and Treating Body Odor in Adolescents: Causes and Solutions - Dermatology

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Body odor?


Hello, my daughter is 15 years old and has been experiencing a strong body odor for the past two years, which worsens in the summer.
Despite applying body powder after showering to mask the smell, it hasn't been effective, and she is becoming increasingly self-conscious.
I would like to know the possible causes of this phenomenon.
If treatment is necessary, what methods are typically used? Is there a permanent solution? Is this treatment covered by health insurance? Thank you!

Xiao Ping, 40~49 year old female. Ask Date: 2008/10/06

Dr. Huang Ruiyun reply Dermatology


Hello: There is a very easy solution to this problem, which is to go to a pharmacy (like Watsons) and buy a can of antiperspirant deodorant.
Keep it in the bathroom and remind your daughter to apply it to her underarms after showering.
After using it for a few days, she should start to see results.
These products come in roll-on, spray, and stick forms.
It is recommended to choose the roll-on type for better effectiveness.
Good brands include Ban or Avon (not an advertisement, just a suggestion).
This is a matter of individual physiology, as the apocrine glands in the underarms can produce a distinct odor.
If surgery is necessary, one can consult a plastic surgeon to remove the apocrine glands in the underarms, but this type of surgery is not covered by health insurance.

Reply Date: 2008/10/06

More Info


Body odor in adolescents can be a challenging issue, both for the individual experiencing it and for their family. At the age of 15, your daughter is going through significant hormonal changes that can contribute to increased body odor. Let's explore the potential causes, treatment options, and whether these treatments are covered by health insurance.


Causes of Body Odor in Adolescents
1. Hormonal Changes: During puberty, the body undergoes various hormonal changes that can lead to increased sweat production. The apocrine glands, which are activated during puberty, produce a thicker type of sweat that can lead to stronger odors when it comes into contact with bacteria on the skin.

2. Diet: Certain foods can contribute to body odor. Spicy foods, garlic, onions, and even some types of fish can affect how a person smells. A diet high in processed foods and sugars can also impact body odor.

3. Hygiene Practices: While your daughter is making efforts to maintain hygiene by showering and using powder, it’s essential to ensure that she is using the right products. Sometimes, regular soap may not be sufficient to combat odor, and specialized antibacterial soaps or body washes may be more effective.

4. Medical Conditions: In some cases, persistent body odor can be a sign of an underlying medical condition, such as hyperhidrosis (excessive sweating), diabetes, or metabolic disorders. If the odor is particularly strong or unusual, it may be worth consulting a healthcare professional to rule out any medical issues.


Treatment Options
1. Antiperspirants and Deodorants: Over-the-counter antiperspirants contain aluminum chloride, which helps reduce sweating. Deodorants mask odor but do not reduce sweating. For more severe cases, prescription-strength antiperspirants may be necessary.

2. Lifestyle Changes: Encouraging your daughter to wear breathable fabrics, such as cotton, can help reduce sweating. Regular washing of clothes, especially those worn during physical activity, is also important. Additionally, maintaining a balanced diet and staying hydrated can help manage body odor.

3. Medical Treatments: If over-the-counter options are ineffective, a healthcare provider may recommend treatments such as:
- Botox Injections: These can temporarily block the nerves that cause sweating, providing relief for several months.

- Iontophoresis: This treatment involves using a device that passes a mild electrical current through water and into the skin's surface, which can reduce sweating.

- Medications: Certain oral medications can help reduce sweating.

- Surgery: In extreme cases, surgical options to remove sweat glands may be considered.

4. Consultation with a Dermatologist: A dermatologist can provide specialized care and may suggest additional treatments tailored to your daughter's specific needs.


Insurance Coverage
Regarding health insurance, coverage for treatments can vary widely. Most insurance plans cover consultations with healthcare providers, and some may cover prescription medications or treatments like Botox. It’s essential to check with your insurance provider to understand what is covered under your plan.


Conclusion
Body odor in adolescents is a common issue that can often be managed with proper hygiene, lifestyle changes, and, if necessary, medical treatments. Encouraging your daughter to speak openly about her concerns and seek help can significantly improve her confidence and quality of life. If the problem persists despite these efforts, consulting a healthcare professional is advisable to explore further options.

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