Hyperhidrosis, also known as polyhidrosis or sudorrhea, is a condition characterized by excessive sweating. The sweating can affect just one specific area or the whole body.


Hyperhidrosis is defined as sweating that disrupts normal activities. Episodes of excessive sweating occur at least once a week for no clear reason and have an effect on social life or daily activities.

Signs and symptoms of hyperhidrosis may include:

  1. Clammy or wet palms of the hands
  2. Clammy or wet palms of the hands
  3. Frequent sweating
  4. Noticeable sweating that soaks through clothing
People with hyperhidrosis might experience the following:
  1. Irritating and painful skin problems, such as fungal or bacterial infections
  2. Worrying about having stained clothing
  3. Reluctant to make physical contact
  4. Self-conscious
  5. Socially withdrawn, sometimes leading to depression
  6. Select employment where physical contact or human interaction is not a job requirement
  7. Spend a large amount of time each day dealing with sweat, such as changing clothes, wiping, placing napkins or pads under the arms, washing, wearing bulky, or dark clothes
  8. Worry more than other people about body odor
Causes of secondary hyperhidrosis
  1. Spinal cord injury
  2. Alcohol abuse
  3. Anxiety
  4. Diabetes
  5. Gout
  6. Heart disease
  7. Hyperthyroidism – an overactive thyroid gland
  8. Obesity
  9. Parkinson’s disease
  10. Pregnancy
  11. Respiratory failure
  12. Shingles
  13. Some cancers, such as Hodgkin’s disease
  14. Some infections – HIV, malaria, TB (tuberculosis)
  15. Some medications, including some antidepressants, anticholinesterases (for Alzheimer’s disease), pilocarpine (for glaucoma), propranolol (for high blood pressure)
  16. Substance abuse

A doctor may refer the person to a skin specialist, or dermatologist.

They may recommend:

  1. Iontophoresis –

    The hands and feet are submerged in a bowl of water. A painless electric current is passed through the water. Most patients need two to four 20-30 minute treatments.

  2. Botulinum toxin (Botox injections) –

    Botox injections block the nerves that trigger the sweat glands. Patients with hyperhidrosis may need several injections for effective results.

  3. Anticholinergic drugs –

    These medications inhibit the transmission of parasympathetic nerve impulses. Patients generally notice an improvement in symptoms within about 2 weeks.

  4. ETS (Endoscopic thoracic sympathectomy) –

    This surgical intervention is only recommended in severe cases which have not responded to other treatments. The nerves that carry messages to the sweat glands are cut.

In Silk Clinics we treat it with Botox injections, which it’s more safe easy and simple procedure that the result lasts up to 6 months.