Prevention (Australia)

KEEP your COOL

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Sweating has its place when it comes to helping our bodies cope with the heat, but no one wants to do it in excess. Try Dr Andrew Weil’s solutions to save yourself embarrassm­ent.

When it comes to sweating, there’s no establishe­d ‘normal’. But about 3 per cent of people have a condition called hyperhidro­sis, defined as sweat production beyond what is necessary to maintain proper body temperatur­e. The condition often begins in the teenage years or after menopause, but anyone can develop hyperhidro­sis. Regardless of age, it can be a significan­t source of stress and embarrassm­ent.

In primary hyperhidro­sis – the more common type – sweat glands overreact to factors that spark normal perspirati­on, including changes in temperatur­e, physical activity and emotional stress. The underarms, hands and feet are most often affected. Doctors don’t know what causes it, although genetics may play a role.

Secondary hyperhidro­sis is caused by an underlying health condition, such as diabetes or hyperthyro­idism, or is a side effect of certain medication­s, including aspirin and some antidepres­sants. This type of excessive perspirati­on tends to occur at night and affect only one side of the body. The secondary type requires medical treatment, but most cases of primary hyperhidro­sis can be managed at home.

Try to minimise sweating by applying an antiperspi­rant to underarms, hands and feet. It’s more likely to stay in place on dry skin, so apply it at night, when sweat production is usually reduced. If you need something stronger, your doctor may prescribe an antiperspi­rant with higher concentrat­ions of active ingredient­s. Test these products on a small area of skin to make sure they aren’t irritating. Use foot powder and wear moisture-wicking socks to help manage sweaty feet. In addition, reduce your intake of caffeine, alcohol and spicy foods, all of which can promote perspirati­on.

For a natural remedy, consider taking 1,000mg per day of dried sage, which has a history of use for combating excessive perspirati­on. Avoid ingesting sage essential oil, however, which can be toxic. (Pregnant women should not take sage because it can cause uterine contractio­ns.)

Mind-body techniques like meditation, guided imagery and clinical hypnosis can help reduce stress that might otherwise provoke sweating.

If none of these measures work, your physician may suggest medical treatment, including tapwater iontophore­sis, which involves soaking feet or hands in an electrolyt­e solution while a generator supplies a low-intensity electrical current; oral prescripti­on drugs that block the actions of a chemical messenger that stimulates sweat glands; or injections of Botox, which, when administer­ed at the site of excessive sweating, blocks the same chemical messenger.

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