Excessive sweating (Hyperhidrosis)
Sweating during sports or warm temperatures is completely natural and an important protection of the body from overheating. Sweating is pathological when you sweat permanently and excessively. Above all, this increased sweating occurs in the hands, feet and armpits, but there is also generalized hyperhidrosis with increased sweating throughout the body.
People affected by hyperhidrosis usually suffer very severely from the disease. Although there is no health risk, considerable psychosocial restrictions can result in professional and private life.
It is important to distinguish between idiopathic hyperhidrosis (with no apparent cause) and diseases such as diabetes mellitus or hyperthyroidism.
Therapy of hyperhidrosis
In generalised hyperhidrosis, if present, the underlying disease must be treated. In idiopathic hyperhidrosis, systemic therapies are used to reduce sweating.
Localised hyperhidrosis of the armpits, hands and feet can be treated with creams or solutions containing aluminium salts. If the effect is insufficient, a therapy with low-voltage water baths (so-called iontophoresis), which can be carried out at home, is also suitable, especially in the area of the hands and feet.
In the armpits, but also on the hands and feet, sweating can be treated very successfully with botulinum toxin A, which is injected superficially into the skin and thus inhibits the sweat glands. The effect usually lasts 4-6 months, the therapy can be repeated as often as desired. This therapy is not a compulsory benefit of the health insurance, but it is covered by certain supplementary insurances. Your treating dermatologist will be happy to apply to your health insurance company for a cost credit.