Excessive Sweating: When to See a Doctor and Which Specialist to Consult - Internal Medicine

Share to:

Profuse sweating?


Hello, Dr.
Lin.
For the past month, I've been experiencing excessive sweating whenever I do even slight activities, such as sweeping, mopping, or walking a little.
The sweat pours down from my head in large droplets, and my body feels sticky all over.
Should I see a doctor? If so, which specialty should I consult?

Sandy, 60~69 year old female. Ask Date: 2020/10/17

Dr. Lin Jianliang reply Internal Medicine


It is recommended to first consult a family medicine physician.

Reply Date: 2020/10/17

More Info


Excessive sweating, also known as hyperhidrosis, can be a distressing condition that significantly impacts one's quality of life. It is characterized by excessive perspiration that occurs even in the absence of heat or physical exertion. Given your description of sweating profusely from your head during minimal activities, it is advisable to consult a healthcare professional.


When to See a Doctor
You should consider seeing a doctor if:
1. Severity of Symptoms: If your sweating is excessive enough to interfere with daily activities, such as work or social interactions, it is a good idea to seek medical advice.


2. Duration: Since you mentioned that this has been occurring for over a month, it is important to get it evaluated, especially if it is a new symptom for you.

3. Associated Symptoms: If you experience other symptoms alongside sweating, such as weight loss, palpitations, or changes in appetite, these could indicate an underlying health issue that needs to be addressed.

4. Impact on Quality of Life: If the sweating is causing you distress or embarrassment, or if it affects your self-esteem, it is worth discussing with a healthcare provider.


Which Specialist to Consult
For excessive sweating, you would typically start with a primary care physician. They can evaluate your symptoms, perform a physical examination, and take a detailed medical history. If necessary, they may refer you to a specialist. The following specialists are commonly involved in the management of hyperhidrosis:
1. Dermatologist: A dermatologist specializes in skin conditions and can provide treatments such as prescription antiperspirants, Botox injections, or other topical therapies.

2. Endocrinologist: If your primary care physician suspects that your sweating may be related to hormonal imbalances or endocrine disorders (like hyperthyroidism), they may refer you to an endocrinologist.

3. Neurologist: In some cases, excessive sweating can be linked to neurological conditions. If your doctor believes this might be the case, they may refer you to a neurologist.

4. Psychiatrist or Psychologist: If your sweating is exacerbated by anxiety or stress, a mental health professional may be beneficial in addressing the psychological aspects of your condition.


Additional Considerations
- Lifestyle Modifications: In the meantime, consider wearing loose-fitting, breathable clothing and using moisture-wicking fabrics. Staying hydrated and avoiding triggers such as spicy foods or caffeine may also help manage symptoms.

- Treatment Options: Depending on the severity of your condition, treatment options may include prescription antiperspirants, iontophoresis (a procedure that uses electrical currents to reduce sweating), Botox injections, oral medications, or in severe cases, surgical options such as sympathectomy.

- Follow-Up: After your initial consultation, it is important to follow up with your healthcare provider to monitor your condition and adjust treatment as necessary.

In conclusion, while excessive sweating can be a benign condition, it is essential to seek medical advice to rule out any underlying health issues and to explore appropriate treatment options. Don't hesitate to reach out to your primary care physician to discuss your symptoms and take the first step toward managing your condition effectively.

Similar Q&A

Excessive Sweating in Palms: Which Specialist to Consult?

You should consult a specialist in dermatology or a neurologist for excessive sweating in your palms, a condition known as palmar hyperhidrosis. Surgical options may be available, but it depends on the severity of your condition and your response to other treatments. Regarding he...


Dr. Yang Hongzhi reply Internal Medicine
You can discuss with the thoracic surgeon.

[Read More] Excessive Sweating in Palms: Which Specialist to Consult?


Understanding Excessive Sweating: When to Seek Medical Advice

Hello, Director Yang: I have a question to ask you. I sweat excessively all over my body, not just from my hands. I regularly play tennis and basketball, and my friends often suggest that I see a doctor due to how much I sweat. Even when I climb just one or two flights of stairs,...


Dr. Yang Hongzhi reply Internal Medicine
It is more likely related to constitution; however, some endocrine disorders (such as thyroid or pituitary gland diseases) can also cause excessive sweating. It may be advisable to consult a specialist in metabolic disorders.

[Read More] Understanding Excessive Sweating: When to Seek Medical Advice


Which Medical Specialty to Consult for Excessive Sweating?

Hello, I am someone who sweats a lot, and excessive sweating has caused me difficulties in both my personal and professional life. Since my time in the military, I would break a sweat and leave a noticeable sweat mark after just a few push-ups. Now, with the climate getting hotte...


Dr. Gao Qingyun reply Family Medicine
Hello, as the weather gets hotter, these issues are becoming more common and severe. Before seeking assistance from a physician, it is advisable to confirm the following: 1. Check if the environment is indeed excessively hot or poorly ventilated. If so, it is best to avoid prolon...

[Read More] Which Medical Specialty to Consult for Excessive Sweating?


Excessive Sweating: Causes, Treatments, and When to See a Specialist

Hello Dr. Jiang: Two years ago, I asked you about a skin issue. Thank you very much for your response and encouragement. Now I have another question to consult with you. I feel that my upper body sweats very easily, including my face, neck, armpits, and hands, especially my face....


Dr. Jiang Zheen reply Dermatology
Localized hyperhidrosis can be treated, for example, excessive sweating of the hands or feet can be addressed through surgical procedures that ablate the sympathetic ganglia in the thoracic or abdominal cavity to control sweating. This is a definitive treatment option available i...

[Read More] Excessive Sweating: Causes, Treatments, and When to See a Specialist


Related FAQ

Edema

(Internal Medicine)

Which Specialty To Consult

(Internal Medicine)

Body Temperature

(Internal Medicine)

Skin

(Internal Medicine)

Hives

(Internal Medicine)

Folliculitis

(Internal Medicine)

Headache

(Internal Medicine)

Foot

(Internal Medicine)

Medication Consultation

(Internal Medicine)

Tachycardia

(Internal Medicine)