
• diaper rash and rashes in areas of sweating;
• in some cases, drops of sweat are found on the skin.

Laboratory research:

• general blood analysis;
• biochemical blood test (AST, ALT, glucose, calcium, bilirubin);
• blood test for hepatitis B, C and HIV viruses;
• fluorography or x-ray of the lungs;
• blood test for syphilis - Wasserman reaction;
• blood test to determine glucose levels;
• blood test for thyroid hormones (T3, T4, TSH, parathyroid hormone);
• general urine analysis.

Treatment primary hyperhidrosis

Features of the treatment of primary hyperhidrosis of the armpits, legs and palms

Endocrine hyperhidrosis

Endocrine hyperhidrosis

• directly affect the thermoregulation center;
• increase excitability and conduction of impulses along the sympathetic fibers of the nervous system;
• enhance metabolism;
• dilate blood vessels and increase blood flow, bringing more fluid to the sweat glands.

Causes endocrine hyperhidrosis

• Diabetes. Changes occur in the autonomic nervous system. Myelin, a substance that protects nerve roots and fibers, is destroyed, which affects the innervation of the sweat glands. In patients, sweating occurs only in the upper half of the body, while the skin of the pelvis and lower extremities suffers from dryness. In diabetes mellitus, in addition to hyperhidrosis, the following symptoms occur: dry mouth, thirst, increased volume of urine, muscle weakness, decreased immunity and wounds that do not heal for a long time.
• Hyperthyroidism and other thyroid diseases, accompanied by an increase in thyroid hormones, which increase the number of heart contractions, blood flow speed and metabolism. These processes cause increased heat generation. Sweating in this case is a mechanism of thermoregulation. Hyperthyroidism is indicated by: increased irritability and tearfulness, weight loss, slight increase in temperature, increased heart rate, increased upper (systolic) and decreased lower (diastolic) pressure, protrusion of the eyeballs, increased appetite, heat intolerance.
• Obesity. Redundant body fat under the skin and around internal organs, thermoregulation mechanisms are disrupted. Fat retains heat in the body, and to reduce temperature, the body increases the rate of sweating. The ability of adipose tissue to produce sex hormones - estrogens, which affect the thermoregulation center, has also been proven.
• Acromegaly. A benign tumor of the pituitary gland that produces somatotropin. This disease in 80% of cases is accompanied by a decrease in the level of sex hormones and an increase in the level of thyroid hormones. An imbalance of hormones activates metabolic processes, increases heat production and increases sweating. Acromegaly occurs characteristic symptoms: enlargement of bones, including facial ones (lower jaw, brow ridges, cheekbones, nose), enlargement of the skull, thickening of the fingers, pain in the joints. The skin thickens, becomes denser, and gathers into folds. The sebaceous glands are active.
• Menopausal syndrome. The restructuring in the female body is caused by a decrease in estrogen levels and an increase in the level of follicle-stimulating hormone. Estrogens have a direct effect on thermoregulation. Their deficiency affects the hypothalamus, which mistakenly diagnoses overheating of the body. This gland turns on the mechanism of getting rid of excess heat, dilating peripheral vessels and increasing sweating, which provokes hot flashes and an attack of hyperhidrosis. Such symptoms accompany menopause in 80% of women. The onset of menopause is also indicated by: anxiety, tearfulness, dryness of the mucous membranes of the genital organs, which is accompanied by burning and itching, weight gain, and deterioration of the skin condition.
• Pheochromocytoma– tumors of the nervous system that synthesize adrenaline and norepinephrine. These hormones stimulate the nervous system and increase the number of impulses reaching the sweat glands. Associated symptoms: paroxysmal increase in blood pressure. During a crisis, a characteristic picture develops: fear, chills, headaches and heart pain, heart rhythm disturbances, nausea, vomiting, abdominal pain. After an attack, severe sweating occurs (the person is “drenched in sweat”) and a large amount of urine is passed out, up to 5 liters.
• Carcinoid syndrome– tumors that produce hormonal substances that stimulate the sympathetic fibers of the nervous system. In addition to excessive sweating, patients are worried about: abdominal pain, loose stool, disturbances in the functioning of the heart caused by damage to the valves, narrowing of the bronchi - bronchospasm, accompanied by shortness of breath and wheezing. Dilatation of superficial vessels leads to redness of the face, neck and upper torso.
• Puberty . During this period, the functioning of the gonads is not stable. Constant fluctuations in hormone levels affect the state of the nervous system. Stimulation of its sympathetic department causes sweating of the face, feet, palms and armpits. This situation can last 1-2 years or accompany a person throughout his life.

Diagnostics endocrine hyperhidrosis

• When did the sweating start?
• What are the circumstances surrounding its appearance?
• In what areas is it most pronounced?
• In what situations do seizures occur?
• Are evening and night sweats common?
• What is your general health? Are there any chronic diseases?

• generalized sweating throughout the body;
• sweating increases in the evening and at night;
• symmetrical arrangement of sweating zones;
• attacks of hyperhidrosis have little to do with nervous or physical stress;
• The attacks are so severe that you have to change clothes.

Inspection. During examination, the doctor may identify the following signs:

• sweating areas are located symmetrically;
• the majority have generalized sweating - over the entire surface of the body;
• redness of the skin of the face and body associated with the expansion of superficial capillaries.

The following test results may indicate endocrine hyperhidrosis:

• Blood test to determine glucose level - over 5.5 mmol/l;

• Blood test for thyroid hormones

• Free hormone T3 (triiodothyronine) – over 5.69 pmol/l;
• Free hormone T4 (thyroxine) – over 22 pmol/l;
• Thyroid-stimulating hormone(TSH) – over 4.0 µIU/ml;
• Parathyroid hormone – over 6.8 pmol/l;

• Test for sex hormones (for women and men)

• Follicle-stimulating hormone (FSH) – for women less than 1.2 mU/l (the phase of the menstrual cycle must be taken into account), for men less than 1.37 mU/l;
• Estradiol/estrone index – less than 1;
• Inhibin – less than 40 pg/ml for women, less than 147 pg/ml for men;
• Testosterone-estradiol-binding globulin or SHBG – less than 7.2 nmol/l. ml for women, less than 13 nmol/l for men.

Treatment endocrine hyperhidrosis

Features of the treatment of endocrine hyperhidrosis of the armpits, legs and palms

Prevention of hyperhidrosis

• Wearing loose clothing made from natural fabrics. Sweat stains are less noticeable on dark-colored items or clothes with small prints.
• Wearing “breathable” shoes, and open ones in the summer.
• Use of special antibacterial insoles and liners.
• Fighting flat feet. Irregular foot structure is accompanied by increased sweating.
• Contrast shower 2 times a day for general hyperhidrosis. Baths with contrast water 2-3 times a week for local hyperhidrosis. Changing temperatures improves blood circulation in the skin and helps narrow the ducts of the sweat glands.
• Baths or applications with decoctions of medicinal herbs containing tannins and stopping the growth of bacteria. They use oak bark, celandine, and mint.
• Baths with potassium permanganate (potassium permanganate). Every other day or 2-3 times a week. Duration 15 min.
• Taking vitamins. Vitamins A, E, and B group affect the skin and sweat glands.
• Taking sedatives to normalize the functioning of the nervous system. Valerian, motherwort, and ankylosing spondylitis reduce nervous stimulation of the sweat glands.
• Treatment of chronic diseases that cause sweating.

Treatment of hyperhidrosis, regardless of its location (generalized or localized) and the mechanism of development (primary or secondary), is carried out using the same methods and drugs, the action of which is aimed at reducing the intensity of the sweat glands.

Heavy sweating - the essence of pathology and the mechanism of development

Heavy sweating refers to the increased production of sweat in situations for which this is not normally typical. For example, if a person sweats at rest or with slight excitement, then we're talking about specifically about increased sweating.

Factors that provoke heavy sweating can be absolutely any physical, mental or physiological phenomena. However, the main difference between heavy sweating and normal sweating is the onset of profuse sweating in situations in which this would not normally occur.

The general mechanism for the development of any type of hyperhidrosis, regardless of the nature and strength of the causative factor, is excessive activity of the sympathetic nervous system, which activates the sweat glands. That is, a signal is transmitted through the nerve fibers of the sympathetic department of the peripheral nervous system to the sweat glands, which, as a result of this influence, are activated and begin to work in an enhanced mode. Naturally, if the sympathetic nervous system works too actively, then its influence on the sweat glands is also greater than normal, which leads to increased production of sweat.

However, increased activity of the sympathetic nervous system is just a mechanism of hyperhidrosis. And here exact reasons increases in sympathetic nervous system activity are unknown. After all, excessive sweating can develop against the background of complete health, and with certain diseases, and with emotional experiences, and with taking a number of medications, and with a whole series of very interesting factors that, at first glance, have nothing to do with sympathetic nervous system. However, scientists and doctors were only able to establish for sure that with increased sweating, provoking factors lead to one thing - activation of the sympathetic nervous system, which, in turn, enhances the work of the sweat glands.

Since an imbalance in the activity of the sympathetic and parasympathetic nervous systems is characteristic of vegetative-vascular dystonia, severe sweating is very common with this disorder. However, many people suffering from excessive sweating do not have vegetative-vascular dystonia, so consider this pathology as the most common and probable cause of sweating cannot be.

If severe sweating develops in a person against the background of any diseases, then its development mechanism is exactly the same - that is, excessive activity of the sympathetic nervous system. Unfortunately, the exact mechanism of the influence of somatic, endocrinological and psychological disorders on the sympathetic nervous system is unknown, as a result of which the so-called “trigger” point of sweating has not been established. Since scientists and doctors do not know how exactly the process of active work of the sympathetic nervous system is started, it is currently impossible to regulate the centers of the brain that control the nerve fibers that transmit signals to the sweat glands. Therefore, to treat excessive sweating, only symptomatic remedies that reduce the production of sweat by the glands can be used.

Classification and brief characteristics of various types of severe sweating

Primary or idiopathic hyperhidrosis

Secondary hyperhidrosis

In addition to dividing hyperhidrosis into primary and secondary, excessive sweating is also classified into the following three types depending on the volume skin involved in the pathological process:
1. Generalized hyperhidrosis;
2. Localized (local, local) hyperhidrosis;
3. Gustatory hyperhidrosis.

Generalized hyperhidrosis

Localized hyperhidrosis

• Palms;
• Feet;
• Armpits;
• Area around the lips;
• Face;
• Back;
• Skin of the external genitalia;
• Anal area;
• tip of the nose;
• Chin;
• The scalp.

Usually sweat does not have any odor, but with local hyperhidrosis, bromidrosis (osmidrosis) or chromidrosis may develop. Bromidrosis is a foul-smelling sweat that is usually produced by poor hygiene or by consuming foods with pungent odor, for example, garlic, onions, tobacco, etc. If a person consumes products with a strong odor, then the aromatic substances contained in them, released from the human body through sweat, give it an unpleasant aroma. Bromidrosis, if hygiene is not observed, develops due to the fact that bacteria living on the surface of the skin begin to actively decompose protein substances released in sweat, resulting in the formation of foul-smelling compounds of sulfur, hydrogen sulfide, ammonia, etc. In addition, foul-smelling sweat with hyperhidrosis can occur in people with diabetes mellitus, skin syphilis (syphilitic rashes) and pemphigus, as well as in women suffering from menstrual irregularities.

Chromydrosis represents the coloring of sweat in various colors (orange, black, etc.). A similar phenomenon occurs when any toxic substances and chemical compounds (mainly compounds of cobalt, copper and iron) enter the human body, as well as in the presence of hysterical seizures and systemic diseases.

Gustatory hyperhidrosis

Many doctors and scientists do not distinguish gustatory hyperhidrosis as a separate type of excessive sweating, but include it as part of the localized form of excessive sweating.

Features of local hyperhidrosis of some localizations

Excessive sweating under the arms (axillary hyperhidrosis)

However, isolated secondary excessive sweating in the armpits can be caused by the following diseases:

• Follicular mucinosis;
• Blue nevus;
• Tumors of cavernous structure.

Severe sweating of the head

• Neuropathy in diabetes mellitus;
• Herpes zoster of the face and head;
• Diseases of the central nervous system;
• Damage to the parotid salivary gland;
• Frey's syndrome;
• Skin mucinosis;
• Hypertrophic osteoarthropathy;
• Blue nevus;
• Cavernous tumor;
• Sympathectomy.

Excessive sweating of the feet (sweating feet, plantar hyperhidrosis)

The problem of excessive sweating of the feet is very relevant, since it causes severe discomfort to a person. After all, when the feet sweat, an unpleasant odor almost always appears; the socks are constantly wet, as a result of which the feet freeze. In addition, the skin on the legs, under the influence of sweat, becomes damp, cold, cyanotic and easily damaged, as a result of which a person is constantly faced with infectious and inflammatory diseases.

Excessive sweating of the palms (palmar hyperhidrosis)

Heavy facial sweating

Features of excessive sweating in various situations

Heavy sweating at night (during sleep)

Night sweats can be idiopathic or secondary. Moreover, if such sweating is secondary, then this indicates a severe systemic infectious or oncological disease. The causes of secondary night sweats can be the following diseases:

• Systemic fungal infection (for example, aspergillosis, systemic candidiasis, etc.);
• Long-term chronic infections any organs (for example, chronic tonsillitis, etc.);

It should be said that despite the fact that night sweats may be symptom severe illness, in most cases, people suffering from this problem do not have any health problems. Typically, idiopathic night sweats are caused by stress and anxiety.

If a person has idiopathic night sweats, then to reduce its severity it is recommended to follow the following rules:

• Make the bed as comfortable as possible and sleep on a hard mattress and pillow;
• Ensure the air temperature in the room in which you plan to sleep is no more than 20 - 22 o C;
• If possible, it is recommended to open the bedroom window at night;
• Lose weight if you are overweight.

Heavy sweating during physical activity

To reduce sweating during physical exercise You should wear loose, open, light clothing that does not cause additional heat to the skin. In addition, the areas of the most pronounced sweating can be treated with a special antiperspirant deodorant containing aluminum 1–2 days before planned physical activity. You should not apply deodorant to large areas of the body, as this blocks the production of sweat and can cause overheating of the body, manifested by weakness and dizziness.

Heavy sweating when sick

So, you should definitely consult a doctor if sweating is combined with any of the following symptoms:

• Significant reduction in body weight without dieting, physical activity, etc.;
• Weakening or increasing appetite;
• Persistent cough lasting more than 21 days in a row;
• Periodic frequent increases in body temperature above 37.5 o C, occurring for several weeks in a row;
• Chest pain, worsened by coughing, breathing and sneezing;
• Spots on the skin;
• Enlargement of one or more lymph nodes;
• Feeling of discomfort and pain in the abdomen, which occurs quite often;
• An attack of sweating is accompanied by palpitations and increased blood pressure.

In diseases of the thyroid gland and other internal secretion organs (endocrine glands), sweating develops quite often. Thus, attacks of generalized excessive sweating can occur with hyperthyroidism (Graves disease, thyroid adenoma, etc.), pheochromocytoma (adrenal tumor) and dysfunction of the pituitary gland. However, with these diseases, sweating is not the main symptom, since the person has other, much more serious dysfunctions of the body.

At hypertension Generalized sweating often develops, since during an attack of high blood pressure the activity of the sympathetic nervous system increases.

Heavy sweating during menopause

Thus, at present, to improve the quality of life and alleviate a woman’s condition, there is a wide range of medications that stop such manifestations of the decline of menstrual function as sweating and hot flashes. To choose the best remedy for yourself, it is recommended to consult a gynecologist who can recommend hormone replacement therapy (HRT) or homeopathic medicines (for example, Klimaksan, Remens, Klimadinon, Qi-Klim, etc.).

Heavy sweating after childbirth and during pregnancy

Thus, during pregnancy, some time after childbirth, as well as in the second half of the menstrual cycle, the effects of progesterone prevail, since it is produced much more than estrogen. And progesterone increases the functioning of the sweat glands and their sensitivity to ambient temperature, which, accordingly, leads to increased sweating in women. Accordingly, increased sweating during pregnancy and some time after childbirth is a completely normal phenomenon that should not be feared.

If sweating causes discomfort to a woman, then to reduce it during the entire period of pregnancy, you can use antiperspirant deodorants that are safe for the baby and do not affect its growth and development.

Night sweats - why we sweat at night: menopause (relief of symptoms), tuberculosis (treatment, prevention), lymphoma (diagnosis) - video

Heavy sweating in women and men

Heavy sweating - causes

The situation is completely different with secondary severe sweating, which is always caused by some reason, which is a somatic, endocrine or other disease.

So, the following diseases and conditions may be the causes of secondary severe sweating:
1. Endocrine diseases:

• Thyrotoxicosis ( high level thyroid hormones in the blood) against the background of Graves' disease, adenoma or other diseases of the thyroid gland;
• Diabetes;
• Hypoglycemia (low blood sugar);
• Pheochromocytoma;
• Carcinoid syndrome;
• Acromegaly;
• Pancreatic dysfunction (decreased production of enzymes by the pancreas).

• Tuberculosis;
• HIV infection;
• Neurosyphilis;
• System fungal infections(for example, aspergillosis, systemic candidiasis, etc.);
• Herpes zoster.

• Endocarditis;
• Chronic tonsillitis, etc.

• Diencephalic syndrome of newborns;
• Diabetic, alcoholic or other neuropathy;
• Vegetative-vascular dystonia;
• Syringomyelia.

• Hodgkin's disease;
• Non-Hodgkin's lymphomas;
• Compression of the spinal cord by a tumor or metastases.

• Riley-Day syndrome;

• Fear;
• Pain;
• Anger;
• Anxiety;
• Stress.

• Hypertonic disease;
• Hyperplasia of sweat glands;
• Keratoderma;
• Withdrawal syndrome in alcoholism;
• Opium withdrawal syndrome;
• Damage to the parotid salivary glands;
• Follicular mucinosis of the skin;
• Hypertrophic osteoarthropathy;
• Blue nevus;
• Cavernous tumor;
• Mushroom poisoning;
• Poisoning with organophosphorus substances (OPS).

• Aspirin and products containing acetylsalicylic acid;
• Gonadotropin-releasing hormone agonists (Gonadorelin, Nafarelin, Buserelin, Leuprolide);
• Antidepressants (most often Bupropion, Fluoxetine, Sertraline, Venlafaxine);
• Insulin;
• Non-steroidal anti-inflammatory drugs (most often Paracetamol, Diclofenac, Ibuprofen);
• Opioid analgesics;
• Pilocarpine;
• Sulfonylurea derivatives (Tolbutamide, Gliquidone, Gliclazide, Glibenclamide, Glipizide, etc.);
• Promedol;
• Emetics (ipecac, etc.);
• Medicines for the treatment of migraine (Sumatriptam, Naratriptan, Rizatriptan, Zolmitriptan);
• Theophylline;
• Physostigmine.

Excessive sweating in a child - causes

Thus, many newborn babies sweat intensely during feeding, when they suck on the breast or milk from a bottle. Children during the first 3 years of life sweat very much during their sleep, regardless of whether they sleep during the day or at night. Increased sweating accompanies them during both night and daytime sleep. Scientists and doctors consider children to sweat during meals and sleep as a normal phenomenon, which reflects the baby’s body’s ability to remove excess heat to the outside and prevent overheating.

Remember that the child is adapted by nature to be well tolerated relatively low temperatures, and the optimal ambient temperature for him is 18 - 22 o C. At this temperature, a child can calmly walk in a T-shirt and not freeze, although almost any adult in the same clothes will be uncomfortable. Considering the fact that parents try to dress their children warmly, focusing on own feelings, they constantly expose them to the danger of overheating. The child compensates for too warm clothes by sweating. And when heat production in the body increases even more (sleep and food), the child begins to sweat intensely in order to “shed” the excess.

There is a widespread belief among parents that excessive sweating of a child in the first 3 years of life is a sign of rickets. However, this opinion is completely untrue, since there is no connection between rickets and sweating.

In addition to these physiological causes of increased sweating in children, there are a number of factors that can cause hyperhidrosis in children. These factors represent diseases of internal organs, which always manifest themselves in other, more noticeable and important symptoms, by the presence of which parents can understand that the child is sick.

Excessive sweating in children: causes, symptoms, treatment. Hyperhidrosis during pregnancy - video

Heavy sweating - what to do (treatment)

So, currently the following methods are used to treat severe sweating:
1. External application of antiperspirants (deodorants, gels, ointments, wipes) to the skin to reduce sweat production;
2. Ingestion of tablets that reduce sweat production;
3. Iontophoresis;
4. Injections of botulinum toxin (Botox) in areas with excessive sweating;
5. Surgical methods for treating sweating:

• Curettage of sweat glands in areas of excessive sweating (destruction and removal of sweat glands through an incision in the skin);
• Sympathectomy (cutting or compressing the nerve going to the glands in the area of ​​excessive sweating);
• Laser lipolysis (laser destruction of sweat glands).

Thus, the modern algorithm for using methods for treating hyperhidrosis is as follows:
1. External use of any antiperspirant on areas of skin with excessive sweating;
2. Iontophoresis;
3. Botulinum toxin injections;
4. Taking pills that reduce hyperhidrosis;
5. Surgical methods for removing sweat glands.

Antiperspirants are various means applied to the skin, such as deodorants, sprays, gels, wipes, etc. These products contain aluminum salts, which literally clog the sweat glands, blocking the production of sweat and thereby reducing sweating. Antiperspirants containing aluminum can be used for a long time, achieving optimal levels of perspiration. Previously, drugs containing formaldehyde (Formidron) or methenamine were used as antiperspirants. However, at present their use is limited due to toxicity and relatively low efficiency compared to products with aluminum salts.

When choosing an antiperspirant, you need to pay attention to the aluminum concentration, since the higher it is, the stronger the activity of the product. You should not choose products with maximum concentration, as this can cause severe skin irritation. It is recommended to start using antiperspirants with a minimum concentration (6.5%, 10%, 12%) and only if they are ineffective, take a product with a higher high content aluminum The final choice should be made with a product with the lowest possible concentration that effectively stops sweating.

Antiperspirants are applied to the skin for 6–10 hours, preferably at night, and then washed off. The next application is made after 1 - 3 days, depending on how much the effect of the product is sufficient for that particular person.

If antiperspirants are ineffective in reducing sweating, an iontophoresis procedure is performed, which is a type of electrophoresis. With iontophoresis, using an electric field, drugs and salts penetrate deep into the skin, which reduce the activity of the sweat glands. To reduce sweating, iontophoresis sessions are performed with plain water, botulinum toxin or glycopyrrolate. Iontophoresis can stop sweating in 80% of cases.

If iontophoresis is ineffective, then to stop sweating, botulinum toxin is injected into the problem parts of the skin. These injections eliminate the problem of sweating in 80% of cases, and their effect lasts from six months to one and a half years.

Tablets that reduce sweating are taken only in cases where antiperspirants, iontophoresis and botulinum toxin injections are ineffective. These tablets include products containing glycopyrrolate, oxybutynin and clonidine. Taking these tablets is associated with numerous side effects (for example, difficulty urinating, sensitivity to light, palpitations, dry mouth, etc.), so they are used very rarely. Typically, people take anti-sweating pills before important meetings or events when they need to eliminate the problem reliably, effectively and for a relatively short period of time.

Finally, if conservative methods of stopping sweating do not help, you can use surgical treatment methods that involve the destruction and removal of sweat glands or cutting the nerves leading to the problem area of ​​​​the skin.

Curettage involves scraping out the sweat glands directly from the problem area of ​​skin with a small spoon. The operation is performed under local or general anesthesia and eliminates sweating in 70% of cases. In other cases, repeated curettage is required to remove some more glands.

Laser lipolysis is the destruction of sweat glands with a laser. In essence, this manipulation is similar to curettage, but is more gentle and safe, since it allows minimizing skin trauma. Unfortunately, laser lipolysis to reduce sweating is currently performed only in selected clinics.

A sympathectomy involves cutting or clamping the nerve leading to the sweat glands located in a problem area of ​​skin with severe sweating. The operation is simple and highly effective. However, unfortunately, sometimes, as a complication of the operation, a person experiences excessive sweating in the adjacent area of ​​skin.

What is increased sweating, forms (primary, secondary) and degrees of hyperhidrosis, treatment methods, doctor’s recommendations - video

Deodorant (remedy) for heavy sweating

• Dry Dry (Dry Dry) – 20 and 30% aluminum concentration;
• Anhydrol Forte – 20% (can only be purchased in Europe);
• AHC30 –30% (can be purchased through online stores);