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What Is 'Smelly Hair Syndrome?'

Posted: 07/05/11 09:12 AM ET

Everyone has an occasional "bad hair day," but for those unfortunate people stricken with a condition known as "Smelly Hair Syndrome," a bad hair day can mean relationship problems, taunts from coworkers and even expulsion from school. Consider these examples:

"I wash my hair and by the middle of the day it has a sweaty, muggy smell ... I'm a sophomore in college, never had a boyfriend, never even kissed a guy, all because of this smelly demon that I have had to cope with since eighth grade." -- Corrin, The Beauty Brains Forum

"I go to work everyday because I have no choice, but my co-workers are very cruel to me because of the bad odor they smell coming from my head. They don't know how hard I try to take care of this problem." -- Sierra, The Beauty Brains Forum

"An 8-year-old girl said she was removed from her classroom at a Seattle school because of the way her hair smelled. She has now missed a full week at Thurgood Marshall Elementary." -- KIRO TV report

What's going on here? What is "Smelly Hair Syndrome" and can it really be so socially stigmatizing? After receiving hundreds of questions about this issue we were intrigued to find out more.

The symptoms of smelly hair
We discovered that Smelly Hair Syndrome manifests in one striking symptom: a horrific odor that emanates from the hair and scalp. According to the people who have commented on our blog, the olfactory character of the smell varies from person to person. Some describe it as "... stinks like a diaper." Others have compared the smell to "sour milk, wet dog, moldy hay, potatoes, an old shoe or dirty socks, a jacket that's never been to the dry cleaner, and an oily smell mixed with vomit." The most unusual description we've heard was "... sort of a cross between Dorito's Bold BBQ chips and cinnamon (and not a sweet smell, actually kinda foul) and maybe a hint of cheese." And, finally, one unfortunate reader told us that "my hair is so smelly that sometimes flies buzz around my head."

The odor is so strong that other people can easily notice it ("I know my co-workers could smell it and I was so embarrassed.") Spouses and significant others have also told us that the odor is problematic because it can transfer to towels and pillow cases. For some people the smell is noticeable right after showering; for others it starts a few days after they've washed their hair. We received several comments from people who shower before sleep and wake up with a smelly scalp. Interestingly, one person pointed out that their hair starts out with one scent right after washing and changes to a different odor about 12 hours later. In addition to the malodor, some people experience increase in oily hair and scalp. One woman notices a "thick, oily, flour-like substance on my scalp."

Causes and cures
These secondary symptoms made us wonder if a potential cause of Smelly Hair Syndrome could be seborrheic dermatitis (seb-o-REE-ik der-muh-TI-tis), because it causes an increase in oil production and flaky scalp residue. However, according to Mayo Clinic's webpage, scalp odors like those described above are not typically associated with seborrheic dermatitis. Furthermore, our readers tell us that in many cases their doctors have not been able to identify a definitive cause. Many said that their doctors didn't take the problem seriously: "I even went to the dermatologist. Twice! He never heard of such a thing and seemed to not even believe me which made me very angry! Why don't these doctors have a clue?!" "I went to see a dermatologist. Which was of no help! I got prescriptions and so forth but nothing worked."

Without a satisfactory medical explanation, people are left to figure out their own cures. Our readers have tried just about everything you can think of, including medicated shampoos like Nizoral, Selsun Blue, Neutrogena T/Gel, Head & Shoulders and Denorex. They've used tea tree-based products (like Giovanni Tea Tree Triple Treat conditioner) because of the alleged anti-fungal properties of tea tree oil (unfortunately, most tea tree oil shampoos contain very little of the actual oil). In desperation, some people have even tried medicated pet shampoos.

Others have forsaken commercial products for home remedies like lemon juice, baking soda, apple cider vinegar, coconut oil, aloe vera, neem oil, chlorophyll supplements and a mixture of honey and cinnamon. One person even uses hand sanitizer on her scalp two or three times a day. Then there's the most elaborate of all the treatments we've heard of: "I go to this salon where they rub a liquid into your hair, wrap it in plastic wrap and steam it. This is followed with something they call 'frequency treatment' -- it is a glass rod attached to a machine and they deliver something like an electrical impulse."

What really works to treat Smelly Hair Syndrome? Of all the solutions proposed by our readers, two seemed to provide reasonably consistent results: Dial antibacterial liquid body wash and sulfur-containing soaps. These treatments make sense from a scientific point of view, if the cause is bacterial or fungal. An antibacterial agent (like the Triclosan used in the Dial bodywash) could prevent bacteria from growing, while sulfur could reduce scalp oiliness thereby eliminating the "food" that bacteria or fungi need to grow. For those who haven't had success with other treatments, these two options maybe worth a try. Of course, you should consult with a dermatologist to ensure your symptoms aren't caused by psoriasis or some other condition.

Conclusion
From the comments we've received, Smelly Hair Syndrome appears to be a real problem that is unresolved for many people. Based on our readers' input, the medical community has not yet provided a satisfactory solution. According to our understanding of chemistry and hair and scalp biology, shampooing with sulfur and Triclosan-based soaps may offer some relief. We hope that more definitive treatment options are identified by the medical and cosmetic science communities.

If you or someone you know suffers from Smelly Hair Syndrome, leave a comment and share your experiences with the rest of our readers. If you are a health care professional with experience with this problem, please leave a comment and share your advice.

 
 
 

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Everyone has an occasional "bad hair day," but for those unfortunate people stricken with a condition known as "Smelly Hair Syndrome," a bad hair day can mean relationship problems, taunts from cowork...
Everyone has an occasional "bad hair day," but for those unfortunate people stricken with a condition known as "Smelly Hair Syndrome," a bad hair day can mean relationship problems, taunts from cowork...
 
 
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07:38 AM on 07/31/2011
Check water in house/apt for contaminants. Drink ionic, purified, ozonated water. ELIMINATE sugar-containing foods and pre-packaged foods (except frozen vegetables). EAT organic? vegetables (esp. green, leafy vegetables) and if you must cook them, steam them for a short period. Omega 3 (fresh, oily fish or an excellent fish oil supplement) and Omega 7 oils,(omega 7 found in Seabuckthorn) kambucha tea (homemade, if possible), mushroom supplements (research), limit/avoid omega 6. Avoid/limit dairy (cheese, milk), not yogurt or eggs. Have a COMPLETE hormone panel done (thyroid, thymus, adrenals, pituitary, etc... AND check your body/hair for mercury/lead/arsenic, etc... Vitamin C and zinc are helpful. Get some sun (30-50 mins) around sunrise/sunset is important. Apple-cider vinegar and white vinegar, Sulfur-based shampoo's soaps (original sulfur 8) also helps. Peppermint shampoo (esp, Dr. Bronner's) with a few drops of pure peppermint or tea trea oi mixed in the shampoo helps. These can be drying though. lAlso, try a plant-based shampoo/soap. Men should shave the hair to near/complete baldness.
08:49 AM on 07/31/2011
Also, dead sea mud, clay (Indian, Morrocan, etc.) with pure lavender rose, jasmine, pikake, tuberose oil/water, if not sensitive to fragrances, and I occasionally will rinse with white vinegar (spray bottle) and use original Irish Spring or original Ivory soap. I really like the way the vinegar enhances the smell of these soaps on my skin/hair, but I know it's not for everybody/hair. Finally, I wanted to emphasize the importance of eliminating sugar from the diet. Candidiasis is one of the main culprits of body/hair odor.
12:28 PM on 07/31/2011
Did you not read any of the other comments? MANY people have said that even shaving one's hair off doesn't help. There seems to be several different causes of this, one of them being a condition known as trimethylaminuria. Google it to find out more information if you don't want to read through the comments. The upshot is that there is really NO remedy for this condition, but some fairly extreme dietary changes can help to a degree. Simply trying to cover up the odor, or even trying to somehow cancel it out just doesn't work at all.
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Ian Faus
01:01 PM on 07/11/2011
1) shave your head/trim as close as possible and wash your face/head regularly (twice/day at least).
2) change your sheets and pillow covers regularly.
3) change your diet to a oil/fat-free, zero spice diet, preferable vegetarian.
4) Avoid strenuous activity or hot environments that will tend to make you perspire. Avoid hats/caps etc.

My brother had this problem for a while in high school but it went away as he got older. This is what he used to do.

Also, try to mix perfume with your conditioner; it helps.
05:07 AM on 07/11/2011
This may not be related, because I don't have this particular disorder. But lately, I've been taking baths instead of showers. I wash/condition my hair in the bath water. I use my regular hair products, but also put epsom salts in the bath water. For whatever reason, it seems to me that my hair stays cleaner longer this way than it did before when I was taking showers. I attribute this possibly to the way that my hair really gets rinsed well because it's dunked in water for several minutes, not just rinsed with a runny stream. I'm not sure if the epsom salts have anything to do with it. I also make sure I scrub my scalp really well; maybe I do a better job scrubbing too, than I did when in the shower.
11:28 PM on 07/10/2011
I wonder if a radical diet change would help; like going from omnivore to vegan or vise versa.
05:21 PM on 07/10/2011
I thought this was what Lindsay Lohan suffered from after a day of community service.
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pepper1311
POGS are dirt
07:09 PM on 07/09/2011
Keep it shaved!
04:38 PM on 07/09/2011
Try Dr. Bronners Tea Tree Soap - suds up and let it stay on the scalp about 5 minutes. Also the mineral zinc is said to help with body odors as well as scalp odors. Try 30 mg a day for at least 2-3 weeks and see if it makes a difference. And have your blood sugar checked. Body pH could also be a concern and you migh be out of whack, we need to be on the alkaline side and not acidic
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PootiePoot
100% stardust
06:30 PM on 07/29/2011
I agree, good suggestions, Dr Bonner's tea tree soap is awesome. The average American diet leads to a very acidic PH which does often lead to issues of odor both from sweat and other issues.
04:23 PM on 07/09/2011
Use 2 tsp baking soda in 8 oz water. Wet hair with solution. Massage. wait a minute. rinse thoroughly with warm water. Towel dry. Comb.
03:51 PM on 07/09/2011
Perhaps a PINE TAR soap could help. (Packers Pine Tar soap)
03:40 PM on 07/09/2011
Seriously? This could be an Onion article. Now we have to feel sorry for people with smelly hair? It never ends.
03:22 PM on 07/09/2011
Very simply buy the amber colored listerine -- wash/soap your hair once - use a old hair dye applicator bottle and throughly squeeze the amber listerine on your scalp -- saturate your scalp -it will tingle -- it will be cold and almost feel like a burn -- but it will kill the bacteria on your scalp -- and get rid of the odor. It is not harsh on your hair -- let the listerine sit for 2 -3 minutes then rinse and apply a small amount of conditioner. I use head and shoulders shampoo -- listerine -- conditioner and I only have to wash my hair every other day now. It will remove the build up from products on the scalp - stop any itching and get rid of any scalp flakes. Removing the scalp build up will remove the bacteria therefore stoping the odor.
03:09 PM on 07/09/2011
I'm getting older now (56) , and since experiencing menopause, it seems like I've got the infamous
"old people smell". It's NOT your typical BO, but I've noticed, that unless I shampoo with "Head & Shoulders", and use "Dial Antibacterial Body Wash", I'll start to smell a little 'rough' by evening, as I shower or take a tub bath in the morning.
This has only been the case since I"ve gotten older though, as was not always this way.

In fact, in High School, I would take my shower either the night before or in the morning, use my deodorant, and go to school, and even have my P.E. classes in the warm weather, and I NEVER stunk.
Then after having the babies, you start with the odor issues.
Then it gets worse when your older, because your body is "dying" as it were, and it's a form of decomposing, even while you're alive (it does from birth anyway) But..., because your body cannot reproduce new 'cells', as quickly, there's more time for mostly harmless bacteria to multiply, and cells continue to shed, and the two create the odor. The bacteria 'thrive' on skin cells that are shedding and being cast off. The bacterial 'byproduct' after ingesting dead skin cells, is it's form of 'excrement' if you will, thus the reason we smell. I don't think my hair is quite as bad as what is described in the article, though..
04:38 PM on 07/10/2011
I think we're all different. I'm older than you, and since I am paranoid about smelling bad, I always ask people...people I KNOW to be truthful, if I smell bad, and the answer is always no. I'm pretty certain it's true. What I DO know is that after menopause my body chemistry DID change, and perfumes I loved either smell totally different on me now, and some I can no longer wear at all. I know for a fact my husband has NO 'old person' smell either. I always thought that was given off by REALLY old people, mostly in nursing homes. And, the reason I see the VERY old having the smell is the fact that they are no longer able to bathe unaided, so they are lucky to get a shower once a week. But, even the very elderly who are still physically 'spry' don't have any bad smells about them, as they can still shower/bathe by themselves. ALSO...if that should happen to us, we will get one of those new tubs designed especially for people who can't use regular tubs and showers. They actually look like fun. We're 'dibsing' the one with the whirlpool built in.
09:40 PM on 07/18/2011
I don't believe that older people have to smell bad. Odor problems can afflict people of any age, and 56 isn't very old anyway. 56 is the new 36. I'm 50 and really it's not so bad. Even though I can no longer deny the existential horror of knowing that eventually everyone is going to die, I feel better now than when I was 20. I probably smell better too. You have my sympathies about the odor, but I don't want anyone reading this to believe that by age 56 they'll be smelly and dying.
03:07 PM on 07/09/2011
i noticed this in my youngest about 15 years ago. seemed i couldn't get her hair clean for about a month, no matter how i tried, and it smelled funny. i never made the connection that that summer we had gotten a pool. i took her to the salon and the stylist told me some people's hair just "hangs" on to chlorine. doesn't change the color (her hair is dark), but definitely makes it look/smell different. chlorine removing shampoo did the trick. i still keep it around for her to use once a week or so in the summer.
02:54 PM on 07/09/2011
I notice a very slight odor if I don't wash my hair everyday. It gets a little oily but nothing like what is described here. I feel for these people that have this problem because it has nothing to do with personal hygeine. Pay attention hair care gurus, this could be a bonanza for you if you develop a product that works.
02:53 PM on 07/09/2011
I had this condition from the time I was 12 until I was 35. I also had a thick crust that would develop on my scalp that I would pick off with my fingernail. Then a Dr. said I had a condition where my immune system was attacking my thyroid and I did not have thyroid hormone in my system. He put my on synthroid. Voila! my scalp condition immediately cleared up. I am now 68 and have not had any of the symtoms since. So I would ask my Dr. about that possibility.
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PootiePoot
100% stardust
06:33 PM on 07/29/2011
yep, that was an autoimmune disorder and it is actually related to arthritis. The body is attacking itself, glad to hear you found a solution.