Blood tests can provide an accurate summary of your health
Blood tests can provide an accurate summary of your health

Why Do My Underarms Smell?

Underarm odor is a common concern, especially during warmer months. While a quick shower and deodorant usually do the trick, persistent or sudden changes in body odor can be a sign of something more serious. This article explores both common and less common reasons why your underarms might smell.

Common Causes of Underarm Odor

Several everyday factors contribute to underarm odor:

Poor Hygiene

Infrequent showering or inadequate cleansing allows sweat and bacteria to accumulate, leading to a noticeable smell.

Diet

Certain foods like garlic, onions, and spices can be excreted through sweat glands, contributing to body odor.

Hormonal Changes

Fluctuations in hormones during puberty, menstruation, pregnancy, and menopause can increase sweat production and intensify odor. Stress can also trigger a similar response.

Underlying Medical Conditions and Underarm Odor

Sometimes, a persistent and noticeable change in body odor can indicate an underlying health issue:

Diabetes

Uncontrolled diabetes can lead to ketoacidosis, a condition that produces a distinctive fruity odor on the breath and body. This requires immediate medical attention.

Kidney or Liver Disease

These organs filter toxins from the body. If they malfunction, waste products can build up, leading to a strong body odor. Changes in urination patterns often accompany this symptom. Prompt medical evaluation is crucial.

Hyperthyroidism

An overactive thyroid gland can cause excessive sweating, which in turn increases the likelihood of body odor. This condition has numerous health implications and should be addressed by a doctor.

Understanding Sweat and Bacteria

Body odor arises from the interaction between sweat and bacteria on the skin. There are two types of sweat glands:

  • Eccrine Glands: Found all over the body, these glands produce a watery sweat for temperature regulation.
  • Apocrine Glands: Concentrated in the armpits and groin, these glands secrete a thicker fluid that bacteria break down, producing odor.

The warm, moist environment of the armpits promotes bacterial growth, making this area particularly prone to odor.

Hormonal and Stress-Related Influences

Hormonal changes during puberty, menstruation, and menopause can stimulate the apocrine glands, leading to increased odor. Similarly, stress can activate the body’s “fight-or-flight” response, triggering excessive sweating and stronger body odor.

Infections and Underarm Odor

While less common, infections like MRSA (Methicillin-resistant Staphylococcus aureus) can cause a foul-smelling odor in the armpits, often accompanied by redness, swelling, and pain. MRSA requires medical treatment.

When to See a Doctor

While most cases of underarm odor are easily managed with hygiene practices, consult a doctor if:

  • You experience a sudden, unexplained change in body odor.
  • The odor persists despite improved hygiene.
  • You have other symptoms like changes in urination, excessive sweating, redness, or swelling.

Early diagnosis and treatment of underlying medical conditions are essential for overall health and well-being. Don’t hesitate to seek professional advice if you’re concerned about changes in your body.

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