[18F] Experiencing persistent strong body odor

Patient Description

An 18-year-old female has been experiencing a strong and unpleasant body odor for nearly two years, which remains consistent and is sometimes noticeable to others. Despite using various deodorants, including prescription antiperspirants, the odor persists. Post-shower, she experiences excessive sweating, and her armpits often become red and have darkened over time. She has no other associated symptoms, no sudden weight changes, or signs of hormonal imbalances. There is no past medical history of chronic illnesses or conditions, and the only allergy reported is to the skin of peaches. She is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Hyperhidrosis: This condition causes excessive sweating, which can lead to body odor. The sweat can cause skin changes such as redness and darkening.

    • Treatment options include prescription antiperspirants, medications, iontophoresis (a procedure that uses electricity to temporarily turn off the sweat glands), Botox injections, and surgery.
  • Bromhidrosis: This is a condition characterized by unpleasant body odor, often perceived as "smelly sweat". It's usually related to the breakdown of sweat by bacteria and yeasts present on the skin.

    • Treatment often involves addressing the excessive sweating (as in hyperhidrosis), as well as using antibacterial soaps and topical antibiotics to reduce the bacteria on the skin.
  • Hormonal changes: Although you have not reported any other signs of hormonal imbalances, it's worth noting that hormonal changes can sometimes cause changes in body odor and sweating. This is more common during puberty, menstruation, pregnancy, and menopause.

Please note that these are potential explanations based on the information provided, and it's important to consult a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Maintain good hygiene: Shower at least once a day and after exercising, using antibacterial soap. Dry yourself thoroughly, as bacteria and yeasts can multiply in damp areas.

  2. Clothing: Wear breathable fabrics, such as cotton, to allow sweat to evaporate. Change your clothes if they become sweaty.

  3. Diet: Certain foods and drinks, such as spicy foods, garlic, and alcohol, can contribute to body odor. Try to identify any potential dietary triggers and reduce your intake of these.

  4. Consult a healthcare professional: If your symptoms persist despite these measures, it would be a good idea to consult a healthcare professional. They can provide a formal assessment and may suggest treatments such as prescription antiperspirants, medications, or procedures.

What you should look out for

  • If your symptoms worsen or you develop additional symptoms
  • If you notice a sudden change in your body odor
  • If your symptoms are causing significant distress or affecting your daily life

Remember, it's important to seek care from a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is hyperhidrosis and how is it treated?

Hyperhidrosis is a condition characterized by excessive sweating, which can lead to body odor and skin changes. Treatment options include prescription antiperspirants, medications, iontophoresis, Botox injections, and surgery.


What causes bromhidrosis and what are the treatment options?

Bromhidrosis is caused by the breakdown of sweat by bacteria and yeasts on the skin, leading to unpleasant body odor. Treatment involves managing excessive sweating and using antibacterial soaps and topical antibiotics to reduce skin bacteria.


Can hormonal changes affect body odor and sweating?

Yes, hormonal changes can affect body odor and sweating, especially during puberty, menstruation, pregnancy, and menopause. However, the patient in this case has not reported other signs of hormonal imbalances.


What lifestyle changes can help manage excessive sweating and body odor?

Lifestyle changes to manage excessive sweating and body odor include maintaining good hygiene, wearing breathable fabrics, avoiding dietary triggers like spicy foods and alcohol, and consulting a healthcare professional for persistent symptoms.


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