Excessive Sweating

Excessive sweating, or hyperhidrosis, is a medical condition that extends beyond the body's natural cooling mechanisms, impacting various aspects of daily life. This guide is designed to offer a detailed exploration of hyperhidrosis, including potential causes and an array of management options.


1. Types of Hyperhidrosis:

a. Primary Focal Hyperhidrosis: Typically begins in childhood or adolescence, affecting specific areas like the palms, soles, underarms, and face.

b. Secondary Generalised Hyperhidrosis: Occurs due to an underlying medical condition, such as diabetes, thyroid issues, or menopause.


2. Lifestyle Modifications:

  • Choose breathable fabrics to enhance airflow.
  • Apply antiperspirants with higher aluminium chloride concentrations.
  • Practice good hygiene to prevent bacterial growth.


3. Topical Treatments:

  • Prescription antiperspirants containing aluminium chloride hexahydrate can effectively reduce sweating when applied to targeted areas.


4. Botox Injections:

  • Botulinum toxin injections are administered in localised areas, such as the underarms, palms, or feet, to temporarily block nerve signals responsible for excessive sweating.


5. Oral Medications:

  • Anticholinergic medications may be prescribed to inhibit sweat gland activity. Potential side effects should be discussed with your healthcare provider.


6. Iontophoresis:

  • A non-invasive therapy involving the use of a mild electric current applied to the affected areas, reducing sweat gland activity.


7. Surgical Options:

  • In severe cases, surgical interventions like sympathectomy may be considered, involving the interruption of nerve signals to sweat glands. This is typically a last resort due to associated risks.


8. Consultation with a Healthcare Professional:

  • If you suspect hyperhidrosis, consult with a healthcare professional for a comprehensive evaluation. They will assess your medical history, perform relevant tests, and discuss personalised treatment options.