Why does sweat smell so bad? What does the pungent smell of sweat in women mean?

According to scientists, people choose their soulmate precisely by the smell of the body. It is believed that it is the sense of smell that allows you to select a partner with the most suitable set of genes. After all, a person is able to secrete pheromones: substances that arouse interest in the opposite sex. However, there are situations when this or that smell emanating from the body should be taken as a distress signal. After all, he can talk about the presence of a fairly serious disease. Doctors say that some diseases have their own "flavor". How exactly diseases smell and what you should pay attention to when a new smell appears - in the material of AiF.ru.

Smell test

Doctors have long begun to use the unpleasant odor emanating from the human body as an option for the primary diagnosis of various diseases. After all, repulsive amber is a clear signal that metabolic processes have been disturbed. This often occurs against the background of the development of certain pathologies.

The bacteria that colonize the skin survive the previous colonies that were "healthy", and the waste products of the newcomers begin to smell differently.

Does it smell like acetone?

If sweat acquires the smell of acetone, it is worth checking for pathologies such as:

• Various endocrine pathologies that are associated with diabetes
• Problems with the digestive system
• Liver and kidney disorders
• Human infection with microbes, bacteria and viruses

All this can lead to an imbalance in the body, which is why there is a general dysfunction. It should be understood that diabetes is the most common cause of acetone body odor. This is due to the fact that a person develops insulin deficiency. Glucose begins to break down worse, and an excess of it causes a change in the composition of the blood and a deterioration in metabolism: from this, the number of ketone bodies in the body begins to increase. The body actively removes excess, including and together with sweat: hence the appearance of a sharp acetone amber. It should be understood that this condition is fraught with serious health problems and often indicates the approach of a diabetic coma.

Also, the smell of acetone can be observed if the kidneys are affected. In this case, in addition to the characteristic “aroma”, the person will show symptoms such as swelling, problems with urination, pain in the lumbar region, increased pressure, and the smell of acetone from the mouth.

If the acetone smell from the skin is accompanied by a sharp loss of kilograms with continued appetite, irritability and insomnia, they say that the cause of the problem may be a violation of the thyroid gland.

Cat smell

There are situations when the smell of cat feces begins to come from a person. In this case, the body also signals possible problems. So, for example, the smell of urea appears when:

• Diseases of the kidneys and liver
• Pathologies of the endocrine system and VVD
• Tuberculosis
• obesity
• Disorders in the digestive system

Among the common causes of such a "flavor" are kidney problems. After all, if their work fails, the whole organism reacts painfully to this. Moreover, it should be understood that the smell of urea in this case will be strong, and it will be impossible to cope with it with improvised means: deodorants do not take this.

A problem develops due to the fact that the breakdown products of proteins are excreted through the sebaceous glands. Doctors in this case talk about uricidosis, which can be the result of chronic nephritis, pyelonephritis and uremia.

The smell of vinegar

A person's sweat can sometimes smell like vinegar. It is important to understand here that the appearance of such a symptom is accompanied by increased sweating. Among the reasons due to which such a problem may develop:

• Endocrine disorders
• Vitamin D and B deficiency
• Infectious and inflammatory diseases of the lungs
• Mastopathy

If we are talking about failures in the endocrine system, there may be a lack of iodine in the body. This immediately leads to an unpleasant odor. It is quite possible to recognize tuberculosis by the vinegar smell from the body, because in this case, symptoms such as a pronounced cough, fatigue, weakness and fever will appear. Women are not recommended to leave such a smell unattended: it can indicate serious problems with the breasts.

Other options

As soon as the body odor has changed, turning into something unbearable, it is worth visiting a doctor as soon as possible. After all, a different smell can indicate various pathologies, some of which are quite difficult to treat.

Body odour	Possible disease
	Metabolic problems
Putrid or sweetish	Diphtheria
Sheep wool (wet)	Disorder of the adrenal glands
hydrogen sulfide	Ulcer, dyspepsia
rotten meat	Cancer problems
The smell of old age	Problems with the hormonal background
rotten apples	Condition before hypoglycemic coma (requires immediate hospitalization)

Expert opinion

Mehman Mammadov, professor, MD, expert of the "League of Nation's Health":

The body smells in various metabolic disorders. For example, due to impaired glucose metabolism, the number of ketone bodies increases and their accumulation on the skin gives an odor. This is typical for decompensation of diabetes. The smell of urea is the end stage of kidney failure. The characteristic smell of the skin, as a rule, is a sign of a malfunction of the organs associated with metabolism - these are the kidneys, lungs, liver. Ulcerative and inflammatory diseases of the skin can also smell.

Each person has his own special sweat.

It depends on the work of the sweat glands, the state of the body, the content of salts and various organic compounds dissolved in the sweat fluid.

In a healthy person who carefully monitors the cleanliness of the body and lives in normal environmental conditions, the smell of sweat is not sharp, rather neutral.

It may increase slightly or with intense, this is considered a normal reaction of the body.

Letters from our readers

Theme: I got rid of hyperhidrosis!

To: site administration

Christina
Moscow

I have recovered from excessive sweating. I tried powders, Formagel, Teymurov's ointment - nothing helped.

If the body exudes a strong unpleasant odor, this can be the cause of various internal disorders. Sweat glands remove toxins that accumulate during. These substances, by themselves or oxidized in the air, can smell unpleasant.

Also, the reason why sweat has an unpleasant odor may be non-compliance with the rules of personal hygiene. Bacteria and fungi that live on the skin decompose the secret of the sweat glands, turning it into fetid compounds.

There is a whole list of foods that can trigger a strong body odor. These include spicy dishes, spicy sauces, onions, garlic, coffee, alcohol, smoked meats.

The state of sexual arousal also affects the smell. , secreted by the glands of the skin, enhance the natural aroma of the skin, which on a subconscious level attracts a partner.

The usual increase in sweat is not a sign of impaired functioning of the body. But if the body smells very unpleasant, the stench or the smell of dampness, rottenness, sharp putrefactive is added, this indicates the development of serious diseases.

Doctors distinguish the following odors - symptoms:

• the mouse smell of sweat speaks of phenylketonuria, a severe metabolic disease of a hereditary nature;
• rotten apples and “smells” of developing hypoglycemic coma, which often complicates (reason for emergency hospitalization);
• in diseases of the liver, sweat has a sharp chlorine evaporation;
• or "" odor is observed in violations of the urinary system;
• if the sweat smells rotten, it is worth suspecting oncology;
• violations of the hormonal status in, and sometimes in pregnant women, may be accompanied by a characteristic body;
• with dyspepsia as a result of impaired functioning of the stomach and intestines, a fetid amber of rotten eggs occurs;
• Pseudomonas aeruginosa and diphtheria provoke sweating with an unpleasant sweetish-putrid odor;
• the body smells of raw sheep's wool in diseases of the adrenal glands;
• smelly sweat, smelling - a sign of the metabolic disease of trimethylaminuria;
• "unwashed socks" smells like a fungal infection of the skin and its appendages;
• the cause of a sharp in women may be mastopathy - the formation of cystic seals in the chest;
• with rickets in infants, sharp acid sweating increases;
• The body smells with an unbalanced diet with a lack of micro and macro elements.

Treatment

When an unpleasant pungent odor of sweat appears, it is necessary not to delay the visit to the doctor.

To determine the cause, a general blood and urine test is prescribed, biochemical parameters and hormonal status are checked, tests for oncomarkers are done, a complete examination of all body systems is carried out according to indications using ultrasound, CT, MRI, ECG, examination by specialized doctors.

After a complete examination, appropriate treatment is prescribed. If smelly sweat is not the cause of disorders within the body, but is associated with the peculiarity of the microflora of the skin and the work of the sweat glands, then the problem can be eliminated by various methods.

Elimination of profuse sweating

• body hygiene - daily shower using caring detergents;
• the use of antiperspirants designed for people who suffer from heavy sweating;
• wearing clothes and underwear made of cotton lightweight fabrics, shoes made from natural materials;
• frequent change of clothes and timely washing of soiled items;
• exclusion from the diet of products that increase sweating and unpleasant amber - onions, garlic, mustard, wasabi, spices, alcohol;
• to eliminate dysbacteriosis and remove toxins and toxins from the body, pre- and probiotic preparations, as well as foods high in fiber, are used.

Various external preparations are used that control the work of the sweat glands and reduce the number of pathogenic microorganisms on the skin:

• Preparations based on zinc oxide -. This substance has a disinfecting effect, binds excess sebum, dries the skin and relieves inflammation. It is applied to problem areas 2 times a day, the duration of use is 14 days.
• Means with formaldehyde (, formalin ointment,). Block sweat secretion, destroy pathogenic microflora. Before use, you should consult a doctor, because. These drugs can cause severe allergic reactions.
• Some will help to cope with sweating and stench. Baths, lotions and compresses are used with agents that reduce the number of pathogenic bacteria - salt, medicinal herbs. Skin-drying substances are also used - starch, alum, powdered rice grains.

The causes of the unpleasant odor of sweat can be eliminated by suppressing sweat secretion. In their composition, they contain belladonna alkaloid compounds (belloid, bellataminal) or substances that block cholinergic and β-adrenergic receptors (glycopyrrolate or oxybutynin). They have many side effects, an overdose is deadly, so they are prescribed only by a doctor in case of urgent need.

Antibiotics and antifungal drugs eliminate the pathogens that cause the pungent odor of sweat.

For effective treatment of armpit sweating at home, experts advise Intoxic. This is a unique tool:

• Normalizes the psycho-emotional state
• Stabilizes perspiration
• Completely suppresses odor
• Eliminates the causes of excessive sweating
• Suitable for adults and children
• Has no contraindications

Manufacturers have received all the necessary licenses and quality certificates both in Russia and in neighboring countries. We offer discounts for our readers!

Sedatives, herbal teas and herbal tinctures may also be prescribed to reduce and anxiety, which affect profuse sweating.

• with anticholinergics. This physiotherapeutic method ensures the effective supply of blocking substances to the receptors, as a result of which the work of the sweat glands decreases. The basis is the impact of a weak current on the limbs. The disadvantage of the method is the duration of the course (2 weeks daily) and the short-term effect (up to a month).
• . Specially calculated doses of botulinum toxin are injected into areas of problem areas (most often the armpits) to block the normal innervation of the glandular tissue. The effect is long, up to 8 months, discomfort and pain during the procedure are insignificant.

If other methods of dealing with stinking sweat turned out to be not so effective, then the only measure to eliminate the problem is surgical intervention:

• Removal of subcutaneous glands. An axillary curettage operation is performed, in which skin detachment occurs with scraping and destruction of nerve endings. It is carried out only under anesthesia, in the process of healing small scars are formed.
• that innervates the sweat glands. Sweating in the operated area disappears forever. The method has many serious complications and is contraindicated in many chronic diseases.
• Treatment

Sour smell of sweat in women - causes in metabolism

Sour smell of sweat in women: causes

Increased sweating is always associated with nervous excitement, stress and hormonal disruptions. The female body more often than the male suffers from an imbalance of hormones. An irregular cycle, mastopathy, thyroid pathologies, frequent inflammatory processes provoke the release of an abnormal amount of sweat in the armpits, genital area, feet and palms. The sour smell of sweat that accompanies a woman for a long period of time is a symptom of endocrine problems.

Other causes of odor include:

• metabolic disease;
• improper and irregular nutrition;
• diabetes;
• disturbances in the work of the sweat glands;
• taking certain medications.

Other reasons include chronic fatigue, frequent stressful situations, severe PMS, menopause and postpartum condition. If a woman experiences problems with sweating, it is recommended that she undergo a full examination by a gynecologist-endocrinologist. In addition to hormonal problems, doctors may suspect a coccal infection if yellow sweating is added to the sour smell.

For men, sour amber does not always indicate health problems. More often it is a physiologically normal condition, aggravated by active physical labor or sports.

What else does the sour smell of sweat in both sexes say? This is the development of neurosis, vegetovascular dystonia, hyperhidrosis, eating too much acidic and spicy food.

Problem areas with increased sweating are the areas under the armpits, thighs, legs, inguinal zone, the area under the chest. These areas require careful daily hygiene. It involves the use of antibacterial soap without fragrances, dyes and fragrances, which is used to treat problem areas with a hard washcloth.

Ecology of health and beauty: You should know that the smell of fresh sweat plays an important role in love. The scent from smooth washed armpits...

In the armpits, around the nipples, navel and genitals are special sweat glands, the so-called "smell glands". They exude a subconscious fragrance - body odour.

If a person has a bad mood, then this smell is unpleasant (it performs a defensive, frightening function inherited from animals), if it is good, the opposite is true.

You should know that the smell of fresh sweat plays an important role in love. The scent from smooth, washed underarms is a powerful aphrodisiac for a partner. This applies to healthy, flowering young men and women.

According to the special “smell of love”, men and women, on a subconscious level, recognize and choose representatives of the opposite sex who have good health, good immunity, everything is normal with a hormonal background, who is ready to take responsibility for the birth and upbringing of a new generation.

That's how nature works. The secret secreted by these glands mixes with sweat, and then many people say that I like the sweat of "my man", "the sweat of my woman."

Sweating regulates metabolism, maintains water-salt balance, removes toxic products dangerous to the body, and participates in thermoregulation. With heavy muscular work and in hot weather, sweat becomes the only means that protects our body from overheating.

Our body has a huge number of sweat glands - up to 3 million. Thanks to them, we do not breathe with our tongue out like dogs, and do not wet the surface of the body with saliva like cats.

In the formation of human odors, in addition to the glands of smell, an important role is played by skin as an organ of the human excretory system. In carrying out this function, the leaders are sweat and sebaceous glands.

Depending on the age of a person, the state of his health, the sweat glands, in addition to specific aromatic compounds, secrete on average 98% of water, 1% of salt dissolved in it and 1% of metabolic products (urea, uric acid, ammonia), toxins and waste from the blood. And the percentage of these substances and secretions of the glands of smell, in young and healthy people, differs from the secretions of old and sick (slagged) people, we can both notice and smell this.

The sebaceous glands secrete from 100 to 300 g of sebum during the week. It consists of cholesterol, proteins, fatty acids, salts, as well as toxins and waste products that have entered the sebaceous gland from the blood. These secretions are an excellent breeding ground for various bacteria.

That is why, with advanced stages of slagging and non-compliance with internal and external hygiene of the body, an unpleasant odor constantly emanates from the surface of the human body.

In an effort to get rid of it, a person visits the shower several times a day and tries new and new deodorants.

However, a few hours after the next shower, the smell is felt again. Then antiperspirants are used - these are those that block sweating for 24 or 48, and even worse for 72 hours.

Can you imagine? .. The body really wants to get rid of what it doesn’t need, and decided to dump “it” through the skin (the skin is also called the third kidney). And the "smart" owner or hostess decided otherwise, and immured (for 24-72 hours) the sweat glands.

And the body is forced to determine for the unextracted dirt, a place ... inside itself. And he "makes a trash can-warehouse" in the tissues of the nearest non-vital organ. For example: dirt that is not allocated from under the armpits will find a place and will be conserved "until better times" - in a woman's chest.

A vivid example of non-vital organs and tissues for our body will be joints- where salt deposits are deposited, and female reproductive system(neoplasms in which malignant processes can develop). It is these organs that are the first to suffer in people with incipient health problems.

The smell of sweat and body, as well as the smell of urine, corresponds to the smell and condition of the internal fluids of our body - blood, lymph, interstitial fluid, etc. And those, in turn, depend on the state of the intestine, its purity, and substances entering the blood and lymph from the intestine. Thus, the circle closes and we come to the topic: "The general ecology of our body."

The intensity of sweating and the smell of sweat depend on the slagging of body tissues, cleanliness of the intestines, the ability of the kidneys and liver to neutralize and remove toxins.

One day, people with a sensitive sense of smell may find that the smell of their sweat has changed. No one is immune from this: similar phenomena happen to teenagers and adults, to men and women. Some people worry and worry that the smell of sweat has changed.

The search for causes and methods of treatment, most often absurd, begins. We will tell you what the change in the smell of sweat really says and whether there is a danger in this. You will find out whether it is possible to diagnose pathologies on this basis or not.

Purpose and features of human sweat

Human sweat is a water-salt solution. Its purpose is to thermoregulate the body. In some cases, the composition of the liquid, in addition to salts, may include other substances:

• ammonia;
• lactic or uric acid;
• urea;
• amino acids;
• fatty acid.

In most cases, the sweat of a healthy person is odorless. Why do so many people smell so different? It is believed that along with sweat, pheromones are released, which are the source of a special smell. This statement does not have a sufficient evidence base - the role of pheromones in the formation of an individual human odor is poorly understood.

A specific smell appears as a result of the vital activity of bacteria - microorganisms that constantly live on human skin. With prolonged and increased sweating, favorable conditions are created for the reproduction of microbes.

Scientists have found that each person has his own set of bacteria. It is for this reason that each of us has a specific smell and is not always pleasant for other people. It can be more pronounced in places where sweat accumulates - in the armpits, in the perineum, in the folds of the abdomen.

Curious fact. It turns out that a person's scent is as unique as a fingerprint or retinal pattern.

Diagnosis of diseases by the smell of sweat

In some cases, a person or their loved ones notice that the sweat has acquired a different smell. If there are no problems with hygiene, and the lifestyle has not changed, we can talk about a disease. Violations in the work of various organs and systems lead to the release of various substances. Most of them are excreted from the body with urine and sweat.

The conditional classification of the smell of sweat and the corresponding pathologies is given in the table.

Existing smell	What system is broken	Possible diseases and pathologies
Fish	Changes at the cellular level in various organs and systems	Gout, Gierke's disease, rickets, amyloidosis, deficiency of vitamins and substances
Rotten eggs	digestive	Gastric and duodenal ulcer, dyspepsia
Sour, acetic	Respiratory	Bronchitis, tuberculosis, pneumonia
Smell of urine (ammonia)	urinary	Renal failure, less often - liver failure, kidney cancer, urolithiasis.
The smell of acetone	Endocrine	Diabetes

However, it is impossible to make an accurate diagnosis based on the smell. Doctors take into account a complex of symptoms, complaints, as well as the results of examinations. A sharp change in the smell of sweat signals only possible problems in the body.

For your information. If the child's armpits smell, you need to pay attention to the nature of the problem. It can indicate metabolic disorders and serious diseases.

Lifestyle as a reason for change

Not always a change in the smell of sweat indicates an existing pathology. The culprit can be various external factors - the characteristics of a person's lifestyle.

Power supply errors

Nutritionists claim that certain foods can change the smell of sweat. In this case, the problem appears constantly and does not always disappear after taking a shower. Consider in which cases a strange smell is caused by foods and dishes.

Food product	Substances that make up the composition and their effect on odor
Onion, garlic, spices	They contain sulfur, which enters the bloodstream and then into sweat. A sour, unpleasant odor develops.
Chicken eggs	Contain choline, which in people with trimethylaminuria causes an accumulation of trimethylamine. This substance is responsible for the fishy smell of sweat.
Asparagus	Digestion produces methanethiol. The substance gets into the sweat and causes an odor similar to intestinal gases. The problem disappears 2-3 hours after eating.
All types of cabbage	Contain sulfur, which is the source of the sour smell of sweat.
Alcoholic drinks	When alcohol is broken down, acetic acid is released, which becomes the culprit of a specific smell.
	It is digested slowly, with the formation of a complex of substances. It is the source of a number of unpleasant sweat odors. Stronger effect on the female body.

The listed products do not always give the described effect. If a person's nutrition is balanced, and the state of health is excellent, the aroma of the body changes slightly.

Attention! If there are various chronic diseases, then parts of the body may smell even after washing.

Violation of hygiene standards

In the hot season, people try to eliminate the unpleasant smell of sweat with the help of various deodorants. This is not the best idea - chemicals are a means of disguise, not a fight. To solve the problem, you need to perform water procedures more often and, thereby, slow down the growth of a colony of bacteria.

A sudden change in sweat odor can occur due to fungal infection. In this case, people compare “aromas” with the consequences of the life of mice, but it’s impossible to figure out what to do on their own. It is better to consult a doctor and follow his instructions.

Other factors

It is known that stressful situations can affect the work of all human organs, including the sweat and sebaceous glands. For some people, experiences, shocks and other nervous stresses can also lead to a change in the smell of sweat. To verify this, you need to compare the time of the beginning of the problem with previous events in life.

The reason for the pungent smell of sweat in a woman can be hormonal changes. Most often this is possible in the following situations:

• menses;
• pregnancy;
• menopause.

At the same time, the smell will not always be pleasant for others - some men say that a woman stinks.

Medications can also affect the development of the problem. Such a side effect is penicillin antibiotics, some sedatives, as well as drugs intended for the treatment of cancer.

Information. With an overdose of penicillins, it is impossible to confuse the smell of sweat with something else: the aroma becomes identical to horse sweat.

Disease as a cause of change

It is impossible to determine the disease by the smell of sweat. At home, you can get a rough idea of ​​the diseases occurring in the body if you know their additional symptoms. An accurate diagnosis will be made by the doctor and only on the basis of the results of the research.

Stomach ulcer

It can be acute or chronic, with or without perforation or bleeding. One of the signs of the disease may be a change in the smell of sweat - a sick person smells like cat urine or ammonia.

At the same time, other symptoms develop:

• pain in the stomach;
• nausea, vomiting;
• heartburn or belching with acid.

A more accurate diagnosis is made on the basis of gastroscopy. Treatment of the disease will also eliminate unpleasant body odor.

Pulmonary tuberculosis

In cases where the sweat smells like vinegar, one can assume the development of pulmonary tuberculosis. With such a disease, the development of different forms is possible, the clinical picture will also depend on this. Along with a change in the smell of sweat, patients complain of the following manifestations of the disease:

• painful cough;
• sudden weight loss;
• secretion of sputum;
• hemoptysis;
• lack of appetite, weakness, apathy.

To understand whether a change in the smell of sweat is a consequence of tuberculosis, you need to contact a phthisiatrician, undergo an examination and adhere to the treatment tactics chosen by the doctor.

Attention! Tuberculosis is dangerous for people around, so careful monitoring of the patient's condition is necessary.

Diabetes

A disease in which the level of glucose in the blood rises, and various metabolic processes are disturbed. As a result of the resulting chemical reactions, failures occur in all body systems, glucose through the blood enters the sweat, which acquires a sweet smell.

The most striking symptoms of type 1 and type 2 diabetes are:

• increase in urine volume;
• increased urge to urinate, especially at night;
• a sharp decrease in body weight with increased appetite;
• hunger almost immediately after eating;
• constant thirst.

Acetone appears in the urine of a sick person. If the kidneys work intermittently, then this substance will begin to be excreted from the body through the sweat glands, which will lead to a change in the smell of sweat.

Attention! If you smell ammonia, contact your doctor immediately for further examination. Diabetes can be life threatening.

With various oncological diseases, especially with bladder cancer, a person's sweat acquires the smell of rotten meat. If the bladder is damaged as a result of tumor growth, tissue particles, along with pus, enter the urine. In the liquid, the processes of decay begin, which is reflected in the change in body odor.

Oncology usually manifests itself with the following symptoms:

• pain in the lower abdomen;
• painful urination;
• scarlet urine;
• the formation of fistulas in the perineum;
• the appearance of blood clots in the urine.

The prognosis depends on at what stage of the development of the disease treatment began. The smell of rotten meat usually appears in the third or fourth stage, so the prognosis may be poor.

Important. Bladder cancer is more common in men between the ages of 40 and 60. Don't wait for symptoms to appear, get regular check-ups.

Isovaleric acidemia

A fairly rare disease that is inherited. The probability of developing such a pathology is 1:200,000; children are ill from the first month of life to adolescence. At this age, the child develops the smell of "sweaty feet" or cheese:

Additional signs:

• vomit;
• low body temperature;
• lack of appetite.

With this disease, it is important not to mask odors, but to start treatment on time. With a competent approach, the symptoms become less pronounced, then disappear and the child can live a full life.

What to do?

The main thing is to calm down and not take hasty action. It is likely that harmless factors are behind the change in sweat odor and there is no cause for concern. Check the following points:

• whether alcoholic beverages were consumed;
• were there any changes in the usual diet;
• How long has the smell changed?

Smell and try to understand what sweat smells like now. If there is a pronounced smell of ammonia, vinegar, acetone or hydrogen sulfide, then it's time to go to the doctor. See a therapist first. This is a generalist who will give a referral for testing and recommend a doctor with a narrower specialization.

Try not to self-medicate. Don't try to cover up an unpleasant odor with deodorant - you will only mask the problem, but you need to solve it in more effective ways. Timely treatment of the underlying disease will help get rid of the unusual smell.

Advice. Medical antiperspirants will not help in this case either. They may block sweating, but do not address the underlying cause.

Conclusion

Now you have an idea what the smell of sweat depends on and in what cases it is worth sounding the alarm. Remember that any attempt to make a diagnosis based on this symptom alone is doomed to failure. If you have such changes, consult a doctor and explain to him the essence of the problem. Only in this case it is possible to count on the improvement of the condition.