
Hyperhidrosis/
Excessive
Sweating
Hyperhidrosis/Excessive Sweating
Human beings are warm-blooded animals. Sweating is a normal body process to control body temperature. Sweating is regulated by the sympathetic nervous system.
In a very small percentage of people sweating occurs in excess of amount needed to maintain the body temperature. This condition is known as hyperhidrosis.
Hyperhidrosis is usually a permanent problem, affecting person for years, and maybe since early childhood. It might get a little better with age. It may not be affected too much by surrounding temperature also.

SYMPTOMS
- Clammy hands
- Smelly feet/shoes
- Staining of clothes along with wetness
- Inability to grip objects particularly fine work.
- Professional inability to continue work particularly likes electricians.
- Social problems like handshakes, etc.
- Can also lead to recurrent infections, particularly in feet.
- Depression and decreased confidence.
TYPES OF HYPERHIDROSIS
Primary (or focal) Hyperhidrosis
- Palmar (hands)
- Plantar (feet)
- Axillary (underarms)
- Rare (Face, scalp, back, neck, groin, legs and buttock)
Secondary Hyperhidrosis
- Generalized hyperhidrosis
- Overactive thyroid
- Menopause
- Diabetes
- Antidepressant drugs
CAUSES
No specific cause is known but over-activity of sympathetic nervous system has been attributed to the problem.
Palmar Hyperhidrosis
This is excessive sweating of the palms. It can range from minimal wetness to almost continuous dripping of sweat.
- Difficult to write on paper
- Holding fine instruments/tools, pens, etc.
- Shaking hand can be embarrassing
- Particularly disabling for professions like surgeons, electricians, chefs, etc.
ENDOSCOPIC THORACIC SYMPATHECTOMY (ETS)/ CERVICAL SYMPATHECTOMY
- Permanent solution
- Safe and short surgery
- Can be done minimally invasive way, with good cosmetic and functional result
- Long term results are good
- Cost effective in long run
- Can be used to treat unilateral or bilateral hands/axilla. Though the results are better in hands.
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