What should I do if body odor worsens all over after surgery for axillary bromhidrosis?

Recurrence of body odor after surgery for axillary bromhidrosis, accompanied by more widespread odor, can be managed by identifying the cause of recurrence, enhancing local hygiene, adjusting diet, following proper topical care, and evaluating the need for secondary treatment. This situation is often related to residual sweat glands or inadequate postoperative care, requiring targeted interventions. If the odor continues to worsen, or is accompanied by skin infection or abnormal discharge, prompt medical consultation is recommended.

1. Identify the cause of recurrence: Determine whether the apocrine glands were incompletely removed during surgery, whether improper postoperative care led to glandular regeneration, or whether there is an underlying systemic metabolic disorder. Identifying the exact cause is essential for developing an effective treatment plan.

2. Enhance local hygiene: Wash areas prone to sweating—such as the armpits and groin—with warm water daily. Keep the skin dry to prevent sweat accumulation and bacterial growth, thereby reducing odor production and spread.

3. Adjust dietary habits: Reduce intake of spicy, greasy foods, and strong-smelling ingredients such as garlic and onions. Increase water intake to promote metabolism and prevent food-derived compounds from being excreted in sweat and exacerbating body odor.

4. Follow standardized topical care: Under medical guidance, use antiperspirants or antibacterial ointments to suppress sweat secretion and bacterial proliferation, helping to alleviate odor. Avoid using harsh or irritating topical products without professional advice.

5. Evaluate secondary treatment options: If recurrence is confirmed to be due to residual apocrine glands, consult a physician after full recovery to assess the feasibility of secondary interventions such as laser therapy or minimally invasive surgery.

In daily life, wear loose, breathable cotton clothing to facilitate sweat evaporation. Avoid prolonged exposure to hot and humid environments, maintain regular sleep patterns to minimize endocrine fluctuations, and manage stress to reduce both sweat production and odor intensity.