How is hyperhidrosis of the hands and feet treated?

Written by Zhang Jian Bo
Dermatology
Updated on September 29, 2024
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The patient suffers from palmar-plantar hyperhidrosis, which can be treated using antiperspirants or botulinum toxin injections. Palmar-plantar hyperhidrosis is primarily about controlling sweat secretion and is caused by a disorder in the sympathetic nervous system function. In treatment, antiperspirants used mainly contain aluminum salt compounds, such as 20% aluminum chloride. It should be used according to the doctor's instructions, every three to five days. Typically, dryness and flaking of the skin occur after using the medication, and timely skin care is necessary. Botulinum toxin injections can also be used to treat palmar-plantar hyperhidrosis. Botulinum toxin can inhibit the action of acetylcholine at local nerve endings, which also has a therapeutic effect on local hyperhidrosis. Moreover, the effect lasts relatively long, maintaining about six months.

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Written by Yan Xin Liang
Pediatrics
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Why does rickets cause excessive sweating?

Rickets, also known as Vitamin D deficiency rickets, is a chronic systemic nutritional disease characterized by bone lesions caused by insufficient Vitamin D in infants, children, or adolescents, leading to disturbances in calcium and phosphorus metabolism. The main features of this disease are incomplete calcification of the long bone epiphyses, cartilage plates, and bone tissue due to Vitamin D deficiency, resulting in incomplete osteogenic calcification. This disease is generally seen in infants under two years of age, particularly common in infants aged 3-18 months. Due to the lack of Vitamin D, the disease can present symptoms such as excessive night sweating, irritability, restlessness, crying, and cradle cap. Therefore, the excessive sweating associated with this disease is mainly caused by a deficiency in Vitamin D.

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Written by Qiu Xin Hui
Traditional Chinese Medicine
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What department should I go to for hyperhidrosis?

Hyperhidrosis is primarily caused by autonomic nervous dysfunction. Traditional Chinese Medicine (TCM) believes that there are various reasons for this condition, such as imbalances in the body's nutrient and defensive levels, liver and gallbladder damp-heat, yin deficiency leading to excessive fire, and so forth. If hyperhidrosis occurs, it is recommended to visit a hospital and consult with a TCM internal medicine doctor. The doctor will diagnose based on the individual's constitution and clinical manifestations through the four diagnostic methods of inspection, listening, questioning, and pulse-taking. This helps to identify the specific causes of hyperhidrosis and choose appropriate medications for treatment. Additionally, daily life should include a lighter diet, maintaining a cheerful mood, and avoiding staying up late to facilitate the treatment and improvement of hyperhidrosis.

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Written by Liu Gang
Dermatology
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The difference between hyperhidrosis and body odor

Hyperhidrosis is generally caused by one's endocrine issues or hormonal imbalances, leading to excessive sweating. The primary symptom is excessive sweating in the hands; sweating tends to increase with physical activity or handwork. Some patients also experience excessive sweating in the armpits and around the upper thighs. Bromhidrosis is a genetically inherited disease characterized by excessive sweating and unpleasant odors in the armpits, demonstrating a familial tendency. These two conditions are distinct and require different treatments. Bromhidrosis is mainly treated surgically to completely remove the sweat glands and reduce the odor, although it cannot be completely cured. In contrast, hyperhidrosis can be managed through self-regulation and using traditional Chinese medicine to adjust the endocrine balance, which can be effective for treatment.

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Written by Qu Jing
Dermatology
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What causes hyperhidrosis?

Hyperhidrosis refers to abnormal excessive sweating either locally or over the entire skin surface that occurs under normal living conditions or circumstances. In Western medicine, hyperhidrosis is primarily attributed to psychological factors, hemiplegia, concussion, and other causes of autonomic nervous damage or dysfunction, as well as some endocrine disorders, such as hyperthyroidism and diabetes. Sometimes, it can also be a symptom accompanying other diseases. The occurrence of hyperhidrosis is linked to an increase in sympathetic nerve impulses that enhance the excitement of sweat glands, leading to excessive sweating. It can also be due to increased nervous tension in the sweat glands, which intensifies the sweating response. Furthermore, excessive sweating can occur with the extensive use of corticosteroids, and it can be categorized into localized sweating and generalized sweating. According to traditional Chinese medicine, there are two types of excessive sweating: spontaneous sweating and night sweating. Spontaneous sweating entails sweating during the day without much physical activity, which worsens with exercise and is associated with qi deficiency. Night sweating occurs during the night and is accompanied by symptoms such as warmth in the palms and soles and irritability, indicating yin deficiency.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Can spleen deficiency lead to excessive head sweating?

Spleen deficiency can lead to excessive sweating of the head, and generally, if it is mild, there will be no sweating. However, when the condition is severe, it can lead to physical weakness, which in turn causes excessive head sweating. For patients with spleen deficiency, it is also crucial to manage the condition early. Firstly, one can eat more foods that strengthen the spleen, such as Chinese yam and coix seeds, which have spleen-strengthening effects and can be effectively managed. Most importantly, one should avoid excessive fatigue, not rush, maintain a cheerful mood, and ensure good daily routines to achieve good management.