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What causes severe sweating on palms, soles of feet and underarms?

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Posted on Thu, 28 May 2015
Question: Hi Doctor, I am having too much sweating on my palms and underneath feet. Most of the times in axilla region as well. usually it happens in the morning time.
doctor
Answered by Dr. Dr. Kakkar (26 minutes later)
Brief Answer:
Localized hyperhidrosis; aluminium chloride hexahydrate 20% lotion

Detailed Answer:
Hello. Thank you for writing to us.

I have gone through your query and I have understood your concern.

Palmoplantar hyperhidrosis and axillary hyperhidrosis are localized forms of increased sweating.

If I was the treating doctor I would suggest you to use aluminium chloride hexahydrate 20% lotion, once daily at night.
It is available on prescription of a dermatologist. I suggest that you visit a dermatologist in your region for a prescription of the same.

It should be applied nightly on dry skin with or without occlusion until a positive result is obtained, after which the intervals between applications may be lengthened.

I also suggest you to get your thyroid levels checked once.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Kakkar (21 hours later)
Thanks Dr Kakkar.

Would you be kind enough to tell me the brand name of this lotion in UAE. Any other oral medications as an alternative.

Also what could be the probable cause of this localized hyper hidrosis in absence of any thyroid abnormality.

Any other precautions.?

regards
XXXX
doctor
Answered by Dr. Dr. Kakkar (4 hours later)
Brief Answer:
Localized palmoplantar and axillary hyperhidrosis

Detailed Answer:
Hello XXXXXX

Most cases of palmoplantar hyperhidrosis are idiopathic.

Practical treatment options apart from aluminium chloride hexahydrate 20% lotion includes glutaraldehyde soaks, iontophoresis, botulinum toxin A injections and can be tried.

Oral treatment is with systemic anticholinergic drugs but it is usually not advocated for localized hyperhidrosis because systemic anticholinergics can have side effects.

Aluminium chloride hexahydrate 20% is commonly available as Drysol in many countries.

I am not sure whether it would be available without a prescription in UAE. You may try to find it from a local drug store. If not, you may visit a dermatologist in your region for a prescription

Regards
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9611 Questions

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What causes severe sweating on palms, soles of feet and underarms?

Brief Answer: Localized hyperhidrosis; aluminium chloride hexahydrate 20% lotion Detailed Answer: Hello. Thank you for writing to us. I have gone through your query and I have understood your concern. Palmoplantar hyperhidrosis and axillary hyperhidrosis are localized forms of increased sweating. If I was the treating doctor I would suggest you to use aluminium chloride hexahydrate 20% lotion, once daily at night. It is available on prescription of a dermatologist. I suggest that you visit a dermatologist in your region for a prescription of the same. It should be applied nightly on dry skin with or without occlusion until a positive result is obtained, after which the intervals between applications may be lengthened. I also suggest you to get your thyroid levels checked once. Regards