Nadmierna potliwość (hiperhidroza)
Charakterystyka, pielęgnacja i opieka

Hiperhidroza, dotykająca 1-3% populacji, to patologiczne nadmierne wydzielanie potu przekraczające fizjologiczne potrzeby termoregulacji. Wyróżnia się hiperhidrozę pierwotną (idiopatyczną) oraz wtórną, związaną z chorobami takimi jak nadczynność tarczycy, choroba Parkinsona czy menopauza. Lokalizacja najczęściej obejmuje dłonie, stopy, pachy, twarz i pachwiny. Diagnostyka opiera się na wywiadzie, badaniu fizykalnym, testach potu (np. jodowo-skrobiowy, termoregulacyjny, przewodność skóry) oraz ocenie nasilenia za pomocą skal HDSS, DLQI lub HidroQoL. Hiperhidroza znacząco obniża jakość życia, powodując dyskomfort fizyczny, psychospołeczny oraz zwiększone ryzyko infekcji skórnych. Podstawą opieki jest odpowiednia higiena, unikanie czynników wyzwalających oraz wsparcie psychologiczne, w tym terapia poznawczo-behawioralna.

Nadmierna potliwość (hiperhidroza) – definicja i przyczyny

Nadmierna potliwość, określana medycznie jako hiperhidroza, to stan, w którym organizm wytwarza nadmierną ilość potu, wykraczającą poza potrzeby fizjologicznej regulacji temperatury ciała12. Schorzenie to dotyka około 1-3% populacji ogólnej i może mieć istotny wpływ na jakość życia pacjentów34.

Hiperhidrozę klasyfikuje się jako pierwotną (idiopatyczną, bez wyraźnej przyczyny) lub wtórną (spowodowaną innym schorzeniem lub przyjmowanymi lekami)56. Nadmierna potliwość pierwotna często rozpoczyna się w dzieciństwie lub okresie dojrzewania i może utrzymywać się przez całe życie dorosłe7. Hiperhidroza wtórna może być związana z takimi schorzeniami jak nadczynność tarczycy, nadciśnienie, niski poziom cukru we krwi, choroba Parkinsona czy menopauza89.

Obszary występowania nadmiernej potliwości

Hiperhidroza może dotyczyć całego ciała (hiperhidroza uogólniona) lub konkretnych obszarów (hiperhidroza ogniskowa). Najczęściej dotknięte obszary to1011:

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U pacjentów z pierwotną hiperhidrozą ogniskową pot pojawia się nadmiernie i stale w dotkniętych obszarach, niezależnie od temperatury otoczenia i sytuacji emocjonalnej14.

Wpływ hiperhidrozy na życie pacjenta

Nadmierna potliwość może mieć znaczący wpływ na jakość życia pacjenta, powodując zarówno fizyczny dyskomfort, jak i problemy psychospołeczne1516:

  • Utrudnienie wykonywania codziennych czynności, takich jak pisanie, trzymanie przedmiotów, korzystanie z ekranów dotykowych
  • Dyskomfort społeczny i zawodowy, unikanie kontaktów społecznych
  • Obniżenie pewności siebie i samooceny
  • Zwiększone ryzyko infekcji skórnych i grzybiczych
  • Stres, lęk i depresja

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Badania wskazują, że hiperhidroza może mieć większy wpływ na jakość życia niż inne schorzenia skórne, takie jak atopowe zapalenie skóry, trądzik, łuszczyca czy trądzik różowaty20.

Diagnoza nadmiernej potliwości

Diagnoza hiperhidrozy zwykle rozpoczyna się od dokładnego wywiadu lekarskiego i badania objawów21. Personel medyczny powinien podchodzić do pacjentów z hiperhidrozą ze zrozumieniem i wrażliwością, uwzględniając psychologiczne implikacje schorzenia22.

Metody diagnostyczne w hiperhidrozie

W procesie diagnostycznym mogą być stosowane następujące metody23:

  • Dokładne badanie fizykalne skóry
  • Testy na pot, takie jak test jodowo-skrobiowy, test termoregulacyjny potu lub test przewodności skóry
  • Badania krwi lub moczu – w celu wykluczenia chorób podstawowych, takich jak nadczynność tarczycy czy niski poziom cukru we krwi
  • Ocena nasilenia hiperhidrozy za pomocą kwestionariuszy, takich jak Hyperhidrosis Disease Severity Scale (HDSS), Dermatology Life Quality Index (DLQI) lub Hyperhidrosis Quality of Life Index (HidroQoL)

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Hiperhidroza pierwotna jest zazwyczaj diagnozowana na podstawie wywiadu klinicznego i objawów przedmiotowych. W przypadku hiperhidrozy uogólnionej lub wtórnej mogą być konieczne dodatkowe badania w celu zidentyfikowania przyczyny25.

Pielęgnacja i opieka nad pacjentem z hiperhidrozą

Odpowiednia pielęgnacja stanowi podstawowy element opieki nad pacjentem z hiperhidrozą i może znacząco poprawić komfort życia26.

Zalecenia pielęgnacyjne dla pacjentów

  • Regularne kąpiele (1-2 razy dziennie) z użyciem mydła i wody, unikając zbyt intensywnego pocierania skóry, które może powodować podrażnienia
  • Dokładne osuszanie skóry po kąpieli
  • Stosowanie odpowiednich produktów do higieny – preparatów myjących zastępujących mydło, które są łagodniejsze dla skóry
  • Regularna zmiana odzieży i stosowanie odzieży pochłaniającej wilgoć
  • Unikanie ciasnej odzieży i materiałów syntetycznych
  • Stosowanie osłon na pachy lub wkładek pochłaniających pot w celu ochrony odzieży
  • W przypadku nadmiernej potliwości stóp – stosowanie pudrów do stóp, noszenie skórzanego obuwia, częsta zmiana skarpet

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Szczególnie istotne jest utrzymywanie skóry w suchości, aby zapobiec maceracji skóry, która może prowadzić do utraty jej integralności, bólu i infekcji skórnych29.

Prowadzenie dziennika potliwości

Zachęcanie pacjentów do prowadzenia dziennika potliwości może pomóc w identyfikacji czynników wyzwalających nadmierne pocenie, takich jak stres, lęk, określone pokarmy czy napoje30. Umożliwia to lepsze zarządzanie objawami poprzez unikanie zidentyfikowanych wyzwalaczy31.

Wsparcie psychologiczne

Hiperhidroza może prowadzić do znaczących problemów psychologicznych, w tym do izolacji społecznej i depresji32. Personel medyczny powinien rozważyć skierowanie pacjenta do specjalisty zdrowia psychicznego, jeśli hiperhidroza prowadzi do znacznego dystresu emocjonalnego33.

Wsparcie psychologiczne może obejmować34:

  • Terapię poznawczo-behawioralną (CBT) – szczególnie pomocną w radzeniu sobie z lękiem, który może nasilać objawy
  • Grupy wsparcia dla osób z hiperhidrozą
  • Techniki relaksacyjne i radzenia sobie ze stresem

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Metody leczenia nadmiernej potliwości

Leczenie hiperhidrozy jest zwykle stopniowe, począwszy od najmniej inwazyjnych metod36. Nie istnieje jedna metoda leczenia skuteczna dla wszystkich pacjentów – plan terapeutyczny powinien być dostosowany do indywidualnych potrzeb pacjenta3738.

Leczenie miejscowe

Antiperspiranty są zazwyczaj pierwszą linią leczenia hiperhidrozy39:

  • Antiperspiranty bez recepty, zawierające sole aluminium
  • Preparaty na receptę zawierające 10-20% chlorku glinu (Drysol, Xerac AC) – stosuje się je zazwyczaj na suchą skórę przed snem, a następnie zmywa rano

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Do skutków ubocznych antiperspirantów może należeć podrażnienie skóry. W przypadku wystąpienia podrażnień można stosować krem z hydrokortyzonem42.

Inne preparaty miejscowe:

  • Kremy zawierające glikopironium – skuteczne w przypadku hiperhidrozy twarzy i głowy
  • Chusteczki z glikopironium (Oxvrexza) – zatwierdzone do leczenia pierwotnej hiperhidrozy pachowej
  • Żel sofpironium (Sofdra) – zatwierdzony do leczenia pierwotnej hiperhidrozy pachowej

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Leczenie systemowe

Leki doustne mogą być stosowane, gdy leczenie miejscowe jest nieskuteczne45:

  • Leki antycholinergiczne (glikopironium, oksybutynina) – blokują receptory cholinergiczne i zmniejszają produkcję potu, jednak mogą powodować efekty uboczne, takie jak suchość w ustach, zaburzenia widzenia czy problemy z opróżnianiem pęcherza
  • Leki przeciwdepresyjne – mogą zmniejszać potliwość i łagodzić towarzyszący jej lęk
  • Beta-blokery – mogą pomóc w zmniejszeniu potliwości związanej ze stresem

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Należy zauważyć, że długotrwałe stosowanie leków antycholinergicznych w wysokich dawkach, szczególnie u osób starszych, może być związane z rozwojem demencji i/lub atrofii mózgu49.

Jonoforeza

Jonoforeza jest nieinwazyjną metodą leczenia, szczególnie skuteczną w przypadku hiperhidrozy dłoni i stóp50. Zabieg polega na zanurzeniu dłoni lub stóp w płytkiej wannie z wodą, przez którą przepuszczany jest łagodny prąd elektryczny51. Powtarzalne sesje (2-3 razy w tygodniu) powodują mikroskopijne zgrubienie zewnętrznej warstwy skóry i blokują gruczoły potowe5253.

Toksyna botulinowa (Botox)

Iniekcje toksyny botulinowej typu A (Botox) są uznane za skuteczną drugą linię leczenia hiperhidrozy54. Botox blokuje nerwy stymulujące gruczoły potowe, co prowadzi do czasowego zmniejszenia potliwości55.

  • Skuteczne w leczeniu hiperhidrozy pachowej, dłoniowej i stóp
  • Efekt utrzymuje się przez około 4-12 miesięcy, po czym konieczne są kolejne iniekcje
  • Według Międzynarodowego Towarzystwa Hiperhidrozy, pacjenci otrzymujący iniekcje Botoxu odnotowują zmniejszenie nadmiernej potliwości o ponad 85%

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Terapie energetyczne

W niektórych przypadkach stosowane są terapie wykorzystujące energię do uszkodzenia lub zniszczenia gruczołów potowych:

  • Terapia mikrofalowa (miraDry) – dostarczanie energii mikrofalowej do gruczołów potowych w dwóch półgodzinnych sesjach. Efekty uboczne mogą obejmować zmianę czucia w skórze i dyskomfort
  • Laser Nd-YAG 1064 nm – skuteczny w leczeniu hiperhidrozy pachowej

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Metody chirurgiczne

Metody chirurgiczne są zazwyczaj rozważane dopiero po niepowodzeniu innych form leczenia61:

  • Sympatektomia endoskopowa (ETS) – minimalnie inwazyjna procedura polegająca na przecięciu nerwów współczulnych w górnej części klatki piersiowej, które kontrolują potliwość. Jest szczególnie skuteczna w leczeniu hiperhidrozy dłoni (skuteczność około 98%)
  • Usunięcie gruczołów potowych – może być wykonane poprzez klasyczne wycięcie chirurgiczne lub mniej inwazyjne metody, takie jak liposukcja podskórna

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Działania niepożądane leczenia

Każda metoda leczenia hiperhidrozy może wiązać się z potencjalnymi działaniami niepożądanymi, które należy omówić z pacjentem65:

  • Antiperspiranty mogą powodować podrażnienie skóry, pękanie lub pęcherze
  • Leki doustne antycholinergiczne mogą powodować suchość w ustach i oczach, zaburzenia widzenia, zaparcia i problemy z opróżnianiem pęcherza
  • Po sympatektomii może wystąpić kompensacyjna potliwość – nadmierna potliwość w innych obszarach ciała (np. tułów, brzuch, pachwiny)

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Współpraca interdyscyplinarna w opiece nad pacjentem z hiperhidrozą

Hiperhidroza jest schorzeniem, które najlepiej leczyć poprzez podejście zespołowe, angażujące różnych specjalistów68. W skład zespołu terapeutycznego mogą wchodzić:

  • Lekarz podstawowej opieki zdrowotnej – wstępna diagnoza i kierowanie do specjalistów
  • Dermatolog – diagnostyka i prowadzenie leczenia hiperhidrozy
  • Chirurg klatki piersiowej – w przypadku rozważania sympatektomii
  • Chirurg plastyczny – w przypadku procedur usuwania gruczołów potowych
  • Neurolog – szczególnie w przypadku podejrzenia wtórnej hiperhidrozy
  • Psycholog/psychiatra – wsparcie w radzeniu sobie z aspektami psychologicznymi schorzenia
  • Pielęgniarka specjalistyczna – edukacja pacjenta i wsparcie w zarządzaniu objawami

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Ścisła współpraca między specjalistami pozwala na opracowanie kompleksowego planu leczenia, dostosowanego do indywidualnych potrzeb pacjenta71.

Edukacja pacjenta z hiperhidrozą

Edukacja pacjenta jest kluczowym elementem opieki nad osobami z hiperhidrozą72. Pielęgniarki i inni pracownicy medyczni powinni dostarczać pacjentom rzetelnych informacji na temat:

  • Natury schorzenia i jego przyczyn
  • Dostępnych metod leczenia oraz ich zalet i ograniczeń
  • Prawidłowego stosowania przepisanych leków i przeprowadzania zabiegów (np. jak stosować antiperspiranty na receptę, jak wykonywać jonoforezę)
  • Strategii radzenia sobie z objawami w życiu codziennym
  • Znaczenia regularnych wizyt kontrolnych
  • Dostępnych grup wsparcia i zasobów informacyjnych

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Ważne jest, aby pacjenci zrozumieli, że choć hiperhidroza może nie stanowić bezpośredniego zagrożenia dla zdrowia, to leczenie jest możliwe i może znacząco poprawić jakość życia7576.

Plan opieki pielęgniarskiej dla pacjenta z hiperhidrozą

Plan opieki pielęgniarskiej dla pacjenta z hiperhidrozą powinien uwzględniać zarówno aspekty fizyczne, jak i psychospołeczne schorzenia77:

Diagnozy pielęgniarskie

  • Zaburzenia integralności skóry związane z nadmierną wilgotnością
  • Ryzyko infekcji związane z maceracją skóry
  • Zaburzony obraz ciała związany z widocznymi objawami hiperhidrozy
  • Niepokój społeczny związany z obawą przed odrzuceniem z powodu nadmiernej potliwości
  • Deficyt wiedzy dotyczący zarządzania objawami i dostępnych metod leczenia

Interwencje pielęgniarskie

  • Regularna ocena stanu skóry i monitorowanie pod kątem oznak maceracji lub infekcji
  • Nauczanie prawidłowych technik higieny i pielęgnacji skóry
  • Pomoc w identyfikacji i unikaniu czynników wyzwalających nadmierne pocenie
  • Edukacja na temat prawidłowego stosowania przepisanych leków i przeprowadzania zabiegów
  • Wsparcie emocjonalne i pomoc w radzeniu sobie z aspektami psychospołecznymi schorzenia
  • Kierowanie do odpowiednich specjalistów w razie potrzeby
  • Regularny monitoring skuteczności wdrożonych interwencji i dostosowywanie planu opieki w razie potrzeby

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Oczekiwane wyniki

  • Utrzymanie integralności skóry bez oznak maceracji lub infekcji
  • Skuteczne zarządzanie objawami hiperhidrozy
  • Poprawa jakości życia i funkcjonowania społecznego
  • Zmniejszenie poziomu niepokoju związanego z hiperhidrozą
  • Zwiększona wiedza pacjenta na temat schorzenia i metod jego kontrolowania

Powikłania hiperhidrozy

Nieleczona lub niedostatecznie kontrolowana hiperhidroza może prowadzić do różnych powikłań79:

  • Maceracja skóry – długotrwała ekspozycja na wilgoć prowadzi do zmiękczenia i uszkodzenia skóry, co może powodować ból i zwiększać ryzyko infekcji
  • Infekcje skórne – bakteryjne i grzybicze, takie jak grzybica stóp, grzybica paznokci, czyraki
  • Bromhidroza – nieprzyjemny zapach ciała spowodowany przez produkty uboczne bakterii bytujących w wilgotnych obszarach
  • Nasilenie przewlekłych chorób skóry, takich jak egzema i łuszczyca
  • Problemy psychologiczne – lęk, depresja, izolacja społeczna, obniżona samoocena

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Wczesne rozpoznanie i właściwe leczenie hiperhidrozy może zapobiec lub zminimalizować te powikłania83.

Wskazówki dla personelu medycznego

Personel medyczny odgrywa kluczową rolę w opiece nad pacjentami z hiperhidrozą. Oto kilka istotnych wskazówek84:

  • Podchodź do pacjentów z hiperhidrozą z empatią i zrozumieniem – wielu z nich może odczuwać wstyd i zakłopotanie związane z ich stanem
  • Dokładnie wyjaśnij pacjentowi dostępne opcje leczenia, ich zalety, ograniczenia i potencjalne działania niepożądane
  • Podkreślaj znaczenie cierpliwości w procesie leczenia – znalezienie skutecznego rozwiązania może wymagać próbowania różnych metod
  • Zachęcaj do regularnych wizyt kontrolnych w celu oceny skuteczności leczenia i dostosowania planu terapeutycznego w razie potrzeby
  • Bądź świadomy wpływu hiperhidrozy na zdrowie psychiczne pacjenta i w razie potrzeby kieruj do specjalistów zdrowia psychicznego

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Ważne jest, aby personel medyczny uświadamiał pacjentom, że hiperhidroza jest schorzeniem medycznym, a nie wynikiem złej higieny czy braku dbałości o siebie86.

Opieka długoterminowa i perspektywy leczenia

Opieka nad pacjentem z hiperhidrozą ma charakter długoterminowy i wymaga regularnej oceny skuteczności leczenia oraz dostosowywania planu terapeutycznego87. Ważne jest, aby pacjenci pozostawali w stałym kontakcie z lekarzem prowadzącym i zgłaszali wszelkie zmiany w objawach lub problemy z leczeniem88.

Chociaż nie istnieje obecnie pełne wyleczenie pierwotnej hiperhidrozy, właściwe zarządzanie objawami może znacząco poprawić jakość życia pacjentów89. Trwające badania naukowe dają nadzieję na rozwój nowych, bardziej skutecznych metod leczenia w przyszłości90.

Kluczowe elementy opieki długoterminowej obejmują91:

  • Regularne wizyty kontrolne
  • Dostosowywanie planu leczenia w miarę potrzeb
  • Ciągłą edukację pacjenta
  • Wsparcie w radzeniu sobie z aspektami psychospołecznymi schorzenia
  • Monitorowanie pod kątem powikłań i działań niepożądanych leczenia

Personel pielęgniarski pełni kluczową rolę w tym procesie, zapewniając ciągłość opieki i wsparcie dla pacjentów zmagających się z nadmierną potliwością92.

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  1. 14.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Hyperhidrosis: Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis
    Hyperhidrosis is excessive sweating. It causes your body to sweat more than it needs to, sometimes for no apparent reason. A healthcare provider can help you find treatment that manages your symptoms. It could include special antiperspirants, medications or therapies. […] Hyperhidrosis is the result of your sweat glands overworking. […] Hyperhidrosis can also have an emotional impact on your life. Many people who have hyperhidrosis feel embarrassed when they sweat or they might avoid being around other people. If this condition affects your mental health, reach out to a healthcare provider to help you manage your symptoms and a mental health professional to help you manage how you feel about your body. […] Treatment for hyperhidrosis varies based on the part of the body affected, the severity of your diagnosis and what treatment options work for you. A healthcare provider or a dermatologist can help you find the best treatment options to help you manage your symptoms. There isnt one form of treatment that works well for everyone.
  • #2 Hyperhidrosis | Riley Children’s Health
    https://www.rileychildrens.org/health-info/hyperhidrosis
    Hyperhidrosis is excessive sweating. Children with hyperhidrosis sweat as much as five times more than other children. The body’s way of cooling itself (sweating) goes into overdrive for children with hyperhidrosis. As a result, the body makes more sweat than is needed to regulate body temperature. […] Hyperhidrosis most often causes extra sweating in the palms of the hands, the armpits and the feet. […] Hyperhidrosis can affect a child’s quality of life. It can be embarrassing and uncomfortable and can cause feelings of anxiety. Sweaty palms can make it hard to hold a pencil or complete worksheets at school. Excessive sweating can impact a child’s self-confidence. […] A pediatric specialist can work with you and your child to manage symptoms and help your child regain his or her quality of life. […] Treatments for hyperhidrosis include antiperspirants, anticholinergics, iontophoresis, Botox treatments, miraDry and removal of the sweat glands in the underarms.
  • #3 Sweaty Feet – APMA MAIN
    https://www.apma.org/sweatyfeet/
    Excessive sweating of the feet is called hyperhidrosis. […] People whose feet sweat excessively often also have problems with excessive sweating of the palms. […] According to the International Hyperhidrosis Society, 3 percent of the population suffers from hyperhidrosis. […] The most obvious symptom of hyperhidrosis is feet that sweat excessively. […] Those suffering from hyperhidrosis may also experience emotional stress and worry regarding foot odor. […] Good foot hygiene is essential. […] A technique called iontophoresis, which uses water to conduct a mild electrical current through the skin, has been found helpful for people with sweaty feet. […] If your feet sweat excessively, see a podiatrist. […] A podiatrist can help you control this embarrassing condition. […] Most often, excessive sweating of the feet is diagnosed based on your reporting of symptoms and a physical exam of the feet. […] Treatment options are tailored to your symptoms. […] Good foot hygiene can prevent foot odor and foot infections, two common side effects of sweaty feet.
  • #4 Hyperhidrosis – Excessive Sweating | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/skin-hair-and-nails/hyperhidrosis.html
    Hyperhidrosis is a debilitating condition that affects nearly one percent of the population. It is characterized by excessive sweating that can be socially embarrassing, career restricting, and, in some cases, may even be disabling. […] Patients with hyperhidrosis suffer from excessive sweating that commonly involves one or several parts of the body, including the hands, feet, axillae (underarms), or, less often, the face. […] Hyperhidrosis most commonly presents itself as extremeeven drippingwetness of the hands, rendering the patient too uncomfortable to shake hands, making paperwork and writing difficult, and often leading to uncomfortable skin conditions. […] Stanford surgeons have performed approximately over 200 sympathectomies over the past 10 years, representing a very extensive experience and demonstrating our significant commitment to the care of patients with hyperhidrosis.
  • #5 Hyperhidrosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459227/
    Hyperhidrosis is a disorder of excessive sweating due to the overstimulation of cholinergic receptors on eccrine glands. This disorder is characterized by sweating beyond what the body uses for homeostatic temperature regulation. Eccrine glands are concentrated in areas such as the axillae, palms, soles, and face; therefore, these are most commonly associated with hyperhidrosis. […] Hyperhidrosis is classified as primary and secondary, and the management and treatment can significantly differ. The primary disease typically presents earlier in life with more localized symptoms. The secondary disease typically presents due to adverse effects of medications or systemic disorders, particularly neurologic. […] Several treatment options for hyperhidrosis include topical aluminum chloride and oral anticholinergic medications, which are sufficient in patients with mild to moderate disease. Botulinum toxin A injections, sympathectomy, and local excision are also effective but reserved for patients resistant to conservative therapy.
  • #6 Botox injections one way to treat hyperhidrosis sweating | UCLA Health
    https://www.uclahealth.org/news/article/botox-injections-one-way-treat-hyperhidrosis-sweating
    Hyperhidrosis is a disorder in which the sweat glands become overactive. The result is excessive perspiration that is not associated with exercise, temperature or any other typical triggers. […] Excessive sweating linked to a known cause, such as menopause, Parkinsons disease, low blood sugar or an overactive thyroid gland is known as secondary hyperhidrosis. When it arises with no clear cause, it is known as primary hyperhidrosis. […] When it comes to managing the disorder, the antiperspirant your internist recommended is a common first-line approach. So are medications known as anticholinergics, which interfere with the electrical signals the body uses to activate the sweat glands. […] Nerve impulses associated with sweating can also be muted with the use of Botox. […] Botox injections have come to be widely used in managing primary hyperhidrosis when topical treatments have failed. The treatment works by blocking the nerve signals that instruct the sweat glands to become active.
  • #7 Hyperhidrosis
    https://www.pcds.org.uk/clinical-guidance/hyperhidrosis
    Primary or focal hyperhidrosis, which presents without an associated condition, is a common disorder affecting approximately 1% of the population. It is an embarrassing and disabling condition, defined as sweating in excess of that required for normal temperature regulation. It generally presents in childhood, but it is not unusual for the sufferer to wait until adolescence before seeking medical help. Most present before the age of 25. […] Many sufferers are reluctant to seek medical help as they have often lived with their condition for many years and find it too embarrassing to discuss with their GP. […] Primary hyperhidrosis most commonly affects the palms, soles of the feet and the axillae; but may affect any part of the body and association with the face and head is not uncommon.
  • #8 Botox injections one way to treat hyperhidrosis sweating | UCLA Health
    https://www.uclahealth.org/news/article/botox-injections-one-way-treat-hyperhidrosis-sweating
    Hyperhidrosis is a disorder in which the sweat glands become overactive. The result is excessive perspiration that is not associated with exercise, temperature or any other typical triggers. […] Excessive sweating linked to a known cause, such as menopause, Parkinsons disease, low blood sugar or an overactive thyroid gland is known as secondary hyperhidrosis. When it arises with no clear cause, it is known as primary hyperhidrosis. […] When it comes to managing the disorder, the antiperspirant your internist recommended is a common first-line approach. So are medications known as anticholinergics, which interfere with the electrical signals the body uses to activate the sweat glands. […] Nerve impulses associated with sweating can also be muted with the use of Botox. […] Botox injections have come to be widely used in managing primary hyperhidrosis when topical treatments have failed. The treatment works by blocking the nerve signals that instruct the sweat glands to become active.
  • #9 Hyperhidrosis | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/hyperhidrosis
    Hyperhidrosis is a condition characterized by excessive sweating in amounts greater than what is needed to regulate our body temperature. […] Hyperhidrosis can also occur as a result of several medical conditions, including hyperthyroidism and hypertension, in which case it is called secondary hyperhidrosis. […] Patients with primary focal hyperhidrosis have constant excessive sweating in the affected areas, regardless of the environmental temperature and the emotional situation. […] Excessive sweating in the hands can severely affect the ability to write, hold papers, use touch-screens, manipulate objects, and perform routine daily activities. […] Hyperhidrosis can be treated non-surgically or with a surgical procedure. […] Patients who dont have success with non-surgical options will be carefully screened through a comprehensive interview, a detailed self-assessment questionnaire, and a psychological evaluation to ensure that they are good candidates for surgery.
  • #10 Hyperhidrosis
    https://www.pcds.org.uk/clinical-guidance/hyperhidrosis
    Primary or focal hyperhidrosis, which presents without an associated condition, is a common disorder affecting approximately 1% of the population. It is an embarrassing and disabling condition, defined as sweating in excess of that required for normal temperature regulation. It generally presents in childhood, but it is not unusual for the sufferer to wait until adolescence before seeking medical help. Most present before the age of 25. […] Many sufferers are reluctant to seek medical help as they have often lived with their condition for many years and find it too embarrassing to discuss with their GP. […] Primary hyperhidrosis most commonly affects the palms, soles of the feet and the axillae; but may affect any part of the body and association with the face and head is not uncommon.
  • #11 Excessive sweating (hyperhidrosis)
    https://www.nhs.uk/conditions/excessive-sweating-hyperhidrosis/
    Excessive sweating is common and can affect the whole body or just certain areas. Sometimes it gets better with age but there are things you can do and treatments that can help. […] You can see a pharmacist about excessive sweating. You can buy things without a prescription, such as: stronger antiperspirants instead of deodorant, armpit or sweat shields to protect your clothing, foot powders for sweaty feet, soap substitutes that are more gentle on your skin. […] If there’s no obvious cause for your sweating, and nothing seems to be helping, then you may be referred to a specialist (dermatologist). They may recommend other treatments that you can try, such as: taking tablets that reduce sweating, treating the areas with a weak electric current passed through water or on a wet pad (iontophoresis), having botox injections for sweating under the armpits (this may not be available on the NHS), surgery for example, removal of the sweat glands.
  • #12
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4998
    Sweating is your body’s way of cooling down and getting rid of some chemicals. But some people have a condition called hyperhidrosis that makes them sweat too much. It can affect any part of your body, especially the head, armpits, hands, and feet. Sometimes the sweat mixes with bacteria on your skin and causes armpits and feet to smell bad. […] It can be upsetting to have sweat drip from your face and palms or to have smelly feet and shoes. Some people seem to be born with this condition, while some others may sweat too much because of anxiety. You may be able to reduce the amount you sweat by lowering stress in your life. Some people find that antiperspirants help, and you can take steps at home that will help with smelly feet. If you still have too much sweating, your doctor may recommend other treatments.
  • #13 Hyperhidrosis | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/hyperhidrosis
    Hyperhidrosis is characterized by abnormal, excessive sweating that can occur in the hands, armpits and feet. […] The excessive sweating often interferes with daily activities. For example, patients with palmar hyperhidrosis have wet, moist hands that sometimes interfere with grasping objects. Those with axillary hyperhidrosis sweat profusely from their underarms causing them to stain their clothes shortly after they dress. Plantar hyperhidrosis, excessive sweating of the feet, makes ones socks and shoes wet, which leads to increased foot odor. […] Symptoms of hyperhidrosis often become noticeable during childhood and adolescence. In many cases sweating can be quite severe, affecting everyday life and causing social embarrassment. […] Many patients with hyperhidrosis try topical medications or herbal remedies to ease their condition, but these have only temporary or no benefit. Fortunately, effective treatments are available.
  • #14 Hyperhidrosis | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/hyperhidrosis
    Hyperhidrosis is a condition characterized by excessive sweating in amounts greater than what is needed to regulate our body temperature. […] Hyperhidrosis can also occur as a result of several medical conditions, including hyperthyroidism and hypertension, in which case it is called secondary hyperhidrosis. […] Patients with primary focal hyperhidrosis have constant excessive sweating in the affected areas, regardless of the environmental temperature and the emotional situation. […] Excessive sweating in the hands can severely affect the ability to write, hold papers, use touch-screens, manipulate objects, and perform routine daily activities. […] Hyperhidrosis can be treated non-surgically or with a surgical procedure. […] Patients who dont have success with non-surgical options will be carefully screened through a comprehensive interview, a detailed self-assessment questionnaire, and a psychological evaluation to ensure that they are good candidates for surgery.
  • #15 Interventions for hyperhidrosis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8841978/
    To assess the effectiveness and safety of interventions for hyperhidrosis. […] Hyperhidrosis can have a significant negative impact on a persons quality of life, both socially and in the workplace, and has been shown to have a greater impact on quality of life than other skin conditions such as atopic eczema, acne, psoriasis, or rosacea (Bechara 2007). […] A wide variety of interventions are used in the management of hyperhidrosis, ranging from topical applications, iontophoresis, injectable therapies, oral anticholinergics, energy-based devices, and surgery. […] Topical antiperspirants are considered first-line treatments by patients as they are safe, cost-effective, and readily accessible (Grabell 2017). […] Oral systemic treatments can be used for both focal and generalised hyperhidrosis, with oral anticholinergic medications being the most commonly prescribed (Grabell 2017; Nawrocki 2019).
  • #16 Hyperhidrosis – Wikipedia
    https://en.wikipedia.org/wiki/Hyperhidrosis
    The procedure brings relief from excessive hand sweating in about 85-95% of people. ETS may be helpful in treating axillary hyperhidrosis, facial blushing and facial sweating, but failure rates in people with facial blushing and/or excessive facial sweating are higher and such people may be more likely to experience unwanted side effects. […] Hyperhidrosis can have physiological consequences such as cold and clammy hands, dehydration, and skin infections secondary to maceration of the skin. Hyperhidrosis can also have devastating emotional effects on one’s individual life. […] Those with hyperhidrosis may have greater stress levels and more frequent depression. Excessive sweating or focal hyperhidrosis of the hands interferes with many routine activities, such as securely grasping objects.
  • #17 Hyperhidrosis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/symptoms-causes/syc-20367152
    Hyperhidrosis care at Mayo Clinic […] Hyperhidrosis treatment usually helps. It often begins with antiperspirants. If these don’t help, you may need to try different medications and therapies. In severe cases, your health care provider may suggest surgery to remove the sweat glands or to disconnect the nerves related to producing too much sweat. […] See your health care provider if: Sweating disrupts your daily routine […] Sweating causes emotional distress or social withdrawal. […] People who sweat a lot are more prone to skin infections. […] Your condition may affect your pursuit of work and educational goals.
  • #18 Hyperhidrosis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hyperhidrosis/
    Hyperhidrosis is a common condition in which a person sweats excessively. […] The sweating may affect the whole of your body, or it may only affect certain areas. […] The sweating doesn’t usually pose a serious threat to your health, but it can be embarrassing and distressing. […] It can also have a negative impact on your quality of life and may lead to feelings of depression and anxiety. […] Visit your GP if you feel that your sweating is interfering with your daily activities, or you suddenly start sweating excessively. […] Many people with hyperhidrosis are too embarrassed to seek medical help or believe that nothing can be done to improve it. But treatment is available. […] Hyperhidrosis can be challenging to treat and it may take a while to find a treatment right for you.
  • #19 Hyperhidrosis and Sweating: When Should You See a Doctor?
    https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis-sweating-when-should-you-see-doctor
    Excessive sweating (hyperhidrosis) isn’t life threatening, but it can threaten your quality of life. […] Hyperhidrosis usually starts in adolescence or young adulthood. Sweating is worst in the palms, soles, or underarms. When excessive sweating is limited to these areas, it’s called focal hyperhidrosis. […] Most people with focal hyperhidrosis are otherwise completely healthy. […] In fact, about one-third of people with focal hyperhidrosis describe their symptoms as significantly affecting their quality of life. […] Despite the serious negative impact hyperhidrosis has on the lives of those who have it, most never seek treatment. […] Dermatologists are generally the best doctors for treating excessive sweating that’s not controlled by OTC products. […] Some more advanced treatments for hyperhidrosis include: Iontophoresis: This involves soaking the hands or feet in a basin of water through which a mild electric current is passed.
  • #20 Interventions for hyperhidrosis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8841978/
    To assess the effectiveness and safety of interventions for hyperhidrosis. […] Hyperhidrosis can have a significant negative impact on a persons quality of life, both socially and in the workplace, and has been shown to have a greater impact on quality of life than other skin conditions such as atopic eczema, acne, psoriasis, or rosacea (Bechara 2007). […] A wide variety of interventions are used in the management of hyperhidrosis, ranging from topical applications, iontophoresis, injectable therapies, oral anticholinergics, energy-based devices, and surgery. […] Topical antiperspirants are considered first-line treatments by patients as they are safe, cost-effective, and readily accessible (Grabell 2017). […] Oral systemic treatments can be used for both focal and generalised hyperhidrosis, with oral anticholinergic medications being the most commonly prescribed (Grabell 2017; Nawrocki 2019).
  • #21 Hyperhidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/diagnosis-treatment/drc-20367173
    Diagnosing hyperhidrosis may start with your health care provider asking about your medical history and symptoms. […] Treating hyperhidrosis may start with treating the condition causing it. If a cause isn’t found, treatment focuses on controlling heavy sweating. […] Your health care provider may prescribe an antiperspirant with aluminum chloride (Drysol, Xerac AC). Apply it to dry skin before going to bed. […] Prescription creams that contain glycopyrrolate may help hyperhidrosis that affects the face and head. […] Some pills (oral medications) block the nerves that trigger sweat glands. This can reduce sweating in some people. […] Treatment with botulinum toxin (Botox) blocks the nerves that trigger the sweat glands. […] With this home treatment, you soak your hands or feet in a pan of water while a device passes mild electric current through the water.
  • #22 Hyperhidrosis and sweating | Nursing Times
    https://www.nursingtimes.net/primary-care/hyperhidrosis-and-sweating-25-02-2003/
    – Nurses should be aware of the social and psychological implications of hyperhidrosis and be able to address patient needs in a sensitive manner. People with this condition may be embarrassed to shake hands or remove their jackets and it can lead to anxiety disorders. […] – Many of the treatments have side-effects. Surgery often results in compensatory sweating, which can be severe, in another part of the body.
  • #23
    https://umiamihealth.org/en/treatments-and-services/dermatology/excessive-sweating-(hyperhidrosis)
    Botulinum Toxin Injections Injections of botulinum toxin (Botox) can help reduce sweating by blocking the nerves that trigger your sweat glands. The effects of each treatment lasts six to 12 months, so youll need to come in for subsequent treatments. […] Physical Exam Through a medical examination of your skin, we can accurately diagnose and determine the best way to treat your hyperhidrosis. […] Blood or Urine Test Your dermatologist may order a blood or urine test to make sure your hyperhidrosis isnt being caused by an underlying health condition, such as an overactive thyroid or low blood sugar. […] Sweat Test Your dermatologist may use a sweat test such as an iodine-starch test, thermoregulatory sweat test, or a skin conductance test to pinpoint the areas of sweating and determine the severity of your hyperhidrosis.
  • #24 Interventions for hyperhidrosis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8841978/
    Iontophoresis is a first-line treatment mainly for palmoplantar hyperhidrosis and can be used for axillary regions with the addition of electrode pads. […] Botulinum toxin injections are well-established as a second-line therapy for hyperhidrosis, predominantly using botulinum toxin type A (BTXA). […] Surgical interventional procedures are usually reserved for cases in which other less invasive and more conservative measures have failed. […] The severity of impact on an affected individual’s life can be assessed by relevant questionnaires, such as the Hyperhidrosis Disease Severity Scale (HDSS; Solish 2007), Dermatology Life Quality Index (DLQI; Finlay 1994), or Hyperhidrosis Quality of Life Index (HidroQoL; Gabes 2021). […] Hyperhidrosis may be further complicated by bromhidrosis (unpleasant odour), which occurs from the byproducts of bacteria that reside in these sweaty areas (Kanlayavattanakul 2011).
  • #25 Hyperhidrosis
    https://www.pcds.org.uk/clinical-guidance/hyperhidrosis
    Bilateral excessive sweating most of the day; most commonly found on the palms, soles, axillae or face. […] Investigations are seldom, if at all, indicated for focal hyperhidrosis. […] Generalised hyperhidrosis in a well patient with a classical history of sweating starting in late childhood and improving in middle age is seldom related to an underlying medical condition. […] Advise patients as follows: Use emollient washes, rather than soap-based products. Avoid tight clothing and man-made fabrics. Wear leather shoes. […] A series of injections is given intradermally, to block acetylcholine release and hence neurotransmission. It is best for the axillae (its only licensed use in hyperhidrosis) and other focal areas where the efficacious effects last about 4-8 months, after which time further treatment will be required. […] Should only be considered when all other treatments have failed, as the compensatory sweating following this surgery can be much worse than the original problem.
  • #26 Hyperhidrosis: 6 tips dermatologists give their patients
    https://www.aad.org/public/diseases/a-z/hyperhidrosis-self-care
    Treating excessive sweating is the best way to get relief. Board-certified dermatologists also recommend these tips to help manage your sweating. […] Treating hyperhidrosis is the best way to get relief. To get the best results from treatment, board-certified dermatologists recommend following these tips to help you feel more comfortable: […] When using a prescription antiperspirant, follow your dermatologists directions. Apply it where your dermatologist prescribes, such as your palms, feet, or behind your knees. […] Keeping a sweat journal can help you find yours. […] If youre feeling anxious, nervous, fearful, or stressed, that could trigger heavy sweating. […] Here are tips that dermatologists give their patients: […] When hyperhidrosis affects your feet, dermatologists recommend the following: […] Dermatologists understand that living with excessive sweating can reduce your quality of life. When you partner with a board-certified dermatologist to treat hyperhidrosis, you can get sweating under control.
  • #27
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4998
    Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] If your doctor prescribed medicine, use it as directed. Call your doctor or nurse advice line if you have any problems with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Bathe 1 or 2 times a day with soap and water. Do not scrub your skin too much, because that can irritate it. Dry your skin well after bathing. […] Use a deodorant with antiperspirant. It might help to put it on at night before bed. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You continue to sweat too much, and it bothers you.
  • #28 Hyperhidrosis
    https://www.pcds.org.uk/clinical-guidance/hyperhidrosis
    Bilateral excessive sweating most of the day; most commonly found on the palms, soles, axillae or face. […] Investigations are seldom, if at all, indicated for focal hyperhidrosis. […] Generalised hyperhidrosis in a well patient with a classical history of sweating starting in late childhood and improving in middle age is seldom related to an underlying medical condition. […] Advise patients as follows: Use emollient washes, rather than soap-based products. Avoid tight clothing and man-made fabrics. Wear leather shoes. […] A series of injections is given intradermally, to block acetylcholine release and hence neurotransmission. It is best for the axillae (its only licensed use in hyperhidrosis) and other focal areas where the efficacious effects last about 4-8 months, after which time further treatment will be required. […] Should only be considered when all other treatments have failed, as the compensatory sweating following this surgery can be much worse than the original problem.
  • #29 Excessive Sweating (Hyperhidrosis) | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/excessive-sweating-hyperhidrosis
    Excessive sweating is when the body releases too much fluid from the sweat glands. Its also called hyperhidrosis. Its often an ongoing (chronic) condition. […] The condition can affect a person’s quality of life and cause social isolation and depression. Mental health counseling may help. […] Treatment may include antiperspirant, medicine, injections, surgery, or treatments for another health condition. […] Skin maceration can lead to loss of skin, pain, and skin infection. You can help prevent this problem by treating your hyperhidrosis, and keeping your skin dry as much as possible, and getting medical care if signs of an infection occur.
  • #30 Hyperhidrosis: 6 tips dermatologists give their patients
    https://www.aad.org/public/diseases/a-z/hyperhidrosis-self-care
    Treating excessive sweating is the best way to get relief. Board-certified dermatologists also recommend these tips to help manage your sweating. […] Treating hyperhidrosis is the best way to get relief. To get the best results from treatment, board-certified dermatologists recommend following these tips to help you feel more comfortable: […] When using a prescription antiperspirant, follow your dermatologists directions. Apply it where your dermatologist prescribes, such as your palms, feet, or behind your knees. […] Keeping a sweat journal can help you find yours. […] If youre feeling anxious, nervous, fearful, or stressed, that could trigger heavy sweating. […] Here are tips that dermatologists give their patients: […] When hyperhidrosis affects your feet, dermatologists recommend the following: […] Dermatologists understand that living with excessive sweating can reduce your quality of life. When you partner with a board-certified dermatologist to treat hyperhidrosis, you can get sweating under control.
  • #31 Hyperhidrosis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hyperhidrosis/
    Doctors usually recommend starting with the least invasive treatment first, such as powerful antiperspirants. […] Changing your lifestyle cannot cure primary hyperhidrosis (hyperhidrosis with no obvious cause), but it can improve your symptoms and help your confidence. […] If a regular antiperspirant doesn’t control your sweating, your GP may prescribe or suggest a stronger one for you. […] You may be prescribed a type of medicine called an anticholinergic or antimuscarinic. […] If lifestyle changes and treatment don’t work, your GP may refer you to a dermatologist (a specialist in treating skin conditions) for further treatment, such as iontophoresis, botulinum toxin or surgery. […] Botulinum toxin can be injected into the skin in areas of the body affected by hyperhidrosis. […] In a few cases where hyperhidrosis is particularly severe and treatment hasn’t been successful, surgery may be recommended. […] Hyperhidrosis increases the risk of developing fungal infections, particularly on the feet most commonly fungal nail infections and athlete’s foot. […] The emotional impact of living with hyperhidrosis can be severe. Many people with the condition feel unhappy and, in some cases, depressed.
  • #32 Excessive Sweating (Hyperhidrosis) | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/excessive-sweating-hyperhidrosis
    Excessive sweating is when the body releases too much fluid from the sweat glands. Its also called hyperhidrosis. Its often an ongoing (chronic) condition. […] The condition can affect a person’s quality of life and cause social isolation and depression. Mental health counseling may help. […] Treatment may include antiperspirant, medicine, injections, surgery, or treatments for another health condition. […] Skin maceration can lead to loss of skin, pain, and skin infection. You can help prevent this problem by treating your hyperhidrosis, and keeping your skin dry as much as possible, and getting medical care if signs of an infection occur.
  • #33 7 Self-Care Tips for People With Hyperhidrosis
    https://www.everydayhealth.com/hyperhidrosis/self-care-tips-people-with-hyperhidrosis/
    Excessive sweating is not something people take lightly. Its about far more than just using an extra-strength antiperspirant in the morning. The medical term is called hyperhidrosis, and this health condition can be life altering. […] Hyperhidrosis can be socially stigmatizing. Many patients feel very alone, says New York Citybased Amy Wechsler, MD, who is board-certified in both dermatology and psychiatry. […] If you have hyperhidrosis and its making you so distraught that it interferes with your ability to work, build relationships, or take part in joyful activities, your dermatologist or primary care physician may consider referring you to a mental health professional, says Wechsler. […] Nearly everyone in interview-based study reported that hyperhidrosis majorly diminished their self-image and self-confidence.
  • #34 Hyperhidrosis (Excessive Sweating): Causes, Symptoms & Treatment
    https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis2
    Your doctor may prescribe medication that blocks the nerves that trigger sweat glands or an antidepressant. Another type of drug, an anticholinergic, works throughout your whole body to create a drying reaction. It’s for people who sweat in more than one part of their bodies. Side effects of oral anticholinergic drugs include dry mouth, dry eyes, blurred vision, and trouble emptying the bladder. […] Most people use Botox, a nerve toxin that can temporarily paralyze muscle, as a cosmetic treatment for wrinkles. But doctors also use it for excessive underarm sweating. […] If you have hyperhidrosis, you might face higher rates of anxiety and depression because excessive sweating can make you feel embarrassed and avoid social situations. […] Help from health care professionals is essential for managing both the physical symptoms and emotional impact of hyperhidrosis.
  • #35 Excessive sweating (hyperhidrosis) – causes and treatments | healthdirect
    https://www.healthdirect.gov.au/excessive-sweating-hyperhidrosis
    If your hyperhidrosis is severe, or doesn’t respond to other treatments your doctor may recommend surgery. […] Psychotherapy, behaviour therapy and relaxation techniques can help reduce anxiety and improve your quality of life. […] Excessive sweating doesn’t affect your health, but it can affect your quality of life. […] Many people with this condition can find it makes them unhappy, depressed, anxious or embarrassed.
  • #36 Hyperhidrosis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hyperhidrosis/
    Doctors usually recommend starting with the least invasive treatment first, such as powerful antiperspirants. […] Changing your lifestyle cannot cure primary hyperhidrosis (hyperhidrosis with no obvious cause), but it can improve your symptoms and help your confidence. […] If a regular antiperspirant doesn’t control your sweating, your GP may prescribe or suggest a stronger one for you. […] You may be prescribed a type of medicine called an anticholinergic or antimuscarinic. […] If lifestyle changes and treatment don’t work, your GP may refer you to a dermatologist (a specialist in treating skin conditions) for further treatment, such as iontophoresis, botulinum toxin or surgery. […] Botulinum toxin can be injected into the skin in areas of the body affected by hyperhidrosis. […] In a few cases where hyperhidrosis is particularly severe and treatment hasn’t been successful, surgery may be recommended. […] Hyperhidrosis increases the risk of developing fungal infections, particularly on the feet most commonly fungal nail infections and athlete’s foot. […] The emotional impact of living with hyperhidrosis can be severe. Many people with the condition feel unhappy and, in some cases, depressed.
  • #37 Hyperhidrosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/a-z/hyperhidrosis-treatment
    If youre living with excessive sweating, treatment can improve your quality of life. Effective treatment begins with an accurate diagnosis, which tells you the type of hyperhidrosis you have. […] The goal of treatment is to: Reduce sweating so that it no longer interferes with your everyday life. […] There is no single best treatment for hyperhidrosis. Your dermatologist will customize your treatment plan to your needs. […] Patients diagnosed with primary hyperhidrosis (not due to a medication or medical condition) require treatment to control excessive sweating. […] To treat hyperhidrosis, your dermatologist will create an individualized treatment plan based on: The type of hyperhidrosis you have, Your symptoms, Where on your body you sweat heavily, Your preferences for treatment.
  • #38 Hyperhidrosis: Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis
    Hyperhidrosis is excessive sweating. It causes your body to sweat more than it needs to, sometimes for no apparent reason. A healthcare provider can help you find treatment that manages your symptoms. It could include special antiperspirants, medications or therapies. […] Hyperhidrosis is the result of your sweat glands overworking. […] Hyperhidrosis can also have an emotional impact on your life. Many people who have hyperhidrosis feel embarrassed when they sweat or they might avoid being around other people. If this condition affects your mental health, reach out to a healthcare provider to help you manage your symptoms and a mental health professional to help you manage how you feel about your body. […] Treatment for hyperhidrosis varies based on the part of the body affected, the severity of your diagnosis and what treatment options work for you. A healthcare provider or a dermatologist can help you find the best treatment options to help you manage your symptoms. There isnt one form of treatment that works well for everyone.
  • #39 Hyperhidrosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459227/
    As more treatment options have become available, treating hyperhidrosis has become easier for clinicians. A stepwise approach is often effective, and many topical and systemic agents are available. […] First-line therapy for hyperhidrosis includes over-the-counter aluminum chloride hexahydrate 20% for 3 to 4 nights, then nightly as needed. Skin irritation can occur, and patients often become intolerant of it in the long term. […] Iontophoresis 2 to 3 times weekly and botulinum toxin A injections every 3 to 4 weeks are effective if patients fail topical and oral drug therapy. […] More invasive therapeutic measures are available, including sympathectomy or local excision as a last resort. […] Hyperhidrosis is a common complaint in clinical practice, and while many treatments are available, many are unsatisfactory. Thus, the disorder is best managed by an interprofessional team that includes the primary care provider, nurse specialist, thoracic surgeon, plastic surgeon, and internist. The goal is to reduce sweating with minimal complications. […] A team approach can deliver the optimal treatment for hyperhidrosis and improve outcomes.
  • #40 Hyperhidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/diagnosis-treatment/drc-20367173
    Diagnosing hyperhidrosis may start with your health care provider asking about your medical history and symptoms. […] Treating hyperhidrosis may start with treating the condition causing it. If a cause isn’t found, treatment focuses on controlling heavy sweating. […] Your health care provider may prescribe an antiperspirant with aluminum chloride (Drysol, Xerac AC). Apply it to dry skin before going to bed. […] Prescription creams that contain glycopyrrolate may help hyperhidrosis that affects the face and head. […] Some pills (oral medications) block the nerves that trigger sweat glands. This can reduce sweating in some people. […] Treatment with botulinum toxin (Botox) blocks the nerves that trigger the sweat glands. […] With this home treatment, you soak your hands or feet in a pan of water while a device passes mild electric current through the water.
  • #41 Diaphoresis: Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/24496-diaphoresis
    Diaphoresis is the medical definition of excessive sweating due to an underlying health condition or a medication. […] Diaphoresis means abnormal sweating due to a secondary condition. […] Treatment for diaphoresis will vary depending on the cause of your condition. The excessive sweating may clear up after treating an underlying medical condition. […] If a certain medication is causing the condition, your healthcare provider may change your dose or prescribe a different one. Otherwise, they may recommend one of the following ways to manage your condition: Prescription-strength antiperspirants: Antiperspirants that contain 10% to 15% aluminum chloride can plug up your sweat glands. This sends a message to your body to stop producing sweat. […] Botox injections: OnabotulinumtoxinA injections (Botox) may provide short-term relief. These injections can temporarily prevent the stimulation of your sweat glands on certain areas of your body.
  • #42 Hyperhidrosis Diagnosis & Treatments | Mount Sinai – New York
    https://www.mountsinai.org/care/thoracic-surgery/services/hyperhidrosis
    Medications include: Prescription antiperspirant: May contain aluminum chloride, which can irritate you skin and eyes. You can use hydrocortisone cream to help with the irritation. […] Other procedures include: Microwave therapy: Delivering microwave energy to your sweat glands in two, half-hour sessions. Side effects can include a change in skin sensation and discomfort. […] Nerve surgery (sympathectomy): Under general anesthesia, we make two small incisions in your armpit. We insert a small telescope attached to a camera and a dissection device into the chest cavity. Next, we cut the sympathetic nerves on both sides of your body. After this procedure, you may experience chest and incision site discomfort for two or three days. You should be able to return to your daily routine after a week.
  • #43 Hyperhidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/diagnosis-treatment/drc-20367173
    Diagnosing hyperhidrosis may start with your health care provider asking about your medical history and symptoms. […] Treating hyperhidrosis may start with treating the condition causing it. If a cause isn’t found, treatment focuses on controlling heavy sweating. […] Your health care provider may prescribe an antiperspirant with aluminum chloride (Drysol, Xerac AC). Apply it to dry skin before going to bed. […] Prescription creams that contain glycopyrrolate may help hyperhidrosis that affects the face and head. […] Some pills (oral medications) block the nerves that trigger sweat glands. This can reduce sweating in some people. […] Treatment with botulinum toxin (Botox) blocks the nerves that trigger the sweat glands. […] With this home treatment, you soak your hands or feet in a pan of water while a device passes mild electric current through the water.
  • #44 Hyperhidrosis Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1073359-treatment
    Therapy for hyperhidrosis can be challenging for both the patient and the physician. Both topical and systemic medications have been used in the treatment of hyperhidrosis. Other treatment options for hyperhidrosis include iontophoresis and botulinum toxin injections. […] Topical agents for hyperhidrosis therapy include topical anticholinergics, boric acid, 2-5% tannic acid solutions, resorcinol, potassium permanganate, formaldehyde (which may cause sensitization), glutaraldehyde, and methenamine. All of these agents are limited by staining, contact sensitization, irritancy, or limited effectiveness. These agents reduce perspiration by denaturing keratin and thereby occluding the pores of the sweat glands. They have a short-lasting effect. […] The two topical anticholinergic agents that are approved by the US Food and Drug Administration (FDA) for the treatment of primary axillary hyperhidrosis in adults and children aged 9 years or older are sofpironium topical gel (Sofdra) and glycopyrronium tosylate topical cloth (Oxvrexza).
  • #45 Ask A Nurse – Hyperhidrosis – Excessive Sweating – LevelUpRN
    https://leveluprn.com/blogs/ask-a-nurse/hyperhidrosis-excessive-sweating?srsltid=AfmBOooh_9MR7MVUuSx2I9RWqFu1IJ1fLJbcwdS51K4F85HWgjCcKGTp
    If topical treatments are ineffective at controlling sweating, then an oral medication can be prescribed. […] If topical and oral therapy are ineffective, there are other options to treat hyperhidrosis. […] For persistent and severe symptoms that are resistant to treatment, there are surgical options available.
  • #46 Hyperhidrosis: Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis
    You can manage your symptoms of hyperhidrosis at home by: Using antiperspirants and deodorants. Antiperspirants work by sealing up sweat glands so your body stops producing sweat. A provider may recommend certain over-the-counter (OTC) or prescription-strength varieties. The best deodorant for hyperhidrosis is an aluminum-based product. […] A healthcare provider or dermatologist may recommend taking medications to reduce your symptoms of hyperhidrosis, including: Anticholinergic agents (glycopyrrolate and oxybutynin). […] If your symptoms dont improve with at-home treatment and/or medications, your healthcare provider may recommend more specialized therapies: Iontophoresis: You place your hands or feet in a shallow tub of tap water. A special device emits a low electrical current through the water, blocking sweat glands over time.
  • #47
    https://umiamihealth.org/en/treatments-and-services/dermatology/excessive-sweating-(hyperhidrosis)
    If you experience excessive sweating when youre not exercising or somewhere with a high temperature, you may be suffering from hyperhidrosis. You may sweat so much that you soak through clothing or have sweat drip from your body. Excessive sweating usually affects the entire body. […] Prescription Antiperspirant As an initial course of treatment, your dermatologist may prescribe an antiperspirant that contains aluminum chloride (Drysol, Xerax AC). Youll typically apply the antiperspirant before you go to bed, and then wash it off in the morning. […] Nerve-blocking Medication Some oral (taken by mouth) medications block the chemicals that allow certain nerves to communicate with each other, which works to reduce sweating in some people with hyperhidrosis. […] Antidepressant Medication Some oral medications typically prescribed for depression also decrease sweating. Whats more, anxiety can worsen sweating, so these types of medication also work to reduce episodes of anxiety.
  • #48 Hyperhidrosis | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/pulmonary/hyperhidrosis
    Hyperhidrosis is a medical condition that causes a person to sweat both excessively and unpredictably. […] In people with hyperhidrosis, who have overactive sweat glands, sweating occurs regardless of these triggers. This uncontrollable sweating may cause both physical and emotional discomfort. […] While hyperhidrosis may cause embarrassment and inconvenience, it can sometimes be an indicator of a serious medical condition. If you experience prolonged, excessive or unexplained sweating, you should consult a physician for a diagnosis. […] Treatments for hyperhidrosis include: […] Your physician may recommend a clinical-grade antiperspirant to block the sweat ducts. […] Anticholinergic drugs may be used in some patients, and drugs such as beta-blockers and benzodiazepines may also help reduce sweating related to stress.
  • #49 Oral Medications – International Hyperhidrosis Society | Official Site
    https://www.sweathelp.org/hyperhidrosis-treatments/medications.html
    There are a number of oral (taken by mouth) prescription medications that may be used to help manage certain types of excessive sweating, either alone or (more often) in combination with other treatments like antiperspirants, injectables, miraDry, and/or iontophoresis. […] The most commonly used medications for managing excessive sweating are anticholinergics. Anticholinergics help block signals from nerves that would otherwise tell sweat glands to produce sweat – thus, they help tackle the problem of too much sweating at the source. […] Many hyperhidrosis patients experience success with anticholinergic therapy, especially when it’s used in combination with other sweat management techniques. […] It should be noted that studies (in JAMA Neurology 2016 and JAMA Internal Medicine 2015) have reported a potential link between the development of dementia and/or brain atrophy and long-term, high-dose anticholinergic use by older people.
  • #50 Interventions for hyperhidrosis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8841978/
    Iontophoresis is a first-line treatment mainly for palmoplantar hyperhidrosis and can be used for axillary regions with the addition of electrode pads. […] Botulinum toxin injections are well-established as a second-line therapy for hyperhidrosis, predominantly using botulinum toxin type A (BTXA). […] Surgical interventional procedures are usually reserved for cases in which other less invasive and more conservative measures have failed. […] The severity of impact on an affected individual’s life can be assessed by relevant questionnaires, such as the Hyperhidrosis Disease Severity Scale (HDSS; Solish 2007), Dermatology Life Quality Index (DLQI; Finlay 1994), or Hyperhidrosis Quality of Life Index (HidroQoL; Gabes 2021). […] Hyperhidrosis may be further complicated by bromhidrosis (unpleasant odour), which occurs from the byproducts of bacteria that reside in these sweaty areas (Kanlayavattanakul 2011).
  • #51 Hyperhidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/diagnosis-treatment/drc-20367173
    Diagnosing hyperhidrosis may start with your health care provider asking about your medical history and symptoms. […] Treating hyperhidrosis may start with treating the condition causing it. If a cause isn’t found, treatment focuses on controlling heavy sweating. […] Your health care provider may prescribe an antiperspirant with aluminum chloride (Drysol, Xerac AC). Apply it to dry skin before going to bed. […] Prescription creams that contain glycopyrrolate may help hyperhidrosis that affects the face and head. […] Some pills (oral medications) block the nerves that trigger sweat glands. This can reduce sweating in some people. […] Treatment with botulinum toxin (Botox) blocks the nerves that trigger the sweat glands. […] With this home treatment, you soak your hands or feet in a pan of water while a device passes mild electric current through the water.
  • #52 Hyperhidrosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459227/
    As more treatment options have become available, treating hyperhidrosis has become easier for clinicians. A stepwise approach is often effective, and many topical and systemic agents are available. […] First-line therapy for hyperhidrosis includes over-the-counter aluminum chloride hexahydrate 20% for 3 to 4 nights, then nightly as needed. Skin irritation can occur, and patients often become intolerant of it in the long term. […] Iontophoresis 2 to 3 times weekly and botulinum toxin A injections every 3 to 4 weeks are effective if patients fail topical and oral drug therapy. […] More invasive therapeutic measures are available, including sympathectomy or local excision as a last resort. […] Hyperhidrosis is a common complaint in clinical practice, and while many treatments are available, many are unsatisfactory. Thus, the disorder is best managed by an interprofessional team that includes the primary care provider, nurse specialist, thoracic surgeon, plastic surgeon, and internist. The goal is to reduce sweating with minimal complications. […] A team approach can deliver the optimal treatment for hyperhidrosis and improve outcomes.
  • #53  Cardiovascular and Thoracic Surgery
    https://www.utmbhealth.com/services/cardiovascular-thoracic-surgery/procedures-conditions/hyperhidrosis
    Excessive sweating, also called hyperhidrosis, can affect the entire body, but usually occurs in the palms, soles, armpits, and/or groin area. […] Hyperhidrosis can lead to significant distress socially and in the workplace. […] There are a number of non-surgical treatments for hyperhidrosis, including, but not limited to: prescription-strength topical antiperspirants, orally administered anticholinergic medications, which may partially block the transmission of nerve impulses that have become problematic, and iontophoresis, which uses water and a very mild electrical current to microscopically thicken the outer layer of the skin. […] However, these treatments are successful in only a small fraction of patients, and none are without side effects. […] Surgeons have known for many years that dividing the sympathetic chain in the upper chest can provide a long-term cure for hyperhidrosis.
  • #54 Interventions for hyperhidrosis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8841978/
    Iontophoresis is a first-line treatment mainly for palmoplantar hyperhidrosis and can be used for axillary regions with the addition of electrode pads. […] Botulinum toxin injections are well-established as a second-line therapy for hyperhidrosis, predominantly using botulinum toxin type A (BTXA). […] Surgical interventional procedures are usually reserved for cases in which other less invasive and more conservative measures have failed. […] The severity of impact on an affected individual’s life can be assessed by relevant questionnaires, such as the Hyperhidrosis Disease Severity Scale (HDSS; Solish 2007), Dermatology Life Quality Index (DLQI; Finlay 1994), or Hyperhidrosis Quality of Life Index (HidroQoL; Gabes 2021). […] Hyperhidrosis may be further complicated by bromhidrosis (unpleasant odour), which occurs from the byproducts of bacteria that reside in these sweaty areas (Kanlayavattanakul 2011).
  • #55 Hyperhidrosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/diagnosis-treatment/drc-20367173
    Diagnosing hyperhidrosis may start with your health care provider asking about your medical history and symptoms. […] Treating hyperhidrosis may start with treating the condition causing it. If a cause isn’t found, treatment focuses on controlling heavy sweating. […] Your health care provider may prescribe an antiperspirant with aluminum chloride (Drysol, Xerac AC). Apply it to dry skin before going to bed. […] Prescription creams that contain glycopyrrolate may help hyperhidrosis that affects the face and head. […] Some pills (oral medications) block the nerves that trigger sweat glands. This can reduce sweating in some people. […] Treatment with botulinum toxin (Botox) blocks the nerves that trigger the sweat glands. […] With this home treatment, you soak your hands or feet in a pan of water while a device passes mild electric current through the water.
  • #56 Hyperhidrosis | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/hyperhidrosis
    UCSF dermatologists use botulinum toxin (Botox) injections to treat hyperhidrosis. The injections temporarily block a chemical in the body that stimulates the sweat glands, and will reduce sweating for about four to six months. […] Surgical interruption of the sympathetic nerve chain offers proven, long-term results. […] A minimally invasive procedure called endoscopic thoracic sympathectomy (ETS) was developed to treat hyperhidrosis. […] The ETS procedure may be done on an outpatient basis with quicker recovery and less scarring than open surgery. The procedure is highly effective in eliminating excessive sweating of the hands in more than 98 percent of patients. […] UCSF surgeons have significant experience in treating hyperhidrosis using ETS.
  • #57 Hyperhidrosis Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1073359-treatment
    Iontophoresis was introduced in 1952 and consists of passing a direct current across the skin. […] Botulinum toxin injections are effective because of their anticholinergic effects at the neuromuscular junction and in the postganglionic sympathetic cholinergic nerves in the sweat glands. […] In palmar hyperhidrosis, 50 subepidermal injections of 2 mouse units per palm (total 100 mouse units per palm) results in anhydrosis lasting 4-12 months. […] Treatment of axillary hyperhidrosis with botulinum toxin type A reconstituted in lidocaine or in normal saline was described in a randomized, side-by-side, double-blind study. […] Surgical sympathectomy has been used as a permanent effective treatment since 1920. […] Surgical excision of the affected area (identified with iodine starch testing) removes the appropriate sweat glands, thereby eliminating sweating. This technique is particularly useful in axillary hyperhidrosis.
  • #58 Botox injections one way to treat hyperhidrosis sweating | UCLA Health
    https://www.uclahealth.org/news/article/botox-injections-one-way-treat-hyperhidrosis-sweating
    According to the International Hyperhidrosis Society, people who receive Botox injections have found excessive sweating decreases by more than 85%. […] With the failure of the antiperspirant to bring you relief, your internist can advise you on whether oral medications, Botox injections or surgery may be an appropriate next step.
  • #59 Hyperhidrosis Diagnosis & Treatments | Mount Sinai – New York
    https://www.mountsinai.org/care/thoracic-surgery/services/hyperhidrosis
    Medications include: Prescription antiperspirant: May contain aluminum chloride, which can irritate you skin and eyes. You can use hydrocortisone cream to help with the irritation. […] Other procedures include: Microwave therapy: Delivering microwave energy to your sweat glands in two, half-hour sessions. Side effects can include a change in skin sensation and discomfort. […] Nerve surgery (sympathectomy): Under general anesthesia, we make two small incisions in your armpit. We insert a small telescope attached to a camera and a dissection device into the chest cavity. Next, we cut the sympathetic nerves on both sides of your body. After this procedure, you may experience chest and incision site discomfort for two or three days. You should be able to return to your daily routine after a week.
  • #60 Hyperhidrosis Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1073359-treatment
    The treatment of axillary hyperhidrosis using the 1064-nm Nd-YAG laser was found to be effective and safe in a pilot trial. […] Subcutaneous liposuction is another means of removing the eccrine sweat glands responsible for axillary hyperhidrosis. Compared with classic surgical excision, this modality results in less disruption to the overlying skin, resulting in smaller surgical scars and a diminished area of hair loss. […] Many of the treatment options for hyperhidrosis require repeat visits to the dermatologist for continuing care (eg, repeated botulinum injections, refill prescriptions) and for evaluating therapeutic progress.
  • #61 Hyperhidrosis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hyperhidrosis/
    Doctors usually recommend starting with the least invasive treatment first, such as powerful antiperspirants. […] Changing your lifestyle cannot cure primary hyperhidrosis (hyperhidrosis with no obvious cause), but it can improve your symptoms and help your confidence. […] If a regular antiperspirant doesn’t control your sweating, your GP may prescribe or suggest a stronger one for you. […] You may be prescribed a type of medicine called an anticholinergic or antimuscarinic. […] If lifestyle changes and treatment don’t work, your GP may refer you to a dermatologist (a specialist in treating skin conditions) for further treatment, such as iontophoresis, botulinum toxin or surgery. […] Botulinum toxin can be injected into the skin in areas of the body affected by hyperhidrosis. […] In a few cases where hyperhidrosis is particularly severe and treatment hasn’t been successful, surgery may be recommended. […] Hyperhidrosis increases the risk of developing fungal infections, particularly on the feet most commonly fungal nail infections and athlete’s foot. […] The emotional impact of living with hyperhidrosis can be severe. Many people with the condition feel unhappy and, in some cases, depressed.
  • #62 Hyperhidrosis – UChicago Medicine
    https://www.uchicagomedicine.org/conditions-services/hyperhidrosis
    Yes. Surgery is not necessary for the majority of patients who are bothered occasionally by excessive sweating, particularly when they are in stressful situations. Nonsurgical treatments include oral medications, topical medications, electrical stimulation and Botox injections. […] For patients who have moderate to severe focal hyperhidrosis, which is caused by overactive nerves, surgery may be the best option particularly for patients with hyperhidrosis of the palms of their hands. […] Success depends on the location and characteristics of your sweating. In our experience, surgery is effective for 98 percent of hand hyperhidrosis and 80 percent effective for underarm or scalp/facial hyperhidrosis. […] Although it is considered minimally invasive, there are some side effects that may occur from surgery. One common side effect is compensatory sweating: excessive sweating shifts from the hands, armpits or face to another area of the body, such as the chest, abdomen or groin area.
  • #63 Hyperhidrosis Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1073359-treatment
    Iontophoresis was introduced in 1952 and consists of passing a direct current across the skin. […] Botulinum toxin injections are effective because of their anticholinergic effects at the neuromuscular junction and in the postganglionic sympathetic cholinergic nerves in the sweat glands. […] In palmar hyperhidrosis, 50 subepidermal injections of 2 mouse units per palm (total 100 mouse units per palm) results in anhydrosis lasting 4-12 months. […] Treatment of axillary hyperhidrosis with botulinum toxin type A reconstituted in lidocaine or in normal saline was described in a randomized, side-by-side, double-blind study. […] Surgical sympathectomy has been used as a permanent effective treatment since 1920. […] Surgical excision of the affected area (identified with iodine starch testing) removes the appropriate sweat glands, thereby eliminating sweating. This technique is particularly useful in axillary hyperhidrosis.
  • #64 Hyperhidrosis Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/1073359-treatment
    The treatment of axillary hyperhidrosis using the 1064-nm Nd-YAG laser was found to be effective and safe in a pilot trial. […] Subcutaneous liposuction is another means of removing the eccrine sweat glands responsible for axillary hyperhidrosis. Compared with classic surgical excision, this modality results in less disruption to the overlying skin, resulting in smaller surgical scars and a diminished area of hair loss. […] Many of the treatment options for hyperhidrosis require repeat visits to the dermatologist for continuing care (eg, repeated botulinum injections, refill prescriptions) and for evaluating therapeutic progress.
  • #65 Hyperhidrosis: Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis
    When other treatments dont work well and your symptoms persist, your provider may consider surgery: Endoscopic thoracic sympathectomy: ETS is a minimally invasive type of surgery where a surgeon will cut a nerve in your body to turn off the signal that tells your glands to produce sweat. […] Each type of treatment has possible side effects. Side effects of hyperhidrosis treatment could include: Skin irritation, cracking or blisters. […] You should call your healthcare provider if sweating: Negatively impacts your life. […] If hyperhidrosis affects your mental health, talk to a healthcare provider or a mental health professional. They can help you feel better about your body and the effect of overactive sweat glands.
  • #66 Hyperhidrosis
    https://www.pcds.org.uk/clinical-guidance/hyperhidrosis
    Bilateral excessive sweating most of the day; most commonly found on the palms, soles, axillae or face. […] Investigations are seldom, if at all, indicated for focal hyperhidrosis. […] Generalised hyperhidrosis in a well patient with a classical history of sweating starting in late childhood and improving in middle age is seldom related to an underlying medical condition. […] Advise patients as follows: Use emollient washes, rather than soap-based products. Avoid tight clothing and man-made fabrics. Wear leather shoes. […] A series of injections is given intradermally, to block acetylcholine release and hence neurotransmission. It is best for the axillae (its only licensed use in hyperhidrosis) and other focal areas where the efficacious effects last about 4-8 months, after which time further treatment will be required. […] Should only be considered when all other treatments have failed, as the compensatory sweating following this surgery can be much worse than the original problem.
  • #67 Hyperhidrosis – UChicago Medicine
    https://www.uchicagomedicine.org/conditions-services/hyperhidrosis
    Yes. Surgery is not necessary for the majority of patients who are bothered occasionally by excessive sweating, particularly when they are in stressful situations. Nonsurgical treatments include oral medications, topical medications, electrical stimulation and Botox injections. […] For patients who have moderate to severe focal hyperhidrosis, which is caused by overactive nerves, surgery may be the best option particularly for patients with hyperhidrosis of the palms of their hands. […] Success depends on the location and characteristics of your sweating. In our experience, surgery is effective for 98 percent of hand hyperhidrosis and 80 percent effective for underarm or scalp/facial hyperhidrosis. […] Although it is considered minimally invasive, there are some side effects that may occur from surgery. One common side effect is compensatory sweating: excessive sweating shifts from the hands, armpits or face to another area of the body, such as the chest, abdomen or groin area.
  • #68 Hyperhidrosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459227/
    As more treatment options have become available, treating hyperhidrosis has become easier for clinicians. A stepwise approach is often effective, and many topical and systemic agents are available. […] First-line therapy for hyperhidrosis includes over-the-counter aluminum chloride hexahydrate 20% for 3 to 4 nights, then nightly as needed. Skin irritation can occur, and patients often become intolerant of it in the long term. […] Iontophoresis 2 to 3 times weekly and botulinum toxin A injections every 3 to 4 weeks are effective if patients fail topical and oral drug therapy. […] More invasive therapeutic measures are available, including sympathectomy or local excision as a last resort. […] Hyperhidrosis is a common complaint in clinical practice, and while many treatments are available, many are unsatisfactory. Thus, the disorder is best managed by an interprofessional team that includes the primary care provider, nurse specialist, thoracic surgeon, plastic surgeon, and internist. The goal is to reduce sweating with minimal complications. […] A team approach can deliver the optimal treatment for hyperhidrosis and improve outcomes.
  • #69 Hyperhidrosis | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/hyperhidrosis
    Hyperhidrosis is a condition that causes excessive sweating. […] Treatments available at the University of Michigan often lead to very quick and effective correction of hyperhidrosis. […] At the University of Michigan, patients with hyperhidrosis are cared for by specialists from thoracic (chest) surgery, dermatology and neurology who create a treatment plan that fits individual needs. […] Some patients may respond well to a non-surgical therapy. Most often, one or more of these options are tried before surgery is recommended. Your physician will work with you to discuss all potential therapies and identify the most effective care plans. […] Most patients will need a referral to be treated for hyperhidrosis. You can speak with your primary care physician or call one of our clinics listed under the Locations tab in the right sidebar for assistance.
  • #70 Hyperhidrosis Treatment for Excessive Sweating
    https://www.froedtert.com/hyperhidrosis-excessive-sweating
    Hyperhidrosis is a condition that causes excessive sweating for an estimated 2-3 percent of Americans. […] If sweating is disrupting daily activities or causing social anxiety or embarrassment, it is recommended that you see a doctor who can test for hyperhidrosis. […] Following testing and diagnosis of hyperhidrosis, your physician will work with you to find an effective treatment. […] Providers from multiple specialties deliver care to patients with hyperhidrosis, including dermatologists, neurologists and thoracic surgeons.
  • #71 Hyperhidrosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459227/
    As more treatment options have become available, treating hyperhidrosis has become easier for clinicians. A stepwise approach is often effective, and many topical and systemic agents are available. […] First-line therapy for hyperhidrosis includes over-the-counter aluminum chloride hexahydrate 20% for 3 to 4 nights, then nightly as needed. Skin irritation can occur, and patients often become intolerant of it in the long term. […] Iontophoresis 2 to 3 times weekly and botulinum toxin A injections every 3 to 4 weeks are effective if patients fail topical and oral drug therapy. […] More invasive therapeutic measures are available, including sympathectomy or local excision as a last resort. […] Hyperhidrosis is a common complaint in clinical practice, and while many treatments are available, many are unsatisfactory. Thus, the disorder is best managed by an interprofessional team that includes the primary care provider, nurse specialist, thoracic surgeon, plastic surgeon, and internist. The goal is to reduce sweating with minimal complications. […] A team approach can deliver the optimal treatment for hyperhidrosis and improve outcomes.
  • #72 Hyperhidrosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/a-z/hyperhidrosis-treatment
    Your treatment plan may include one or more of the following: Treatment you apply to your skin, Procedures and energy-based treatments, Medication that works throughout your body, Surgery to treat hyperhidrosis. […] With a dermatologists help, you dont need to live with excessive sweating. Your dermatologist knows how to create a treatment plan that can reduce hyperhidrosis. Your plan may consist of one treatment or a combination of treatments. […] To help patients get the best results from treatment, dermatologists include self-care in a treatment plan.
  • #73 Home – International Hyperhidrosis Society | Official Site
    https://www.sweathelp.org/
    Hyperhidrosis is a serious medical condition characterized by excessive, uncontrollable sweating and the International Hyperhidrosis Society is the only global non-profit organization dedicated entirely to improving the lives of those affected by it. […] We are your source for reliable, up-to-date information about hyperhidrosis treatments and research. We’re also here to provide you with understanding and support. If your life is being ruined by sweating – you are NOT alone. Studies show that hyperhidrosis is common, severe, and emotionally damaging. […] While you are doing that, we’ll be running medical education courses in hyperhidrosis to help healthcare providers provide the best hyperhidrosis care possible, supporting new hyperhidrosis treatment research, talking to journalists around the world to encourage empathy and awareness, providing you with useful news alerts, and applying for grants so we can keep going.
  • #74 Hyperhidrosis Clinic | SLUCare
    https://www.ssmhealth.com/slucare/services/dermatology/hyperhidrosis-clinic
    If the antiperspirant is ineffective or you must discontinue use due to irritation, call to schedule a follow up appointment to discuss other treatment options. […] Many people are familiar with the cosmetic use of Botox, but it can also be used to treat excessive sweating. […] The providers at SLUCare Hyperhidrosis Clinic are experienced in using Botox to treat parts of the body affected by excessive sweat with the appropriate dose and injection location while maximizing your comfort and minimizing potential side effects. […] Several oral medications are used to treat excessive sweating, or hyperhidrosis. […] Please talk to your physician to find out if one of these medications for hyperhidrosis is right for you. […] Your input is important in choosing an effective treatment plan for hyperhidrosis. After reviewing and explaining treatment options, our clinicians will take into account your unique needs. Together we will take steps toward controlling your excessive sweating.
  • #75 Hyperhidrosis and Sweating: When Should You See a Doctor?
    https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis-sweating-when-should-you-see-doctor
    Excessive sweating (hyperhidrosis) isn’t life threatening, but it can threaten your quality of life. […] Hyperhidrosis usually starts in adolescence or young adulthood. Sweating is worst in the palms, soles, or underarms. When excessive sweating is limited to these areas, it’s called focal hyperhidrosis. […] Most people with focal hyperhidrosis are otherwise completely healthy. […] In fact, about one-third of people with focal hyperhidrosis describe their symptoms as significantly affecting their quality of life. […] Despite the serious negative impact hyperhidrosis has on the lives of those who have it, most never seek treatment. […] Dermatologists are generally the best doctors for treating excessive sweating that’s not controlled by OTC products. […] Some more advanced treatments for hyperhidrosis include: Iontophoresis: This involves soaking the hands or feet in a basin of water through which a mild electric current is passed.
  • #76 Hyperhidrosis: Causes, Symptoms, and Treatment Options | Temple Health
    https://www.templehealth.org/about/blog/what-to-know-about-hyperhidrosis
    Sweating is normal it’s how the body cools itself. But for the 3% of people in the U.S. living with hyperhidrosis, excessive sweating can interfere with daily activities and quality of life. […] Evaluation of hyperhidrosis starts by ensuring that patients understand their condition and how excessive sweating can be managed. […] My patients are often surprised and relieved to discover that effective treatments are available. […] A wide range of options are available. The right treatment or combination of treatments depends on the patient’s symptoms and preferences. […] If you are living with excessive sweating, schedule a consultation with a dermatologist who’s experienced in treating hyperhidrosis.
  • #77 Excessive Sweating (Hyperhidrosis) | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/excessive-sweating-hyperhidrosis
    Excessive sweating is when the body releases too much fluid from the sweat glands. Its also called hyperhidrosis. Its often an ongoing (chronic) condition. […] The condition can affect a person’s quality of life and cause social isolation and depression. Mental health counseling may help. […] Treatment may include antiperspirant, medicine, injections, surgery, or treatments for another health condition. […] Skin maceration can lead to loss of skin, pain, and skin infection. You can help prevent this problem by treating your hyperhidrosis, and keeping your skin dry as much as possible, and getting medical care if signs of an infection occur.
  • #78 Hyperhidrosis // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/hyperhidrosis
    Hyperhidrosis treatment usually helps. It often begins with antiperspirants. If these don’t help, you may need to try different medications and therapies. In severe cases, your health care provider may suggest surgery to remove the sweat glands or to disconnect the nerves related to producing too much sweat. […] Treating hyperhidrosis may start with treating the condition causing it. If a cause isn’t found, treatment focuses on controlling heavy sweating. If new self-care habits don’t improve your symptoms, your health care provider may suggest one or more of the following treatments. Even if your sweating improves after treatment, it may recur. […] Your health care provider might suggest other treatments: […] Each of these procedures may be done with general anesthesia or with local anesthesia and sedation. […] Talk about your concerns with your health care provider, a counselor or a medical social worker. Or you may find it helpful to talk with other people who have hyperhidrosis.
  • #79 Hyperhidrosis & Hyperhidrosis (Axilla): Symptoms, Causes & Treatment – Healthgrades
    https://resources.healthgrades.com/right-care/skin-hair-and-nails/hyperhidrosis-excessive-sweating
    Secondary hyperhidrosis is best treated by addressing the underlying medical condition. Primary hyperhidrosis has no known underlying medical condition, so treatment aims to control the sweating. Consulting with a dermatologist who has experience treating hyperhidrosis may be necessary. […] Discuss all your treatment options with your doctor. It may take some trial and error to find the treatment(s) that work best for your specific circumstances. […] Hyperhidrosis can cause significant anxiety, embarrassment, and social withdrawal. People often feel distress at the thought of going out in public, working in an office, or making physical contact with someone else due to worry about excessive sweating. […] Hyperhidrosis generally does not cause serious physical complications. The excess moisture on the skin increases the risk of conditions, such as athlete’s foot, boils, fungal skin infections, and warts. Chronic conditions, such as eczema and psoriasis can be made worse by excessive sweating.
  • #80 Hyperhidrosis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hyperhidrosis/
    Doctors usually recommend starting with the least invasive treatment first, such as powerful antiperspirants. […] Changing your lifestyle cannot cure primary hyperhidrosis (hyperhidrosis with no obvious cause), but it can improve your symptoms and help your confidence. […] If a regular antiperspirant doesn’t control your sweating, your GP may prescribe or suggest a stronger one for you. […] You may be prescribed a type of medicine called an anticholinergic or antimuscarinic. […] If lifestyle changes and treatment don’t work, your GP may refer you to a dermatologist (a specialist in treating skin conditions) for further treatment, such as iontophoresis, botulinum toxin or surgery. […] Botulinum toxin can be injected into the skin in areas of the body affected by hyperhidrosis. […] In a few cases where hyperhidrosis is particularly severe and treatment hasn’t been successful, surgery may be recommended. […] Hyperhidrosis increases the risk of developing fungal infections, particularly on the feet most commonly fungal nail infections and athlete’s foot. […] The emotional impact of living with hyperhidrosis can be severe. Many people with the condition feel unhappy and, in some cases, depressed.
  • #81 Interventions for hyperhidrosis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8841978/
    Iontophoresis is a first-line treatment mainly for palmoplantar hyperhidrosis and can be used for axillary regions with the addition of electrode pads. […] Botulinum toxin injections are well-established as a second-line therapy for hyperhidrosis, predominantly using botulinum toxin type A (BTXA). […] Surgical interventional procedures are usually reserved for cases in which other less invasive and more conservative measures have failed. […] The severity of impact on an affected individual’s life can be assessed by relevant questionnaires, such as the Hyperhidrosis Disease Severity Scale (HDSS; Solish 2007), Dermatology Life Quality Index (DLQI; Finlay 1994), or Hyperhidrosis Quality of Life Index (HidroQoL; Gabes 2021). […] Hyperhidrosis may be further complicated by bromhidrosis (unpleasant odour), which occurs from the byproducts of bacteria that reside in these sweaty areas (Kanlayavattanakul 2011).
  • #82 Hyperhidrosis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/symptoms-causes/syc-20367152
    Hyperhidrosis care at Mayo Clinic […] Hyperhidrosis treatment usually helps. It often begins with antiperspirants. If these don’t help, you may need to try different medications and therapies. In severe cases, your health care provider may suggest surgery to remove the sweat glands or to disconnect the nerves related to producing too much sweat. […] See your health care provider if: Sweating disrupts your daily routine […] Sweating causes emotional distress or social withdrawal. […] People who sweat a lot are more prone to skin infections. […] Your condition may affect your pursuit of work and educational goals.
  • #83 Excessive Sweating (Hyperhidrosis) | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/excessive-sweating-hyperhidrosis
    Excessive sweating is when the body releases too much fluid from the sweat glands. Its also called hyperhidrosis. Its often an ongoing (chronic) condition. […] The condition can affect a person’s quality of life and cause social isolation and depression. Mental health counseling may help. […] Treatment may include antiperspirant, medicine, injections, surgery, or treatments for another health condition. […] Skin maceration can lead to loss of skin, pain, and skin infection. You can help prevent this problem by treating your hyperhidrosis, and keeping your skin dry as much as possible, and getting medical care if signs of an infection occur.
  • #84 Hyperhidrosis and sweating | Nursing Times
    https://www.nursingtimes.net/primary-care/hyperhidrosis-and-sweating-25-02-2003/
    – Nurses should be aware of the social and psychological implications of hyperhidrosis and be able to address patient needs in a sensitive manner. People with this condition may be embarrassed to shake hands or remove their jackets and it can lead to anxiety disorders. […] – Many of the treatments have side-effects. Surgery often results in compensatory sweating, which can be severe, in another part of the body.
  • #85 7 Self-Care Tips for People With Hyperhidrosis
    https://www.everydayhealth.com/hyperhidrosis/self-care-tips-people-with-hyperhidrosis/
    You dont have to deal with the condition by yourself. People dont want to bring it up to their [primary care physician], never thought to, or dont think they can, says Tonyia Seeland, a physician assistant in plastic surgery at Ann Arborbased University of Michigan Health who treats people with hyperhidrosis. However, the biggest message I have for people is that you should talk to your doctor. There are treatments that work. There is hope. Youre not alone.
  • #86 Hyperhidrosis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hyperhidrosis/
    Hyperhidrosis is a common condition in which a person sweats excessively. […] The sweating may affect the whole of your body, or it may only affect certain areas. […] The sweating doesn’t usually pose a serious threat to your health, but it can be embarrassing and distressing. […] It can also have a negative impact on your quality of life and may lead to feelings of depression and anxiety. […] Visit your GP if you feel that your sweating is interfering with your daily activities, or you suddenly start sweating excessively. […] Many people with hyperhidrosis are too embarrassed to seek medical help or believe that nothing can be done to improve it. But treatment is available. […] Hyperhidrosis can be challenging to treat and it may take a while to find a treatment right for you.
  • #87 Hyperhidrosis (Excessive Sweating): Causes, Symptoms & Treatment
    https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis2
    There’s no cure for the condition, but treatment, regular doctor visits, and lifestyle changes such as breathable clothes can help keep your symptoms under control. […] While there’s no cure for hyperhidrosis, proper management can improve your quality of life. Regular follow-ups with your doctor are critical for tracking your progress and adjusting your treatment plan.
  • #88 Hyperhidrosis and Sweating: When Should You See a Doctor?
    https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis-sweating-when-should-you-see-doctor
    Botulinum toxin type A (Botox): Injections of this anti-wrinkle drug turn off sweat glands of the underarms for months at a time. […] Oral hyperhidrosis medications can also reduce excessive sweating, although side effects sometimes limit their use. […] In extreme cases, referral to a surgeon is an option. Surgical procedures are available to treat hyperhidrosis and can be quite effective. […] Focal hyperhidrosis isn’t medically serious. Other forms of excessive sweating, though, can signal underlying medical problems. […] Anyone with all-over body sweating should see a doctor as soon as possible. […] Knowing which kind of sweating problem you have can help your doctor find the right treatment for it. […] Keep in close touch with your doctor while you are undergoing treatment for excessive sweating. If your hyperhidrosis isn’t responding to antiperspirants, iontophoresis, or Botox, the next step may be to try oral medication or surgery.
  • #89 Hyperhidrosis (Excessive Sweating): Causes, Symptoms & Treatment
    https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis2
    There’s no cure for the condition, but treatment, regular doctor visits, and lifestyle changes such as breathable clothes can help keep your symptoms under control. […] While there’s no cure for hyperhidrosis, proper management can improve your quality of life. Regular follow-ups with your doctor are critical for tracking your progress and adjusting your treatment plan.
  • #90 Home – International Hyperhidrosis Society | Official Site
    https://www.sweathelp.org/
    Hyperhidrosis is a serious medical condition characterized by excessive, uncontrollable sweating and the International Hyperhidrosis Society is the only global non-profit organization dedicated entirely to improving the lives of those affected by it. […] We are your source for reliable, up-to-date information about hyperhidrosis treatments and research. We’re also here to provide you with understanding and support. If your life is being ruined by sweating – you are NOT alone. Studies show that hyperhidrosis is common, severe, and emotionally damaging. […] While you are doing that, we’ll be running medical education courses in hyperhidrosis to help healthcare providers provide the best hyperhidrosis care possible, supporting new hyperhidrosis treatment research, talking to journalists around the world to encourage empathy and awareness, providing you with useful news alerts, and applying for grants so we can keep going.
  • #91 Hyperhidrosis and Sweating: When Should You See a Doctor?
    https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis-sweating-when-should-you-see-doctor
    Botulinum toxin type A (Botox): Injections of this anti-wrinkle drug turn off sweat glands of the underarms for months at a time. […] Oral hyperhidrosis medications can also reduce excessive sweating, although side effects sometimes limit their use. […] In extreme cases, referral to a surgeon is an option. Surgical procedures are available to treat hyperhidrosis and can be quite effective. […] Focal hyperhidrosis isn’t medically serious. Other forms of excessive sweating, though, can signal underlying medical problems. […] Anyone with all-over body sweating should see a doctor as soon as possible. […] Knowing which kind of sweating problem you have can help your doctor find the right treatment for it. […] Keep in close touch with your doctor while you are undergoing treatment for excessive sweating. If your hyperhidrosis isn’t responding to antiperspirants, iontophoresis, or Botox, the next step may be to try oral medication or surgery.
  • #92 Hyperhidrosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459227/
    As more treatment options have become available, treating hyperhidrosis has become easier for clinicians. A stepwise approach is often effective, and many topical and systemic agents are available. […] First-line therapy for hyperhidrosis includes over-the-counter aluminum chloride hexahydrate 20% for 3 to 4 nights, then nightly as needed. Skin irritation can occur, and patients often become intolerant of it in the long term. […] Iontophoresis 2 to 3 times weekly and botulinum toxin A injections every 3 to 4 weeks are effective if patients fail topical and oral drug therapy. […] More invasive therapeutic measures are available, including sympathectomy or local excision as a last resort. […] Hyperhidrosis is a common complaint in clinical practice, and while many treatments are available, many are unsatisfactory. Thus, the disorder is best managed by an interprofessional team that includes the primary care provider, nurse specialist, thoracic surgeon, plastic surgeon, and internist. The goal is to reduce sweating with minimal complications. […] A team approach can deliver the optimal treatment for hyperhidrosis and improve outcomes.