Excess Production of Sweat? Learn All About Hyperhidrosis

The hyperhidrosis is a problem that affects approximately 1% of the world population and is characterized by excessive sweat production. Learn about solutions to this problem.

The hyperhidrosis is a pathology characterized by excessive production of sweat (sweating), a situation called hipersudorese. It is a pathology benign that affects approximately 1% of the population worldwide, and about 150 thousand Portuguese.

This situation is involuntary, in the individual, since the production of sweat is a mechanism of thermoregulation essential to our body, controlled by the Autonomous Nervous System (SNA), which sends a stimulus larger than that was due to the sweat glands écrinas, causing an increase of perspiration in certain areas.

As a rule, the hyperhidrosis cause great inconvenience to the patients, and may interfere with some professional activities, as well as affect the self-esteem and well-being of the person, and may be a factor inhibitory to the carrier, to change the way this relates to the world around them, as well as can lead to depression.

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Usually this disease manifests itself in childhood with a tendency to aggravate at the stage of puberty/adolescence, however it is more predominant in the female sex.

This excessive sweating manifests itself usually in the palm of your hands (hyperhidrosis palmar), underarms, face, groin and soles of the feet. It can manifest itself only in a region as in all areas referred previously.

In the case of hyperhidrosis with manifestation on the face, there is often also a flushing, intense involuntary.

The symptoms worsen with the heat and stress situations, and improve, and may even cease, during the rest period (sleep) the person.

Due to the symptoms mentioned, patients with this condition often have social isolation, as well as some minor limitations on your day-to-day, as for example:

  • Always walk with a few changes of clothes, for use in SOS, as it stain clothes easily, especially in the area of the armpits and socks;
  • Avoid the use of footwear, like for example sandals or slippers;
  • Avoid greeting people with the fear that you will feel the hands or the face sudoréticas;
  • Avoid writing them on paper, due to the large probability of the wet with the hands;
  • Avoid driving due to the risk of the steering wheel to become slippery and lose control of conduction;
  • Among others.



Initially this type of problems is managed with the application of various therapeutic, however not always this way of acting is sufficient, it may be necessary to resort to other treatments which are more invasive.

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One of the possible treatments, which may not result in all people is the iontophoresis, which uses a device that uses electrodes attached to a current of low intensity, blocking the production of sweat glands.

In certain cases of hyperhidrosis of the armpits, the application of botulinum toxin may be indicated, however the results are temporary, may last between 3 to 6 months, and may be necessary to repeat the treatment several times.

In the latter case, one can resort to simpaticectomia thoracic upper bilateral, which is a minimally invasive surgical procedure.

This surgical treatment has a duration of approximately 15 to 30 minutes, and is performed under general anesthesia and by videotorascopia, removing the fibers of the SNA innervating the areas affected by hyperhidrosis, bilaterally, through one or two incisions about 1 cm below each armpit.

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For the treatment of facial flushing is applied with a clip of titanium in the nerve sympathetic.


The results are immediate and the surgery does not require a hospital stay, the patient has a high on the day of the surgery. By the end of 2 or 3 days you will not feel any discomfort and you may return to your work.

The possible complications of simpaticectomia chest are:

  • Anidrose, that is, the hands remain dry and warm, and may have to resort to the application of a moisturizing cream;
  • Hipersudorese compensatory, that is, the movement of perspiration to other parts of the body, such as, for example, back, chest or thighs.