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A english-norwegian blog on everything you need to know about hyperhidrosis

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Malin suffered from extreme sweating: “Anxiety disorder”

When it was worst, she ordered large boxes of sweat protection. It did not help.

Malin has suffered from hyperhidrosis, extreme sweating, for almost all of his life. In the end, there was a botox that helped her.

“My life has gone from being anxious to absolutely wonderful,” she says.

Malin Andersson has had extreme sweating ever since the early teens. She was sweating heavily from the armpits even though she did not struggle at all.

“It was anxiety disorder and I was often nervous and it in turn made me sweat even more,” she says.

She contacted the hospital, but the doctors said it was quite normal to sweat, that it was hormonal and belonged to the teens.

“I was at the doctor several times, but nobody took me seriously,” she says.

The school walk became a pain because Malin always planned how she would dress because the sweat stains would not be visible.

“I always had dark clothes in several layers. But I felt so sick when the fabric became discolored and stiff during the day. In the summer I could sit in a thick knitted sweater, because the sweat just passed.

Hyperhidrosis can affect your entire life

Eventually, the whole life revolved around how she would do because the sweat would not be visible.

“I had to adapt everyday after the sweating. I had change, wipes and deodorant. I even ordered large cartons of sweat protection, which were like a protective cover about which I taped in the armpits. But it did not work, it was clumsy and slipped around the armpits, says Malin.

And it was only worse the more affluent Malin became. Eventually it became a vicious circle.

“It was mentally hard and anxious. I even thought about killing the student ball, which I had normally looked forward to. I used the “absolutely dry” solution available at the pharmacy, but of it I got big blisters. But rather blisters in the armpits than sweat, I thought. Then I was sitting under the whole bale under the arms.

A couple of years ago, Malin saw an advertisement sign on the bus at a clinic in Stockholm which, with the help of botox injections, could eliminate sweating. The clinic is called Stockholm Tandläkargrupp and it helped her achieve great things in her life.

“I went straight home and googlade, and then I filled in the application form for how long I had sweated and how it affected my everyday life. I was granted it, free trial of botox. It was a great feeling to finally find something that might work, she says.

Malin escaped her extreme sweating

On the day of treatment, Malin was quite nervous, but expectant. She went down from Helsingborg to Copenhagen.

“I was well prepared. I had googlat everything about the treatment. At the clinic I only felt a big relief when my trouble was finally taken seriously. And it did not hurt at all. The treatment of botox in the armpits only took a few minutes, says Malin.

Effects come fast. The following day Malin had no sweats at all.

“Even when I was training, I was dry in the armpits,” she says smoothly.

So far, Malin has done four treatments at about five months apart and has recently paid for himself.

– It’s costly but it’s worth it. I would pay anything to avoid being soaked by sweat. My life is so much better now. Just being able to dress as I want is absolutely wonderful.

SO DOES THE TREATMENT WITH BOTULINUM TOXIN, BOTOX, WORK

Consultation. Prior to treatment, a consultation focuses on the disease, to rule out any underlying causes and to develop a treatment plan.

  • Injection. The areas that the patient sweats out of is injected into a rut pattern with a drop of botulinum toxin. Some areas, like armpits, usually do not need to be stunned. Other areas, such as hands and feet, are almost always stunned. The small drops of botulinum toxin injected into the skin with a thin needle spreads circularly and are taken up in the “sweat nerve”, which can not send out the signal substance to the sweat glands.
  • Minutes up to half an hour. Not seldom are treated several areas at the same time. The injections take from a few minutes to about half an hour depending on the amount of surface treated.
  • Quick effect. Even after a couple of days 90 percent will be sweating completely. Remaining patients have insufficient effects and are offered tablets. On average, two treatments are required per year but vary a lot.
  • Side effect. The treatment may cause local and transient side effects. In the treatment of hands a weakness of the forceps can be experienced for a couple of weeks, or, during treatment of the forehead, a transient stiffness.

Hyperhidrosis – A silent handicap

Hyperhidrosis is both a social and physical problem, but at specialized sweat receptions there is assistance. Hyperhidrosis affects men of all ages. Problems with excessive sweating often cause a social disability that can affect self-esteem and govern vital life choices, such as career choice or choice of partner.

Many hyperhidrosis patients are ashamed of their symptoms and suffer completely unnecessarily

In the United States, about one percent suffer from hyperhidrosis. It is hereditary; therefore, those with problems with abundant sweating in the family should be particularly attentive. For men with hyperhidrosis, the inconvenience may increase when hormone levels change in connection with puberty and the “male menopause” at the age of 70. I spoke to a doctor specialized in this field.

“Many hyperhidroïdic patients are ashamed of their symptoms and are completely unnecessary. No one will have to stand out or limit his life due to hyperhidrosis. The complaints can be treated relatively easily on a specialized sweat reception. In Sweden, there are currently two such receptions, “said Karl Martin, chief physician.

A silent handicap that can be treated effectively
People with general hyperhidrosis sweat from large body surfaces, such as head, chest and back. Exercise and heat are generally factors that hyperhidrosis patients are having difficulty because it increases sweating. Even easier effort, such as a short walk or cleaning, can cause a person with hyperhidrosis to sweat excessively. Those who sweat when others usually do not sweat feel uncomfortable.

After the first reading, 90 percent are satisfied

The most effective form of treatment is botulinum toxin, a relatively new form of treatment that alleviates sweating between three and twelve months for ninety percent of patients.

– Botulinum toxin causes few, local and transient side effects. After first reading, 90 percent are satisfied, sweating normally or not at all over the treated area. Patients are excitedly happy and will happily return a couple of times a year until the disability hopefully goes over.

Find qualified care at a specialist reception
Hyperhidrosis often constitute a major social disability, many who have suffered are planning their entire existence based on the disease. Patients often spend a lot of time and care on planning how to conceal the problems and handle their sweating when in social situations.

The knowledge of hyperhidrosis is unfortunately too low
“The knowledge of hyperhidrosis is unfortunately too low among doctors around the country. This makes patients who take courage and dare to seek medical attention many times denied treatment or diagnosed as overweight or mentally ill, even though the problem is not due to obesity or mental illness. My advice to patients who do not get the right help is to contact a specialized Sweat Reception.

How hyperhidrosis effects people in their daily lives –

I’m not the first or last person with hyperhidrosis. Neither are you. During the years i’ve read so many people write and tell about their condition. I think reading below allows you to feel little bit more normal.

“I didn’t know that there was a name for this problem. I thought that it was just me and that I couldn’t do anything about it. Even my doctor told me, You are just going to have to learn to live with it.”

“I no longer want to be involved in school activities. It’s just too embarrassing because I’ll break out in sweat without warning. My buddies think that I’m nervous and anxious.”

“I used to be the student body president until my facial blush became so severe that I just couldn’t go on.”

“I spend less time with my friends because of the constant anxiety that I have over my sweating.”

“While studying to be a chef at a New York City culinary school, I was almost fired after they accused me of spitting into the batter. It’s just that my hands were dripping with sweat.”

“My girlfriend once grabbed me by my shirt and asked me, Why don’t you touch me? I was afraid that my cold and clammy hands would turn her off. After I told her about my condition, she said that she understood.”

“Dating is almost out of the question because of my condition.”

“I didn’t go to my high school prom. This is just one more thing that I missed out on.”

“I am a student in college, and I don’t want to go out in public to meet men because I am afraid that they may get repulsed by my sweating.”

“At the last minute, I almost didn’t go to college. My mom forced me to go. I didn’t want to go to a new place only to get embarrassed before new strangers.”

“My four year old doesn’t want me to hold his hands. He said that he didn’t like holding my wet hands.”

“I even sweat when I’m alone at home. I may be watching a movie or reading a book and suddenly I start to sweat.”

“I make sure that I am the last one into a conference room or to church and the first one out. This way I don’t have to meet people and embarrass myself by shaking hands with them.”

“Two days before my wedding, I had an anxiety attack. After visualizing walking down the aisle, the ring ceremony and the reception line, I panicked and called off the wedding. My hands and face would have been dripping with sweat. That relationship is now over.”

“I almost called off attending my best friend’s wedding where I was to be the maid of honor. I knew that I would ruin the dress, that my hands would cause people to flinch and then they would have to try to be polite.”


“My husband is a minister and the congregation accused me of being snobbish because I appeared reserved. I did everything to avoid shaking hands with them.”

“I stand out in a crowd because my face glows red from facial blushing. People think that I am either sick or extremely anxious.”

“I find that I now take fewer risks in my life because of my condition. It is as if I’ve created a glass ceiling.”

“I’m a computer programmer and my sweating hands drip sweat onto the keyboard.”

“I rust my tools at the machine shop.”

“I’ve gone through life with this problem, gotten my law degree and developed a successful practice, but now I just want to get rid of this thing.”

“I have to hold my baby with a towel or I may drop him because of my wet hands.”

“No one really understands what this condition does to me, not even my parents.”

“I’ve blown job interviews and sales because of my sweating.”

“My armpits are always wet and there are many clothes that I can’t wear.”

“I changed my college major because of my sweating hands. I wanted to be an artist but I kept staining my artwork with my sweat, so I became a school teacher.”

“My husband complains that I don’t touch him at night, but my hands are cold and wet and I know that it would bother him.”

“Presenting before people is always the worst of times. My face will glow red. The audience must think that I’m extremely nervous or that I must not feel well. This only magnifies my anxiety.”

“If I think about sweating, I’ll sweat, but then my anxiety starts because of the sweating, and then the sweating only gets worse. Once the cycle starts, I can’t stop it.”

“I’m an FBI agent. One day, I discovered that I was the one who was sweating during the interrogation of a suspect while he was cool and dry. This is just not right.”

“After a playing few bars during my first piano recital, I quit and walked away from the piano. The keys were wet with sweat. I’ll never forget that moment. Since that time, I haven’t played the piano.”

“My eyes burn after I inserted my sweat-stained contacts.”

“I’m so embarrassed by my sweaty hands that I don’t want to go with my husband to parties.”

You can read more here.

Areas effected by hyperhidrosis

PALMAR HYPERHIDROSIS: sweaty palms and sweaty hands

Palmar Hyperhidrosis or excessive sweating of the palms and hands is one of the most common manifestations of the condition. Caused by over-stimulation of the sweat glands in the palms, hand sweating can be severe and emotionally devastating. Some patients sweat so profusely that the sweat drips to the floor. Other patients suffer with hands that are discolored, cold and clammy. Handshakes are awkward, embarrassing. Reading a newspaper results in stained hands and smeared ink. Needlework can be impossible to manage.

While the sweating is involuntary and cannot be consciously controlled, many patients report a tingling in their fingers or a sensation that feels as if the skin pores are opening.

AXILLARY HYPERHIDROSIS: excessive underarm sweating

Axillary Hyperhidrosis is a medical condition caused by over stimulation of the underarm sweat glands by the sympathetic nervous system. Patients with Axillary Hyperhidrosis may suffer with excessive sweat dripping from their underarms, down their arms and side of chest wall to the waist.

Axillary sweating may occur independently or in combination with sweating of the hands, face, scalp or feet.

Patients with Axillary Hyperhidrosis cannot wear light colors or certain types of fabrics such as nylon or silk. Clothes become stained, colors may run, and fabrics may be ruined.

The sweating and odor associated with Axillary Hyperhidrosis is constant and resistant to all deodorants. Axillary Hyperhidrosis may even be resistant to Drysol®, the first line of therapy.

The Hyperhidrosis Disease Severity Scale (HDSS) is a four-point scale for categorizing the severity of primary Axillary Hyperhidrosis. The following scale, with 1 being mild and 4 being severe, is utilized to determine the degree of suffering:

1. Never noticeable and never interferes with my daily activities;

2. Tolerable but sometimes interferes with my daily activities;

3. Barely tolerable and frequently interferes with my daily activities; or

4. Intolerable and always interferes with my daily activities.


PEDAL HYPERHIDROSIS: the sweaty foot syndrome

Pedal Hyperhidrosis is defined as excessive sweating of the feet. This medical condition results from over stimulation of the sweat glands in the feet by the sympathetic nervous system. Unlike Hyperhidrosis that affects the hands and underarms, the sympathetic nerve fibers that stimulate sweating of the feet arise from both the thoracic and lumbar sympathetic nerve chains.


FACIAL HYPERHIDROSIS: facial blushing and sweating

Facial Hyperhidrosis is a genetic condition characterized by extreme facial blushing, excessive facial sweating or both. The condition is not related to a person being overweight. Persons with the condition oftentimes will avoid outdoor social functions, preferring to stay in cold rooms.

Facial blushing is an abnormal response to a variety of emotional stimuli and is caused by an over stimulation of the sympathetic nervous system. The mechanism is involuntary and aggravated or heightened by anxiety; however, it may occur without any stress or anxiety.

Physiologic blushing occurs in many individuals without Hyperhidrosis, with the blush occurring only in special situations, coming on quickly and fading rapidly. For persons with Hyperhidrosis, the blushing is intense, constant and continues for a prolonged period of time. Prior to the onset of the blushing, the person usually experiences intense facial heat. Then, the face and neck glow a bright red. The glow may spread across the cheeks, radiate onto the forehead and neck, even cover the ears.

Individuals who suffer from facial blushing respond to a multitude of stimuli with exaggerated blushing. The triggering stimulus may be internal or external, often being subtle. At times, persons with the condition experience several facial blushing even without any apparent stimuli while alone, relaxing, reading or watching a movie.

Facial blushing may occur independently or in combination with sweating of the hands, face and scalp, underarms or feet. The most common symptom occurring with facial blushing is severe hand sweating. Patients with several facial blushing often also suffer with some degree of palmar Hyperhidrosis. Typically, the patient will focus on his/her facial blushing, without being aware of the sweating hands.

Facial sweating may occur singularly or with the facial blushing. Slight increases in temperature and humidity are the stimulus for the condition. Man and women suffer with this condition. Facial sweating usually involves the entire scalp and face.

Persons with facial Hyperhidrosis find themselves soaked with sweat on the face and scalp during the most minimal of activities. Women with this condition usually opt for short hart and avoid makeup as the excessive sweating will case cosmetics to run.

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