Investigation
Thyroid profile Blood sugar fasting CBC & electrolytes
In person consultation would be great option.
Excessive sweating, or hyperhidrosis, especially on your hands and feet, can be quite a disruptive condition. Although you’ve tried antiperspirant medicine without success, there are several alternatives to consider. Hyperhidrosis can sometimes be a secondary symptom of underlying issues like hyperthyroidism, diabetes, or menopause, but often it can occur without any specific cause—referred to as primary hyperhidrosis. If you haven’t already, consulting a healthcare provider can help you rule out these conditions. Assuming primary hyperhidrosis is the case, in-office treatments like iontophoresis might be an option. This involves using water and a gentle electrical current to reduce sweating, typically effective for hands and feet. Sessions are often needed a few times a week initially with maintenance as necessary. In more severe cases, botulinum toxin (Botox) injections can block the nerves responsible for sweat production, offering relief for several months. Oral medications such as anticholinergics can also be effective, though they may have side effects like dry mouth or blurred vision. Surgery is usually a last resort and carries its own risks, so it’s generally reserved for extreme cases. Lifestyle modifications, like wearing loose, breathable clothing, or using absorbent shoe inserts, can help manage symptoms daily. Some find relaxation techniques beneficial to reduce sweat triggered by anxiety or stress. Providing your doctor with a complete history of your symptoms and any potential triggers can assist in tailoring a more effective treatment plan, but pursuing medical attention can pinpoint specific solutions tailored for you since treatment can be highly individual.
