Yes, this can definitely be improved. Sweating a lot while eating (gustatory sweating) along with excessive sweating on walking or in warm weather usually points to primary hyperhidrosis, which is an overactive sympathetic sweat response - it is not dangerous but is treatable. Before treating it I would like to rule out secondary causes, so please get a
TSH (
thyroid), fasting and post-meal blood
sugar with
HbA1c, haemoglobin and a
vitamin D level; in some people an overactive thyroid or early
diabetes is the reason. Treatment options in order: start with a 10-20 percent aluminium chloride hexahydrate antiperspirant applied at night to the affected areas (underarms, palms, face) and washed off in the morning - this alone helps many people. Wear loose cotton clothes, avoid very hot, spicy food, tea/coffee and alcohol which are strong triggers, and keep well hydrated. If that is not enough, an oral anticholinergic such as oxybutynin can be prescribed in a low dose and slowly adjusted by your doctor, or a topical glycopyrronium cloth can be used for facial sweating. For stubborn underarm or palm sweating, botulinum toxin injections give 6-9 months of relief and iontophoresis works well for palms - both are done by a dermatologist. Please get evaluated sooner if the sweating is mainly at night, or comes with weight loss, fever, palpitations, tremors or lumps in the neck, as those need a different work-up. Do consult me on Practo or come to Synergy Multispeciality Hospital, Miraj with your reports and we can plan this properly.