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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

Dr. Zakia Dimassi Pediatrics
Hyperhidrosis is a medical condition characterized by uncontrollable excessive sweating. The word “hyperhidrosis” means too much (hyper) sweating (hidrosis). 
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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