Hyperhidrosis
Excessive Sweating (Hyperhidrosis)
Excessive sweating can be uncomfortable, embarrassing, and disruptive to daily life. If you sweat far more than normal — even when you’re not hot, exercising, or stressed — you may be experiencing hyperhidrosis, a medical condition that can be effectively treated by a dermatologist.
At Mittal Dermatology in Orono, MN, we provide expert evaluation and personalized treatment plans to help patients regain comfort, confidence, and control.
Hyperhidrosis is a condition characterized by abnormally excessive sweating that goes beyond what the body needs to regulate temperature. It commonly affects areas such as the:
- Underarms (axillary hyperhidrosis)
- Palms of the hands
- Soles of the feet
- Face and scalp
Excessive sweating can interfere with work, social interactions, physical activities, and overall quality of life. It is not caused by poor hygiene and is often unrelated to heat or physical activity.
Primary Focal Hyperhidrosis
This is the most common form and usually:
- Begins in childhood or adolescence
- Affects specific areas (hands, feet, underarms, face)
- Occurs without an underlying medical cause
- Often runs in families
Secondary Generalized Hyperhidrosis
This type is caused by an underlying medical condition or medication and typically:
- Affects larger areas of the body
- Occurs during sleep
- May be linked to thyroid disease, diabetes, infections, menopause, or certain medications
A dermatologist can help determine which type you have and guide appropriate treatment.
You may benefit from dermatologic evaluation if you experience:
- Visible sweating that soaks clothing or drips from hands
- Frequent sweating episodes unrelated to heat or activity
- Difficulty gripping objects or shaking hands
- Skin irritation, infections, or odor caused by moisture
- Emotional distress or avoidance of social situations
Hyperhidrosis is more than a nuisance — it’s a medical condition that deserves professional care.
Diagnosis begins with a detailed discussion of your symptoms, medical history, and sweating patterns. Your dermatologist may evaluate:
- Location and severity of sweating
- Onset and triggers
- Family history
- Associated medical conditions
In some cases, additional testing may be recommended to rule out secondary causes of excessive sweating.
At Mittal Dermatology, we offer a range of evidence-based treatments tailored to the severity and location of sweating.
Prescription-Strength Topical Treatments
- Medical-grade antiperspirants that block sweat glands
- Often used for underarm, hand, or foot sweating
Oral Medications
- Medications that reduce sweat gland activity
- Used selectively for certain patients
Botox for Hyperhidrosis
- FDA-approved treatment for excessive underarm sweating
- Temporarily blocks nerve signals that trigger sweating
- Results typically last 4–6 months
- Also used off-label for palms, soles, and facial sweating
Advanced & Supportive Options
- Treatment planning for recurrent or severe cases
- Lifestyle and trigger management guidance
- Referral for additional therapies when appropriate
Your dermatologist will work with you to choose the safest and most effective option for your needs.
Effective treatment can:
- Reduce or eliminate excessive sweating
- Improve comfort and daily function
- Prevent skin irritation and infections
- Restore confidence in social and professional settings
Many patients are surprised by how dramatically treatment improves their quality of life.
You should seek professional care if:
- Sweating interferes with daily activities
- Over-the-counter antiperspirants aren’t effective
- Sweating is sudden, severe, or worsening
- You experience night sweats or whole-body sweating
Early evaluation allows for targeted treatment and better long-term control.
Is excessive sweating normal?
Some sweating is normal, but excessive sweating without clear triggers may indicate hyperhidrosis.
Can hyperhidrosis be cured?
There is no permanent cure, but symptoms can be very effectively controlled with proper treatment.
Does insurance cover hyperhidrosis treatment?
Many treatments, including Botox® for medical hyperhidrosis, may be covered. Our team can help guide authorization when needed.
Is Botox safe for sweating?
Yes — when administered by trained dermatologists, Botox® is a safe and well-studied treatment for excessive sweating.
At Mittal Dermatology, we provide compassionate, expert care for patients dealing with excessive sweating. Our approach emphasizes:
- Accurate diagnosis
- Personalized treatment planning
- Proven, evidence-based therapies
- Respect for how hyperhidrosis affects daily life
You don’t have to “just live with it” — help is available.
Schedule an Excessive Sweating Consultation
If excessive sweating is impacting your comfort or confidence, we’re here to help. Call us or request an appointment online to discuss hyperhidrosis treatment with experienced dermatologists.
