Bromhidrosis: Symptoms, Causes, Diagnosis, and Treatment

Written by Medicover Team and Medically Reviewed by Dr Rajitha Alluri , Dermatologist

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Bromhidrosis is a condition marked by unpleasant body odour due to sweat interacting with skin bacteria. It typically affects areas such as the armpits and groin, where sweat glands are most abundant. While not harmful, it can cause social embarrassment and emotional distress, making timely diagnosis and management essential.

What are the Bromhidrosis Symptoms and Warning Signs?

Bromhidrosis symptoms can interfere with daily life and confidence. Recognizing the early signs helps manage the condition more effectively. Individuals may notice a persistent odour despite hygiene, leading to social anxiety and discomfort. Understanding these early warnings allows for timely diagnosis and prepared treatment approaches.

Common Symptoms

• Persistent unpleasant body odour
• The odour that does not improve with regular hygiene
• Excessive sweating

Severe Symptoms

• Skin irritation or infections
• Psychological effects like anxiety or depression

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What are the Different Types of Bromhidrosis?

There are two primary types of bromhidrosis, each linked to different sweat glands. Understanding these types can help you choose the proper treatment method and manage expectations effectively.

Apocrine Bromhidrosis

Affects apocrine glands typically found in the armpits and groin. This type is more common and results from bacteria breaking down the thicker sweat produced by these glands. Hormonal changes, certain foods, and genetic factors can all contribute to triggering this condition.

Eccrine Bromhidrosis

Associated with eccrine glands distributed throughout the body. It is less common and linked with conditions like hyperhidrosis. Eccrine sweat is typically watery, and odour arises when this sweat interacts with certain foods, medications, or bacteria on the skin.

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What are the Common Causes and Risk Factors of Bromhidrosis?

Understanding the root causes and risk factors can help tailor an effective treatment strategy. This also helps identify lifestyle changes that could prevent the recurrence of the condition.

Causes

• Bacterial overgrowth on skin
• Excessive sweat production
• Breakdown of sweat by skin microbes

Risk Factors

• Genetics and family history
• Hormonal changes during puberty or menopause
• A diet rich in sulfur-containing foods
• Poor hygiene or tight clothing

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How is Bromhidrosis Diagnosed?

A correct diagnosis is essential to treat bromhidrosis effectively. Physicians assess symptoms and may conduct physical exams and laboratory tests to determine the cause and severity.

Diagnostic Methods

• Visual inspection of sweat-prone areas
• Sniff test to assess odour intensity
• Swab culture to identify bacteria

At Medicover

• Skilled dermatologists and diagnostic facilities
• Advanced lab tests to confirm the cause
• Personalised treatment plans based on findings

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What are the Treatment Options for Bromhidrosis?

Treatment focuses on reducing sweat production, managing bacterial growth, and addressing underlying causes. Options may vary based on the severity and type of bromhidrosis.

Topical Treatments

• Antiperspirants with aluminium chloride
• Antibacterial soaps
• Topical antibiotics like clindamycin

Oral Medications

• Antibiotics for bacterial infections
• Anticholinergics to reduce sweat gland activity

Surgical Interventions

• Liposuction to remove apocrine glands
• Surgical excision of sweat gland-rich areas
• Sympathectomy for nerve control of sweating

Alternative Therapies

• Botox injections to block sweat glands
• Laser ablation of sweat glands
• Dietary changes to avoid trigger foods

Lifestyle Adjustments

• Daily hygiene and breathable clothing
• Stress reduction techniques like meditation
• Avoiding known food triggers

Medicover Approach

• Combined care from dermatologists and dietitians
• Minimally invasive options are available.
• Long-term management for recurrence prevention

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When Should You See a Doctor for Bromhidrosis?

You should consult a doctor if body odour is persistent, interferes with your social or personal life, or is accompanied by other symptoms like skin infections. Early intervention can prevent complications and improve outcomes.

Seek medical attention if

• Odour worsens despite regular hygiene.
• Excessive sweating affects daily life.
• You notice skin irritation or rashes.

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What is the Recovery Process After Bromhidrosis Treatment?

Recovery varies depending on the treatment method used. Most individuals experience significant relief with consistent hygiene and treatment. Staying committed to follow-up and lifestyle changes ensures long-term results.

Post-Treatment Recommendations

• Continue prescribed medication or topical care.
• Maintain hygiene and a healthy diet.
• Attend follow-up visits

Medicover Support

• Ongoing monitoring
• Patient education and diet counselling
• Access to psychological support if needed

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What Precautions Can Help Prevent Bromhidrosis?

Preventing bromhidrosis involves managing sweat and bacterial growth through hygiene and lifestyle changes. Being proactive helps reduce the chances of recurrence and supports overall well-being.

Prevention Tips

• Bath daily and wear clean, breathable clothing.
• Avoid spicy foods, garlic, and onions.
• Use deodorants and antiperspirants.
• Stay hydrated and manage stress.

Complications if Left Untreated

• Social isolation and anxiety
• Recurrent skin infections
• Diminished quality of life

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Our Experience Treating Bromhidrosis

At Medicover Hospitals, we understand how body odour can impact daily life. Our dermatology specialists use advanced diagnostics and customised treatment plans to help patients regain confidence. From non-invasive therapies to long-term preventive care, we're dedicated to delivering compassionate and complete support for every individual living with bromhidrosis.

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