Excessive Sweating

Hyperhidrosis is excessive sweating beyond what is needed to regulate body temperature, most often affecting the underarms, palms, feet, or face. Patients often live with it for years assuming nothing can be done, when in fact it is one of the more treatable conditions we see. Dr. Blair Harris first rules out an underlying medical cause, then works through treatment options in order of invasiveness — clinical-strength antiperspirants, prescription topical and oral medications, and additional interventions for cases that do not respond.

The exact cause of hyperhidrosis is not fully understood, but it is believed to involve overactivity of the sweat glands due to an overactive sympathetic nervous system. Genetic factors may also play a role in the development of hyperhidrosis.

• Primary Hyperhidrosis

  Occurs without an underlying medical condition and is often localized to specific areas of the body.

• Secondary Hyperhidrosis

  Caused by an underlying medical condition or medication and may involve generalized sweating.

Treatment options for hyperhidrosis range from topical applications to surgical interventions. The choice of treatment depends on the severity of symptoms and affected areas. Common treatment approaches include:

• Wearing Breathable Fabrics

  Choosing natural, breathable fabrics like cotton can help reduce sweating and improve comfort.

• Stress Management

  Finding ways to manage stress and anxiety can help reduce episodes of excessive sweating triggered by emotional factors.

• Regular Hygiene

  Maintaining good hygiene practices, such as showering daily and using antiperspirants, can help manage excessive sweating.

Treatment is stepwise: many patients get meaningful relief from the first or second option tried, while others need combination therapy. We follow up to gauge how much the sweating — and its impact on your work, wardrobe, and social life — has improved, and escalate treatment until it is controlled.