"Is Strong Underarm Odor the Same as Fox Odor (Body Odor)?"

Heavy Armpit Odor: Causes and Treatments

Heavy armpit odor can be caused by狐臭 (bromhidrosis) or other underlying conditions such as hyperhidrosis, diabetic ketoacidosis, and liver cirrhosis. It is advisable for patients to promptly consult a doctor for a precise diagnosis and subsequent targeted treatment. Below are the explanations and corresponding treatments for the potential causes:

1. Bromhidrosis (Axillary Hyperhidrosis with Odor)

Also known as axillary apocrine bromhidrosis, this condition arises when excessive sweat produced by the apocrine glands in the armpits is broken down by bacteria, generating unsaturated fatty acids that emit a distinctive odor. Patients typically experience an unpleasant smell accompanied by excessive local sweating. Treatment options include using medications like Aluminum Chloride Hexahydrate Solution as prescribed and surgical procedures.

2. Hyperhidrosis

Prolonged exposure to hot, humid environments or excessive mental stress can trigger hyperhidrosis, leading to excessive sweating in the armpits. If not promptly cleaned, this can result in a strong odor. Frequent bathing, changing clothes, and medications like Oryzanol can help alleviate symptoms.

3. Diabetic Ketoacidosis

Diabetic ketoacidosis is an acute complication of diabetes resulting from absolute or relative insulin deficiency and insulin resistance. As blood sugar levels rise, excess glucose is excreted through urine, causing hypoglycemia. The body then compensates by breaking down fats for energy, producing acidic byproducts like acetone, which are expelled through sweat, contributing to armpit odor. Management involves blood sugar control with medications like Metformin.

4. Liver Cirrhosis

A common chronic, progressive liver disease, cirrhosis can be associated with excessive alcohol consumption or viral infections. It impairs liver function, affecting bilirubin metabolism, leading to its accumulation in the blood and subsequent jaundice. Bilirubin can deposit on the skin, including underarms, contributing to an unpleasant odor. Treatment may involve medications like Compound Glycyrrhizin Tablets under medical supervision.