Excessive Sweating of Hands and Feet

Excessive sweating of hands and feet is a medical condition called hyperhidrosis. Even so, that does not mean the hands are sweating always signifies the occurrence of hyperhidrosis. Hand sweating naturally occurs due to several other factors, for example due to physical activity in hot air.

You don't need to worry too much because excessive sweating is usually not dangerous. Normally, sweat glands will emit sweat to the surface of the skin when the air is hot. Sweat fluid is also produced when a person is exercising, nervous, stressed, nervous, or has a fever.

Excessive sweating in certain areas of the body for no apparent reason is called primary hyperhidrosis. Unlike people in general, someone who experiences hyperhidrosis can sweat excessively even though he is not overheating.

This condition generally occurs when the eccrine sweat glands are active. Ekrin is the largest number of sweat glands in the body. Most ekrin are in the palms of the hands, feet, face, and armpits. This eccrine sweat gland can be active as a result of nerve activation. The cause is uncertain, but it is possible to be influenced by hereditary factors.

In addition to nerve activity, hand sweating can also be caused by psychological factors. This condition makes the nervous system work excessively, one of which is marked by excessive sweating on the palms. You may feel other symptoms such as difficulty concentrating, anxiety, anxiety during sleep, and more frequent or small bowel movements. Symptoms like this can also occur when a person's thyroid gland is too active.

This condition affects both men and women. The prevalence (incidence) is highest in the 25-64 year age group. The average age of onset is 25 years, but depends on the area of ​​the body experiencing FH.

Geographically, the prevalence of palmar hyperhidrosis varies, but endemic areas are found in Southeast Asia, which affects up to 3% of the population.

The majority of research results report that 25% to 50% of patients with palmar hyperhidrosis have a family history that also suffers from hyperhidrosis.

In palmar hyperhidrosis, hyperfunction is found, the emotional component of the central sudomotor nervous system occurs, evidenced by the observation that excessive sweating does not occur during sleep and is exacerbated by emotional stimuli. During mental stress conditions, there is an increase in skin sympathetic nerve activity and vasoconstriction, excessive sweating, and an increase in the evaporation process which collectively causes cold, wet hands and sweating.

To ascertain or establish a diagnosis of hyperhidrosis, the doctor will recommend the following examinations, of course according to the availability of facilities at health care facilities:

1. Minor starch-iodine test
2. dynamic sudorometry uses the "ventilated capsule" method
3. thermoregulatory sweat test (TST)
4. (modified) "Guttman quinizarin" sweat test

Solution
Physicians with hyperhidrosis were evaluated according to the Hyperhidrosis Disease Severity Scale (HDSS) algorithm, to assess the severity and location.

Eisenach JH, et al. (2005) recommend 20% Aluminum chloride in ethyl alcohol; 12% aluminum chloride in sodium carbonate-water and / or iontophoresis units; 15-30 mA using tap water (from the tap); if this is not effective, glycopyrrolate 2 mg tablets can be crushed and added.

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