How to treat armpit odor?

  Although armpit odor is not a serious disease, but the smell of it can be fatal. Whether male or female, if you have armpit odor, usually in addition to shrink, but also always attract people’s strange eyes. People with armpit odor are even more people to avoid. This makes people with armpit odor have a lot of psychological pressure. So how can you get rid of this annoying smell?  What is the cause of armpit odor? What are the symptoms?  There are two types of sweat glands in the body: the sweat glands and the small sweat glands. The sweat gland is also known as the parietal sweat gland (parietal pulp gland), which exists only in the armpits, areola, umbilicus, anus, vulva and external ear canal, etc. Except for the armpits, the gland is extremely weak in other parts of the body and produces very little sweat. The sweat secreted by the parietal sweat glands is initially sterile, and under the action of microorganisms, the organic matter in the sweat is decomposed to form short-chain fatty acids and ammonia with a special odor, leading to the occurrence of parietal sweat gland hyperhidrosis. Because the amount of sweat secreted by the human body increases greatly in summer, as well as the poor hygiene habits of individual patients and local microbial growth, summer is the most troubling season for patients with axillary odor. Because the sweat glands secrete abundantly in adolescence, the disease is mostly seen in young adults, and fox odor is also hereditary and related to gender and racial differences. As the body odor (fox odor) of the yellow race is extremely light, once who has a heavy body odor (fox odor is obvious), the surrounding people feel particularly pungent, when the ambient temperature is higher, or the mood is more nervous, the patient’s armpits will be abnormal excessive sweating, and emit an unpleasant smell. Excessive sweating and fox odor can stain clothes yellow and leave a long-lasting smell, causing cleanliness problems. This symptom is most pronounced during adolescence and is easily aggravated in the summer heat. A few patients can also emit this odor from the vulva, perianal area and areola. Although the odor does not damage the body, the patient will develop a heavy psychological burden, which will affect marriage, employment, higher education, and friendships. In addition, most patients have soft cerumen in the external ear canal, which means that the ear canal is moist and often has mucousy oily earwax present.  What are the treatment methods for armpit odor? What are the pros and cons of each?  1, non-surgical treatment: including diligent bathing, diligent change of clothing, socks, keep the local clean and dry, remove secretions to reduce the reproduction of bacteria; with hyperhidrosis to treat local sweating, such as external use of 20% to 25% aluminum chloride solution, etc. 1% povidone iodine solution, 1: 8000 potassium permanganate solution or 0.5% neomycin solution local wet compresses or soaking, can be sterilized and temporary relief of odor. But even with the above methods, can not be maintained for a long time.  2, injection therapy application of uratan, alum, anhydrous alcohol, urea, formalin, etc. injected into the bilateral axilla subcutaneously to destroy the gland or block its discharge path. The operation of this method is relatively simple, but the amount of injection is not easy to control, to prevent the injection is too shallow or too much, so as not to cause skin necrosis, too little injection is likely to fail to achieve the purpose of treatment, so the method is currently less used.  3.Botulinum toxin injection treatment can be done by injecting botulinum toxin to treat armpit odor. Botulinum toxin can interfere with nerve conduction to relax the muscles and inhibit the secretion of sweat glands in the armpit area, so as to achieve the effect of eliminating odor. Botox treatment of armpit odor, and can not achieve a permanent cure, the effect of the drug in about 6 months, need to repeat the drug treatment several times.  4, physical therapy using laser, high-frequency electroacupuncture, freezing and other methods to destroy the sweat glands in the axillary hair area, and through the formation of skin scar tissue to block the exclusion of glandular secretion, prompting glandular atrophy. This method is easy to operate and causes little damage, but the disadvantage is that it requires a high level of operation and the distribution of sweat glands is complex, so it is difficult to ensure that all sweat glands are destroyed in practice, so the treatment effect is short-lived and the recurrence rate is high, and it may leave cauterization scars, and in serious cases, scar hyperplasia, and even cause bilateral upper limb activity restriction. The relapse rate is higher due to the degree of sweat gland destruction and human tolerance. 80% of patients feel that the effect is unsatisfactory, relapse is faster, and even disrupt the normal metabolic function of the body.  5, folk remedies and so on are mainly used for external application, these fox odor remedies and can not achieve the root effect.  6, surgical treatment: through surgery, the destruction of human sweat glands or cut off the sweat ducts, preventing the discharge of sweat, so that you can fundamentally achieve the purpose of getting rid of sweat odor. Therefore, the current thorough treatment of armpit odor or surgical methods. In summary, the common surgical methods are axillary skin excision and minimally invasive axillary odor stripping, the latter more commonly used.  Axillary skin excision is to remove all the skin with axillary hair, and finally suture the incision. The advantage is that the treatment is clean, thorough and not easy to recur. But the disadvantages are very obvious: the incision is large, often because the excision of too much skin, resulting in excessive tension at the incision, affecting the healing, or the formation of scar contracture after healing, when serious upper arm lifting will produce pulling sensation, affecting the movement of the upper limbs, cut small and can not really eradicate, in addition to the scar is too large is also one of the reasons why the method is less used.  7, micro-cutting therapy, minimally invasive cortical interventional removal, etc., this type of therapy is currently more popular, but also the main therapy in major hospitals, outpatient clinics. The results are closely related to the medical level and experience of the professional physicians. This is to open an incision in the underarm skin, turn the skin over, remove the sweat glands, or cut off the ducts of the sweat glands, to achieve the purpose of eradicating fox odor, the surgical method because of the destruction of the hair follicles, can achieve the effect of removal at the same time, for many female patients can be said to be a double whammy. Suction is currently the most commonly used minimally invasive procedure with a low incidence of post-operative complications, making it a relatively safe and reliable surgical method. The procedure is less invasive, maintains skin integrity, and results in smaller post-operative scars, allowing many patients who are concerned about scarring to put aside their concerns. However, there may be problems with residual sweat glands. The method requires relatively high requirements for the operating surgeon, requiring proper use of instruments and skilled operating skills and extensive clinical experience, and the patient requires postoperative pressure bandaging and regular medication changes, etc. Postoperative care is also critical to the success or failure of the procedure.  Small wound endoscopic rotational scraper surgery, small surgical trauma, fast recovery, and small postoperative recurrence rate. The axillary wound is only about 0.5 centimeters, can effectively remove more than 90% of the top pulp gland and hair follicles, after surgery not only fox odor is gone, axillary hair is also reduced, really two birds with one stone.  Please do not shave your armpit hair one week before surgery; 2. stop using antiperspirants three days before surgery; 3. shower and clean your body at home before surgery; 4. wear a loose top on the day of surgery to facilitate post-operative bandaging; 5. eat on the day of surgery but do not eat soup and water; 6. stop using painkillers or anti-coagulant drugs the day before surgery; 7. do not shave your armpit hair before surgery; 8. Please arrive at the hospital on time according to the appointment, if you do not come, please call three days before to cancel the surgery.  Post-operative care of axillary odor surgery 1. Within two weeks after surgery, arms should not be raised above the shoulders, strictly avoid the movement of arm extension (such as taking the bus to pull the bracelet, putting on and taking off the overhead clothing, as well as cycling, driving the steering wheel and other movements), avoid strenuous exercise, excessive sweating, because these may occur wound hematoma and part of the skin necrosis, wound healing complications; 2. The gauze will be removed by the nursing staff on the 3rd-5th day after surgery; 3. The medication can be changed on the 3rd-5th day after surgery, and the armpits will be washed with saline or cold boiled water and dried, then covered with gauze after thinly applying ointment; 4.