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.


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
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
Consult a Dermatologist for the best advice

Dr. S Madhuri
Dermatologist
10 Years • MBBS, MD. DVL, DNB, Fellow (Dermatosurgery & Lasers)
Secunderabad
Apollo Hospitals Secunderabad, Secunderabad
(300+ Patients)

Dr. Kavitha Killaparthy
Dermatologist
23 Years • MBBS,DIPLOMA(DERMATOLOGY,VENEREOLOGY,LEPROSY)
Hyderabad
JDS Skin & Hair Clinic, Hyderabad

Dr.j Girishma
Dermatologist
6 Years • MBBS MD DERMATOLOGY
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru
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
(25+ Patients)
Dr. Kriti Bhat
Dermatologist
5 Years • MBBS, MD ( Dermatology, Venerology, Leprosy ) from AIIMS JODHPUR
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru