What is Diaphoresis and excessive diaphoresis? – Types, Causes and Treatments

What is Diaphoresis and excessive diaphoresis? - Types, Causes and Treatments

What is diaphoresis?

Contents

Diaphoresis, which is also known as perspiration or sweating, refers to the production of sweat by sweat glands of mammals. When a person is under conditions of hot temperatures or has undergone body exercises, the sweat glands respond to the changes in the body temperature through vasodilatation. This process regulates the body temperature where the blood vessels dilate hence getting into close contact with the skin to excrete sweat, therefore, bringing the temperatures of the body to normal. The sweating mechanism of the body is significantly important to the body as makes it possible for the release of some of the toxic substances within the body as well as helps the body in the cooling mechanism of the body.  This mechanism is a normal body reaction that has an optimum level of reaction over which the body automatically controls itself.

However, excessive diaphoresis is harmful to the body health whereby under some conditions such as drugs avoidance by an addicted person, may lead to sweat glands secreting excessive sweat where the skin may seem to be soaked in perspiration droplets. Such a condition may expose the body to other infections which may later affect the health condition of a person due to dehydration of body cells. Excessive diaphoresis is much likely to cause other effects such as loss of the body cells turgidity leading to the wrinkled appearance of the skin when not treated for an extended period.

Diaphoresis - Causes, Symptoms, Treatment, Prognosis and Diagnosis

Why is diaphoresis important?

The normal sweating of the body helps in the maintaining the body temperature equilibrium to the external factors as well as cleaning the blood as toxic substances are removed from the blood through sweating. Also, perspiration also keeps the skin healthy by ensuring that the skin poles are always open. However, at times, the person under excessive diaphoresis may be experiencing such conditions of excessive sweating even when at rest and under normal environmental temperatures. In such a situation, the person is advised to seek medical attention before the condition worsens.

Sweat glands and their types

Human beings have around four million sweat glands which are unevenly distributed throughout the body of a person. About three million of the sweat glands are Eccrine sweat glands and Apocrine glands. Eccrine glands are numerous on the forehead, soles of the feet palms and also on the cheeks. On the other hand, Apocrine glands are situated in few areas such as on the axilla region and the urogenital area. The Apocrine to Eccrine ratio is the same in the axilla area and distributed in the rest of the body in the ratio of one is to ten glands, which is the reason as to why a person under excessive diaphoresis sweats profusely on the areas where Eccrine glands are located.

When the body temperature is not balanced with the external environmental temperature, the hypothalamus which is the center of thermoregulation controls the temperature of the body through regulation of eccrine glands output and flow of blood to the skin hence balancing the temperature by secretion of sweat. When sweat evaporates from the skin surface, it brings about the cooling effect to the body. If conditions of excessive diaphoresis, the sweating glands found on the soles and palms and sometimes the axillae, are activated more than the sweat glands found on the rest of the body. The main cause of the activation of the glands is due to emotions which a person may have even when resting.

Different types of diaphoresis

There are three types of diaphoresis. These include intermittent diaphoresis, excessive diaphoresis, and generalized diaphoresis. These have almost alike in all condition but their different if the amount of perspiration excreted and the rate at which the perspiration occur. These types of diaphoresis involve excessive sweating which is commonly associated with body shock. Some of the common causes of the diaphoresis are menopause, spicy foods, fever, and high temperatures of the environment, shock, hypovolemia and also hyperthyroidism. Some of the causes of diaphoresis which are not mostly familiar are malaria, tuberculosis, carcinoid syndrome, alcohol, caffeine and more many others. Also, scholars argue that some causes of diaphoresis are sometimes related families with diabetes history. A diabetic person has a high risk of contracting diaphoresis.

Excessive Diaphoresis

Excessive Diaphoresis condition has been common in many people, and most cases it is a possible indication of an ailment or a body disorder or a body attack by a foreign body or a disease causing organism. The condition is much likely displayed in some parts of the body which make the person under the condition to be in discomfort and may destabilize the social capabilities of the victim. This excessive sweating is mostly noticed on the palms of the victim hence may make the person avoid shaking people and even socializing at a low level.  Other parts of the body where excessive sweat takes place are the armpits, on the cheeks, on the forehead and also the soles of the feet. However, this condition can be diagnosed and be well treated.

Types of Diaphoresis

What are different types of excessive diaphoresis?

Excessive diaphoresis is categorized into three states which the person may be affected and these are:

  1. Primary or the focal diaphoresis
  2. Secondary diaphoresis
  3. General diaphoresis

Primary or the focal diaphoresis

This is a category of the excessive diaphoresis which the person under the condition experience excessive sweating in the primary areas of the body such as the facial area, the palms of the hands and the feet of the person, as well as the armpits of the person, is much likely to be affected. It is also called the idiopathic which refers to the condition as to be unknown. The conditions segregate all other body parts leaving out the major area of the body to normal condition, the torso, while the specific areas on the body are much affected and excretes much sweat than the other parts of the body. A possible explanation is that the body parts of the affected areas could be having super reactive sweat gland that responds swiftly and much longer to any possible body imbalance.  However, it is also assumed that the condition is much likely to be a genetic factor such that the person in the question could have inherited it from his family lineage. It is a rare condition with a statistical data in which most cases appear at a level of thirty percent of a given population and is more likely to be in people under the age of twenty-five. The condition could get to adverse level if the person gets to a level which causes sweat to occur more profusely which could lead the person to possible dehydrations.  However, the patient is said to be much likely to have the eczema condition developing upon the primary sweat disorder.

Secondary diaphoresis

In contrast to the first condition of the sweating disorder, this type of diaphoresis is much focused on the particular part of the focal body part that makes it outstanding and sweating more profusely than the rest of the body.  The secondary body disorder is much likely to be having a possible reason and effect of the sweat disorder and is a possible symptom of another ailment.  This is because of none symmetrical nature of the condition.

The general type of excessive diaphoresis

The general type of diaphoresis is equally different from the rest as this one affects the entire body making the person under the condition to sweat all over the body.  Unlike the primary state, the general condition is likely to be caused by a medical condition that makes the person sweat all over his body. It is equally treatable like the secondary type, but the treatment depends on the aftermath tests to establish the medical cause of the excessive sweating.  Devious hormonal imbalance, an infection to the spinal cord or a side effect from certain medicines is part of the possible causes of the general type of sweat infection.

What is evaporation?

When the body temperature rises over 98.6F or when the body realizes that the surrounding temperature is above the body temperature, the body starts to sweat. The radiation, convection and conduction modes of heat transfer remove more heat from the body than bringing to the body through the skin. Since there supposed to be an equal outward transfer of heat, the evaporation of sweat remains the only mechanism to transfer the heat from the body for evaporative cooling to take place. Even when a person is unaware of perspiration occurring in the body, various scholars assert that about 600 grams of sweat are lost per day from the skin.  During a hot day, sweat evaporates from the skin taking the little heat with it, hence cooling the body. Sweat usually evaporates from the body surface when there is a little water in the air. Therefore, when there is much humidity surrounding the body, no sweat can evaporate out of the skin since the air is already saturated with water molecules hence can hold no more of sweat.

When the environment surrounding the body is dry, sweat evaporates quickly taking away some of the body heat. As more amounts of sweat evaporate, the air surrounding the body become humid hence reduces the rate of sweating. The more humid the air becomes, the more the skin reduces its rates of sweating.

Relations between nervous system and diaphoresis

The Sympathetic Nervous System which is abbreviated as SNS is one of the two divisions of Autonomic Nervous System in which the second is Parasympathetic Nervous System abbreviated as PSNS. The Autonomic Nervous System is responsible for regulation of unconscious actions of the body. The SNS major purpose is the stimulation of the ‘fight or flight’ body response. The reaction starts in the amygdala hence triggering the neural response which takes place in the hypothalamus. The first reaction is then followed by the activation of an anterior part of the pituitary gland which leads to secretion of Adrenocorticotropic hormone commonly abbreviated as ACTH. The adrenal gland is also activated at the same time releasing a hormone called epinephrine which is a chemical messenger that leads to productions of cortisol hormone. Cortisol hormone increases the blood sugar and blood pressure which leads to increases blood flow hence causing diaphoresis. Increased functioning of SNS leads to excessive diaphoresis.

Also, when body temperature goes beyond 98.6F (about 37Celsius), hypothalamus bring the temperature to normal by triggering the sweat mechanism. Increased temperatures lead to excessive diaphoresis.

What is cold sweating?

A body of a person usually produces sweat to keep itself fresh and cool. Sweating in most cases occurs due to exertion such as exercises or even in hot environments. However, cold sweating occurs due to anxiety or fear. The sweating occurs all over a sudden resulting in a cool and damp skin. Cold sweating occurs as a response to the body reaction due to stress brought about by ‘fight or flight’ mechanism which assists the body to react when in dangerous conditions. Sometimes cold sweating occurs at night in nightmares when a person is asleep. To the individuals who have prolonged stress, sweating can be one of the symptoms.

Cold sweating is not a problem in medical basis, but at times it can be a sign of severe conditions that may need medical attention. Some of the conditions are a serious injury that causes great pain, shock, heart attack, breathing problems and also a little amount of sugar in the blood.

Is blood sweating real?

Yes, it is very rare condition which is called hematohydrosis. This is a body condition where the body of the individual suffering sweats blood. It is however very rare condition where the individual under the state releases sweat in the form of blood in the facial part of the body. The common diagnosis knowledge about the condition is that it is not said to be fatal of anyway and there are no specific body conditions that result from blood sweats that could be emergency cases in the body make up. The natural conditions of the body are that whenever there is heat or any form of a body threat causing an imbalance of the body, there normally is a natural way that the body reacts to the condition releasing specific substances that counter the condition making it get back the equilibrium at a speedy rate. The production of the adrenaline and the cortisol is among the common body responses that the body reacts in response to countering other foreign body threats and attacks. This in return makes the body produce enough hormonal substances and strength that makes the body ready to counter any foreign attack and threat, conditions that make the body stable from any damage or effect of the threat. However, in the blood sweat condition, the body tends to fail in the proper body response, and this could result to the blood capillaries bursting and consequently causing the sweat glands to release blood as sweat. In the eventual treatment of this condition, the medical facilitator tends to address the possible condition that could be causing the sweat to ooze out of the skin. However, there are also the necessity of checking the blood count to confirm the stability if the blood as well as the blood platelets and any possibility of having a blood disorder. Possible medical checkups done are the ultrasound checks of the liver and the kidney to confirm optimum working of the body organs within the body as well as the use of depressants for the case of depression and fear.

Dehydration caused by Diaphoresis

As the body sweats, it releases an equal amount of water that is needed to cool the body and therefore the water should be replaced in the body through drinks. When the water is not replaced, the body may become dehydrated as it lacks enough water for the body cells to function normally. Increased dehydrations bring about dizziness and headaches and in severe cases can lead to serious sickness.

Lack of enough water in the body is a possible cause of dehydration and headaches that could be severe and intolerable. A migraine is a possible result of the dehydration which could be as a result of insufficient water in the body. This, however, can also be translated as a result of heavy sweating in the body of an individual which momentarily leads to loss of water in the body of the patient and therefore the acute headaches. In most of the sweat cases, the major resulting condition that comes along with the condition is dehydration, a situation that makes it important to address the loss of water mass in the body of the person under the state.

The common solution to this condition is the simple intake of water at a normal rate of at least a glass of water at a time, which progressively returns the body to normal state swiftly. Besides the intake of water, pain relievers like the ibuprofen are also recommended in the intake alongside the water intake. It is also recommended to the intake of electrolytes which are the essential minerals that the body requires for the optimum functioning of the body. The electrolytes are ingested in the normal food intakes, however; these minerals when supplied through drinking water make the recovery of the person under the condition to be quite rapid and effectively reached. It should be noted that over-hydration of the patient could also be unpleasant as such could lead vomiting and unpleasant wellness of the patient. Among the pain relievers medicinal values, those drugs that contain caffeine are unpleasant in this state and are therefore not advised to use in the treatment of the condition. Caffeine is also among the substances that cause dehydration and the pain relievers that contain caffeine are not advised in the treatment of the condition.

Causes of excessive diaphoresis

Excessive diaphoresis in most cases is a possible symptom of a medical condition within the body as to which it would be reacting from. Some of the conditions are much possibly fatal in the event of being left unattended to and have to be diagnosed with an immediate effect. Big bodied people are commonly known to produce more sweat due to the bigger body mass which commonly reacts in its high production of high body heat.  Besides, there are major causes of excessive diaphoresis in the body which are the major and common causes of the excessive sweating.

Hyperthyroidism as a cause of excessive diaphoresis

This is a body condition in which the body produces a lot of thyroxine hormone as a result of the thyroid gland overreacting to the prevailing condition.  The production of thyroxine hormone leads to increase in the metabolic rates causing the body to overreact in a specific way resulting in phenomena such as excessive sweating. This also leads to speeding up of the rate of the heart which could most possibly make the person develop nervousness and body instability.  The body instability would make the person become more shaking and therefore quite unstable. These body reactions and changes would most commonly result to overall unrest and difficult in sleep.  The unrest which is anxiety and lack of enough sleep are very much possible to result in weight loss in the person under the condition.  An important treatment of the condition is the most preferable and the proposed mode of overcoming Hyperthyroidism in the administering of the anti-thyroid in the initial levels of the treatment. The state is therefore not regarded as an emergency in the eventful medication provision but a continuous state that is treatable progressively.

Diabetes as a cause of excessive diaphoresis

Hypoglycemia is a body condition of a low blood sugar level which is fatal and has adverse effects before the fatality. Sweating is a sign of the possible infection of the condition. The low blood sugar level is a condition which affects many people and is referred to as diabetes. However, it is one of the types of diabetes. The excessive sweating in Diabetes is a possible effect that would result in an-hydration and therefore anxiety, the body instability which could cause tremors and body shake. However, it is also important to note that diabetes is a body condition that is fatal and the low blood sugar levels must be attended to restore the level to equilibrium swiftly. Heavy sweating in diabetes also leads to dizziness and unstable ability in speaking.

Excessive diaphoresis is normally a problem to the people living with diabetes. The people normally experience three types of diaphoresis.

Hyperhidrosis: this is a situation where an individual undergoes excessive diaphoresis without exercises or change in temperatures. It occurs in low glucose level in the blood is low (hypoglycemia). When the glucose level reduces, a fight or flight reaction is triggered in the body. Excess norepinephrine and adrenaline hormones are produced hence causing excess diaphoresis. After the blood sugars come back to normal the diaphoresis stops.

Gustatory: This type of diaphoresis is normally caused by the food taken by an individual and usually occurs on the neck and the face areas. This condition is normally experienced by individuals who have autonomic neuropathy of diabetes which results from nerves damage. This sweating is triggered by thinking about food or when drinking or eating. It occurs on the neck, scalp, and face and it is easily noticeable. This type of diaphoresis is induced by a stimulant hitting the taste buds which may occur when smelling food or when the food hits the stomach.

Night sweats: This sweating occurs due to a low level of glucose in the blood in the night. The factors that are likely to cause the low glucose levels are exercising when about to sleep at night, due to various insulin types used at night or evening or taking alcohol at night.

Heart Attack as a cause of excessive diaphoresis

Myocardial infarction which is a condition of the heart is a relative heart condition that results from the damage or the total dysfunction of a section of the muscle.  The clogging in any of the arteries of the heart results to possible interfering of the oxygenated blood flow to all the parts of the heart which could most possibly lead to myocardial infarction.  Blood flows at a high rate to compensate for the oxygen hence leading to excessive diaphoresis. Excessive sweating is among the symptoms that would be as a result of the heart attack besides discomforts in the chest and pain. The condition is an emergency that in the case of the sweating symptom and possible note of the state then the patient should be given an immediate medical attention.

Pregnancy as a cause of excessive diaphoresis

There usually are various hormonal changes and a hormonal increase in production within the body during pregnancy that triggers a series of reactions of the body concerning the particular secretion. The different hormonal increase within the body causes an increase in the metabolic rate which in return results in a corresponding increase in the body temperature which automatically triggers an increase in the rate of sweating.  Similarly, there normally is an increase in the body mass which results in the increase in the sweating. However, the increase in the rate of body sweat during pregnancy is not of a possible concern that would cause any emergency attention.

Anaphylaxis as a cause of excessive diaphoresis

This disease is fatal though usually rare. Allergy reactions are usually at a normal rate, and the body easily returns to normal after a short period. Since the disease is associated with respiratory arrest, the individual normally experiences diaphoresis as they to breath. The sweating results from sudden metabolic activities in the body as the patient struggle to breathe. However, there are allergy body reactions that are quite severe and in most cases interfere with the systematic reaction of the body especially immediately the body is made prone to the substance over which the body is allergic to.  This condition also results in other effects such as dehydration which could cause loss of consciousness and itchy skin. Anaphylaxis can also cause a change in the airways causing them to narrow, phenomena that could cause difficulty in breathing of the patient.

Anxiety as a cause of excessive diaphoresis

Diaphoresis is one of the significant symptoms of anxiety. Sweating is regarded as a natural response to stress related to fighting or flight body reaction mechanism. When a person suffers anxiety, sweating becomes one of the effects. In most cases, sweating due to anxiety are minor, but sometimes a person may experience excessive sweating due to a severe anxiety disorder. In such situations, medical attention should be attended to. Sometimes when a person is undergoing anxiety, due to nervousness, the fight or flight system quickly alerts relevant body glands to produce a hormone. The hormone triggers blood flow and heart rate to increase and sweating then activated to cool down the body failure to which the body will be in excessive heat that may damage the body tissues. In this case, diaphoresis is normal, but when the anxiety is high, it leads to excessive diaphoresis of the body.

Acute Febrile Illness as a cause of excessive diaphoresis

An Acute Febrile illness which involves rapid onsets of the corresponding fever and other symptoms such as joint and muscle pains, chills and headaches are commonly found in the subtropical and tropical areas. This illness increases the body temperature which triggers hypothalamus so as to regulate the temperature to normal. When a person has the illness for an extended period, the hypothalamus is triggered more hence leading to excessive diaphoresis.

Gout as a cause of excessive diaphoresis

Diaphoresis is commonly found in people have a gout condition which mainly attacks males who have over 60 years of age who experiences blood pressure and are undergoing allopurinol medication. Even though ladies have more sweat glands than men, men experience diaphoresis more than ladies due to various activities believed to be undertaken by men. People diagnosed with gout usually experience excessive diaphoresis due to nervousness in their body as nervousness is among the causes of the condition.

As gout often results from uric acid high levels in the bloodstream, the acid is mainly removed from the body through urination though sometimes is removes through perspiration also. The more the levels of uric acid in the blood the more the blood try to eliminate it out. When the victim takes in more fluid and does exercises, the uric acid is removed through excessive diaphoresis to clean the blood by the elimination of the toxic substance from the body. People suffering from gout are advised to take a lot of water, and other fluids since reduced water in the body caused dehydration, which then increases the level of uric acid. Therefore a lot of water has to be taken to clear the acid.

Lymphoma as a cause of excessive diaphoresis

There are few symptoms or changes which are specific to lymphoma. As a result, lymphoma becomes very hard to diagnose. The seriousness of the symptoms of lymphoma usually depends on the organ involved and the part of the body where the condition started. Diaphoresis is one of the symptoms. Diaphoresis is substantially found in males who are over 60 years old and are suffering from lymphoma especially Hodgkin’s Lymphoma. The diaphoresis is mainly found in males who also are under polaramine medication and have difficile colitis type of Clostridium. Research shows that majority of the people suffering from Hodgkin’s lymphoma experience excessive diaphoresis due to their increased depression condition and pains which trigger sweat gland.

Obesity as a cause of excessive diaphoresis

Different studies show that obesity and excessive perspiration normally go hand in hand. The bodies of the people who are overweight usually work more than those that have normal weight. Prolonged working of body organs, tissues and cells are often associated with a significant loss of fluids from the body and an increased body temperature as well. The exercises induce physiological changes in the body which result in hyperthermia, sodium imbalance and also dehydration as it happens obese people. These conditions are followed by impaired action in aerobic performance levels and many health problems.

Obesity may sometimes be related to alteration in physiological exercise responses. Since obese people have large body areas and an increased number of sweat glands, the lose a lot of body fluids through diaphoresis. Since their body organs work more to cater for the needs of the body, there are increased physiological activities which lead to overheating of the body. So as to regulate the body temperature to normal, excessive diaphoresis takes place as a result.

Parkinson’s disease as a cause of excessive diaphoresis

In people who have Parkinson’s (PD) excessive diaphoresis is the biggest problem and in most cases, it puts a significant damper in the lifestyle of the victim. The excessive diaphoresis is due to increased physiological activities of the body as well as anxiety. Studies show that excessive diaphoresis resulting from Parkinson’s disease typically concur with reduced activation of the glands responsible for sweating on the palms and asserts that axial hyperhidrosis can be a phenomenon for compensating for decreased extremities of sympathetic functions.

People with the disease, sweat mainly on the sole of the feet as sweat drenches from the rest of the body parts especially at night. The excessive diaphoresis is regarded as wearing off symptoms for the people having the disease upon taking the required dosage. In some cases, some of the people with PD perspire little, due to the effects of Parkinson’s anticholinergic medications such as trihexyphenidyl and procyclidine.

Rheumatoid Arthritis as a cause of excessive diaphoresis

Rheumatoid Arthritis is associated with inflammation of joints resulting in much pain and swollen condition. It involves extreme diaphoresis from neck; face and on the head which are accompanied by a bright-red heating rash that normally spread on the sweating regions and an overheating feeling in the entire body. Some of the patients describe the symptoms as a ‘body cooking feeling.’ The feelings are hard to bear especially under increased diaphoresis. The hair on the head appears as if soaked in water within a few minutes after it has been dried.

Coffee as a cause of excessive diaphoresis

Coffee being a stimulant stimulates the nervous system which in response increases the heart rate, increases the blood pressure in the body and also activates the sweat glands. More energy is produced as diaphoresis increases. Coffee not only stimulates the body but also boosts the body temperature by triggering the sweat glands naturally.

Alcohol as a cause of excessive diaphoresis

Drinking of alcohol usually causes dilation of blood vessels which then trigger the sweating process. Night sweating can also be caused by the withdrawal of alcohol or intolerance of alcohol. Alcohol is mostly metabolized in the liver as small amounts are broken down in the stomach lining. According to the information obtained from the University of George Washington, only around 10% of the alcohol content is taken into the body leaves the body through perspiration, breathing process, and urine. The rest amount of alcohol is then broken down into various byproducts through the body metabolism in the liver. Diaphoresis caused by alcohol withdrawal is usually temporary.

Insulin shot as a cause of excessive diaphoresis

Insulin injection is meant to control the amounts of sugar in the blood of the people who are suffering from type 1 diabetes. Since insulin is a hormone, it triggers diaphoresis in the body of diabetic people. Upon injection of insulin to the body, energy is produced with increases the body temperature hence triggering the sweat glands to excrete sweat. Excessive diaphoresis to the body upon injection of the insulin depends on the body condition of the victim and the period of usage of the hormone. A person who is using the hormonal injection for the first time may experience excessive diaphoresis compared to the one that is applied to the injection.

Drugs that may cause excessive diaphoresis

There are a significant number of non-prescription and prescription drugs that cause excessive diaphoresis as one of the side effects. Some of the drugs that induce sweating are Desipramine, Nortriptyline, pilocarpine, protriptyline, Zinc supplements, acetylcholine, albuterol, bacitracin, and ciprofloxacin among others. Below are different groups of drugs that has been shown to cause excessive diaphoresis (sweating):

Analgesics and excessive diaphoresis

Excessive diaphoresis is one of the various side effects of  NSAIDs and other analgesic pain medications. The patient may experience regular sweating while taking these drugs, or in some cases  may experience excessive sweating which is most commonly associated with withdrawal symptoms after abrupt discontinuation of opioid drugs. The International Hyperhidrosis Society has a long list of analgesics that may provoke sweating in some patients, the most common are: celecoxib (Celebrex), fentanyl-based drugs, Methadone, Vicodin, OxyContin, Vioxx, Ultram, prescription Aleve and prescription Midol.

Cardiovascular drugs and excessive diaphoresis

Some drugs that are used for treating cardiovascular disorders are known to cause sweating, however in a small number of patients. The International Hyperhidrosis Society lists 17 classes of different cardiovascular drugs that has sweating as a side effect including: amlodipine (Norvasc), doxazosin (Cardura), lisinopril (Zestril), bumetanide (Bumex), digoxin (Digitek), ramipril (Altrace) and several nifedipine and verapamil based drugs.

Antidepressants and excessive diaphoresis

According to the International Hyperhidrosis Society, different antidepressant group of drugs may cause excessive sweating as a side effect. By brand name, the SSRIs antidepressants that may cause sweating are: Celexa, Paxil, Prozac, Symbyax, Luvox, Lexapro and Zoloft. The SNRIs antidepressants that cause sweating are Cymbalta and Effexor. Additionally, the neuropsychiatric drug Norpramin is known to provoke sweating in a significant portion of patients.

Hormonal Drugs and excessive diaphoresis

While excessive sweating may be a side effect of different hormonal imbalances, some drugs given to patients with such may also increase sweating. According to The International Hyperhidrosis Society, 14 classes of hormonal drugs that may cause sweating as a side effect, including epinephrine-based drugs, thyroid regulators, testosterone drugs, Depo-Provera birth control pills,  and vasopressins.

Is excess sweating caused by Ecstasy (MDMA) serious?

Ecstasy (MDMA) is commonly know as recreational drug most commonly used on parties and raves due to its effects of increased empathy, euphoria, heightened sensations and physical activity. Ecstasy can o cause vomiting and/or diarrhea as side effect. So, prolonged physical activity, vomiting, and/or diarrhea can contribute to intense sweating or loss of fluids leading to dehydration (when sodium levels in the body are too high) and sodium loss through sweat. Additionally, ecstasy can also provoke water retention by stimulating Vasopressin release which is an anti-diuretic hormone that regulates blood pressure and water retention. Thus, when sodium levels are too high, the body will become dehydrated and you will likely sweating and feel thirsty. Vasopressin is then released to allow for more water to pass through your kidneys. Consequently, when sodium levels become too low in the body, vasopressin is no longer released and kidneys absorb less amount of water so you will urinate more. Vasopressin is released because you have taken the drug and not because you are dehydrated. So, your body retains more water than it would normally, making sodium levels to low, and more provoking hyponatremia.

Some ecstasy recreational users drink too much water without sufficiently replacing loss of sodium and this puts them at risk for not only to dehydration but also life treating condition called cerebral edema (swelling of brain cells), coma and death. The good news is that for individuals suffering from low levels of sodium in the body, treatment with intravascular fluids can help stabilize sodium levels and reduce brain cell swelling.

So, if you or someone that you know chooses for recreational use of ecstasy, you can reduce the likelihood of low sodium levels and eventual dehydration by drinking water slowly except guzzling a lot at once however you feel thirsty and by including salty snacks, sports drinks, or juice to help replenish electrolytes such as sodium.

Treatment of Diaphoresis

It is with every importance that whenever the level of sweating goes up or whenever at any instance a person starts sweating at a specific body part, then the person should find a medical check immediately as this could be a possible cause of an infection.  The most common symptoms that so easily accompany the heavy sweating is the loss of body water content such that results to dehydration and this could cause nausea and possible vomiting conditions. Heart palpitation and the change in the color of the skin to paleness are among the most probable effects and causes of heavy sweats. Specific treatments of diaphoresis coincide with the different conditions of the body which are making the sweating levels to escalate.  Antiperspirants are among the major resolutions of countering excessive sweating especially in the armpits, a similar one that contains aluminum chloride substance at a level of not more that fifteen percent which could be harmful to the body. In the abnormal sweats of the palms and the feet, the anticholinergic medications are the possible drugs that are administered to the suffering individuals.

Antiperspirants and diaphoresis

Roll on, and deodorants are the common products that are used in the common effort of overcoming the effect of sweat and the possible odors that are produced by the sweating, which is very unpleasant with the person exhibiting the condition. These products are the commonly referred to as Antiperspirants and are used in the personal effort in maintaining the personal hygiene and cleanliness. The products have special substances that normally input in them during the commercial manufacture such that they help in the overcoming of sweat discomforts and unpleasant smells that come along with the sweats. The products in their mechanism, clog the pores of the sweat glands and in a specific way eliminates over sweating or rather minimize the rate of sweating in an individual. This could also be in the form of creams, sprays and powder foam.

antiperspirant doesn't stop me sweating

How Antiperspirants work?

It is important to take note of the difference between the antiperspirants and deodorant which is basically in their mechanism of their functionality and objectivity. The Antiperspirants has got the antimicrobial substances which in its functioning it enables them to eliminate sweat from the reaching the surface of the skin. Besides, they suppress the bacterial activeness in the sweat and reduce it top, minimal levels, substances that are responsible for the odor sweats. However, the deodorants function differently due to their solitude content of the antimicrobial substances by which they function by eliminating the odor alone but do not control the level sweat that reaches the skin surface. The aluminum salts in antiperspirants are the functional units of the antiperspirants which work by dissolving the sweat on the face of the skin and make the surface of the skin as well as armpits supple and well of sufficient moisture. This substance after it has dissolved on the surface of the skin, it results in the formation of a gel which forms some clogging mechanism which significantly suppresses the amount of sweat being released through the glands and so the very minimal amount of sweat reaches the surface of the skin. On an immediate wash of the skin, the antiperspirants get washed away from the surface of the skin through the re-application of the same improves both the skin softness, reduce the possibility of sweating and keeps the person fresh. However, the antiperspirants keep the body fresh and help in reducing the body sweats, but they do not influence the ability of the body to control its body temperature.

Constituents of antiperspirants

Most of the ingredients within the antiperspirants are constituted of Aluminum salts which are joined up into other elements to make up compounds of aluminum within the antiperspirants. They work together in the combination formula to ensure there is no flow of sweat to the surface of the skin. The condition of excessive sweating is controlled and treated by the aluminum salt compound made of the aluminum and chlorine in a compound formation resulting to Aluminum Chloride which is a strong salt. The mechanism formation of the salt in the aluminum chloride is the definitive reason on how the compound successfully works out by the salt effect in it to eliminate sweat and other possible smell on the skin. There are also the Aluminum Chlorohydrates which is the chemical formation of the roll on as the gels are made up of the aluminum zirconium. The salts are professionally made to control the sweating effect such that they would keep the user fresh and sweat free. However, there are possible defects of these salts like inflammation which can cause some skin irritation of the skin but the treatment and the overcome of the irritation is provided for in the general instruction on the products.

Best antiperspirants for excess diaphoresis

Since sweat glands are more active at night, antiperspirants are mostly recommended to be used before bed. The best antiperspirants are those that are dual-action performance, fragrance-free, long-lasting results, and skin comfort and stain prevention. Their specific names are Certain Dri, sweat block and clinical strength among other.

Antimicrobials in antiperspirants

The skin in its function produces sweat in response to the body temperature cooling mechanism. The sweat in a way gets back to the skin pores but generates some smell which is a definite indication of bacteria within the sweat and the skin effect on coming together in contact. The bacterial effect of the sweat producing smell is prompt as to why the Antiperspirants are formulated with microbial which fight the bacteria to eliminating the sweat smell.

Other constituents of antiperspirants

Fragrance and moisturizers are among other substances that are contained in the antiperspirants and roll on which help in providing the body with a good fragrance smell in the quest to eliminate the odor smell. The fragrance also helps in moisturizing the skin by spreading some oily substance on the surface of the skin and therefore making the skin soft and supple. There are also the parabens which are the common preservatives used in the antiperspirants however, the latter is less likely used due to the self-preserving ability of the antiperspirants. There are also the propellants which help in providing the pressure of the product within the package container. This is of great use during the use of the product during the application. Alcohol is also inclusive of the ingredients within the container due to its ability to drying faster so that on the use of the product, the antiperspirant dries up very fast.

Aluminum in Antiperspirant: Is it bad?

Aluminum which is the most commonly used element in antiperspirants is used in the general make-up of the compounds used in the antiperspirants. These compounds work with an easy mechanism of getting rid of sweat on the surface of the skin by simply blocking the pores of the sweat glands. In this mechanism, there usually is a possibility of the aluminum compounds being taken in by the skin pores which could be harmful to the skin and the entire body. There usually would be the possible reaction of the body on the intake of these compounds to the inside of the body and most possibly resulting to infections and diseases like cancer and most likely to the breast as it is in this case.  The major researches are done on the effect of aluminum salts within the antiperspirants, it has been found over aluminum as to be having adverse effects on the body parts under contact of the compounds and more so the aluminum chlorides. These aluminum chlorides over time become the harboring conditions and the possible causes of cancer which is driven to the body tissues, to the breast and later could easily spread to the whole part of the body as cancerous cells. The mechanism of blocking the pores of the skin on the elimination of sweat makes the skin to develop a condition which significantly promotes the growth of cancerous cells of the applied parts. On a long-term study of the effects of aluminum chlorides, it is established that the compounds not only results in cancerous cells but after a long time of its use, there are other adverse effects that develop and have a harmful effect on the body. This is a condition that should not be ignored at all but should be checked with every concern as it could easily lead to the degeneration of the entire body and the breakdown of the body system.

The use of the Aluminum Chloride in the antiperspirants is very much a threat to life and is likened to the use of the asbestos which is purely carcinogenic and is banned and gotten rid of. The use of the aluminum salts in the antiperspirants is carcinogenic and is, therefore, being raised to the high global platforms. The call for the act on the salts of aluminum compounds is told that it should not take long before the decision to face it off the market platform. The effects are statistically hugely fatal, and many of its users are prone to cancer attacks and effects that it should be acted upon to avoid the aluminum salts products.

The effect and the rate at which the aluminum salts promote the good ground for the growth and developing of the cancer cells is very high and is escalating to higher rates day after day. This has now made it to the non-governmental organizations and individual medics to call upon the members of the public to avoid the salts of aluminum compounds which are used in the manufacture of the products for antiperspirants. The growth of cancer cells is normally said to be as a result of germs encompassing a cell that should be treated and be attended to at a quicker moment immediately its realization. However, if the condition is not diagnosed quickly, then this easily leads to the further growth of the cancerous cells and the developing into an adverse disease. However in this case, instead of taking charge and treatment of the cells causing cancer, the aluminum salts further make it favorable for the further developing of the cancerous cells at the sweat glands.

However, the aluminum is also said to be having other infections on the body that are less talked about like the effects of the disease on the breast. Similarly, the effect is very much likely to also cause headaches to the user of the aluminum salts antiperspirants. These effects are also likely to result in brain infections and diseases of the brain which are very likely to result in mental issues and even death cases.

The general proposal is to all the users of the deodorants and the antiperspirants to avoid all the products that are made of the aluminum salts as these are very much fatal and catastrophic.  Other products are equally good which are used as the antiperspirants that should be made use of in the quest for the use of sweat eliminating and management products. The use of antiperspirants is also encouraged and is supported, but the use of aluminum salts antiperspirants is discouraged. The industrial production if aluminum products are very toxic to the people who use it and are likened to the asbestos which is very much accessible. Quite attractive with good work on its use, the effects of asbestos is very much harmful and devastating that it had to be banned forever for its use and any products of asbestos discouraged.

Medical treatments for excessive diaphoresis

Since some antiperspirants don assists much in diaphoresis on the feet and hands, some medications can be used instead. There are a high number of oral medical prescriptions that can be used to reduce or to do away with excessive diaphoresis completely. They work in differently in the body to limit sweating. The medications lessen the diaphoresis by prevention of sweat glands stimulation hence reducing excessive diaphoresis. Oral medications for hyperhidrosis best suits the individuals who have particular types of excessive diaphoresis such as craniofacial hyperhidrosis, generalized hyperhidrosis and those who had unsuccessful therapies such like antiperspirants, Botox, and iontophoresis. Some of the medications are; Anticholinergics such as oxybutynin, propantheline, glycopyrrolate and benztropine and others; and Benzodiazepine and Beta Blocker such as propranolol which works by various physical anxiety manifestations.

Iontophoresis: For this treatment, the victim usually sits on a shallow tray by feet, hands or both. The tray contains water onto which a small current passes through it. The person under treatment sits there for about 30 minutes. The process is believed to assist in blocking sweat reaching the surface of the skin.

Botulinum toxin: This treatment involves the injection of botulinum toxin which is also used for wrinkles treatment. Botulinum toxin A which is commonly known as Botox is approved for treating excessive diaphoresis on the underarms, palms and the sole of the feet. Botox function is to prevent the activation of the release of chemicals the signal sweat glands.

Anticholinergic drugs: If antiperspirants, iontophoresis, and Botox do not work, anticholinergic oral drugs can use. The drug stops the activation of various sweat glands but has serious side effects such as heart palpitation, blurred vision, and urinary problems.

Surgery: this type of treatment is only recommended for the individuals who have severe excessive diaphoresis where other treatments have failed to respond. This involves plastic surgery where doctors may scrap the sweat glands, cut or suction them out.

Other than the use of drugs and medication, other methods to minimize excessive diaphoresis can be employed. They include wearing light clothes, bathing daily using antibacterial soaps, use of shoe inserts and underarm liners for sweat absorption and also avoidance of hot drinks such as coffee, avoidance of alcohol and spicy foods.

Tips for avoiding excess diaphoresis

Some of the tips which are useful for stopping excessive diaphoresis are:

  • Use higher strength antiperspirants and deodorants
  • Use deodorants application at the right time
  • Changes the footwear often
  • Dust sweat away regularly

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About Miljan Krcobic 226 Articles
My name is Miljan Krčobić. I was born on 14th of November 1989. in Negotin, Serbia, where I finished elementary and high school. In June 2015 I graduated from the Faculty of Pharmacy in Belgrade and thus acquired the title Master of Pharmacy. From the July of 2015 to January 2016 I worked in a pharmaceutical company Hemofarm a.d.(Member of STADA group) based in Vrsac, Serbia, as an expert associate for GMP compliance within the sector Quality Assurance. I am currently working in a pharmacy called Zivkovic in Negotin. As a freelancer I write medical articles on Elance and Upwork.