Hyperhidrosis is a medical condition characterized by excessive sweating that goes beyond the body’s normal need to regulate temperature. People with hyperhidrosis may sweat even when the body doesn’t require it for cooling, like when they’re at rest or in a cool environment. This excessive sweating can affect specific areas, such as the hands, feet, underarms, or face, or it can be more generalized, impacting larger body areas.

Hyperhidrosis can significantly impact daily life, from shaking hands with someone to wearing certain clothes. It can affect both physical comfort and emotional well-being.

What Causes Hyperhidrosis?

There are two main types of hyperhidrosis:

• This is the most common form and typically involves sweating in specific areas like the palms, soles, underarms, or face. The exact cause isn’t well understood, but it’s believed to have a genetic component and often runs in families. This type of hyperhidrosis usually begins in childhood or adolescence.

• This type is caused by an underlying medical condition or certain medications. Conditions such as thyroid disease, diabetes, infections, and menopause can trigger excessive sweating. Secondary hyperhidrosis often affects larger areas of the body and may start later in life.

In cases of primary hyperhidrosis, the excessive sweating is thought to result from overactivity in the sweat glands without any external trigger. For secondary hyperhidrosis, treatment may include addressing the underlying health condition or making medication adjustments.

Treatment Options for Hyperhidrosis

Thankfully, several effective treatment options can help manage hyperhidrosis. At Alamo Heights Dermatology, our specialists can work with you to find the best solution for your needs.

• Over-the-counter and prescription-strength antiperspirants containing aluminum chloride can help block sweat glands. These products are usually effective for mild cases.

• Oral medications, like anticholinergics, can temporarily reduce sweating by blocking sweat gland stimulation. However, these medications can have side effects, so they’re often recommended for specific situations or short-term use.

• Botox injections are FDA-approved to treat excessive sweating in areas like the underarms. Botox works by blocking the nerves that stimulate sweat glands. The effects typically last from 6 to 12 months, making it a popular option for ongoing management.

• This treatment involves placing hands or feet in water while a low electrical current passes through, which can temporarily reduce sweating in these areas. It may take a few sessions to see results, and regular maintenance sessions are often required.

• Devices that use microwave technology can target and permanently disable sweat glands in the underarms. This is a long-term solution that has gained popularity as a minimally invasive option with lasting results.

• In severe cases, surgical options may be considered. These include sympathectomy (a procedure that disrupts the nerves controlling sweat production) or excision (removal) of sweat glands. Surgery is typically reserved for cases where other treatments have not been effective.

Take Control of Your Sweating

If you’re struggling with excessive sweating, you don’t have to live with the discomfort and inconvenience. At Alamo Heights Dermatology, our skilled dermatologists are experienced in treating hyperhidrosis with a range of advanced and effective solutions. Schedule an appointment with us today to discuss personalized options that can help you manage this condition and improve your quality of life.