Excessive sweating

Hyperhidrosis (excessive sweating) is diagnosed when the amount of sweat that is generated is in excess of the body’s need to cool off. Hyperhidrosis may be localized to a specific region, or be generalized. Further, it might be due to how the body is naturally constructed or programmed, in which case it is called primary hyperhidrosis. Hyperhidrosis may be considered secondary if it is due to an underlying medical condition, such as hyperactive thyroid disease.

What treatment options are out there?

Underlying medical conditions, such as hyperthyroidism, and anxiety should be assessed, and treated by a specialist.

Applying antiperspirant at bedtime can render it much more effective than when it is applied in the morning.

Glycopyrrolate can be taken for generalized hyperhidrosis, or facial hyperhidrosis.
Botox injection has been FDA-approved for axillary hyperhidrosis. It can block sweating for six to nine months after one injection session.

Iontophoresis involves dipping the palms or soles in two bowls of water, and passing a dampened electrical current through them. Don’t you worry, the patient will not experience an electric shock. After six sessions over two weeks, the treated area is usually noted to be 85% to 98% less sweaty. The treatment can be repeated at home about every ten days.

How to know which treatment option is right?

Dr. Silvers will go over your medical history, prior treatments that you have tried, and go over the mechanism of action, and risks and benefits of each treatment modality. He strives to educate patients throughly to pick the right option for themselves.