Sweaty Palms: Causes and Treatment

Experiencing sweaty palms, medically known as palmar hyperhidrosis, can be a disconcerting and inconvenient condition. Essentially, it is characterized by excessive perspiration in the palms. This could potentially occur irrespective of the temperature or emotional state. However, it could be exacerbated by certain situations such as stress, nervousness or heat. This article aims to provide insight into the causes, symptoms, and effective treatment options for this condition.

The primary cause of sweaty palms is the hyperactivity of the sweat glands in the palms. Hyperhidrosis can be either primary, where there is no identifiable underlying cause, or secondary, which is caused by a different medical condition such as diabetes, menopause or some medications. Genetic factors can also play a significant role in the development of this condition.

Symptoms synonymous with sweaty palms are wet or moist hands, excessive perspiration and in some cases, skin color changes. Individuals with hyperhidrosis may also experience discomfort and emotional distress due to the condition, resulting in challenges in daily tasks such as handling paper, opening a door, or driving.

However, despite the discomfort caused by hyperhidrosis, there are several effective treatment options that exist. Before embarking on any treatment option, it is important to get an accurate diagnosis, since the treatment for primary hyperhidrosis differs from that for secondary hyperhidrosis.

So, what is used to treat hyperhidrosis? Treatment of sweaty palms can range from lifestyle changes, over-the-counter antiperspirants, medications to even surgeries. The first step usually involves trying out aluminum chloride based antiperspirants that are stronger than those used for underarms.

If antiperspirants prove ineffective, iontophoresis is the next recommended treatment option. This is a process where the hands are submerged in water while a mild electrical current is passed for about 15–20 minutes. This treatment needs to be repeated a few times a week. Anticholinergic drugs, which block nerve signals to the sweat glands, can also be used. A more short-term solution is Botox (Botulinum toxin) injections, which temporarily block the nerves triggering sweat.

Beyond medications and ions, surgical interventions can also bring relief. One such procedure is known as endoscopic thoracic sympathectomy (ETS) which involves cutting or destroying the nerves that trigger the sweat glands.

However, it’s important to note that while these options can alleviate the symptoms, they are not without potential risks and side effects. Some of these include compensatory sweating (increased sweating in other parts of the body), mild shocks from iontophoresis, dry mouth with the use of anticholinergic drugs and the risk of damage to the lungs or nerves during ETS surgery. As such, you should always consult with a healthcare provider before commencing treatment.

Living with sweaty palms can have a profound impact on a person’s lifestyle. But remember, there are options out there which can help alleviate the symptoms and improve the quality of life for those with hyperhidrosis.