Sweating; Causes, Symptoms, Diagnosis, Treatment

Sweating








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Sweating/Hyperhidrosis is a condition characterized by abnormally increased sweating, in excess of that required for regulation of body temperature. Although primarily a physical burden, hyperhidrosis can deteriorate the quality of life from a psychological, emotional, and social perspective. It has been called by some ‘the silent handicap.

Hyperhidrosis (excessive sweating) is a chronic autonomic disorder that can be debilitating leading to emotional and social embarrassment, as well as occupational, physical and psychological disability []. In a majority of cases, the cause of hyperhidrosis is unknown []. Primary hyperhidrosis starts in childhood and affects 0.6%–1% of the population []. A familial variant with autosomal dominant inheritance is now recognized with some families linked to an abnormality of chromosome 14q []. The diagnostic criteria for hyperhidrosis include excessive sweating that lasts at least six months without any obvious cause and has at least two of the following features: impairs daily activities, a bilateral and relatively symmetric pattern of sweating occurring at least once per week, an age of onset younger than 25, cessation of focal sweating during sleep, or positive family history [].

Alternative Names of Hyperhidrosis

Sweating – excessive; Perspiration – excessive; Diaphoresis

Commonly Affected Area

  • Armpits
  • Palms
  • Soles of your feet
  • Face & chest
  • Groin

Types of Hyperhidrosis

Hyperhidrosis (excessive sweating) may be either focal or generalized, and either primary (no underlying cause) or secondary (underlying cause identified). Common triggers include emotion and spicy foods.

  • Primary focal hyperhidrosis may affect the axillae, palms, soles or scalp, and has no underlying cause. It usually starts in childhood or adolescence but can occur at any age. Palmar and plantar hyperhidrosis may be present at birth.
  • Secondary focal hyperhidrosis involves specific areas of the body but is caused by an underlying condition.
  • Generalized hyperhidrosis affects the entire body and is usually caused by medical conditions or drugs.
  • Image result for hyperhidrosis face

Hyperhidrosis

Causes of Hyperhidrosis

Generalized hyperhidrosis affects the entire body and is caused, for example, by

  • infections,
  • endocrine disturbances and changes (hyperthyroidism, hyperpituitarism, diabetes, menopause and pregnancy, pheochromocytoma, carcinoid syndrome, acromegaly), and
  • neurological disorders (e.g., parkinsonism [e20])
  • malignancies (myeloproliferative syndromes, Hodgkin’s disease),
  • medication (e.g., antidepressants),
  • intoxication,
  • withdrawal of alcohol or other substances ().

Triggers to attacks of sweating may include:

Causes of localized hyperhidrosis include

  • Stroke
  • Spinal nerve damage
  • Peripheral nerve damage
  • Surgical sympathectomy
  • Neuropathy
  • Brain tumor
  • Chronic anxiety disorder

Causes of generalized hyperhidrosis include:

  • Obesity
  • Diabetes
  • Menopause
  • Overactive thyroid
  • Cardiovascular disorders
  • Respiratory failure
  • Other endocrine tumors, e.g phaeochromocytoma
  • Parkinson disease
  • Hodgkin disease
  • Drugs: alcohol, caffeine, corticosteroids, cholinesterase inhibitors, tricyclic antidepressants, selective serotonin reuptake inhibitors, nicotinamide and opioids

Secondary hyperhidrosis

  • Similarly, secondary (generalized) hyperhidrosis has many causes including certain types of cancer, disturbances of the endocrine system, infections, and medications.

Cancer

  • A variety of cancers have been associated with the development of secondary hyperhidrosis including lymphoma, pheochromocytoma, carcinoid tumors (resulting in carcinoid syndrome), and tumors within the thoracic cavity.

Endocrine

  • Certain endocrine conditions are also known to cause secondary hyperhidrosis including diabetes mellitus (especially when blood sugars are low), acromegaly, hyperpituitarism, and various forms of thyroid disease.

Medications

  • Use of selective serotonin reuptake inhibitors (e.g., sertraline) is a common cause of medication-induced secondary hyperhidrosis. Other medications associated with secondary hyperhidrosis include tricyclic antidepressants, opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), glyburide, insulin, anxiolytic agents, adrenergic agonists, and cholinergic agonists.

Miscellaneous

In people with a past history of spinal cord injuries

  • Autonomic dysreflexia
  • Orthostatic hypotension
  • Posttraumatic syringomyelia

Associated with peripheral neuropathies

  • Familial dysautonomia (Riley-Day syndrome)
  • Congenital autonomic dysfunction with universal pain loss
  • Exposure to cold, notably associated with the cold-induced sweating syndrome

Associated with probable brain lesions

  • Episodic with hypothermia (Hines and Bannick syndrome)
  • Episodic without hypothermia
  • Olfactory

Associated with systemic medical problems

  • Parkinson’s disease
  • Fibromyalgia
  • Congestive heart failure
  • Anxiety
  • Menopausal state
  • Night Sweats
  • Compensatory
  • Infantile acrodynia induced by chronic low-dose mercury exposure, leading to elevated catecholamine accumulation and resulting in a clinical picture resembling pheochromocytoma.

Causes of secondary hyperhidrosis

  • Spinal cord injury
  • Alcohol abuse
  • Anxiety
  • Diabetes
  • Gout
  • Heart disease
  • Hyperthyroidism – an overactive thyroid gland
  • Obesity
  • Parkinson’s disease
  • Pregnancy
  • Respiratory failure
  • Shingles
  • Some cancers, such as Hodgkin’s disease
  • Some infections – HIV, malaria, TB (tuberculosis)
  • Some medications, including some antidepressants, anticholinesterases (for Alzheimer’s disease), pilocarpine (for glaucoma), propranolol (for high blood pressure)
  • Substance abuse

Symptoms of hyperhidrosis

  • Hyperhidrosis is defined as sweating that disrupts normal activities. Episodes of excessive sweating occur at least once a week for no clear reason and have an effect on social life or daily activities.

Signs and symptoms of hyperhidrosis may include

  • Clammy or wet palms of the hands
  • Clammy or wet soles of the feet
  • Frequent sweating
  • Noticeable sweating that soaks through clothing

People with hyperhidrosis might experience the following

  • Irritating and painful skin problems, such as fungal or bacterial infections
  • Worrying about having stained clothing
  • Reluctant to make physical contact
  • Self-conscious
  • Socially withdrawn, sometimes leading to depression
  • Select employment where physical contact or human interaction is not a job requirement
  • Spend a large amount of time each day dealing with sweat, such as changing clothes, wiping, placing napkins or pads under the arms, washing, wearing bulky, or dark clothes
  • Worry more than other people about body odor

Experts are not certain why, but excessive sweating during sleep is not common for people with primary hyperhidrosis (the type not linked to any underlying medical condition).

If the presentation is characteristic of primary focal hyperhidrosis and there is no evidence of an underlying cause, no laboratory tests are required. Any initial investigations will often depend on the individual context of patient and the history and examination but often include:

  • FBC; blood film for malaria parasites may be indicated.
  • ESR and/or CRP.
  • Renal function tests and electrolytes.
  • LFTs.
  • Fasting blood glucose.
  • TFTs.
  • CXR (may be useful to identify an intrathoracic neoplasm or a cervical rib).
  • HIV testing.
  • Blood sugar / glycosylated hemoglobin
  • Thyroid function

Simple tests to confirm the condition may also be used. Two common tests include

  • starch-iodine test: A doctor applies iodine solution to the sweaty area and then sprinkles starch to look for a dark blue or purple color. This color indicates the area of excess sweat.
  • paper test: A doctor places the special paper on the area where sweating is observed. Sweat absorbs into the paper and then the paper is weighed. The weight of the paper after the test indicates how much sweat was absorbed.

 Treatment of hyperhidrosis

Initial treatment

Treatment of hyperhidrosis

Local

  • Aluminum chloride 15% to 25% or antiperspirants, L3
  • Tap water iontophoresis for palmar/plantar sweating, L2
  • Glycopyrrolate for gustatory sweating, L3
  • Injections of botulinum toxin, L1

Surgical

  • Endoscopic thoracic sympathectomy in sweating ―disorders of the upper quadrant, L3
  • Axillary curettage, liposuction for axillary hyperhidrosis, L4a

Systemic

  • Anticholinergic drugs (e.g., methantheline bromide), L3
  • Tricyclic antidepressants (e.g., amitriptyline), L4a
  • Beta blockers, L4a
  • Calcium channel blockers (e.g., diltiazem), L4a

General tips and advice

The following may be all that you need if the condition is mild. They may help in addition to other treatments in more severe cases.

If you have armpit sweating

  • Try using normal antiperspirants regularly. (Note: there is a difference between antiperspirants and deodorants. Antiperspirants reduce the release of sweat; deodorants mask any unpleasant smells.
  • Avoid clothes that more easily show up sweat marks. As a rule, white and black colored clothes are less noticeable when wet than other colors. Wear loose clothing under the armpits. Avoid clothes made with man-made fibers such as Lycra® and nylon.
  • Consider using dress shields (also known as armpit or sweat shields) to absorb excess sweat and protect delicate or expensive clothing. These can be obtained via the internet or the Hyperhidrosis Support Group
  • If you find that soaps irritate the affected skin, use a bland soap substitute such as a moisturizer (emollient) ointment or cream.
  • If possible, avoid triggers which can make things worse such as heat or spicy food.

If you have excessive feet sweating, it can help to

  • Change your socks at least twice a day.
  • Use an absorbent foot powder twice daily.
  • Wear a different pair of shoes on alternate days. This allows them to dry fully.
  • Avoid sport shoes or boots. These are often less breathable than normal shoes are, so are more likely to keep the sweat in.

General measures

  • Wear loose-fitting, stain-resistant, sweat-proof garments
  • Change clothing and footwear when damp
  • Socks containing silver or copper reduce infection and odor
  • Use absorbent insoles in shoes and replace them frequently.
  • Use a non-soap cleanser
  • Apply talcum powder or cornstarch powder after bathing
  • Try dusting powder containing the anticholinergic drug, diphemanil 2%
  • Avoid caffeinated food and drink
  • Discontinue any drug that may be causing hyperhidrosis
  • Antiperspirants – Excessive sweating may be controlled with strong antiperspirants, which plug the sweat ducts. Products containing 10% to 20% aluminum chloride hexahydrate are the first line of treatment for underarm sweating. Some people may be prescribed a product containing a higher dose of aluminum chloride, which is applied nightly onto the affected areas. Antiperspirants can cause skin irritation, and large doses of aluminum chloride can damage clothing.
  • Propantheline Bromide – It helps to reduce the hyperhidrosis
  • Armpit share worn – pads worn in the armpit to protect a garment from perspiration.
  • Clothing – certain synthetic fibers, such as nylon, may worsen symptoms. Loose clothing is better.
  • Shoes – synthetic materials are more likely to worsen symptoms. Natural materials, such as leather, are recommended.
  • Socks – some socks are better at absorbing moisture, such as thick, soft ones made of natural fibers.
  • Topical aluminum compounds (Drysol, 20% aluminum chloride) – Act by blocking (occluding) the sweat gland.
  • Glycopyrrolate – An oral medication that blocks molecules involved in signaling between the nervous system and the sweat glands.
  • Oxybutynin – Another oral medication that blocks molecules involved in signaling between the nervous system and the sweat glands.
  • Iontophoresis – Involves the passage of electric current into the skin, thereby disrupting the functioning of the sweat glands. This is most easily used for the palms and soles.the hands and feet are submerged in a bowl of water. A painless electric current is passed through the water. Most patients need two to four 20-30 minute treatments.
  • Botulinum toxin injection (Botox) – Used to inhibit signaling between the nervous system and the muscle fibers found in the sweat glands.Botox injections block the nerves that trigger the sweat glands. Patients with hyperhidrosis may need several injections for effective result.
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Now that this treatment has received FDA approval for hyperhidrosis, many health insurers are providing coverage for the injections and the Botox itself after other treatments have failed.Currently, the FDA has not approved Botox for sweating of the palms and soles of the feet, though some physicians are administering it as an off-label use, reportedly with success. Palm injections cause more pain, requiring nerve blocks to numb the hands in order to make the injections comfortable.

Anticholinergic drugs – these medications inhibit the transmission of parasympathetic nerve impulses. Patients generally notice an improvement in symptoms within about 2 weeks.

Oral anticholinergic drugs:

  • Propantheline 15–30 mg up to three times daily, oxybutynin 2.5–7.5 mg daily, benztropine, glycopyrrolate (unapproved)
  • Can cause dry mouth, and less often, blurred vision, constipation, dizziness, palpitations and other side effects
  • Should not be taken by those with glaucoma or urinary retention
  • Caution in elderly patients: increased risk of side effects is reported, including dementia
  • May interact with other medications

Beta Blockers and Benzodiazepines

  • There are other oral medications besides anticholinergics that are successful in treating patients with specific types of hyperhidrosis, as well. Beta blockers (propranolol) and benzodiazepines work by “blocking” the physical manifestations of anxiety.
  • These meds act on the central nervous system and are best for patients who experience episodic or event-driven hyperhidrosis (such as excessive sweating brought on by job interviews or presentations). Side effects limit their long-term use.
  • For instance, benzodiazepines can be habit-forming and many patients cannot tolerate the sedative effects caused by both of these drug therapies.
  • Block the physical effects of anxiety
  • Unsuitable for people with asthma or peripheral vascular disease
  • Treating hyperhidrosis has become easier for clinicians as more treatment options have become available and a stepwise approach is often effective. First-line therapy for hyperhidrosis includes over the counter aluminum chloride hexahydrate 20% (Drysol) for 3 to 4 nights then nightly as needed.
  • Mild skin irritation may result from the application; however, this is usually minimal. If a patient does not respond to topical treatment or there are more generalized symptoms, oral anticholinergic medications which block the cholinergic receptors (including oxybutynin 5 mg to 10 mg per day or topical glycopyrrolate 0.5% to 2.0%) should be considered.
  • Additionally, 0ontophoresis two to three times weekly and botulinum toxin A injections every 3 to 4 weeks are effective if patients fail topical and oral medication therapy.
  • More invasive therapeutic measures are available including sympathectomy or local excision as a last resort. If a secondary cause is suspected, treatment of the underlying disorder or discontinuing the suspected medication is recommended in addition to the regular therapy.

Treatment of hyperhidrosis*

Medical
Topical
    Antiperspirants: Aluminum hexahydrate in alcohol (Drysol)
  •     2%–5% Tannic acid solution
  •     5%–20% Formalin solution
  •     10% Glutaraldehyde solution
  •     Anticholinergics: 0.5% glycopyrrolate lotion
Systemic
  •     Tranquilizers: diazepam (Valium), fluoxetine (Prozac)
  •     Anticholinergics: propantheline bromide (Banthine/Probanthine), methoscopolamine bromide (Pamine), glycopyrrolate (Robinul), oxybutynin (Ditropan), & benztropine mesylate (Cogentin)
  •     NSAIDs: indomethacin
  •     Calcium channel blockers: diltiazem (Cardizem), Clonidine hydrochloride (Catapres), & botulinum toxin type A (Botox)
Surgical
  •     Sympathectomy
  •     Axillary sweat gland removal surgical procedures
Electrical
  •     Iontophoresis

*NSAIDs indicates nonsteroidal anti-inflammatory drugs.

Double blind placebo controlled studies of topical and oral agents in hyperhidrosis.

AgentAuthor and yearType of hyperhidrosisNStudy designClassFindingsSide effects
Topical Aluminium Chloride Hexahydrate 25% in EthanolGlent-Madsen et al., 1988AH30Randomized, double-blind, half-sided experimentIII25% aluminum chloride in ethanol alone was effective in all ptsSkin irritation
Topical GlycopyrrolateShaw et al., 1997Gustatory (Frey’s syndrome)13Double-blind, PBO-controlled, crossover studyIIAll pts experienced significant improvement. Glycopyrrolate reduced the sweat response to a challenge by 82% (p< 0.01). The frequency of episodes of gustatory sweating also reduced by 51% (p < 0.01), with a nearly 100% reduction in the frequency of severe sweating (p < 0.01)Eczematous reaction in one patient
Topical GlycopyrrolateHays 1978Gustatory (Frey’s syndrome)16Double blind clinical trialIIITopical glycopyrrolate(0.5% and 1.0% ) abolished gustatory sweating for several days after single application.No significant side effects
Topical 2% Diphemanil Methylsulfate (Prantal)Laccourreye et al., 1990Gustatory (Frey’s syndrome)15Double blind studyIIPartial relief in 33.3% and total relief in 40%. Duration of relief varied from 2 to 4 days.Dryness of the mouth noted in two pts.
Oral Menthatheline Bromide (Vagantin)(systemic anticholinergic)Hund et al., 2004AH and PH41Randomized, PBO-controlled, double blind clinical trialIIMean axillary sweat production decreased in the treated arm from 89.2 ± 73.4 mg/min prior to therapy to 53.3 ± 48.7 mg/min during therapy (p = 0.02). No change in palmar sweat.Dry mouth
Oral Menthatheline Bromide (Vagantin)(systemic anticholinergic)Muller et al., 2012PH, AH or Plamo-Axillary339Multicenter, randomized, PBO controlled trial, blinding not accurately describedII50mg three times a day: improved DLQI, HDSS, and decreased mean axillary sweat production (p = 0.004).Dry mouth frequently reported
Oral OxybutyninGhaleiha et al., 2012Hyperhidrosis secondary to Sertaline140double-blind, PBO-controlledIImproved HDSS in the drug compared to PBO group, p ≤ 0.05GI and GU symptoms, sedation, dry mouth,
Oral Oxybutynin at low dosesNelson et al., 2012PH, AH, and plantar50Prospective, randomized, single blinded(patient blinded), PBO controlledII5mg twice daily caused moderate to marked improvement in PH or AH, (70%) versus 27.3% in PBO (p < 0.001). Moderate or great improvement in plantar hyperhidrosis (>90%) compared to 13.4% in PBO (p < 0.01)Dry mouth (frequent) in 47.8%

Surgical Treatment of Hyperhidrosis

For intractable primary hyperhidrosis, surgery may be the treatment of last resort. In general use are two or three procedures, such as:

Excision of the axillary sweat glands

  • In cases of axillary hyperhidrosis that are unresponsive to medical treatments, surgery to remove the sweat glands from the armpits may be tried. Scarring may occur subsequent to the procedure, especially if the sweat glands removed were located in the area of the axilla beyond the hairy portion. This procedure does little to reduce sweating in areas other then the armpits.

Sympathectomy

  • The nerves controlling the activity of the sweat glands are part of the sympathetic nervous system that, in turn, is part of the larger system over which people have little or no control, the autonomous nervous system.
  • A surgical procedure that interrupts or redirects the activity of these nerves, such as those dealing with sweating, is called a sympathectomy. In cases of extreme hyperhidrosis, sympathectomy by one or another of several surgical techniques, may be selected by the patient. The results of sympathectomy may affect a wide range of sweat glands.

Endoscopic thoracic sympathectomy (ETS)

  • In contrast to the “open” surgery of the past, ETS requires only two or three small, quarter- to half-inch incisions through which a small telescope and TV camera is passed to locate appropriate nerves and to direct the surgeon’s actions. The surgery is performed under general anesthetic and requires the deflation and re-inflation of the lung on each side of the body (bilateral).
  • Underarm surgery: This is surgery to remove the sweat glands in the armpits. Methods used include laser, curettage (scraping), excision (cutting), or liposuction. These procedures are done using local anesthesia.

Complications of Hyperhidrosis

Hyperhidrosis is embarrassing and interferes with many daily activities.

Axillary hyperhidrosis

  • Clothing becomes damp, stained and must be changed several times a day
  • Wet skin folds are prone to chafing, irritant dermatitis and infection

Palmar hyperhidrosis

  • Slippery hands lead to avoidance of hand shaking
  • Marks left on paper and fabrics
  • Difficulty in writing neatly
  • Malfunction of electronic equipment such as keypads and trackpads
  • Prone to blistering type of hand dermatitis (pompholyx)

Plantar hyperhidrosis

  • Affects soles of the feet
  • Unpleasant smell
  • Ruined footwear
  • Prone to blistering type of dermatitis (pompholyx)
  • Prone to secondary infection (tinea pedis, pitted keratolysis)
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Complications of hyperhidrosis also may  include

  • Fungal nail infections. People who sweat profusely are prone to many types of fungal infections. That’s because fungi thrive in warm, moist environments such as sweaty shoes. That’s also why you’re more likely to get an infection in your toenail than in your fingernail. A nail infection usually begins as a white or yellow spot under the tip of your nail. As the fungal infection spreads deeper, your nail may discolor, thicken and develop crumbling edges. Sometimes your nail may separate from the nail bed, and the skin around it may become red and swollen. You may even detect a slight odor.
  • Bacterial infections and warts. Hyperhidrosis can contribute to bacterial infections, especially around hair follicles or between your toes. It can also lead to warts — skin growths caused by the human papillomavirus (HPV) — and delayed resolution of warts after treatment.
  • Heat rash or prickly heat. This rash occurs when the pores around the sweat glands become blocked. As a result, sweat becomes trapped under your skin, causing fine red spots or bumps — usually on your upper back, chest or arms. It most often occurs in hot, humid weather and generally affects babies and young children.
  • Social and emotional consequences. People with hyperhidrosis typically have excessive sweating of the soles and palms, which may produce clammy hands and unpleasant foot odor. As a result, they can experience significant psychological, social, educational and occupational consequences.

Home Remedies of Hyperhidrosis

Apple Cider Vinegar

  • Apple cider vinegar has astringent property that controls the sweating process. It helps to balance the pH levels of the body, especially under the arms or feet, to get rid of the bacteria. Being an antiperspirant, it forms a coat on the skin which ensures the pores are closed.

Apple Cider Vinegar for Underarm Sweating

  • Using a cotton ball, apply apple cider vinegar to the armpits before going to bed.
  • Leave it for overnight and then wash it with water in the next morning.
  • Continue this process every night.
  • Note:Dilute acv with enough water, if you experience any irritation.

Apple Cider Vinegar for Sweaty Feet

  • Pour 1 liter of water and ½ cup of apple cider vinegar in a foot basin and stir well.
  • Place your feet in it and soak it for about 15 – 20 minutes.
  • Apple cider vinegar can also be added to your bath.
  • Follow this process regularly.

Alternative Method

Wash your feet with mild soap and water. Dry them thoroughly and apply acv using a cotton ball. Leave it to dry completely. Repeat the process daily.

ACV Drink

  • Add 2 teaspoons of apple cider vinegar to water and stir well.
  • Add honey to taste.
  • Stir it well and drink it in the morning on an empty stomach.

Lemon

  • Lemon is another effective remedy to control sweating. It has citric acid that eliminates the bacteria and its pleasant fragrance makes it as a natural deodorant.

Note: Do not step into the sun after using this method, so the best time is to apply is at night.

Lemon for Armpit Sweating

  • Mix 1 teaspoon each of lemon juice and baking soda in a small bowl.
  • Apply this paste on the armpits thoroughly by using cotton pad.
  • Let it sit for about 20 – 30 minutes and then wash it with water.
  • Continue doing this regularly.

Alternative Method – Rub half lemon on the underarms by gently squeezing it. Leave it overnight or if you cannot, leave it for 15 – 30 minutes and rinse off with water. If you are sensitive to lemon juice, dilute it with some water and apply it using a cotton ball.

Lemon for Body Sweating

  • Mix 1 or 2 tablespoons of lemon juice and 1 tablespoon of salt in a small bowl.
  • Apply this on sweat prone areas of the body.
  • Massage gently with your hands for few minutes.
  • Leave it on for about 15 – 20 minutes and then rinse it off with water.
  • Pat the skin dry and repeat regularly.

Baking soda

Sweat contains certain acids that encourage bacteria to thrive. Baking soda is alkaline in nature which effectively lowers the pH level of the sweat prone areas in our body by simply counteracting with the acids. It will also act as a natural deodorant.

  • Combine enough amounts of baking soda and cornstarch.
  • Clean the underarms thoroughly and apply the mixture on them.
  • Leave it on for 30 minutes and rinse it off with water.
  • For more effective results, add any essential oil into the mixture.
  • Note: Make sure to wear loose fitted clothes.
  • Follow the process regularly.

Alternative Method  – After taking bath, apply some baking soda on the sweat-prone areas. Discard the excess amount of baking soda and leave it to dry without rinsing off.

Coconut Oil

Coconut oil contains lauric acid which helps to eliminate the bacteria that causes the sweat. It has a light fragrance which will help you feel fresh, however, be aware that it will stain clothes.

  • Add 10 grams of crushed camphor to 1 cup of coconut oil.
  • Stir well to make a paste.
  • Apply this on the sweat prone areas of the body.
  • Massage it for few minutes and let it sit for about 45 – 60 minutes.
  • Wash it off with water.
  • Repeat regularly.

Alternative Method – After taking bath, apply enough amounts of organic and cold pressed coconut oil on the sweat prone areas. Massage gently until the oil is completely absorbed. Repeat the application daily.

Potato

Due to its quality of absorbing excess water from the body, it is known as an antiperspirant and blocking agent.

  • Rub a small potato piece on the sweat prone areas for few minutes.
  • Let the potato absorb the excess sweat and prevent sweating further.
  • Leave it to dry completely before wearing clothes. Make sure to make wear loose fitted clothes.
  • Alternatively, you can apply some potato juice using a cotton ball and leave it to dry completely. Extract potato juice, pour into an airtight container and refrigerate it for daily use.

Black Tea

  • The tannic acid present in black tea holds astringent and antiperspirant properties. They provide relief from excessive sweating. The astringent property constricts the sweat glands which controls the sweat flow to the outer skin. Black tea contains more tannic acid than normal tea, so it is best to use.

Black Tea for Armpit Sweating

  • Place 2 black tea bags in 3 cups of hot water.
  • Let it steep for about 10 – 15 minutes.
  • Dip a washcloth in this tea and put this on the underarms.
  • Or place wet black tea bags on the armpits and hold for a few minute.

Black Tea for Feet & palm Sweating

  • Fill a foot bath basin with 1-liter hot water.
  • Place 2 black tea bags in this water.
  • Allow it to steep for a short while, and then soak the feet or palm in it for about 20 – 30 minutes.
  • Take out the feet or palm and pat dry.
  • Repeat regularly.

If you have generalized sweating

  • Soak a washcloth in black tea water and wipe the sweat prone areas like neck, armpit, and feet using it for almost half an hour.
  • Alternatively, soak the sweat prone areas in the black tea for 15 – 20 minutes.
  • For effective results, drink 2 -3 cups of black tea daily to treat and prevent excessive sweating.

Sage

  • The tannic acid present in sage is known for its astringent properties which restrict the sweat glands from producing excessive sweat and reduces the perspiration. The anti-bacterial and antifungal properties control the bacterial growth causing to sweat.

Process 1

  • Combine 1 teaspoon of sage leaves and 1 -2 cups of water.
  • Bring this mixture to boil and remove from the flame.
  • Let it cool down to room temperature.
  • Use this water to clean the sweat-prone areas.
  • Repeat at least 3 times a day.

Process 2

  • Add 1 teaspoon of sage to a cup of hot water.
  • Allow it to steep for about 5 – 8 minutes and then strain.
  • Drink before going to sleep, adding lemon to taste.
  • Alternatively, include sage in your daily cooking.

Process 3: Sage for Foot Sweating

  • Fill a foot basin with hot water.
  • Add 2 teaspoon of sage to it and allow it to steep and cool for few minutes.
  • Place your feet in this water and let it soak for about 20 – 30 minutes.
  • Pat your feet dry and repeat daily.

Chamomile

  • Chamomile has anti-bacterial, astringent and deodorant properties that make it the best remedy for treating excessive sweating. Its antibacterial property helps to eliminate the bacteria which produce the body odor and sweat. Its astringent property helps to constrict the sweat glands and deodorant properties counteracting the odor.

Process 1

  • Place 1 teaspoon of chamomile herb in a cup of hot water.
  • Allow it to steep for a few minutes.
  • Drink this tea daily to get relief.
  • Or Soak a cotton ball or pad in the tea.
  • Apply it to the sweat prone areas for few minutes.
  • Do this process regularly.

Process 2

  • Add a few drops of chamomile essential oil to a bath of warm water.
  • Stir it well and soak in the water for few minutes.
  • Have this bath daily.

Witch Hazel

  • Witch hazel is obtained from the hazel shrub. Its extract contains tannins, catechins, gallic acid, flavonoids, essential oils such as carvacrol, hexanol and eugenol, saponins and choline which helps to treat the sweating problem effectively, especially on the face, by shrinking the skin pores with its strong astringent properties.

Process 1

  • Take some witch hazel and soak a cotton pad in it.
  • Wring out the excess and apply this pad on sweat prone areas like armpits, face and feet.
  • You can either wash off after 30 minutes or leave it on like that.
  • Follow this process regularly.
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Process 2

  • Mix witch hazel bark powder and water to make a paste.
  • Apply to the sweat-prone areas.
  • Let it sit for about an hour and then rinse it with cold water.
  • Follow this process daily for about a week or two.

Tea Tree Oil

Tea tree oil contains natural anti-fungal and astringent properties that help to give you relief from sweating by killing the bacteria that causes it.

Process

  • Soak a cotton ball in tea tree oil and then apply this on the sweat-prone areas.
  • If you have sensitive skin, dilute it by adding 4 – 5 drops of tea oil to 1/2 cup of water.
  • Repeat it regularly.

Tomato Juice

Tomato has anti-oxidant and astringent properties that help to shrink the skin pores.

Process 1

  • Apply tomato juice to the affected areas.
  • Let it sit for about 10 – 15 minutes to dry.
  • Have a shower to wash the juice off.
  • Repeat this process once in a day.

Process 2

  • Drink 1 to 2 glasses of fresh tomato juice once or twice in a day for a week.
  • After a week, reduce the amount of tomato juice or consume it on alternate days.
  • Also include tomatoes in your daily diet.

Wheatgrass

Healthy wheatgrass juice helps you to control sweating. It is high in vitamin A, C, B12, B6, and folic acid. This effectively prevents the sweating by controlling the acid’s activity and toxins in the blood. It neutralizes and dilutes the toxins in the blood and helps you get complete relief from sweating. For this, you have to drink a glass of wheatgrass juice daily or else follow the below process.

  • Mix 1 tablespoon of wheatgrass juice and ½ cup of water.
  • Drink this on empty stomach in the morning.
  • Continue doing this every morning.

White Sandalwood

White sandalwood powder is used in Ayurveda to treat or control the sweating. It contains several enzymes that help to absorb the extra moisture from the skin and thus keep the skin dry and fresh. The aromatic fragrance helps to mask the body odor caused by excessive sweating.

  • Mix 1 tablespoon of white sandalwood powder, rose water and a little lemon juice to make a fine paste.
  • Wash the sweat prone areas with water and pat dry.
  • Apply this paste on those areas and leave it to dry completely.
  • Rinse with warm water.
  • Continue daily.

Homemade Deodorant

Instead of using commercial deodorants that contain harmful chemicals, opt for homemade deodorant. It not only helps in treating excessive sweating but also helps in reducing body odor.

Process 1

  • Add a sufficient amount of water to 1 teaspoon of baking soda.
  • Stir well to make a paste.
  • Add 4 drops of any essential oil like lavender oil, lemon or vanilla oil (of your choice).
  • Apply this to the sweat-prone area of the body.
  • Let it sit for about 15 – 20 minutes, then either wash or just leave it on.
  • Continue regularly.

Process 2

  • Add 3 teaspoon of coconut oil and 2 teaspoons of Shea butter to a double boiler.
  • Place over medium heat to melt.
  • If you do not have a double boiler, you can place the ingredients in a jar which has lid over a pan of hot water.
  • When melted, remove from the heat and add 3 teaspoons of baking soda and 2 teaspoons of arrowroot powder.
  • Stir it well and add any essential oil of your choice.
  • Allow it to cool for few minutes.
  • Fill this mixture in an empty deodorant stick and store it in the fridge to avoid melting.
  • Use this stick regularly.

Cornstarch

When you just start to sweat excessively, you can use cornstarch to control it. So, always carry a bottle of cornstarch powder which is lightly perfumed with talcum powder with you.

  • Using tissue paper, wipe away the already present sweat. This prevents the cornstarch from forming clumps.
  • Dust some cornstarch on the affected areas and leave it to dry completely.
  • Apply another layer of cornstarch to seal the area. Let it dry before wearing clothes.
  • Repeat whenever required.

For Feet – You can dust generous amounts of cornstarch on the sole of your shoes. Or apply some cornstarch before wearing socks.

Magnesium Rich Foods

Sweating is also caused due to the deficiency of magnesium in the body. However, excessive sweating can also lead to magnesium deficiency in the body. You have to include magnesium-rich foods in your diet in order to regulate body temperature. Regular intake of magnesium also helps to decrease the anxiety, another cause for sweating. Here is the list of magnesium-rich foods you can include in your diet:

  • Avocados
  • Apples
  • Broccoli
  • Bananas
  • Green leafy vegetables
  • Legumes
  • Nuts
  • Potatoes
  • Seeds
  • Whole grains

Water and Other Fluids

Sweating maintains the body temperature and flushes out the toxins from the body. The same is done by drinking plenty of water. So, it restricts your body to produce less amount of sweat. As you already know stress is considered one of the main reasons for sweating. Water helps your body to stay calm in stressful situations. So, it is very important to drink plenty of water. Not just water, you can drink other fluids too which can help your body replenish the minerals that you lose while sweating. Here are a few drinks you can consume to stay hydrated.

  • Juice of any fruit or vegetable
  • Any herbal tea either hot or cold
  • Lemonade
  • Coconut water

Tips and Precautions for Excessive Sweating

Other than the above-mentioned home remedies, follow these simple tips to prevent sweating:

  • Avoid stress and anxiety as they lead to excessive sweating. Do yoga, meditation, and other exercises to control stress and anxiety.
  • Avoid or reduce the caffeine intake as it raises the blood pressure.
  • Stop using harsh deodorants or soaps in your daily routine.
  • Avoid sugary, spicy and chemically processed foods.
  • Always shave your underarms and groin areas.
  • Wearing loose fitting clothes allows clear air passage and prevents sweating. So, wear clothes that are made up of natural fabrics such as cotton and avoid synthetic fabrics such as nylon, polyesters, etc.
  • Don’t take alcohol, drugs or smoke.
  • Avoid consumption of too many hot drinks.
  • Try to lose extra weight by reducing the fat levels, particularly abdominal fat.
  • Grapes contain natural anti-oxidants which help to balance the body’s temperature and reduce the sweating. So, eat a handful of grapes daily.
  • Taking 2 teaspoons of natural vinegar and a teaspoon of apple cider vinegar for three times a day will help to cure the excessive sweating. But make sure to drink it on an empty stomach for at least 30 minutes before or after meals.
  • Drinking green tea or placing the tea bags on the sweat prone areas will give relief.
  • Take your bath or shower daily with an anti-bacterial soap to get rid of the bacteria.
  • Make sure to dry yourself before applying any deodorant or antiperspirant on the body.
  • You can also use underarm liners and shoe inserts to absorb the sweat.
  • Using dry shampoo will definitely help you control sweating of the scalp.
  • The absorption property and drying property of salt help in treating excessive sweating. Salt crystals work better than salt powder. In order to control excessive sweating, rub the salt crystals on the sweat prone areas which help to absorb the sweat and block the pores. Being odorless it doesn’t leave any smell behind. They are very easy to carry and can be used whenever you want.
  • Talcum powder works in the same way as cornstarch. The powdery base of it absorbs the sweat away before it starts to break. Dust generous amounts of talcum powder all over your body concentrating more on sweat-prone areas. Try to use non-perfumed or lightly perfumed talcum powder for effective results. Strong smelling powders can cause body odor.
  • Intake of foods that are rich in zinc or taking zinc supplements will provide relief.
  • Changing your lifestyle and diet habits as per the problem is very important. Prevention is better than any cure.
  • Try to reduce the intake of foods that are rich in iodine. So avoid the vegetables like asparagus, broccoli, white onion and also beef, liver and turkey meats in your diet.
  • Eating more natural foods such as cereals, milk, and fish regularly will help you to get relief from sweating. Also, include vitamin B and silicon mineral-rich foods in your diet.
  • When you’re traveling/ exposed to the sun for a longer period then wear a hat and shades.
  • Schedule your work properly like arriving early to the work, important meetings, and appointments or to dinner so that your stress and anxiety levels will be maintained.
  • Consult your doctor or healthcare provider if you’re unable to control excessive sweating. If sweating occurs due to chest pain, rapid heartbeat, and shortness of breath or sudden weight loss the consult a doctor for immediate medical attention.
  • Make sure you know the root cause for your sweating before trying these remedies.

References

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