Q: I suffer from hyperhidrosis and notice that even during the colder months, my excessive sweating doesn’t stop. Is this normal, and how can I manage it when it’s chilly outside?
A: Yes, it is common for people who suffer with hyperhidrosis to have excessive sweating year-round — but that doesn’t mean it has to be your normal. Hyperhidrosis is a condition where sweat glands become overactive, leading to excessive sweating regardless of external temperature. While most people associate sweating with heat or physical exertion, those with hyperhidrosis can experience it year-round. Factors like stress, anxiety or even specific triggers such as foods can also contribute to this problem, no matter the weather.
One of the most noticeable challenges in cooler weather is managing sweaty hands and feet. Even when temperatures drop, individuals with hyperhidrosis may find their palms and soles excessively moist, which can feel especially uncomfortable in the dry, cool air. Warm clothing can exacerbate sweating in the underarms and other areas, as thick layers tend to trap moisture, creating discomfort even when it’s cold outside.
Managing hyperhidrosis during this time of year requires a few adjustments. First, it’s important to choose the right clothing. Opt for breathable fabrics, such as cotton or moisture-wicking materials, which help reduce moisture buildup. Avoid heavy, synthetic fabrics that trap heat and sweat. Although it’s cold, continuing to use antiperspirants — especially clinical-strength ones — can be helpful. Applying them at night allows the active ingredients to block sweat glands more effectively by the next day.
For those with persistent issues in their hands and feet, incorporating sweat-absorbing powders or specialized socks and gloves can make a difference. These products help control moisture and prevent excessive sweating from becoming too uncomfortable. If over-the-counter solutions don’t offer enough relief, there are medical treatments available, including prescription topical and oral medications, Botox injections and iontophoresis, which can significantly reduce sweating.
Lastly, don’t overlook the role stress plays in worsening hyperhidrosis. Cooler months can bring added stress, whether from holidays or work demands. Managing stress with mindfulness techniques, regular exercise or breathing practices can help mitigate stress-induced sweating.
If your symptoms become overwhelming or significantly affect your quality of life, it’s important to see a doctor. Hyperhidrosis can be managed effectively with the right approach, no matter the season.
Dr. Abby Russell is a dermatologist with Galen Dermatology North and a member of the Chattanooga-Hamilton County Medical Society.