What should be done for a 15-year-old boy with smelly feet?

Generally, foot odor in 15-year-old boys can be treated through general management, physical therapy, and medication. A detailed analysis is as follows:

1. General Management

During puberty, increased hormone secretion may lead to foot odor, especially if the boy neglects personal hygiene and rarely washes his feet. It is recommended to maintain good foot hygiene by washing feet regularly and wearing breathable shoes and socks.

2. Physical Therapy

Excessive physical activity may promote rapid growth of pathogenic microorganisms such as bacteria and fungi, which break down urea in sweat and keratin in the stratum corneum, leading to foot odor. It is recommended that the boy visit a reputable medical institution where a qualified physician may use superficial X-ray irradiation to suppress sweat gland secretion and alleviate foot odor symptoms.

3. Medication

If proper foot protection is neglected, fungal infections caused by pathogens such as Trichophyton rubrum, Microsporum gypsum-like species, or Trichophyton mentagrophytes may trigger inflammatory reactions and result in foot odor. It is recommended that the boy use antifungal medications such as amorolfine hydrochloride cream or luliconazole cream under the guidance of a physician.

In addition to the above treatments, surgical options such as sweat gland excision or sympathectomy may also be considered.