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Symptoms of Excessive Sweating

Woman surprised by underarm sweat patch

Noticing visible sweat patches is a common symptom of excessive sweating

Symptoms of Excessive Sweating

The symptoms of excessive sweating go beyond moisture. Excessive sweating affects comfort, hygiene, mental health, and sometimes physical wellbeing. It may also impact social and professional interactions, making people feel self-conscious or anxious.

Main Symptoms

Visible sweating, even in cool environments or when at rest

Sweat soaking through clothing, often requiring frequent changes

Sweaty palms or soles, which may interfere with writing, gripping objects, or walking

Shiny or damp face and scalp, especially during social interactions

Sweating during stress or minimal exertion, sometimes unrelated to temperature

Episodes occurring multiple times daily, often without warning

The condition may appear symmetrical (affecting both armpits, hands, or feet equally) in primary hyperhidrosis. In secondary cases, sweating may be widespread and occur during sleep.

Associated Physical Effects

Skin irritation – Prolonged moisture leads to chafing, rashes, or infections (especially fungal)

Foot odour or body odour – Due to bacteria thriving in warm, moist areas

Cracked skin – Particularly on the feet, where prolonged dampness softens and breaks down skin

Blisters or friction injuries, especially if wearing tight or synthetic clothing

Psychological and Emotional Impact

People with hyperhidrosis often struggle with:

Embarrassment, especially in public or professional settings

Social anxiety, due to fear of visible sweating or handshakes

Low self-esteem, leading to avoidance of group activities

Depression, in chronic or severe cases

Children and teenagers may be particularly vulnerable to bullying or social exclusion.

Sleep Disturbance

In secondary hyperhidrosis, night sweats may disrupt sleep and leave people feeling tired and irritable during the day. This is particularly common in menopausal women, those with infections, or individuals undergoing cancer treatment.

Symptoms of Excessive Sweating In South Africa

In South Africa, symptoms of hyperhidrosis are often underreported due to stigma. Many people don’t realise it is a treatable condition and believe they must “live with it”. Increased awareness campaigns can help reduce shame and encourage people to seek help.

Recognising the symptoms of excessive sweating is the first step towards diagnosis, treatment, and regaining confidence and control over daily life.

[Next: Diagnosis of Excessive Sweating→]

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