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What is the cause and treatment for foul body odor?

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Dr. Hardik Pitroda

Dermatologist

Practicing since :2010

Answered : 1489 Questions

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Posted on Tue, 5 Aug 2014 in Skin Hair and Nails
Question: Hello Doctor,

I am XXXX my age is 36. Since some months i am gettig a bad smell in my body. In my office my other friends told me the same. Really i got tensed and tried applying perfumes deodrants everything, but the smell is not going at all.I am sitting in AC all the time and one more thing i having heavy dandruff in my hair since past 2 to 3 years and 4 months back i went to dermitologist. He given some shampoo and while applying that shampoo it goes and again comes. Any shampoo or any other thing if i apply it goes and again it comes back.

Now i am not sure why i am getting this bad body XXXXXXX is it due to dandruff or any other medical symptoms. I am taking medicine for anxity. Could you please advise me on the below :

1) Why i am getting such a bad odur from my boy. Any solution?
2) Why my dandruff is not going snce 2 to 3 years?
Please advise at the earleist.

doctor
Answered by Dr. Hardik Pitroda 2 hours later
Brief Answer:
oral and topical antifungals, antifungal shampoo

Detailed Answer:
Hello,
Thank you for posting on HCM.

From keen review of your history and description, it seems you might be having seborrheic dermatitis. Its a kind of chronic inflammatory skin condition involving sebaceous glands i.e oil producing glands of the body and it is also dictated by certain fungal like Malessizia.
Combination of inflammation, excess oil or sebum production and fungal overgrowth produces characteristic flaky plaques on scalp, behind ears, and around nose. These lesions can emanate some foul odor.

Generally in my patients of seborrheic dermatitis, I prescribe a short course of oral antifungal drugs like ketoconazole or fluconazole.
For daily application, I recommend a clotrimazole and betamethasone based lotion and cream over affected areas twice a day for 6-8 weeks.
To cleanse the scalp of foul smelling plaques and flakes, use ketoconazle, ZPTO and salicyclic acid based shampoo twice or thrice a week.
Use ketoconazole soap to rinse underarms and groin area.
Avoid excessive use of hair oil.

I am sure within few weeks of treatment, you will be pretty fine
Let know about your situation after 3 weeks.
Please let me know if I can be of any more assistance to you.
Thank you
Take care
Dr Hardik Pitroda
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Hardik Pitroda 52 minutes later
Thank you Doctor for the prompt response.

So, you mean to say the smelling is becasue of Dandruff and there is no other cause. Any can you please tell me the exact name of the that cream which i can apply to hair to reduce this.

Any do you think this smelling is coming our from my scalp only.?

Hello Doctor,

I saw the picture of seborrheic dermatitis in google.. Yes i have a kind of same light white patch in head,i can see that and hair is also falling. You mean this cause smelling?

I have uploaded the photo of my forehead.. Please check and let me know is it the same. If yes, please suggest some medicine to me so i can get rid of this bad smelling. pleease
doctor
Answered by Dr. Hardik Pitroda 1 hour later
Brief Answer:
Oral and topical antifungals, topical clobetasol

Detailed Answer:
Hello XXXX

Thank you for the photographs.

From observating your pics it looks pretty much like seborrheic dermatitis. But I would like to keep a differential diagnosis of scalp psoriasis.

Anyways the treatment remains almost the same.

Take oral ketoconazole tablet 200mg (NIZRAL) once daily after lunch for 15 days.
Apply a lotion containing clobetasol and salicyclic acid ( CLOP-S Nano lotion) and a lotion containing Sertaconazole (ONABET lotion). Mix both the lotion in 1:1 ratio and apply twice a day over affected scalp.

Use ketokonazole and salicylic acid based shampoo thrice a week.( SALISIA- KT)

To reduce the foul odour I would suggest one simple treatment. Get a packet potassium permanganate crystals. Take just 2-3 tiny crystals and add to half bucket full of lukewarm water, stir gently to dissolve crystals and you would get pale pink color of solution.(Match color with the color of your nail bed as a guide!). Use this solution on daily basis to rinse your scalp.

Please discuss all these treatment options with your dermatologist and take the prescriptions accordingly.

I am sure just one week of this treatment and you would be doing fine.

Hope the information was satisfactory.
Thank you
Dr Hardik Pitroda


Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Hardik Pitroda 22 minutes later
Thank you Doctor
doctor
Answered by Dr. Hardik Pitroda 1 hour later
Brief Answer:
----

Detailed Answer:
You are most welcome XXXX.
Kindly do rate the answer and drop your valuable feedback and review.
If possible do update me on your condition after 3 weeks.
You can use the following link to reach me directly:
http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169
Wish you best of health
Take care
Dr Hardik Pitroda
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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