bkdaniels
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May 29, 2005, 1:40 PM
Post #3 of 29
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Hey Guest, how are you doing?
Washing under the arm plus the use of a topical antibiotic ointment (neomycin solution 0.5 percent) is by far the best deoderant known. Bathing twice a week is sufficient to get rid of grime and dirt; the parts that do not need washing are the rectal and genital areas, occasionally the feet, and occasionally under the arms when there is excessive sweating.
Bromhidrosis, also known as bromidrosis or body odor is a common phenomenon in postpubertal individuals. This condition, determined largely by apocrine gland secretion, can substantially impair a person's quality of life.
Eccrine glands are distributed over the entire skin surface, where they are involved in thermoregulation by means of sweat production. In contrast, apocrine glands have a limited distribution involving the axilla, genital skin, and breasts.
The diagnosis is more common in many Asian countries, where even minimal body odor is associated with personal distress, than elsewhere. Although the incidence is not reported, the social stigma of body odor leads more patients to seek treatment in these countries than in other countries.
Treatment of coexisting skin conditions, such as intertrigo, erythrasma, and trichomycosis axillaris is important. Regular shaving of axillary hair prevents the accumulation of sweat and bacteria on the hair shafts.
The use of commercial deoderants, which prevents perspiration, is similar to using medication to prevent the kidneys fromm getting rid of waste products. The natural body oil, which lubricates and protect the skin, is washed off, leaving the more tenacious germs behind.
Systemic anticholinergic agents decrease sweating, but they are not commonly used because of their significant adverse effect profile. A reduced axillary body odor in a small sample of healthy subjects, and 1 case of improved genital bromhidrosis after botulinum toxin A treatment is reported.
Omission of certain foods may be of value if these factors can be isolated or identified as contributory factors. Common culprits include curry spices, onions, garlic, and alcohol.
Be aware of the odor that may arise from dried sweat on clothes. Hygienic measures, such as adequate washing of the axillary vault, the use of topical deodorant, and prompt removal of sweaty clothing, are beneficial in cases of apocrine bromhidrosis.
Best wishes,
The Prison Hospital
Prisoner: Look here, doctor! You've already removed my spleen, tonsils, adenoids, and one of my kidneys. I only came to see if you could get me out of this place!
Doctor: I am, bit by bit.
-- Aha! Jokes
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