Sweaty Palms - No Shame. Just Answers To This Common Medical Condition

It is normal to sweat when you are nervous or hot. But if your palms sweat excessively even when you are calm or in cool conditions, it could be a medical condition called primary hyperhidrosis. It is not dangerous, but it can be embarrassing or interfere with daily activities like shaking hands, writing, or using electronic devices.

Sweaty palms are relatively common in Singapore’s humid climate. Studies suggest that around 2% of people in Singapore may have hyperhidrosis. Many do not seek help, thinking it is something they just have to live with — but effective treatments are available locally.

There are several treatment options available in public hospitals and private clinics:

• Antiperspirant creams or sprays containing aluminium chloride.
• Iontophoresis, a mild electric current therapy that reduces sweating.
• Botulinum toxin (Botox) injections, which temporarily block the nerves causing sweating.
• Oral medication, which reduces overall sweating.
• Surgery (ETS – Endoscopic Thoracic Sympathectomy), reserved for severe cases, where nerves responsible for excessive sweating are interrupted.

Yes, most treatments are safe and effective when done by qualified doctors. Non-surgical treatments such as Botox or iontophoresis are widely used in Singapore with good results. ETS surgery is also available but carries some risks, such as compensatory sweating (increased sweating in other body parts). Your doctor will explain the pros and cons before any procedure.

While lifestyle changes alone will not cure hyperhidrosis, they can help manage it:

• Keep your hands clean and dry.
• Use absorbent tissues or hand powders.
• Avoid spicy food and caffeine, which can trigger sweating.
• Manage stress with relaxation techniques such as meditation or yoga.

If symptoms are severe, medical treatment is still recommended.