Question

What should a person do if he or she has hands sweating always either in summer or winters?

Dr.Sajeev Kumar · Accepted Answer

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
Side effects: All surgeries carry some risk. When sweat glands are removed from the underarm, there is risk of developing an infection. Patients may have soreness and bruising. These will go away.
Permanent side effects also can occur. Loss of feeling in the underarm and scarring are possible.
Advances in endoscopic surgery have reduced some risks from sympathectomy. Serious side effects can still occur. Some patients develop a condition known as compensatory sweating. For some people, this causes them to sweat more heavily than did the hyperhidrosis.
Other possible side effects from sympathectomy include damage to the nerves that run between the brain and eyes, extremely low blood pressure, irregular heartbeat, and inability to tolerate heat. Patients have died during this surgery.
Hand-held medical device destroys sweat glands: This is a newer treatment approved by the FDA. A medical doctor such as a dermatologist must give these treatments.

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