1. Physiological reasons: because the patient's feet are often sweaty and moist, bacteria will break down certain components of sweat and produce odor. Patients can improve smelly feet by changing shoes and socks often, wearing cotton socks, washing feet often and reducing sweating.
2. Hyperhidrosis: Hyperhidrosis can be caused by hyperthyroidism, hyperpituitarism, and psychiatric factors, which can lead to increased sweating on the soles of the feet and other localized areas, and the soles of the feet can be seen as dotted with peeling skin, which is often accompanied by foot odor. Can be used externally 5% alum solution, urotropin solution, etc. to reduce the symptoms, can also take the tap water iontophoresis therapy and other physical therapy for treatment.
3. Fungal infection: Pathological foot odor is caused by fungal infection. Patients can apply miconazole nitrate cream on the advice of a doctor to kill the fungus that causes foot odor. In severe cases, oral antifungal drugs such as itraconazole and fluconazole can be considered as prescribed by the doctor, and the efficacy is usually more obvious.
Patients with symptoms of smelly feet, to rule out physiological causes, should go to the hospital in a timely manner to ask the doctor to consult, the correct treatment. Symptoms of foot odor, common causes can be hyperhidrosis, tinea pedis, diabetes, hyperthyroidism and so on. Treatment includes general treatment, etiologic treatment and so on.
1. General treatment: pay attention to foot hygiene, use warm water and soap to soak and rinse feet every day. Wipe feet dry thoroughly after cleaning, especially the position between toes and toes can be placed on absorbent gauze or cotton balls to reduce skin impregnation.
2. Treatment of hyperhidrosis
(1) hyperhidrosis: need to avoid mental stress, emotional fluctuations, for the mental and emotional factors can be taken under the guidance of the doctor to take the topical antiperspirant and local injection of botulinum toxin and other treatments.
(2) tinea pedis: topical antifungal drugs such as miconazole nitrate, etc., need to adhere to the medication for 2-4 weeks. Different components of the antifungal drugs of poor efficacy of external use, can consider oral drugs such as fluconazole and other treatments.
(3) Diabetes mellitus: it can be treated comprehensively through diet control, exercise therapy, blood glucose monitoring, medication and diabetes education. Also pay attention to the care of diabetic foot.
(4) hyperthyroidism: it is recommended that anti-thyroid drugs such as methimazole, radioactive iodine and surgical treatment under the guidance of the doctor, and pay attention to foot care.
It is recommended to consult a doctor in time and standardize the treatment.