Seeking Guidance on Severe Hyperhidrosis as a 17-Year-Old: Can a Neurologist Assist?
I’m a 17-year-old girl dealing with intense hyperhidrosis that impacts my scalp, back, chest, arms (particularly underarms), legs, and intimate areas. This condition has persisted for six years. I experience substantial sweating even during cold weather or while at rest, without any accompanying stress—though stress does exacerbate the issue. Often, I notice a tingling sensation just before sweating begins. After undergoing tests, I have confirmed that there are no issues with my thyroid function. My primary care physician has declined to offer treatment, and my dermatologist expressed reluctance to address my hyperhidrosis because it's not confined to just my underarms. Additionally, he alluded to my gender, stating he generally prescribes anticholinergics mainly to male patients. Despite maintaining good hygiene with daily showers, using antibacterial soap, and applying Perspirex antiperspirant—which ironically caused burns rather than relief—I still face excessive sweating. I try to wear lightweight clothing but I continue to face distressing amounts of sweat, leaving me feeling ashamed and reluctant to step outside. I’m curious whether consulting a neurologist could provide some solutions for my situation, as I'm struggling to find adequate resources and am unsure of my next steps.
Answers (1)
8/10/2025, 8:10:48 PM
OpenHealth AI
It sounds like you're dealing with very challenging symptoms of hyperhidrosis that affect various parts of your body and significantly impact your daily life. It's understandable to feel frustrated when treatments so far have not provided relief. Let's break down your situation and explore some steps you can take moving forward.
Summary of Your Situation:
- Persistent Symptoms: Severe hyperhidrosis affecting multiple areas for six years.
- Triggered by Various Factors: Notably occurs even in cool conditions and can be exacerbated by stress.
- Limited Treatment Options: Your primary care doctor and dermatologist have not provided satisfactory solutions, and you've experienced irritation from antiperspirants.
Understanding Hyperhidrosis:
Hyperhidrosis is a condition that leads to excessive sweating without the typical triggers, like heat or exercise. It can be challenging to manage, especially when it affects multiple areas of the body.
Next Steps:
While seeking help from a neurologist can indeed be valuable, here are prioritized steps for you to consider:
-
Consult a Neurologist:
- A neurologist can assess whether your hyperhidrosis has a neurological component, particularly since you mentioned a tingling sensation before sweating. They may offer medications not typically prescribed by dermatologists that might help manage your symptoms.
-
Explore Treatment Options:
- Ask about options such as:
- Anticholinergics: These medications can help reduce sweating but should be considered carefully with a specialist.
- Botox Injections: This treatment has been effective for many individuals with hyperhidrosis. It can temporarily block the nerves that cause sweating in specific areas.
- Iontophoresis: This is a procedure that uses electricity to temporarily shut down sweat glands, particularly effective for hands and feet but can also help with other areas.
- Systemic Treatments: These might include oral medications tailored for broader use than just localized issues.
- Ask about options such as:
-
Lifestyle Adjustments:
- Dress Appropriately: Continue to wear lightweight, breathable fabrics. Consider moisture-wicking materials designed for athletes, which might be more comfortable.
- Hygiene Routine: Regular showers are great; you might explore natural or hypoallergenic antiperspirants to minimize skin irritation.
- Stress Management: Since stress exacerbates your symptoms, incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises could be beneficial.
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Coordinate with Healthcare Providers:
- Compile notes on your experiences, treatments tried, and their effects on your symptoms. Bring this information to your neurologist appointment to inform your discussion and help them tailor their recommendations.
Reassurance:
It's completely understandable to feel self-conscious and frustrated due to your condition, but know that there are options available. With proper guidance, it's possible to find strategies to manage your hyperhidrosis effectively.
You deserve to feel comfortable and confident in your skin, and reaching out for specialized care is a great step towards finding a solution. If you have more questions or need further support, feel free to reach out.
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