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General Practice 2023

Bromhidrosis: what é, symptoms, causes and treatment

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Bromhidrosis: what é, symptoms, causes and treatment
Bromhidrosis: what é, symptoms, causes and treatment
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Bromidrosis is a condition that causes a bad smell in the body, usually in the armpits, popularly known as cê-cê, on the soles of the feet, known as foot odor, or in the groin. This bad smell arises due to the production of sweat by the apocrine glands, very concentrated in these regions, which favors the multiplication of bacteria and causes an unpleasant odor.

These glands that produce smelly sweat appear in early adolescence, around 8 to 14 years of age, and there are people who have a greater number and, therefore, these people have a more intense unpleasant smell.

To treat bromhidrosis, there are options such as removing hair from the region, avoiding repeating clothes and using long-lasting deodorants, which reduce sweat production.In addition, in necessary cases, the doctor may prescribe the use of antibiotic ointments, such as Clindamycin, or even treatment with surgery or laser to reduce the apocrine glands.

Symptoms of bromhidrosis

The main sign indicative of bromhidrosis is the bad smell, even if the proper hygiene of the place is carried out, being in some cases accompanied by excessive sweating. According to where it occurs, bromhidrosis can be classified into a few types, the main ones being:

  • Axillary bromhidrosis,which is characterized by bad smell and intense smell in the armpits;
  • Plantar bromhidrosis,which occurs on the soles of the feet, being popularly known as foot odor;
  • Groin bromhidrosis,that affects the groin due to the proliferation of microorganisms in the region.

In addition, there is also hormonal bromhidrosis, in which the bad smell is generalized and happens due to hormonal changes, being more frequent in adolescents.

Main causes

Bromidrosis occurs mainly as a consequence of the alteration of the skin microbiota, in which the bacteria and fungi present at the site start to proliferate in a disorderly way and promote the decomposition of the secretions released by the glands and the keratin present in the skin, resulting in in the bad odor.

This situation can be favored by shoveling skin and/or clothing hygiene, or be a consequence of the consumption of certain foods or medications, diabetes, alcoholism or hormonal changes.

How to treat

Bromidrosis is curable, and to treat it effectively, it is necessary to reduce the amount of bacteria in the skin, and this may be indicated:

  • Use of antiseptic or antibacterial soaps, especially in areas of the body where the strongest smell is noticed;
  • Using antiperspirant or antiperspirant deodorants, such as those containing aluminum, to decrease sweat production by the glands and prevent bad smell;
  • Use of antibiotics in ointments, such as Clindamycin or Erythromycin, which can decrease the population of bacteria in the affected region. The use of antibiotics should only be indicated as a last resort, as it can favor the development of resistance by bacteria present in the region, making them more difficult to eliminate.

Another good option for people who sweat a lot is performing procedures that can reduce the number of sweat glands, such as gland removal surgery or laser treatment, which should be indicated by the dermatologist after the alternatives previous ones have not been effective.

Check out some natural ways to fight the bad smell of armpits in this video:

What to do to avoid it

Some simple ways to control bromhidrosis are to use natural techniques that reduce bacteria in the areas of greatest sweat production, such as:

  • Wash the skin daily, lathering well the area of ​​the feet, armpits or groin;
  • Dry the skin well after bathing, especially between the fingers and under the skin folds;
  • Always wash clothes well and avoid repeating them;
  • Remove hair from areas such as armpits and groin, as they are responsible for accumulating dirt and sweat;
  • Prefer to wear cotton clothes, cooler and not too tight;
  • Change socks and underwear daily;
  • Use antiperspirant or antibacterial foot sprays or powders;
  • Wear open shoes whenever possible.

Also, another very important tip is to keep the areas with the worst smell free of hair, as the hair facilitates the accumulation of dirt and bacteria, intensifying the smell.However, if these techniques do not improve the smell of sweat, it is recommended to consult a dermatologist to start using some products that help reduce the amount of sweat and, consequently, avoid the unpleasant smell.

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