Unpleasant Skin Odors: Causes and Solutions - Dermatology

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Skin odor


Hello doctor, I would like to ask about an issue I've been experiencing recently.
For the past few days, whenever I place my hand close to my nose, I can smell a foul odor that resembles the smell of feces.
This happens not only with my palms but also with my arms.
What could be the problem?

Pingzi, 20~29 year old female. Ask Date: 2008/09/26

Dr. Zhang Zhibo reply Dermatology


Hello: The odor from the hands comes from sweat.
Generally, sweat is odorless, but it can produce an unpleasant smell when broken down by bacteria on the skin.
The same applies to the arms.
Additionally, sweat contains some urea and waste products, which can sometimes give it a smell similar to urine.
This is a normal phenomenon.

Reply Date: 2008/09/26

More Info


Unpleasant skin odors, particularly those resembling fecal smells, can be concerning and may indicate various underlying issues. The phenomenon you are experiencing, where your hands and arms emit an unpleasant odor, can arise from several factors, including hygiene practices, skin conditions, diet, and even metabolic disorders.


Possible Causes
1. Hygiene and Sweat: One of the most common reasons for unpleasant odors on the skin is inadequate hygiene. Sweat itself is odorless, but when it interacts with bacteria on the skin, it can produce foul smells. If you are sweating excessively or not washing your hands and arms regularly, this could lead to the odor you are experiencing.

2. Skin Conditions: Certain skin conditions, such as intertrigo (inflammation of skin folds), fungal infections, or bacterial infections, can also produce unpleasant odors. These conditions often occur in areas where moisture accumulates, leading to bacterial overgrowth and subsequent odor.

3. Diet: The foods you consume can affect your body odor. For instance, a diet high in certain spices, garlic, or sulfur-containing foods can lead to changes in body odor. Additionally, if you have recently changed your diet or are consuming more processed foods, this could contribute to the issue.

4. Metabolic Disorders: In rare cases, certain metabolic disorders can lead to unusual body odors. For example, trimethylaminuria (fish odor syndrome) is a condition where the body cannot break down trimethylamine, leading to a strong fishy odor. While this is not directly related to fecal odors, it illustrates how metabolic issues can affect body scent.

5. Dehydration: Not drinking enough water can lead to concentrated sweat, which may have a stronger odor. Ensuring adequate hydration can help dilute sweat and reduce any unpleasant smells.


Solutions
1. Improve Hygiene: Regularly wash your hands and arms with soap and water, especially after sweating or engaging in activities that may lead to odor. Consider using antibacterial soap to help reduce bacteria on the skin.

2. Moisturize: If your skin is dry, it may be more prone to irritation and odor. Use a gentle, non-comedogenic moisturizer to keep your skin hydrated without clogging pores.

3. Dietary Adjustments: Evaluate your diet and consider reducing the intake of foods known to cause strong odors. Incorporating more fruits and vegetables can help improve overall body odor.

4. Stay Hydrated: Drink plenty of water throughout the day to help flush out toxins and dilute sweat, which may help reduce odor.

5. Consult a Dermatologist: If the odor persists despite good hygiene practices, or if you notice any accompanying symptoms (such as redness, itching, or unusual skin changes), it is essential to consult a dermatologist. They can assess your skin condition and recommend appropriate treatments or further investigations if necessary.

6. Consider Medical Evaluation: If you suspect that the odor may be related to a metabolic disorder or if you have other concerning symptoms, it may be worthwhile to consult a healthcare provider for a thorough evaluation.

In summary, unpleasant skin odors can stem from various causes, including hygiene, skin conditions, diet, and metabolic issues. By improving hygiene practices, staying hydrated, and possibly adjusting your diet, you may be able to alleviate the odor. However, if the problem persists, seeking professional medical advice is crucial to rule out any underlying conditions.

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