Hyperhidrosis (Excessive Sweating)

Hyperhidrosis is excessive sweating beyond what is needed for temperature regulation. It most commonly affects the underarms, palms, and feet.

Signs

Excessive sweating in the underarms, palms, soles, or face regardless of temperature or activity level.

Causes

Primary hyperhidrosis is idiopathic and often genetic. Secondary causes include thyroid disease and certain medications.

Assessment

We review sweat patterns, triggers, medical history, and impact on daily life to confirm diagnosis and rule out secondary causes.

Treatment

Botox injections block nerve signals that trigger sweating. Results last 4 to 6 months. Prescription antiperspirants are also available.