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Sweating is essential functions of the body that help maintain body temperature and is perfectly normal. Most people tend to sweat during summer, exercise, or when they are nervous. However, when excessive sweating occurs without any triggering factors, that’s abnormal and it is called hyperhidrosis. Common site of excessive sweating may be underarms, palm and soles. In this article we’ll discuss the management of excessive underarm sweating.

Excessive underarm sweating, also called as axillary hyperhidrosis, may lead to social embarrassment for many people. It stains your clothes and you may have serious consequences both physical and emotional. While there are several anti-perspirants available in the market, these products may not help you. But you don’t worry anymore; recent advance in dermatology has opened the door for many safe and effective treatments that can control your excessive underarms sweating. Here we’ll discuss few of those.

Strong prescription anti-perspirant products containing 10-15% or more strong aluminum chloride hexahydrate are the initial treatment for excessive underarms sweating. Over the counter anti-perspirants may not usually help in this case, but still worth a try. Deodorants do not prevent excessive sweating but will help reduce the odor.

Oral medications
Oral anticholinergics medications will help prevent the stimulation of sweat glands. However these drugs have some side effects like dizziness, dry mouth and urinary problems. Talk to your doctor before starting these drugs. If your sweating is due to stress, benzodiazepines or beta-blockers may help.

This procedure was previously used widely for the treatment of hand and feet sweating, currently it has also been used to treat underarm sweating. It uses electricity to block the sweat glands and reduce the stimulation of sweat glands. Several treatment sessions are required to get a desired result. Side effects may be blistering and cracking at the site.

Botulinum toxin or commonly known as botox have gained wide reputation for the treatment of various neuro-muscular disorders. It is now approved for the treatment of excessive underarms sweating. Intradermal injection of botox into the underarms temporarily blocks the nerves that stimulate sweating thus providing long term relief from excessive sweating. As this is not a permanent solution and may only lasts for 6 months to a year, repetitive treatment intervals are required. Common side effects may include pain at the injection site and flu-like symptoms. Talk to your doctor about your medical history if you have any before undergoing this procedure.

Surgical Treatment
If you are looking for permanent treatment you may consider a surgery. Surgery may involve sweat glands resection where sweat glands that stimulate excessive sweating are removed and endoscopic sympathectomy where the sympathetic nerves that communicate with sweat glands are destroyed. During endoscopic sympathectomy, the second, third and fourth ganglia that communicate with sweat glands are destroyed.

Percutaneous techniques like radiofrequency ablation and thermo-coagulation have also been used to disrupt the communication of sympathetic nerve supply to sweat glands. Though it might be a permanent treatment for your excessive underarms sweating, this may have some serious adverse consequences. Talk to your doctor before planning to go for surgical treatment.


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  2. Shirley Bongbong
    September 19, 2011 at 12:47 pm

    If excessive sweating happens, there would also be a big possibility of developing skin pigmentations or dark underarms. What do you suggest is the best way to treat dark underarms?

  3. Rhodora Dagatan
    September 21, 2011 at 11:46 am

    Hmm… While everyone thinks that using antiperspirants are very effective hygiene steps for a good smelling underarm, this article has stated otherwise. I agree that most antiperspirants are more on making the armpit smell better rather than resolving the perspiration issue.

  4. jamesbala
    September 21, 2011 at 1:22 pm

    This problem causes bad odour and we can’t even stand next to that person.Using Deo,Body spray may temporarily rid the smell

  5. ykzir
    September 21, 2011 at 4:12 pm

    A close friend of mine used to have a powerful antiperspirant named CertainDri for his excessive underarm sweating. You would use it at night only and even shower in the morning, and it prevented the sweating all day long. I think you can buy it in drug stores, or check online store.

  6. Maria
    September 21, 2011 at 9:27 pm

    Some people sweat more than usual people. If a problem of excessive underarm sweating arises,buy the best available deodorant from the market and use it. Therefore, its not a permanent solution of the disease, but its better from all those painful methods like surgery or botox.

  7. Nenad Mirkovic
    September 24, 2011 at 4:17 am

    Excessive Underarm Sweating is a permanent problem. For the sake of feeling good, and not having emberesing moments. The best solution would be “Surgical Treatment”. And the person under thretment would have an instant physical relief. Problem solved, but the problem is “fear”. People are scared of any surgical treatment, but there is nothing to fear of 😉

  8. Mary Parker
    September 25, 2011 at 11:16 am

    The surgery option for excessive underarm sweating may be a bit risky I think and it may be the last resort for anyone. To my knowledge swimming is a good way to keep the body temperature cool and we must also apply baby powder to our underarms after normal deodorant is applied. It helps in absorbing excess sweat and odor.

  9. ellenjoy25
    February 25, 2012 at 6:12 am

    One of the natural way to solve the problem of sweating is by using a baking soda….Yes, baking soda, it does not only prevents a person from sweating but also helps resolve bad odor problems. To resolve a problem with underarm perspiration and/or body odor, here’s the easy way that you need to do.
    Mix baking soda and lime juice until you make a paste ( just looked like a deo-lotion), then apply it to your underarm. That’s it! You can use this to substitute your deo-lotions or any type of deodorant.

  10. Zia Mansour
    June 13, 2013 at 4:45 am

    Botox and surgical treatment seem to be the most effective means to get rid of excessive sweating. I personally understand the seriousness of the problem because I suffered from hyperhydrosis in the past. There seems to be nothing that could cure me. And once upon a time I came across zeromarks. I attached the paper pad to the inside of my sweater and I was full of doubts at ther same time. My prejudices turned out to be totally groundless. The paper pad turned out to be extremely convenient and is sticking in appropriate way. All in all, I finally got of sweat marks without ruining my clothes. Now I don’t need to pack an extra shirt to my workplace and I don’t need to worry about the shame during social or professional meetings. What a relief!

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