Hyperidrosis & Bromidrosis

Hyperidrosis is the term used to describe excessive production of sweat. it is not abnormal, but is very troublesome for the individual. Teenagers are the most frequent sufferers but the condition can go on until the third decade when symptoms usually improve. Some 2 year old children I know can have very soggy feet!

Bromidrosis is very much the same but the excess sweat is accompanied by an unpleasant odour. This is due to the breakdown of sweat by bacteria, this is normal. Again the teenage years seem to produce the largest number of sufferers, but hygiene problems mean it can affect any one not able to maintain scrupulous cleanliness.

Sweating of the palms and soles of the feet is a normal physiological process that allows moisture and suppleness to the skin surface rather than the heat loss associated with normal sweating. Stress, emotional stimulus, fatigue or physical strain to the foot can easily increase excess sweating. Maceration and damage can occur if the excessive sweat is not allowed to evaporate. This, along the with the associated discomfort and odour prompts the patient to seek treatment.

Treatment is very difficult and limited as it is not easily possible to prevent the production of sweat. I have found that spraying the feet twice a day with "Scholl odour control foot spray" combats the odour rather well. Three to four teaspoons of alum powder per 500mls of water as a foot bath, or used in a spray bottle can be effective, though over use of this chemical is not recommended. In severe cases it will be necessary to wear a different pair of leather shoes each day to allow drying out in between. Cotton socks are better than most as the natural fibres prevent too much occlusion of the skin.

If any of the above does not work then seek the advice of a local chiropodist, as all signs, symptoms and circumstances vary with each individual. Treatments will always need to be tailor made for each person.