Hyperhidrosis is a condition characterized by excessive sweating. The sweating can affect a specific area or the whole body. It is not life-threatening, but can cause embarrassment. With proper diagnosis and treatment for hyperhidrosis, people suffering from this condition can get some relief.

Diagnosis of hyperhidrosis
The diagnosis can be done by performing a physical examination and certain medical tests. The condition can also be diagnosed based on the medical history. The two commonly used tests are:

Lab test: A blood and urine test will be recommended to rule out other underlying medical condition such as an overactive thyroid or low blood sugar.

Sweat tests: Sweat tests may include an iodine-starch test and a thermoregulatory sweat test. These tests indicate the area of excess sweat and the severity of the condition.

The dermatologist will provide the right diagnosis and treatment for hyperhidrosis based on the test results.

Treatment options for hyperhidrosis
The diagnosis and treatment for hyperhidrosis varies for different cases. Listed below are some of the surgical and non-surgical treatment options available.

Iontophoresis: This treatment works by passing an electric current through skin while submerged in water. It takes 20 to 30 minutes for a session to complete this treatment. Some people may require several sessions.

Botulinum toxin: An injection is given in the affected area that temporarily blocks the nerves that cause sweat. These injections are best for armpit sweating. This treatment is painful and the effects last for six to twelve months. The treatment needs to be repeated for effective results.

Topical agents: To treat mild forms of hyperhidrosis, topical medications are prescribed. These agents include – prescription strength aluminium chloride antiperspirant, anaesthetic agents, and astringents. There can be skin irritation including burning or stinging sensation to the area where it is applied.

Anticholinergic drugs: Certain oral medications may be prescribed to prevent the sweat glands from working. These anticholinergic drugs are used to treat specific types of hyperhidrosis. There can be some side effects with these medications such as dry mouth, constipation, blurry vision, and heart palpitations.

Other prescription medicines: For treating generalized hyperhidrosis some other medications may be prescribed, which includes:

• Amitriptyline
• Propranolol
• Diltiazem
• Clonazepam.

Surgery: When other treatment options do not work, surgery may be considered to stop excessive sweating. By surgically removing sweat glands, the condition can be treated. Sympathectomy is another surgery where the nerves are stopped from sending signals to the sweat glands. All of these surgeries carry certain risks such as infection, soreness, and bruising and nerve damage.

Complementary therapies: Therapies such as relaxation techniques, hypnosis, biofeedback, and acupuncture are also used to treat hyperhidrosis in some cases.

The diagnosis and treatment for hyperhidrosis depends on various factors including overall health, the type of hyperhidrosis, and more. The various treatment options can bring relief to people with hyperhidrosis.