Anhidrosis: Why don't you sweat enough?

The Importance of Sweating and Understanding Anhidrosis

Sweating is essential for regulating body temperature and ensuring our body functions properly. However, some people are unable to sweat normally, a condition known as anhidrosis or hypohidrosis. This occurs when the sweat glands do not function properly, affecting parts or the entirety of the body.

What is Anhidrosis? Anhidrosis is characterized by the inability to sweat normally. Without sweating, the body cannot cool itself down, leading to overheating, and in severe cases, heatstroke, a potentially life-threatening condition. Diagnosing anhidrosis can be challenging, especially in mild cases, and the causes are varied, including skin trauma, diseases, medications, and hereditary factors.

Causes of Anhidrosis Anhidrosis can result from various factors:

  • Nerve Damage: Conditions such as diabetes, Parkinson’s disease, Ross syndrome, alcoholism, lung cancer, Horner syndrome, and amyloidosis can damage nerves and impair the functioning of sweat glands.
  • Skin Damage: Severe burns, inflammations, radiation, infections, trauma, exfoliative dermatitis, scleroderma, and ichthyosis can damage the skin and hinder the sweat glands.
  • Medications: Certain medications, such as anticholinergics, can reduce sweating as a side effect.
  • Congenital Factors: Hereditary conditions like hypohidrotic ectodermal dysplasia cause individuals to be born with few or no sweat glands, or genetic mutations may cause sweat gland dysfunction.

Symptoms of Anhidrosis Symptoms of anhidrosis include:

  • Little or no sweating
  • Dizziness
  • Muscle cramps or weakness
  • Redness
  • Feeling overheated

The absence or reduction of sweating can occur over a large part of the body, a specific area, or various regions. If anhidrosis affects a large portion of the body, intense exercise, physical labor, or hot weather can lead to cramps, exhaustion, or heatstroke, which are serious complications.

Prevention While anhidrosis itself cannot be prevented, its serious complications can be. To avoid these complications, it is recommended to:

  • Wear light, loose-fitting clothing in hot weather, preferably in light colors.
  • Stay in cool, shaded, or air-conditioned areas.
  • Use a water spray bottle to cool down.
  • Monitor your activity level closely to avoid overexertion.
  • Learn to recognize the signs of heat-related illnesses and how to treat them.
  • Take cool showers or sit in cool baths.
  • Stay hydrated by drinking plenty of fluids, especially water or sports drinks.
  • Avoid alcohol and caffeinated drinks (coffee, tea, cola, chocolate).
  • Carry a water bottle with you wherever you go.
  • Wear clothes that encourage sweating as much as possible.

Anhidrosis is a condition like any other. You should consult a doctor as soon as the first symptoms appear.