A Simple Guide to Hyperhidrosis, (Excessive Sweating) diagnosis, Treatment and Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Hyperhidrosis, Diagnosis and Treatment and Related Diseases
I have a patient who almost always complained of sweaty hands and soles.
He always refuses to shake hands with everyone.
His clothes are always drenched with sweat.
He said that it was embarrassing both in appearance and at work using his hands to write.
I have advised him to use aluminum chloride solution to dry up his hands and feet temporarily or to go for laser or surgical treatment if the disorder does not improve.
Aluminum chloride solution is sold over the counter at pharmacies: Drysol Astringent Solution or Powder Packets
Sweat is the body's natural air conditioner, through which humans regulate the temperature.
Hyperhidrosis is excessive, bilateral, and generally symmetric sweating that is not triggered by activity or environmental factors.
The quantity of sweating is least 4-fold higher than the quantity required for cooling off.
Hyperhidrosis is a disorder of excessive sweating caused by the over stimulation of cholinergic receptors on eccrine glands.
This disorder is featured by sweating beyond what the body utilizes for homeostatic temperature regulation.
Eccrine glands are found in large quantities in areas such as the axillae, palms, soles, and face
These are the areas most often linked with hyperhidrosis.
The acetylcholine negative feedback loop is probably affected in these patients, which may help explain how a physiological reaction can become pathological.
The palmar region is the most often involved area.
There are 2 types of hyperhidrosis: primary focal and secondary generalized.
Primary focal hyperhidrosis is excessive focal sweating of at least 6 months' duration without any clear cause and with at least two of these features:
Onset as early as age 9 years;
Bilateral and symmetric pattern;
Impairment of daily activities;
Occurrence at least once per week;
Cessation during sleep; and
A positive family history (reported by two thirds of patients).
The precise cause of primary hyperhidrosis is not known.
Genetic factors are thought to play a part in excessive neural stimulation.
If the sweating can be blamed on an underlying medical condition, it is called secondary hyperhidrosis.
Secondary generalized hyperhidrosis normally starts in adulthood.
It can be produced by drugs, toxins, or substance abuse and can be linked with cardiovascular disorders, respiratory failure, infections, and malignancies such as Hodgkin lymphoma, myeloproliferative disorders and cancers with catabolism.
It can also be produced by endocrine/metabolic disorders, such as thyrotoxicosis, pheochromocytoma, acromegaly, carcinoid tumor, hypoglycemia and menopause.
This type of hyperhidrosis is more prone to induce sweating all over the body.
Hyperhidrosis can cause emotional, psychological, social, and occupational affliction.
Hyperhidrosis is unusually excessive sweating that is not necessarily linked to higher temperatures or exercise.
The person may sweat so much that it drenches through the clothes or drips off the hands.
Besides disturbing normal daily activities, hyperhidrosis can produce social anxiety and cause embarrassment.
Hyperhidrosis treatment normally requires prescription-strength antiperspirants on the affected regions.
For persistent hyperhidrosis, the person may need to try different medicines or other therapies.
In severe cases, the doctor may propose surgery either to remove the sweat glands or to detach the nerves causing the excessive sweat.
TABLE OF CONTENT
Introduction
Chapter 1 Hyperhidrosis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Night Sweats
Chapter 8 Hyperthyroidism
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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A Simple Guide to Hyperhidrosis, (Excessive Sweating) diagnosis, Treatment and Related Conditions - Kenneth Kee
A
Simple
Guide
To
Hyperhidrosis,
(Excessive Sweating)
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2022 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Hyperhidrosis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Hyperhidrosis)
This e-Book is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for you only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.
This autobiography account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
My diagnosis and treatment capability has improved tremendously from my continued education.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Hyperhidrosis
I have a patient who almost always complained of sweaty hands and soles.
He always refuses to shake hands with everyone.
His clothes are always drenched with sweat.
He said that it was embarrassing both in appearance and at work using his hands to write.
I have advised him to use aluminum chloride solution to dry up his hands and feet temporarily or to go for laser or surgical treatment if the disorder does not improve.
Aluminum chloride solution is sold over the counter at pharmacies: Drysol Astringent Solution or Powder Packets
What is Hyperhidrosis (Excessive Sweating)?
Sweat is the body's natural air conditioner, through which humans regulate the temperature.
Hyperhidrosis is excessive, bilateral, and generally symmetric sweating that is not triggered by activity or environmental factors.
The quantity of sweating is least 4-fold higher than the quantity required for cooling off.
Hyperhidrosis is a disorder of excessive sweating caused by the over stimulation of cholinergic receptors on eccrine glands.
This disorder is featured by sweating beyond what the body utilizes for homeostatic temperature regulation.
Eccrine glands are found in large quantities in areas such as