Sir/Madam, I have too much sweating on my palms, soles and in sides. It is continuing from last 3-4 years. Some times it is too much that I can't shake hands with any one .Where ever I sit continuously for half an hour my pant as well as that area also become wet. I think so when ever I become nervous that sweat comes starting. My shirt from side area also become so wet that some times I feel ashame. I had check it out T3, T4,T5 report for thyroid. They all are with in range. I had taken English medicines (from physician & skin doctor) as well as Homeopathic medicines there is not so improvement. Please advice me is this disease has treatment? If yes then to whom should I have to refer? Either I should have to change my diet?

Dr. Surbhi AgrawalGeneral Physician12yrs exp

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Sweaty Hands called palmar hyperhidrosis is quite embarrassing condition. The specific cause for excessive sweating is unknown but it may be triggered by stress, anxiety, hormonal imbalances, health conditions like congestive heart failure, diabetes, Parkinson?s disease etc., But many believe it is caused by a hyperactive sympathetic nervous system, causing the sweat glands in the hands to produce sweat unnecessarily. Drysol or other Topical Medicines containing Aluminium chloride may be tried. Oral Medications - anticholinergic drugs like Oxybutynin, propantheline bromide and benztropinereduce hyperhidrosis. may be helpful. Iontophoresis treatment where patients place their hands in trays filled with water that pass a mild electrical current through the skin of the hands. This causes the outer layer of the skin to thicken, blocking the flow of sweat. Botox Injection where the toxins temporarily block the release of acetylcholine, the chemical neurotransmitter from the nerves that send signals to the sweat glands, but is very costly. The last option is Surgery a procedure called ETS - Endoscopic Thoracic Sympathectomy. Avoid spicy foods, alcohol and caffeine, smoking and drink more water to lower your body temperature are also helpful. 

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