How to Address Your Teen's Foot Odor: When to See a Dermatologist

Childhood foot odor?

Hello doctor, my child is 18 years old.
Recently, I noticed that her feet have a strong odor.
What should I do about it? Should I take her to a dermatologist? Thank you.

Mei mei, 40~49 year old female. Ask Date: 2011/12/17

Dr. Yang Zhiya reply Dermatology

It is important to keep the soles of your feet dry; you can change socks multiple times a day and alternate between several pairs of shoes.
If these measures do not improve the situation, it may indicate a bacterial or fungal infection, and it is advisable to consult a dermatologist.

Reply Date: 2011/12/17

More Info

Dealing with foot odor, especially in teenagers, can be a common yet distressing issue. The primary cause of foot odor is the presence of sweat and bacteria. When feet sweat, the moisture creates an ideal environment for bacteria to thrive, leading to unpleasant odors. Here’s how you can address this issue and when to consider consulting a dermatologist.

Initial Steps to Manage Foot Odor
1. Hygiene Practices: Encourage your teen to wash their feet daily with soap and water, ensuring they dry them thoroughly, especially between the toes. This helps reduce moisture and bacteria.

2. Footwear Choices: Advise them to wear breathable shoes made from materials like leather or canvas, which allow air circulation. Avoiding synthetic materials can also help reduce sweating.

3. Socks Matter: Opt for moisture-wicking socks made from materials like cotton or wool. Change socks daily, or more frequently if they become sweaty.

4. Foot Powder: Using foot powder or antiperspirant specifically designed for feet can help absorb moisture and reduce odor.

5. Regular Shoe Care: Encourage your teen to rotate their shoes and allow them to air out. Washing shoes regularly, if possible, can also help eliminate odor.

6. Diet Considerations: Sometimes, diet can influence body odor. Foods like garlic, onions, and spicy dishes can contribute to stronger body odors. A balanced diet may help mitigate this.

When to See a Dermatologist
If the foot odor persists despite good hygiene practices and lifestyle changes, it may be time to consult a dermatologist. Here are some signs that indicate a visit is warranted:
- Persistent Odor: If the odor does not improve with regular washing and care.

- Skin Changes: If there are any signs of skin infections, such as redness, swelling, or discharge, it’s essential to seek medical advice.

- Fungal Infections: If there are symptoms of athlete's foot (itching, peeling skin, or blisters), a dermatologist can provide appropriate antifungal treatments.

- Excessive Sweating: If your teen experiences excessive sweating (hyperhidrosis) that affects their daily life, a dermatologist can offer treatments, including prescription antiperspirants or other interventions.

Conclusion
Foot odor in teenagers can often be managed with proper hygiene and lifestyle adjustments. However, if the problem persists or is accompanied by other symptoms, consulting a dermatologist is advisable. They can provide a thorough examination, rule out any underlying conditions, and recommend effective treatments tailored to your teen's specific needs. Remember, addressing foot odor is not just about comfort; it can also significantly impact your teen's self-esteem and social interactions.

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