
What should be done if a child has body odor (bromhidrosis)?
Disease description:
These days, when cleaning my child's ears, I noticed oily earwax. Additionally, the underarm areas of the child's clothes have turned yellow. After taking her for an examination, the doctor diagnosed her with axillary odor (body odor). What should be done if a child has axillary odor?

When children have axillary odor (bromhidrosis), parents can take the following measures:
1. **Maintain personal hygiene**: Change clothes frequently, especially choosing cotton and breathable fabrics to reduce bacterial growth. Bathe regularly and keep the body, especially the armpits, clean and dry.
2. **Medication treatment**: Under a doctor's guidance, topical deodorants, antiperspirant powders, or anti-inflammatory and antibacterial solutions such as urotropine solution and aluminum chloride solution may be used to improve symptoms of bromhidrosis.
3. **Traditional Chinese Medicine (TCM) treatment**: Treatment should be determined by a physician based on syndrome differentiation, using TCM formulas to achieve aromatic detoxification, clear heat, and resolve dampness.
4. **Adjust lifestyle habits**: Encourage children to actively participate in sports, but avoid strenuous exercise to reduce sweating. Ensure sufficient sleep, avoid staying up late, and avoid eating spicy, greasy, cold, or irritating foods.
5. **Surgical treatment**: If the symptoms are severe and cannot be relieved by other methods, surgical options such as sweat gland excision may be considered when the child reaches an appropriate age (e.g., 12–14 years). However, surgery carries a certain recurrence rate and risks, so it should be carefully considered.