Palman hyperhydrosis. Please help me!

It is normal to sweat when we exercise. It is not normal to sweat when we are sitting in an air conditioned office and we experience excessive sweating from the underarms, palms, feet or any combination of the above.  Primary hyperhidrosis  is the type of hyperhidrosis that is treatable. Secondary hyperhidrosis is due to an underlying medical problem and when that medical problem is treated, it is possible that the hyperhidrosis may be lessened. What differentiates secondary hyperhidrosis from primary hyperhidrosis is that secondary hyperhidrosis is sweating which occurs throughout the body whereas primary hyperhidrosis is located in distinct parts of the body - head, underarms, palms, groin, feet, or any combination of these areas. For your problem with excessive sweating you should first try topical agents containing aluminum chloride, such as Aldry.  If these don't work, or if they cause skin irritation, then you should try Botox injections which can ameliorate sweating  for about 4 months. Finally, you can have suction curettage by an experienced hyperhidrosis specialist or endoscopic thoracic sympathectomy (ETS). The latter is more than 97% successful in eliminating sweating from the underarms in carefully selected patients. However, ETS is no longer the preferred treatment for underarm sweating. miraDry is the preferred treatment for underarm hyperhidrosis. The second preferred technique for underarm hyperhidrosis is Botox injections. ETS should only be performed by board certified thoracic surgeons (American Board of Thoracic Surgery) as it is a procedure requring experience in minimally invasive chest surgery.