Pathological sweating

Pathological, excessive sweating can occur over the entire body, as well as localized to individual regions such as the armpits, hands, feet or face.

The suffering for affected patients is often enormous, and the hindrance in everyday life and professional life caused by this supposedly harmless condition should not be underestimated

Generalized sweating in particular can be an expression of an underlying internal disease, such as thyroid gland disease, a pheochromocytoma i.e. a benign tumor of the adrenal gland or elevated blood pressure, which should be thoroughly ruled out. Certain medications can also cause increased sweating.

Therapeutically, antiperspirants (deodorants that suppress sweat production) are used first. Dr Gregor recommends either over-the-counter products or products that are specially compounded in the pharmacy.

The therapy with botulinum toxin, which is injected into the skin in the area of the armpits, the hands or even the feet, is proven, safe and effective. The effect lasts up to 6 months.

For hands and feet, iontophoresis with tap water can also be performed. In this case, hands and/or feet are immersed in a bath of tap water through which a weak direct current flows. As a result sweat secretion by sweat glands is reduced.

Permanent surgical solutions for hyperhidrosis is scraping or suctioning out the sweat glands, or surgically severing those nerves responsible for sweat production.

A new option is the permanent damage of the sweat glands in the armpit area by microwave energy (microwave thermolysis).

For increased general sweating, drug therapy with tablets (anticholinergics), can also be considered.

Dr Gregor Holzer advises and treats his patients according to their individual requirements.  

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