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Condition guide · Dermatology

Hyperhidrosis

Sweating far more than your body needs — what it is, why it happens, and how our consultant dermatologist can help.

Hyperhidrosis assessment at Bridge House Clinic
What is hyperhidrosis?

Hyperhidrosis is sweating that's far heavier than your body needs to control its temperature — often soaking the underarms, palms, soles or face even when you're cool and at rest.

It's a common and very manageable condition, not a sign of poor hygiene. Sweating can feel embarrassing and get in the way of work and daily life, but there are effective treatments — and a consultant dermatologist can help you find the one that suits you.

01Symptoms

Symptoms of hyperhidrosis.

Symptoms often start in the teens or twenties and tend to come on regardless of the temperature or how active you are.

01Visible, excessive sweatingSweat that soaks through clothing — most often the underarms, but also the palms, soles or face.
02Sweating without an obvious triggerIt happens even when you're cool, resting or not stressed — not just with heat or exercise.
03Damp or clammy hands and feetPalms and soles that feel constantly moist, making it awkward to grip, write or shake hands.
04An impact on daily lifeChanging clothes during the day, avoiding pale fabrics, or feeling self-conscious at work or socially.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

In most cases there's no underlying illness — the sweat glands are simply overactive, often in specific areas like the underarms, hands or feet. Sometimes sweating is linked to another factor, which a consultant will check for.

Overactive sweat glands (primary hyperhidrosis)
Often runs in the family
Usually starts in the teens or twenties
Hormonal changes, such as the menopause
Some medications or medical conditions
Anxiety, which can make it worse
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.It's affecting your daily life or confidenceIf sweating is interfering with work, relationships or what you wear, it's worth seeing a specialist rather than putting up with it.
II.Antiperspirants and self-help aren't enoughWhen strong antiperspirants and simple measures haven't controlled it, there are more effective treatments to consider.
III.The sweating has changed or started suddenlyNew, one-sided, or night-time sweating — or sweating that's begun later in life — should be assessed to rule out an underlying cause.
Book an assessment
Hyperhidrosis examination by a consultant
Diagnosing hyperhidrosis at Bridge House Clinic
04How it's diagnosed

Diagnosed by a consultant in clinic.

Hyperhidrosis is diagnosed clinically — Dr Dalia Alsaadi, Consultant Dermatologist, will talk through your symptoms and examine the affected areas at your consultation. No special scans are needed; the history and examination confirm the pattern and help rule out any underlying cause before agreeing a treatment plan with you.

05Treatment

How hyperhidrosis is treated.

We start with the least invasive option that's likely to help, and build up only if you need more.

01Antiperspirants & self-help

Stronger, prescription-strength antiperspirants and simple everyday measures are the usual first step and help many people.

02Underarm (axillary) Toxin

Small injections that calm the overactive sweat glands in the underarms — a well-established treatment when antiperspirants aren't enough, with results that build over a few days and last several months.

See dermatology consultation options & pricingYour assessment is a £200 consultation with the consultant dermatologist. Underarm Toxin is £400; if any other treatment is suitable for you, the fee is confirmed individually after your consultation, so you always know the price before going ahead.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Is hyperhidrosis serious or a sign of something wrong? +

For most people it isn't a sign of any underlying illness — the sweat glands are simply overactive. It's worth being assessed so a consultant can confirm that and rule out other causes, especially if the sweating has started suddenly or changed.

How does Toxin help with excessive sweating? +

Small injections into the underarm temporarily calm the overactive sweat glands in that area, reducing sweating. The effect builds over a few days and lasts several months, after which the treatment can be repeated. Underarm (axillary) Toxin is £400.

What should I try before Toxin? +

Treatment usually starts with the least invasive options — prescription-strength antiperspirants and simple everyday measures. Toxin is considered when these aren't enough. At your consultation, the dermatologist will talk you through the options that make sense for you and the order to try them in.

How much does treatment cost? +

An initial consultation with the consultant dermatologist is £200, and underarm (axillary) Toxin is £400. The fee for any other treatment is confirmed individually after your assessment, so there are no surprises.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.