How do I know if I have Hyperhidrosis?

Excessive sweating, also known as hyperhidrosis, is described and defined as sweating above and beyond the physiological needs of the body. A certain amount of sweat is normal and a compulsory part of our ability to regulate our body temperature. It gives us the ability to secrete certain chemicals which have no more use in our bodies.

This site deals specifically with local / focal hyperhidrosis in which the hands and or feet are sweating excessively beyond normal levels. Total body sweating, however, is a separate issue that is beyond the framework of this segment. Total body hyperhidrosis is not cured or treated with surgery. As a rule a thumb total body hyperhidrosis appears later in life (middle age and up) compared to focal hyperhidrosis that starts at a very young age.

Hyperhidrosis diagnosis

Excessive sweating as felt and experienced by the patient is a very subjective matter. To measure this sweating in terms of quantity is a difficult task. It is very easy to talk with a patient who says that their hands are dripping wet, and make a determination because his/her symptoms are clearly defined. Dripping sweat is a physical statement that clearly describes a severe case palmar or plantar hyperhidrosis.

In cases where the description doesn’t describe dripping hands or feet, it ultimately comes down to how much discomfort the patient feels as a result of the symptoms. If the excessive sweating bothers the patient in both a significant social and functional way, then the patient should first start using conservative treatment methods to see if they alleviate the problem. If conservative treatment measures are unsuccessful, then a careful evaluation by an experienced surgeon is mandatory to consider surgery. It is our policy that every patient should try some conservative treatment modalities given by a doctor. It also shows the insurance company that honest attempts were carried out by the patient to help him or her with this problem.

To summarize the above mentioned comments, hyperhidrosis cannot be measured by certain numbers. It is mainly the subjective findings by the patient that should be confirmed with a doctor who is familiar with this subject. It is always recommended for the patient, or his or her parents, to discuss it with a doctor and verify the symptoms and presentation of hyperhidrosis which are very unique. The uniqueness is that the excessive sweating, in the case of palmar hyperhidrosis, appears below the wrist and in the case of plantar hyperhidrosis it is the sweat that appears below the ankle. This simple presentation is the hallmark of the diagnosis. Unfortunately this simple and basic fact is not really understood nor known to many physicians.

The surgeries available now (ETS and ELS), have a proven track record of safety, and high success rates. That being said, evaluation and discussion with an experienced surgeon is a very crucial step.

Hyperhidrosis Questions:

For questions please fill out the form on our contact us page so we can better understand your condition in order to better answer your questions.


  1. Sanjai thomas  July 15, 2018

    Am 24 year old.actually am also having same problem on my hands and legs..because of that Iam facing so many problem in my life.some time my tongue also getting dryness….other than surgery no any treatment for this? Plz

    • Center For Hyperhidrosis  July 15, 2018

      The first step in the trials to help with palmar and plantar hyperhidrosis is to try some conservatives measures such as lotions or pills. You should consult with your physician in India about the items you have there and try them first. Thanks.

  2. Sid  November 21, 2017

    Am 18 i hav sweaty hands since chilhood nd now its increasing. .i used supravit m then i felf bettee but now its again same ..what must i do

    • Center For Hyperhidrosis  November 21, 2017

      If you are located in the USA I could discuss with you the issues of hyperhidrosis.
      If you are out of the US try to discuss your condition with regard to the excessive sweating with a doctor in your country. Thanks

      • Austin Shah  October 9, 2018

        I live in the US and I clearly have hyperhidrosis (dripping hands bordering on 24/7) it has made life very difficult. I have to throw away attempts at homework because my hand will eventually soak through the index card I use to help and destroy the page and my work. It occurs in class, while driving, and while even playing calming video games! I will sit in my room with my feet in Ice and the AC blasting while trying to do homework and my hands will still sweat through the page. Worst of all it occurs immediately when I wake up wether that is 6am or 8am or 10am and it is impossible to go to sleep (imagine getting out of the shower and doing a light drying of your body then jumping in bed with feet/hands still wet and trying to fall asleep.) PLEASE HELP!

        • Center For Hyperhidrosis  October 9, 2018

          Dear Austin. Your description fits the picture of a person who suffers from excessive hand and feet sweating. Hyperhidrosis. In order to get more information you can call us at 310-557-3037.
          Dr. Reisfeld will be away for 1 week so you can call us next week.

  3. Riley  November 18, 2017

    I have been reading through this page I and I think I might have this. I’m a teenage girl and I don’t sweat major anywhere except my armpits. I easily sweat through a shirt through out the day and I can’t seem to stop it. It’s only been this bad for about 2 years though. It effecting me and my social life a lot and I am a lot less confident. However before I decide on surgery what things should I try first?

    • Center For Hyperhidrosis  November 19, 2017

      Arm pit sweating is one presentation of Hyperhidrosis but in this case is isolated only in the axillary(arm pit) area.
      There are few conserative measures to treat it such as medicated anti perspirant(Drysol) or others that a doctor can prescribe it to you. Oral medications are not so helpful.Botox injection can be tried. There are new machines on the market such as Mira Dry.
      Sub dermal curettage is a surgical option and you should discuss those options with a doctor who is familiar with the topic. Thanks

  4. Tyler  October 15, 2017

    Im a 27 year old man. I’ve been having embarrassing sweating disorders. Usually appearing on m hands, face, armpits and back. Can this be classified as Hyperhidrosis?
    It really affects my confidence during my day to day runnings as i interact with alot of people and this disorder is so embarrassing.

    • Center For Hyperhidrosis  October 15, 2017

      The cases of hyperhidrosis that are considered to be good candidates for the surgical treatment are those that affect the hands arm pits and feet. The other areas that you mentioned will not get any relief with the ETS. The scope of this response is wider so it will be better to discuss it verbally. Thanks

  5. Casey  July 30, 2017

    Hi there.
    I’m a 19 year old female. I remember my hands soaking wet for my kindergarten graduation. And pretty much every single day after that. When I was in my elementary basketball program I would have armpit sweat stains almost to my waist and I was the ONLY sweaty little girl. This was happening in second or third grade. Well before puberty. Could this be hyperhidrosis. I’ve tried everything doctors have gave me. And nothing works. I have athletes foot constantly because my feet are always so sweaty and won’t stay dry for it to heal. I never looked into it really. I just thought I was overly sweaty. But I know it’s not normal. And this is the first I’ve heard of hyperhidrosis

    • Center For Hyperhidrosis  July 30, 2017

      From what you are describing you do have a case of Hyperhidrosis. The early onset and the fact that you have dripping sweat from your hands and feet are indicating that.
      If you reside in the USA give us a call at 310 557 3037. Thanks

  6. donna  June 29, 2017

    Hi I’m a 60 yr old woman who has suffered with hyperhidros all my life. This condition has been traumatic at many times during my life. I have had breast cancer and reconstruction bilaterally many years ago. Would I still be able to have this surgery with the implants and scar tissue that I have? Thank you.

    • Center For Hyperhidrosis  June 29, 2017

      Hi Donna. Thanks for your question and comments about your hyperhidrosis. If you live in the US it will be much easier to discuss it over the phone so you can call us at 310 557 3037 so I can shed more light on the various questions you might have about the excessive sweating you suffer from. Thanks

  7. Anonymous  February 16, 2017

    Hi im 13 year old girl, for the last few months I have been really sweaty in the armpits and the hands. I am not sure if it is puberty or if it is Hyperhidrois. I am always the sweatiest and I even sweat when im not doing exercise or even when im cold. I get quite nerovus around people so im not sure if it is that either. I told my mom and she said it was just me growing up but I think it is more than that. Thanks.

    • Center For Hyperhidrosis  February 17, 2017

      Hyperhidrosis or excessive focal sweating is not related to puberty. Subjects who suffer from it can develop early symptoms as young as toddlers. At a very young age it does not create as many problems as it does later in life with regard to functional and social problems.
      One should always some of the conservatives measures to treat hyperhidrosis and if those methods do not offer any relief than the surgical option is there.
      Since you are a minor you can call the office together with your parents to discuss the problem. Thanks

  8. Anonymous  February 16, 2017

    Hi I’m a 13 year old girl. I sweat a lot mainly in my armpits and hands even when I amnt doing anything. I sweat as much in a day as my friends do in a week. I have been searching hyperhidrosis and I’m pretty sure I have it but my mom says it’s just puberty. How can I tell?

  9. Anonymous  August 3, 2016

    What if your condition of hyperhidrosis is not to the point of dripping wet? Can you still get the surgery if all other methods have failed? It’s more of a constant damp feeling in the hands which still affects my social behaviors and every day life.

    • Center For Hyperhidrosis  August 3, 2016

      The best way to asses your situation with regard to the Hyperhidrosis is to talk with a surgeon who is familiar with this condition and the options available. You can call us at 310-557-3037. Thanks

  10. Maggie Dickhaut  February 6, 2016

    I have been doing research and at this moment I am literally leaving sweat prints all over the screen. I am very out going, but this effects my life in so many ways. I an only 13 years old and this has mainly been starting to bother me for the past 2 years. Sweat drips off my hand and on to my tests and all over my desk at school. I cannot complete things to the best of my ability, I can’t even shake hands. There are so many other difficulties it has for me. I play travel softball as well. But, it also is the same for my feet. It drips off and I can never wear flip flops in the summer! I do not know what I am going to do for my aunt’s summer wedding, I am the bridesmaid! I just get so frusturated! Is it possible to get surgery for both my hands and feet at the same time? Any suggestions for me?

    • Center For Hyperhidrosis  February 8, 2016

      Hi Maggie. As you describe you have a typical case of excessive hands and feet sweating. Palmar hyperhidrosis in medical terms. In order to get a better understanding of the situation it is better to call us at 310-557-3037 if you are located in the US. Since you are a minor please make sure to call with your parents as well. thanks.