26 years
Facing sweating prb with bad smell under my armpits, always shaving, with or without deodorants, showers + changing clothes everyday, all not helping
Jan 26, 2016
Sweating is necessary; it serves to prevent the body from overheating. In hyperhidrosis, however, sweat still occurs even when the body is not in need of cooling. This excessive sweating can become a real nuisance and interfere with daily activities.
Hyperhidrosis can be localised or generalised.
Localized hyperhidrosis: affects armpits, palms, soles, face or other sites
Generalized hyperhidrosis: affects most or all of the body.
Attacks of excessive sweating may be triggered by: hot weather, exercise, anxiety, fever, and spicy food
How to manage hyperhidrosis?
Choose loose-fitting clothes made with sweat-proof fabrics; change clothing when damp
Use absorbent insoles in shoes and replace them frequently.
Use a non-soap cleanser
Apply talcum powder or corn starch powder after bathing
Avoid caffeinated food and drink
Check if you are taking any drug that may be causing hyperhidrosis; if so, discuss alternatives with your doctor
Apply antiperspirants that contain 10–25% aluminium salts to reduce sweating in the affected areas
More specialized interventions need to be administered by a dermatologist. These include:
Iontophoresis: this process helps in cases of hyperhidrosis of palms, soles and armpits. The affected area is immersed in water, an electrolyte solution or glycopyrronium solution, and a mild electrical current is passed across the skin surface for 10–20 minutes. The process is repeated daily for a few weeks, then less frequently as required. It may or may not produce the desirable effects.
Medications
Oral anticholinergic drugs, beta blockers, calcium channel blockers and anxiolytics may be useful for some patients.
Bottox injections: used for armpit hyperhidrosis off-label for localized hyperhidrosis in other sites. They reduce or stop sweating for three to six months.
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