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Hyperhidrosis concern on palm and feets
I have been experiencing excessive sweating in my hands for many years. Whenever I hold something for a while, or even when I hold someone’s hand, my palms start sweating automatically. This is not a recent issue—it has been happening for a long time.
I want to resolve this problem, especially because I have upcoming medical examinations where conditions like hyperhidrosis may be assessed. I am concerned that this could affect my results.
Could you please suggest possible treatments, medications, or therapies that can help manage or cure this condition?
Answers (13)
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Drink plenty of water
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Wash hand with alum water.
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Please consult it can be corrected.
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Hello. I have reviewed your concerns regarding excessive sweating of your palms and feet.
Since this has been a long-standing issue and is not a recent development, it is most likely Primary Focal Hyperhidrosis. This is typically caused by localized overactivity of the sweat glands rather than an underlying systemic disease. Regarding your upcoming medical examination, this condition is generally considered a functional trait rather than a disqualifying illness, but managing the symptoms can certainly help your comfort and confidence.
Here are the suggested steps and treatment options:
1. Immediate Management (For your upcoming exams)
Topical Aluminum Chloride: Use a high-strength clinical antiperspirant containing 15–20% aluminum chloride (such as Aldry or similar brands). Apply it to completely dry skin at bedtime and wash it off in the morning.
Anticholinergic Wipes: There are prescription-strength wipes that can temporarily reduce sweat production in specific areas for a few days.
2. Long-Term Therapies
Iontophoresis: This is a highly effective, non-invasive treatment where a medical device passes a mild electrical current through water to your hands/feet. With regular sessions, it can significantly reduce sweating for long periods.
Botulinum Toxin (Botox) Injections: If topical treatments fail, Botox injections can block the nerves that activate sweat glands. The results typically last 6–9 months.
3. Oral Medications
In some cases, oral anticholinergic medications (like Glycopyrrolate) can be prescribed. These reduce sweating across the whole body but may cause side effects like a dry mouth or blurred vision, so they must be used under strict supervision.
Next Steps:
I recommend starting with a topical aluminum chloride solution tonight. Additionally, it may be helpful to check a Thyroid Profile (TSH) and Blood Sugar level just to formally rule out any secondary metabolic causes before your medical examination.
Please let me know if you would like a formal prescription or a referral to a dermatologist for an iontophoresis trial.
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Excessive sweating on the palms and soles is known as Primary Focal Hyperhidrosis. Since you've had this for years and it's not a recent development, it is likely a localized overactivity of your sweat glands rather than an underlying systemic illness. For your upcoming medical examination, the focus is usually on whether the condition interferes with your functional abilities. Fortunately, there are several effective ways to manage this both in the short term for your exams and for long-term relief
Next Steps
Topical Antiperspirants: Using a clinical-strength antiperspirant containing Aluminum Chloride (20%) at bedtime is the first line of treatment. It helps block the sweat ducts temporarily.
Iontophoresis: This is a highly effective, non-invasive therapy where a medical device passes a mild electrical current through water to your hands/feet. It significantly reduces sweating after a few sessions.
Botox Injections: For a more immediate and long-lasting effect (6–9 months), Botox can be injected into the palms to block the nerves that trigger sweat glands.
Oral Medications: Anticholinergics can be prescribed, but they are usually a second option due to side effects like dry mouth
Health Tips
On the day of your examination, try to stay as calm as possible, as anxiety acts as a major trigger for hyperhidrosis. Using a specialized antiperspirant lotion (like Aldry or similar) starting a week before the exam can give you much better control. If the condition is severe, I highly recommend consulting a dermatologist to discuss Iontophoresis, as it is often considered the 'gold standard' for palm and feet sweating without involving surgery or needles."
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You need gen.physician to evaluate properly.
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This looks like palmar hyperhidrosis, which is common and treatable.
You can try antiperspirant lotions and simple measures like stress control and keeping hands dry.
If needed, there are effective medical treatments available. This will not affect your medical exam results.
You can book a consultation with me I’ll guide you with the right treatment.
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Check thyroid
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.