While sweating is normal and important for the body, some individuals experience sweat production beyond typical levels. Hyperhidrosis is the medical term for excessive sweating and is linked to overactive sweat glands. It commonly affects areas such as the hands, underarms, and feet.

In cases of hyperhidrosis, sweating can occur even when the body is at rest or in cool conditions, rather than only from heat or exercise. This can interfere with daily activities and be difficult to manage. At The DOC Clinic, hyperhidrosis management options may be discussed during consultation with Dr Omarjee.

Excessive sweating (Hyperhidrosis) consultation 1, The DOC Clinic Melbourne

Causes

Hyperhidrosis occurs when there is an overstimulation of receptors in the sweat glands – specifically, the eccrine glands. Its exact causes are unknown, but it is thought to be impacted in part by genetics and secondary causes such as obesity, medications, or other underlying medical conditions.

The condition can be generalised (excessive sweating occurs all over the body) or focal (excessive sweating affects certain areas, such as the hands, underarms, face, or feet). Although patients with the condition may sweat at unexpected times, such as in cool weather while at rest, attacks of sweating may have certain triggers. These triggers may depend on the patient and their individual condition, but commonly, episodes of sweating may be triggered by:

Hot weather
Exercise
Spicy food
Alcohol consumption
Stress

Those with a family history of the condition may be more likely to develop it. Examining the type and severity, in consultation with Dr Omarjee, is the first step to hyperhidrosis treatment. There are two general types of hyperhidrosis:

Primary hyperhidrosis

This refers to excessive sweating that is not caused by an underlying medical issue or medications. In these cases, it may be genetic and often develops during puberty as a result of faulty nerve signals that cause hyperactivity of the sweat glands. The condition usually affects specific parts of the body in a way that is symmetric, affecting both the left and right sides of the body.

Secondary hyperhidrosis

Hyperhidrosis is ‘secondary’ when it is caused by an underlying medical condition or a medication side effect. The condition may affect larger areas of the body and typically begins in adulthood. Treatment would involve determining the underlying medical issue, such as diabetes, thyroid issues, menopause, some cancers, or other disorders. Medications such as antidepressants, diabetes medications, or hormonal treatments can also lead to secondary hyperhidrosis.

Dr Ed during hyperhidrosis treatment 2, The DOC Clinic

Symptoms

A certain amount of sweating is normal and helps regulate body temperature. Hyperhidrosis refers to sweating that occurs beyond what is required for this purpose. It may appear in episodes or, in some cases, be more continuous. Signs may include sweating when you are not hot or active, noticeable dripping of sweat, or ongoing dampness of socks and shoes.

Hyperhidrosis itself is not usually described as painful, but it can be uncomfortable and may interfere with daily activities. In some situations, it may also increase the likelihood of skin irritation or infection. A clinical diagnosis is required to confirm hyperhidrosis. At The DOC Clinic, Dr Omarjee can assess underarm (axilla) hyperhidrosis and discuss possible management options.

Diagnosing hyperhidrosis

Sweating is a normal bodily function that helps regulate body temperature. It is commonly triggered by heat, exercise, emotions, stress, or certain foods. Some individuals may sweat more than others. In some cases, sweating can also be associated with medical conditions or hormonal changes such as menopause.

If you are concerned about excess sweating, some general measures that may help include:

Wearing breathable fabrics
Removing extra layers in hot weather
Changing out of damp clothing promptly
Using antiperspirant deodorant
Avoiding foods that seem to trigger sweating
Staying well hydrated, especially when exercising or on hot days

Hyperhidrosis requires clinical diagnosis, usually through medical history and a physical examination. While there is no single test, an iodine-starch test can sometimes be used to help identify areas of concern.

At The DOC Clinic, assessment of underarm (axilla) hyperhidrosis may involve an initial consultation to review your medical history and symptoms. Management options will be discussed, which may include addressing possible underlying causes or considering specific treatment approaches.

Aesthetic hand treatment at the DOC Clinic Melbourne 3

Management of Hyperhidrosis

If axilla (underarm) hyperhidrosis continues despite other measures, further management options can be discussed during a consultation with Dr Omarjee. Some approaches used in clinical settings may be considered, and these will be explained in detail at your appointment.

The type of management recommended will depend on your individual circumstances, medical history, and goals. Dr Omarjee can provide information on what may be appropriate for you and answer any questions you have during the consultation.

After treatment

The timing and effects of hyperhidrosis management can vary and may depend on your body’s response, the area of concern, and the specifics of your condition. Some patients may return for further sessions over time, depending on their needs and outcomes. In certain cases, surgery may also be discussed as an option.

As with all procedures, underarm hyperhidrosis management carries possible risks and complications. It is important to have a clear understanding of what is involved before proceeding, including risks, costs, aftercare, and possible outcomes. These details will be explained to you during your consultation at The DOC Clinic.

Consultation with Dr Omarjee

If you are concerned about excessive sweating, a consultation with Dr Omarjee can help assess your condition and provide information about management options that may be suitable for you. The approach will depend on your individual circumstances and goals, and any recommendations will be explained at your appointment.

Quick Enquiry

Have a question about the procedure? Please complete the form below and we will be in touch ASAP.

All in-person consultations are located at our clinics:

The DOC West: 302 Heaths Road, Hoppers Crossing, Victoria 3029,

The DOC East: 47A Karnak Rd, Ashburton VIC 3147

Schedule a Consultation

To request a consultation or further information, complete the attached form and we will respond to you as soon as possible. You are welcome to upload images to assist with explaining your concern(s).

At The DOC, all patient consultations and treatments are conducted personally by Dr. Ed Omarjee, registered medical practitioner. Treatments are not performed by nurses or therapists.

Hyperhidrosis (Excessive Sweating)