How do we diagnose hyperhidrosis?

To diagnose this condition, a medical provider gives the patient a physical exam and asks many questions about their history. 

To find an underlying medical condition, other medical tests may be necessary.

How do we treat hyperhidrosis?

Treatment depends on the type of hyperhidrosis and where the excessive sweating occurs on the body. Your provider also considers your overall health and other factors.

Treatments that we use to help their patients control hyperhidrosis include:


This may be the first treatment that a provider recommends. It is affordable. When applied as directed, an antiperspirant can be effective. You could also need a stronger prescription antiperspirant

How it works: The antiperspirant sits on top of your skin. As you sweat, the antiperspirant is pulled into your sweat glands. This plugs the sweat glands. When your body senses that its sweat glands are plugged, this should signal your body to stop producing so much sweat.

Side effects: Where they apply the antiperspirant, some people develop:

Botulinum toxin injections

Your medical provider  can inject a weak form of this medicine into your underarms. To treat excessive sweating, a patient will need to have very tiny amounts injected in many areas of the underarms. When performed properly, patients have little pain or discomfort.

Uses: Underarms

How it works: The injections temporary block a chemical in the body that stimulates the sweat glands. Most patients notice results four to five days after receiving treatment.

Reduced sweating lasts about four to six months, and sometimes longer. When the excessive sweating returns, you can be retreated.

Clint Baker, PA-C

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