The Hyperhidrosis Disease Severity Scale (HDSS) grades the sweating problem according to how it affects your life.

1. Not affect day to day living
2. Sweating is tolerable
3. Sweating is a problem but struggling to cope
4. Always interferes with daily activities

The symptoms could be due to one of a large number of medical conditions, including endocrine disorders, neurological problems and the use of certain drugs.

That’s why the consultation and treatment should both be carried out by a medically qualified doctor who has the knowledge and training to assess and rule out any potential underlying causes before treating the excess sweating.

If you suffer from excessive sweating, chances are that you suffer every day.

• You may constantly worry about how much you’re sweating.
• You may spend hours each day dealing with sweat – changing clothes, “freshening up”, wiping, placing napkins or pads under your arms or in your pockets, bathing, and hiding under dark-colored, bulky clothes.
• You may have lost friends and opportunities because of extremely sweaty palms, feet, or armpits.
• Afraid of what people will think, you may even make excuses to stay home, or choose careers in which you don’t have to interact with people, shake hands, or give presentations.

Emotional problems, including depression, social isolation, and decreased confidence, can result.

We would recommend treatment for anyone whose symptoms are disrupting their daily lives. Ideally, the treatment is for people who:

• constantly worry about the problem
• have to carry supplies (medication, deodorants, extra clothes, powder or pads)
• find it affects confidence and social interaction
• have stained clothing and uncontrollable odour

To gauge how much the sweating problems affect your day to day life have a look at some questions we regularly ask our patients to see if they qualify for medication or BOTOX® injections.

• How many times per day do you think or worry about sweating?
• How many times per day do you change clothes? Bathe?
• Do you carry “supplies” (such as pads, extra clothes, napkins, powders, antiperspirants, or towels) to help you manage your sweat?
• How often do you have to purchase new clothing or shoes? Do you find that you make such purchases more frequently than other people?
• How many minutes or hours per day do you spend “dealing” with sweat?
• Have you tried any topical solutions (antiperspirants, powders, or deodorants) designed to control sweating? If yes, how many different types?
• Do you ever change your social plans due to excessive sweating or fear of excessive sweating?
• Have you ever damaged reading or writing material, artwork, paperwork, a musical instrument, or an electric or metallic device due to sweating?
• Does excessive sweating affect your work performance or career choices?
• Have you experienced skin irritation or infections due to excessive sweating or your attempts to manage excessive sweating?
• Does sweating in public cause you distress?
• When you are in a situation involving contact with other people, or when you think about such a situation, do you experience sweating?
• Have you ever lost friends or a job due to excessive sweating?

For further information https://www.sweathelp.org/ and https://hyperhidrosisuk.org/.