Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating

Hyperhidrosis issues?

I have been experiencing sweaty hands and feet since the third or fourth grade, and it has continued into high school.
Regardless of the weather, I sweat excessively, and it has become increasingly severe over the past few months.
My hands sweat so much that it drips, and my feet sweat to the point where I almost slip.
This causes many inconveniences in my daily life, and I also sweat during exams, making me hesitant to shake hands with others.
The last time I visited a doctor, they mentioned that I would need to be 20 years old before considering surgery.
What can I do at this stage to manage my excessive sweating in my hands and feet?

wen, 10~19 year old female. Ask Date: 2017/01/10

Dr. Zhang Junwei reply Neurosurgery

This issue is not within my specialty; I recommend consulting a thoracic surgeon.

Reply Date: 2017/01/10

More Info

Managing hyperhidrosis, or excessive sweating, can be particularly challenging for teenagers, as it can significantly impact daily life and self-esteem. Hyperhidrosis can affect various parts of the body, including the hands, feet, underarms, and face. In your case, it seems that you are experiencing significant sweating in your hands and feet, which can be both uncomfortable and socially awkward. Here are some strategies and treatments that may help you manage your symptoms until you reach the age for surgical options.

1. Antiperspirants:
Over-the-counter antiperspirants containing aluminum chloride can be effective for managing localized hyperhidrosis. These products work by blocking the sweat glands. For hands and feet, you can apply them at night and wash them off in the morning. Prescription-strength antiperspirants are also available and may provide better results.

2. Lifestyle Modifications:
- Clothing Choices: Wear loose-fitting, breathable fabrics that allow for better air circulation. Cotton and moisture-wicking materials can help keep you dry.

- Footwear: Choose shoes made from breathable materials and consider moisture-wicking socks. You might also want to rotate your shoes to allow them to dry out completely between wears.

- Hygiene: Regularly wash your hands and feet to reduce moisture and odor. Keeping your skin dry can also help minimize sweating.

3. Dietary Considerations:
Certain foods and beverages can trigger sweating. Spicy foods, caffeine, and alcohol are known to increase sweating in some individuals. Keeping a food diary may help you identify any specific triggers.

4. Stress Management:
Anxiety and stress can exacerbate hyperhidrosis. Techniques such as deep breathing exercises, yoga, or meditation can help manage stress levels and potentially reduce sweating episodes.

5. Medications:
There are oral medications, such as anticholinergics (e.g., glycopyrrolate), that can reduce sweating by blocking the nerve signals responsible for activating sweat glands. However, these medications can have side effects, so it’s essential to discuss them with your doctor.

6. Botox Injections:
Botulinum toxin injections can temporarily block the nerves that cause sweating. This treatment is FDA-approved for underarm sweating but can also be used off-label for hands and feet. The effects typically last several months, and while it may not be an option until you are older, it’s worth discussing with your healthcare provider.

7. Iontophoresis:
This is a non-invasive treatment that involves using a device to pass a mild electrical current through water and into the skin's surface, which can help reduce sweating in the hands and feet. This treatment may require multiple sessions and is often done at a dermatologist's office.

8. Surgical Options:
As you mentioned, surgical options such as sympathectomy (cutting nerves that trigger sweating) are typically considered when other treatments have failed, and you are usually required to be at least 18 or 20 years old for these procedures. It’s essential to have a thorough discussion with your doctor about the risks and benefits of surgery.

Conclusion:
While hyperhidrosis can be frustrating, there are several management strategies available to help you cope with the symptoms. It’s important to consult with a healthcare professional who can guide you through the options and tailor a treatment plan that suits your needs. Remember, you are not alone in this, and many people experience similar challenges. Seeking support from friends, family, or support groups can also be beneficial as you navigate this condition.

Similar Q&A

Excessive Sweating in Teens: Effective Solutions for Underarm and Back Issues

Hello, doctor: I am a high school student. I tend to sweat a lot during classes at school, and even more when I exercise. What methods can I use to improve this? Most of the sweating occurs in my armpits and on my chest and back. Thank you!

Dr. Jiang Zheen reply Dermatology
There isn't a very good solution; the best option is to change clothes frequently. You can apply antiperspirant under your arms. Wishing you safety.

Excessive Sweating: Understanding and Managing Hyperhidrosis

I sweat very easily; just a little movement and I start sweating. It's even more noticeable when I exercise, like when I'm playing basketball. I see others sweating without even soaking their clothes, but I'm already drenched all over, to the point where I can wrin...

Dr. Huang Ruiyun reply Dermatology
You can try over-the-counter antiperspirants, especially those designed for the underarms. Botox injections are also effective, but they are quite expensive and only last for a few months.

Understanding Hyperhidrosis and Acne: Causes and Solutions

Hello, I experience excessive sweating in my armpits and buttocks during winter, and even more so in summer. I have been using antiperspirants, but they don't seem to be very effective. My armpits are always damp, which is quite embarrassing, and the chairs I sit on also get...

Dr. Huang Ruiyun reply Dermatology
I'm not sure which type of antiperspirant you are using. If you are trying a spray, I recommend switching to a roll-on type, as it tends to be more effective than sprays. You can try the brand BAN at a pharmacy or drugstore. Excessive sweating is not related to acne. Taipei ...

Dealing with Underarm Sweat: Solutions for Excessive Perspiration

I have been troubled by excessive sweating under my arms. It only happens during physical education classes or dance practice; everywhere else is fine. However, the sweat marks under my arms are extremely noticeable, which makes me feel very embarrassed. I really want to undergo ...

Dr. Chen Yiying reply Dermatology
Hello: In response to your question, for axillary hyperhidrosis, you can first try over-the-counter antiperspirants containing aluminum salts or zirconium salts. These should be applied when the skin is dry, and sometimes sealing the area can enhance effectiveness. Ineffectivenes...