Children Hyperhidrosis

Children and Hyperhidrosis: Causes, Symptoms, Diagnosis, and Treatment Options


Hyperhidrosis is a condition characterized by excessive sweating, affecting people of all ages, including children. In this comprehensive guide, we will discuss the causes, symptoms, diagnosis, and treatment options for hyperhidrosis in children, providing valuable insights for parents and caregivers. We’ll also explore the role of stress, sweat composition, and the reasons why we sweat in the context of hyperhidrosis.

Causes of Hyperhidrosis in Children

Hyperhidrosis can be classified into two main types: primary and secondary. Primary hyperhidrosis typically begins during childhood or adolescence, and its exact cause remains unknown. It is believed that overactivity in the sweat glands or the nerves that control them may contribute to this condition. Genetic factors may also play a role, as hyperhidrosis tends to run in families.

Secondary hyperhidrosis, on the other hand, is caused by an underlying medical condition or medication. Some possible causes of secondary hyperhidrosis in children include:

  • Hormonal changes during puberty
  • Diabetes
  • Thyroid disorders
  • Anxiety disorders
  • Certain medications

Symptoms of Hyperhidrosis in Children

The main symptom of hyperhidrosis is excessive sweating, which can occur in various body areas such as the hands, feet, armpits, and face. Children with hyperhidrosis may experience:

  • Sweating that is not related to physical activity or high temperatures
  • Sweat that soaks through clothing, causing stains and odor
  • Cold, clammy hands and feet
  • Difficulty holding objects due to sweaty hands
  • Social anxiety and self-consciousness related to sweating

These symptoms can have a significant impact on a child’s self-esteem, social interactions, and overall mental health.

Diagnosing Hyperhidrosis in Children

To diagnose hyperhidrosis in children, doctors typically start by reviewing the child’s medical history and conducting a physical examination. They may also ask about the severity and frequency of sweating, as well as the impact on the child’s daily life. In some cases, a sweat test may be performed to measure the amount of sweat produced.

If the doctor suspects an underlying medical condition, they may order additional tests to rule out potential causes of secondary hyperhidrosis. It is important to establish the root cause of excessive sweating in order to provide appropriate treatment and support for the child.

Treatment Options for Hyperhidrosis in Children

When it comes to treating hyperhidrosis, there is no single solution that works for everyone. The most effective method depends on the specific needs of each child and the root cause of their excessive sweating. Some possible treatment options include:

  1. Lifestyle changes and home remedies: Encouraging children to wear loose, breathable clothing, shower regularly, and avoid spicy foods can help minimize sweating and its impact on daily life. Parents can also teach children effective ways to use antiperspirants and establish a daily routine for hyperhidrosis management.
  2. Topical treatments: Over-the-counter or prescription-strength antiperspirants can be applied to the affected areas to reduce sweat production. Some topical treatments may contain aluminum chloride, which helps to block sweat ducts.
  3. Oral medications: In some cases, doctors may prescribe oral medications for hyperhidrosis, such as anticholinergic drugs, which help to reduce sweat production by blocking nerve signals to the sweat glands.
  4. Iontophoresis: This non-invasive treatment involves passing a mild electrical current through water to the affected skin areas, temporarily blocking the sweat glands. Iontophoresis machines are available for home use, such as the Iontodri ID-1000 All-in-One Iontophoresis Machine. Parents can follow a step-by-step guide to iontophoresis treatment for hyperhidrosis or even consider building a DIY iontophoresis machine. It is essential to understand the contraindications before starting iontophoresis treatment.
  5. Botox injections: Botulinum toxin treatment for hyperhidrosis involves injecting small amounts of Botox into the affected areas, temporarily blocking the nerves that stimulate sweating. This treatment is typically used for excessive underarm sweating and may need to be repeated every few months.
  6. Surgery: In severe cases, surgical procedures such as sympathectomy or sweat gland removal may be considered. However, these options are typically reserved for cases that do not respond to other treatments and involve potential risks and complications.
  7. Psychotherapy and support: Children with hyperhidrosis may benefit from psychological support to help them cope with the emotional and social challenges associated with excessive sweating. Therapists can provide strategies for managing anxiety, boosting self-esteem, and improving overall mental health.

It is crucial to involve healthcare professionals in the decision-making process when choosing the best treatment options for a child with hyperhidrosis. A combination of treatments may be necessary to effectively manage the condition.


Hyperhidrosis can be a challenging condition for children, affecting their self-esteem, social interactions, and overall well-being. By understanding the causes, symptoms, and diagnosis of hyperhidrosis, parents and caregivers can provide the necessary support and guidance to help their child manage this condition. A variety of treatment options are available, ranging from lifestyle changes and home remedies to medical interventions. Involving healthcare professionals and choosing the most appropriate treatment plan for the child’s specific needs is essential for effective hyperhidrosis management.

As a parent, it’s important to keep in mind that hyperhidrosis can affect your child’s mental well-being, so be ready to provide emotional support and seek expert assistance if required. Through a combination of treatments, lifestyle adjustments, and support, children with hyperhidrosis can lead healthy, fulfilling lives despite the challenges associated with excessive sweating.

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