A WOMAN’S rare condition causes her to smell like fish, and showering several times a day doesn’t help.
Kelly Fidoe-White, 41, noticed her unique aroma from the age of six, but did not discover the true cause until the age of 34.
A woman with an extremely rare condition causing her to constantly smell like fish says she used to take four showers a day to mask her odour.
The senior radiographer, from Oldham, Manchester, has lived her entire life with trimethylaminuria (TMAU) — a disorder more commonly known as "fish-odour syndrome".
The condition is so rare it has only been recorded 100 times in medical records, according to the National Organization for Rare Disorders.
However some medical professionals believe the real figure may be much higher and other sources put it at around 200.
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People suffering with TMAU regularly produce a range of strong bodily odours with examples including rotten fish, onion and faeces.
Kelly first noticed her urine would smell like fish at the age of six, and when puberty kicked in years later, she began to develop a prominent body odour beyond her toilet visits.
"People call it a curse, and I can see why," Kelly told NeedToKnow.online.
Life with the condition has seen Kelly suffer decades of name-calling and finding ways to cope with her symptoms.
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She changes her uniform twice a day and uses whole cans of deodorant to cover the scent.
At one point, her mum was forced to visit her work with a fresh pair of clothes after someone complained to management about her smell.
"As a healthcare professional, to be asked if you know you should be using soap when you wash, is really upsetting," Kelly said.
In a bid to curb the smell, Kelly said she would shower up to four times a day.
But unknown to her at the time, this only sought to make her natural perfume worse.
Kelly said: "It has absolutely nothing to do with personal hygiene.
"I could wash every hour of every day and it would only be a short term fix.
"In fact, it is common for sufferers to smell worse after a shower because the pores open more due to the warm water.
"Your first thought is that it is BO [body odour]. So you wash more, use stronger soaps, wash your clothes using soda crystals, apply more perfume and body spray – all of which makes it worse.
"I ultimately learned that the skin needs to remain at its natural pH of 5.5 as acid breaks down TMAU as it comes through the skin – soaps, bleach and soda crystals are generally alkali."
The fear of other people noticing the scent has at times left Kelly housebound, as well as moving to night shifts — and the radiographer also suffers from bouts of depression.
She said: "It's isolating because you don’t want to offend people with the smell so you are constantly thinking, 'Am I sweaty? Am I over-warm? That person is coughing, is that because of me?'
"If you let it, the condition can begin to take over your thoughts.
"I developed severe hyper-vigilance over people’s reactions to the smell.
"The worst part is feeling like you're going crazy from it."
There is no cure for TMAU but avoiding certain foods and supplementing specific nutrient levels can lessen the symptoms, which can fluctuate over time
Over the years, Kelly, who got a diagnosis in 2015, has found unique ways to improve the symptoms, such as adopting a reduced choline diet.
She avoids foods such as liver, kidney, beans, peanuts and cruciferous vegetables as they are all rich in choline.
However, insufficient choline contributes to the risk of developing neurological conditions such as fibromyalgia and Parkinson's disease.
Kelly has also undergone therapy and counselling for the decades of bullying she has experienced, and claims trolls body shamed her by saying the scent was due to her weight.
She said: "It has nothing to do with weight, which was thrown at me a lot.
"In fact, my smell was worst when I was at my lightest.
"Currently I believe I am relatively symptom-free.
"This is due to a combination of supplements scientifically selected to reduce TMA production and boost TMA oxidisation and some lifestyle modifications.
"I want to give a voice to my fellow sufferers, who suffer in silence because of the stigma attached to BO.
"People are generally scared to speak up for fear of being ridiculed.
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"Unfortunately when people do it can be difficult to get specialist treatment as the smell is often intermittent and GPs tend to not refer based on the individuals testimony alone.
"I have found a community online, which is substantial."
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