Dermatology

Hyperhidrosis means “excessive sweating.” It is a condition that can negatively affect social life and significantly reduce quality of life.

Is every increase in sweating considered hyperhidrosis?

Sweating is a natural response to an increase in body temperature. Increased sweating in hot environments, during exercise, or due to anxiety and stress is normal. However, when sweating occurs without these triggers, disrupts daily life, and affects self-confidence or performance, treatment may be necessary.

How common is hyperhidrosis?

It can occur in individuals of any age and gender.

Which parts of the body are affected by hyperhidrosis?

It may be limited to a specific area or involve the entire body. According to this, it is categorized as “localized hyperhidrosis” or “generalized hyperhidrosis.”

What is localized hyperhidrosis?

This is the most common form. It usually affects both sides of the body symmetrically — palms, soles, armpits, scalp, and neck are the most typical areas. It usually begins in childhood or adolescence and may decrease with age. The exact cause is often unknown, but emotional triggers such as nervousness, embarrassment, or excitement can increase sweating. It rarely occurs during sleep.

What is generalized hyperhidrosis?

This involves excessive sweating throughout the entire body. It may be related to infections, diabetes, overactive thyroid, certain medications, obesity, menopause, or nerve damage. Sometimes no underlying cause is found.

Does sweat from hyperhidrosis smell bad?

Sweat itself is odorless. However, excessive sweating — especially in the armpits and feet — can increase bacterial growth, leading to an unpleasant odor.

How is hyperhidrosis diagnosed?

Diagnosis is made by a dermatologist through a detailed medical history and examination. If necessary, tests may be done to rule out underlying causes, although extensive testing is not always required.

What are the treatment options for hyperhidrosis?

Treatment is planned based on the type, location, and severity of sweating. Options include topical treatments (medications applied to the skin), iontophoresis, botulinum toxin injections, surgical procedures, and oral medications. Each method has different levels of effectiveness and side effects.

What can patients do in daily life?

• Prefer breathable fabrics like 100% cotton,
• Use underarm pads,
• Wear loose-fitting, natural-fiber clothes,
• Use and ventilate leather shoes, change socks frequently,
• Choose cotton or antibacterial socks,
• Avoid excessive caffeine, spicy foods, and alcohol.