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Understanding Hyperhidrosis: Treatment and Symptoms

Discover what hyperhidrosis is, its common symptoms, causes and available treatment options. Learn how to manage excessive sweating effectively for better comfort and quality of life.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 3rd Sep, 2025

Introduction

Do you often find yourself sweating excessively, even when you're not exercising or feeling hot? If so, you might be dealing with a condition called hyperhidrosis. While sweating is a normal bodily function that helps regulate temperature, excessive sweating can be uncomfortable and embarrassing.

In this article, we’ll explain what hyperhidrosis is, its symptoms, causes, and available treatments, so you can better understand and manage it.

What Is Hyperhidrosis?

Hyperhidrosis is a medical condition where a person sweats more than necessary, often without any obvious triggers like heat or physical activity. It commonly affects the underarms, palms, soles of the feet, and face, but it can occur anywhere on the body.

There are two main types:

1. Primary Focal Hyperhidrosis – This type has no underlying medical cause and usually starts in childhood or adolescence. It often affects specific areas like the hands, feet, or underarms.

2. Secondary Generalized Hyperhidrosis – This is caused by an underlying health condition (like diabetes, thyroid issues, or menopause) or certain medications. Unlike primary hyperhidrosis, this type can cause sweating all over the body.

Consult a Dermatologist for the best advice

Dr. S Madhuri, Dermatologist

Dr. S Madhuri

Dermatologist

10 Years • MBBS, MD. DVL, DNB, Fellow (Dermatosurgery & Lasers)

Secunderabad

Apollo Hospitals Secunderabad, Secunderabad

recommendation

88%

(300+ Patients)

800

700

No Booking Fees

Dr. Shwetha H P, Dermatologist

Dr. Shwetha H P

Dermatologist

11 Years • M.B.B.S ,D.V.D ,FAM (Fellowship in Aesthetic Medicine)

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

recommendation

85%

(25+ Patients)

800

800

No Booking Fees

Symptoms of Hyperhidrosis

The most obvious symptom is excessive sweating, but other signs may include:

  • Sweating that soaks through clothes even when at rest

  • Frequent sweating on the palms, feet, or face

  • Skin infections (due to constant moisture)

  • Discomfort in social situations or reluctance to shake hands

  • Difficulty holding objects (if hands are excessively sweaty)

If sweating interferes with your daily life, it’s important to consult a doctor to determine the cause and explore treatment options.

What Causes Hyperhidrosis?

The exact cause of primary hyperhidrosis isn’t fully understood, but it may be related to overactive sweat glands triggered by the nervous system. Genetics can also play a role; many people with this condition have a family history of excessive sweating.

Secondary hyperhidrosis is usually linked to:

  • Hormonal changes (menopause, pregnancy, hyperthyroidism)

  • Infections or illnesses (diabetes, tuberculosis)

  • Certain medications (antidepressants, pain relievers)

  • Neurological disorders

A doctor can help identify whether an underlying condition is causing your excessive sweating.

How Is Hyperhidrosis Treated?

The good news is that hyperhidrosis can be managed effectively. Treatment options depend on the severity and type of sweating.

1. Lifestyle & Home Remedies

  • Antiperspirants – Clinical-strength antiperspirants (containing aluminum chloride) can help reduce sweating.

  • Breathable Clothing – Wear loose, moisture-wicking fabrics like cotton to minimize discomfort.

  • Avoid Triggers – Spicy foods, caffeine, and alcohol can worsen sweating in some people.

  • Stress Management – Anxiety can trigger sweating, so relaxation techniques like deep breathing or yoga may help.

2. Medical Treatments

  • Iontophoresis – A painless procedure where mild electrical currents are used to temporarily block sweat glands (effective for hands and feet).

  • Botox Injections – Botox can block nerves that trigger sweat glands, providing relief for several months (commonly used for underarms).

  • Oral Medications – Anticholinergic drugs can reduce sweating but may have side effects like dry mouth.

  • Surgery (ETS) – In severe cases, a procedure called Endoscopic Thoracic Sympathectomy (ETS) may be considered to cut nerves that control sweating.

3. Treating Underlying Conditions

If your sweating is caused by another health issue (like thyroid problems or diabetes), managing that condition can help reduce symptoms.

When to See a Doctor

If excessive sweating:

  • Disrupts your daily routine

  • Causes emotional distress

  • Happens mostly at night

  • Is accompanied by weight loss, chest pain, or dizziness

…it’s best to consult a healthcare provider. They can help determine whether it’s primary hyperhidrosis or a symptom of another condition.

Living with Hyperhidrosis

While hyperhidrosis can be frustrating, many people find relief with the right treatment. Here are a few extra tips:

  • Stay hydrated to prevent dehydration from excessive sweating.

  • Keep sweat-prone areas dry to avoid skin irritation.

  • Consider support groups if sweating affects your confidence, you’re not alone!

Final Thoughts

Hyperhidrosis is more than just sweating; it can impact confidence and daily activities. But with the right approach, it’s manageable. If you suspect you have this condition, don’t hesitate to seek help. Small lifestyle changes and medical treatments can make a big difference!

Consult a Dermatologist for the best advice

Dr. S Madhuri, Dermatologist

Dr. S Madhuri

Dermatologist

10 Years • MBBS, MD. DVL, DNB, Fellow (Dermatosurgery & Lasers)

Secunderabad

Apollo Hospitals Secunderabad, Secunderabad

recommendation

88%

(300+ Patients)

800

700

No Booking Fees

Dr. Shwetha H P, Dermatologist

Dr. Shwetha H P

Dermatologist

11 Years • M.B.B.S ,D.V.D ,FAM (Fellowship in Aesthetic Medicine)

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

recommendation

85%

(25+ Patients)

800

800

No Booking Fees

Consult a Dermatologist for the best advice

Dr. S Madhuri, Dermatologist

Dr. S Madhuri

Dermatologist

10 Years • MBBS, MD. DVL, DNB, Fellow (Dermatosurgery & Lasers)

Secunderabad

Apollo Hospitals Secunderabad, Secunderabad

recommendation

88%

(300+ Patients)

800

700

No Booking Fees

Dr. Kavitha Killaparthy, Dermatologist

Dr. Kavitha Killaparthy

Dermatologist

23 Years • MBBS,DIPLOMA(DERMATOLOGY,VENEREOLOGY,LEPROSY)

Hyderabad

JDS Skin & Hair Clinic, Hyderabad

700

Dr.j Girishma, Dermatologist

Dr.j Girishma

Dermatologist

6 Years • MBBS MD DERMATOLOGY

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

550

Dr. Shwetha H P, Dermatologist

Dr. Shwetha H P

Dermatologist

11 Years • M.B.B.S ,D.V.D ,FAM (Fellowship in Aesthetic Medicine)

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

recommendation

85%

(25+ Patients)

800

800

No Booking Fees

Dr. Kriti Bhat, Dermatologist

Dr. Kriti Bhat

Dermatologist

5 Years • MBBS, MD ( Dermatology, Venerology, Leprosy ) from AIIMS JODHPUR

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

550