Question

I have an excessive sweating problem on my hands and feet. What is the main causes of this sweating and what are its treatment?

Dr.Sajeev Kumar · Accepted Answer

Heavy sweating (also known as hyperhidrosis) is a very real and embarrassing problem, but there are some effective ways to treat it. What Is Hyperhidrosis?
Hyperhidrosis, or excessive sweating, is a common disorder which produces a lot of unhappiness. An estimated 2-3% of people suffer from excessive sweating of the underarms (axillary hyperhidrosis) or of the palms and soles of the feet (palmoplantar hyperhidrosis). Underarm problems tend to start in late adolescence, while palm and sole sweating often begins earlier, around the age 13 (on the average). Untreated, these problems may continue throughout life.
Sweating is embarrassing, it stains clothes, ruins personal contact, and complicates business and social interactions. Severe cases can have serious practical consequences as well, making it hard for people who suffer from it to hold a pen, grip a car steering wheel, or shake hands.
 Causes OF Hyperhidrosis:-
Although neurologic, endocrine, infectious, and other systemic diseases can sometimes cause hyperhidrosis, most cases occur in people who are otherwise healthy. Heat and emotions may trigger hyperhidrosis in some, but many who suffer from hyperhidrosis sweat nearly all their waking hours, regardless of their mood or the weather.

Antiperspirants
This may be the first treatment that a dermatologist recommends. It is affordable. When applied as directed, an antiperspirant can be effective. Your dermatologist may recommend a regular or clinical-strength antiperspirant. Some patients need a stronger antiperspirant and receive a prescription for one.
Iontophoresis (the no-sweat machine)
If excessive sweating affects your hands, feet, or both areas, this may be an option. You will use this treatment at home. It requires you to immerse your hands or feet in a shallow pan of tap water. As you do this, a medical device sends a low-voltage current through the water.
Many people obtain relief. Some people dislike that this treatment can be time-consuming.
Uses: Hands and feet
It works by the electric current shuts down the treated sweat glands temporarily.
Side effects: Some people develop:
•	Dry skin
•	Irritated skin
•	Discomfort during treatment
Prescription medicine
Some patients receive a prescription for a medicine that temporarily prevents them from sweating. These medicines work throughout the body. However we cannot prescribe in open question answer session as a rule but you can  ask in consultation. 
These medicines prevent the sweat glands from working. Athletes, people who work in a hot place, and anyone who lives in a warm climate should use extreme caution when using this treatment. The body may not be able to cool itself.
Uses: These medicines can effectively treat sweating that involves entire body. This medicine also can be an effective treatment for post-menopausal women who sweat excessively only from their head.
Side effects: The medicines that prevent the sweat glands from working can cause:
•	Dry mouth
•	Dry eyes
•	Blurry vision
•	Heart palpations (abnormal heartbeat)
Surgery
If other treatments fail to bring relief, surgery may be considered. Surgery is permanent and carries risks. The following surgeries can stop excessive sweating:
•	Surgically remove sweat glands
•	Sympathectomy
A dermatologist can surgically remove sweat glands from the underarms. This surgery can be performed in a dermatologist’s office. Only the area to be treated is numbed, so the patient remains awake during the surgery.
A dermatologist may use one or more of the following surgical techniques to remove sweat glands from the underarms:
•	Excision (cut out sweat glands)
•	Liposuction (remove with suction)
•	Curettage (scrape out)
•	Laser surgery (vaporize)
Sympathectomy is another surgery used to treat hyperhidrosis. This is major surgery, which a surgeon performs in an operating room.
During sympathectomy, the surgeon tries to stop the nerve signals that your body sends to the sweat glands. To do this, the surgeon will cut or destroy certain nerves. To find these nerves, the surgeon inserts a mini surgical camera into the patient’s chest just beneath the underarm. The patient’s lung must be temporarily collapsed so that the surgeon can cut or destroy nerves.
Uses:
•	Surgical removal of sweat glands is used to treat the underarms
•	Sympathectomy is mainly used to treat the palms

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