Posts Tagged ‘Underarm Sweat’
Axillary Hyperhidrosis
Axillary hyperhidrosis involves profuse and tremendous perspiration of the underarms. This condition is usually accompanied by constant bad body odor that is typically resistant to commercially available deodorants and antiperspirants. Axillary hyperhidrosis poses a social and psychological risk in addition to the physical discomfort it causes.
Axillary sweating may occur by itself or in combination with any or all of the different kinds of hyperhidrosis disorders, such as in the palms, feet, or face. People afflicted by this disorder are discouraged from wearing particular clothes, materials and colors because the sweat leads to staining and deterioration of the fabric.
Profuse armpit perspiration can turn out to be an exasperating dilemma for those suffering from this condition. Axillary hyperhidrosis manifests itself through increased armpit sweat production and this is prompted by the sympathetic nervous system. A malfunction in the nerves controlling underarm sweat glands results in excessive sweat production. Axillary hyperhidrosis is at times triggered by external factors such as anxiety, psychological stress and tiredness. However, this is not a rule and there are still no evidently identified stimuli that set off unwarranted armpit perspiration.
Individuals suffering from axillary hyperhidrosis sometimes result to wearing clothes in layers, such as donning a jacket over a shirt. This way, the individual may conceal his shirt in case axillary hyperhidrosis kicks in at a bad time. It’s not uncommon for sufferers to have to change their upper garments two or three times a day, sometimes even more, due to the persistent sweating condition. Women suffering form axillary hyperhidrosis also shun garments made of delicate fabrics such as silk, since sweat marks tend to be very noticeable in such fabrics. Whatever the occasion, axillary hyperhidrosis is a cause for embarrassment for the sufferer, and may make him/her less socially secure.
This condition frequently starts during teenage years. There are, however, some cases that occur before puberty. Kids with axillary hyperhidrosis are at risk of social withdrawal at a very early age, as the other kids may find their condition a tempting target for teasing. The teasing often triggers a vicious cycle that intensifies the anxiety endured by kids during this phase, leading to a feeling of hopelessness. The idea that there is no answer to or escape from their embarrassing medical condition may lead to withdrawal and isolation, making recovery even more difficult.
People with axillary hyperhidrosis sometimes do not have the strength to open up and discuss their condition even with their own family. This is because they think that they are the only ones afflicted by this disorder. There have been instances when parents only learn about their children’s suffering after the condition has been hampering their social lives for a number of years. It’s advisable to seek professional help immediately when parents detect a lack of social interaction, grief, and low self-esteem in their child.
Treatment of hyperhidrosis often entails correcting the malfunction of the sympathetic nervous system. Surgery to remove overactive sweat glands may also be the solution. Dermatologists are well-equipped to ascertain the most suitable treatments for axillary hyperhidrosis, as well as administering such treatments.
Excessive Underarm Sweating
Excessive underarm sweating, or known in medical literature as primary axillary hyperhidrosis is one of the most common types of hyperhidrosis (excessive sweating).
Sweating is a natural response of the body to regulate its internal temperature. Sweating happens when the body is exposed to a warm environment, when one is engaged in physical activity, and when anxious or stressed. But excessive sweating for no apparent reason can be embarrassing. In the case of axillary hyperhidrosis, underarm sweat leaves a visible stain on clothes, and often, the underarms are damp and sticky.
There are two types of glands found in the armpit area – the apocrine and eccrine glands. Of the two, the eccrine glands are the ones mostly responsible for producing underarm sweat. Numerous eccrine glands are also found in the entire body, which likewise cause perspiration when the glands are stimulated. Whenever the eccrine glands are stimulated to produce sweat, body cells secrete a fluid that travels the coiled portion of the gland up through the straight duct before it breaks out onto the skin surface.
If you suffer from excessive underarm sweating, a dermatologist can best diagnose the severity of your condition. Be ready to discuss with your dermatologist your medical background, your family’s medical history, and when you first experienced severe underarm sweating. Don’t hesitate to tell your dermatologist how your condition affects you. The extent to which severe hyperhidrosis is affecting your normal day-to-day activities can be measured through a self-assessment questionnaire called Hyperhidrosis Disease Severity Scale (HDSS). Your honest self-assessment report should help your doctor determine the best options available for you.
In most cases, excessive underarm sweating can be effectively managed by using topical agents such as deodorants and antiperspirants. Deodorants act to control bad odor, while antiperspirants slow down the production of sweat by the glands in the armpit area.
The most common active ingredient in anti-perspirants (and deodorants) is aluminum chloride. According to Dr. Eric Hanson of the University of North Carolina’s Department of Dermatology, the aluminum ions (from antiperspirants) are absorbed by the cell linings of the eccrine gland ducts found at the opening of the top skin layer (epidermis). These ions are drawn into the cell along with water until it swells, squeezing the ducts closed such that sweat can’t pass out. A cell can only absorb so much fluid, or until it reaches its equilibrium. At this time, the water will have to revert back out of the cell through a process called osmosis, and swelling will subside. When this happens, anti-perspirants may be re-applied.
As a point of reference, over-the-counter antiperspirants usually have 10 to 25% concentration of the active ingredient (aluminum chloride). While the FDA requires no more than 15 to 25% of the active ingredient in antiperspirants, it should decrease sweating by at least 20%. Obviously, no prescription topical agents or antiperspirants are available in the market that has a higher percentage of concentration of the active ingredient than that allowed by the FDA. It is still best to discuss other alternative treatments available with your doctor if over-the-counter antiperspirants prove ineffective for you.
Some people who excessively sweat may need higher concentrations of aluminum chloride to prolong the swelling of the cells and eventually shrink the sweat glands so that they don’t produce sweat than is really necessary.


