Navigating the Journey: Living Well with Hidradenitis Suppurativa

Hidradenitis Suppurativa

Living with Hidradenitis Suppurativa can indeed pose significant challenges, requiring individuals to adopt practical tips to navigate their unique journey effectively. The chronic nature of the condition, marked by recurrent painful lesions and potential complications, demands a proactive and holistic approach to daily life. 

From managing symptoms to addressing emotional well-being, individuals with Hidradenitis Suppurativa need a guide to go on about their lives comfortably.  

Furthermore, there is ongoing research on HS. Research focused on hidradenitis suppurativa treatment aims to explore innovative approaches and advancements to enhance the management of this chronic skin condition. Read ahead to learn about these tips and incorporate them into their lives. It may be a challenge, but you can overcome it. 

What is Hidradenitis Suppurativa (HS)

Hidradenitis Suppurativa (HS) is a chronic skin condition characterized by painful, inflamed lesions, typically forming in areas where skin rubs together, such as the armpits, groin, buttocks, and under the breasts. These recurrent, abscess-like nodules can rupture, leading to tunnels under the skin, scarring, and persistent discomfort.  

Additionally, HS significantly impacts the quality of life, with symptoms often extending beyond the physical realm to affect mental and emotional well-being. 

Symptoms of Hidradenitis Suppurative

Identifying symptoms of hidradenitis suppurativa, commonly referred to as acne inversa, involves recognizing painful and inflamed lumps known as nodules, as well as swollen pus-filled bumps called abscesses.  

This condition typically emerges in one’s 20s or 30s, predominantly affecting areas where the skin rubs together, such as the armpits, groin, genitals, upper thighs, breasts, and buttocks. 

 Additional symptoms encompass draining skin tunnels (sinus tracts), paired blackheads, scarring, hyperpigmentation, and an associated fishy odor. The severity of symptoms can vary, ranging from mild to severe, with the disease displaying a variable course.   

Lifestyle Tips for Managing HS

  • Proper Cleansers and Hygiene

Using the right products for washing and cleaning your skin is crucial for pain management and preventing flares. Choose soap-free washes like Cetaphil, choosing gentle cleansers that are fragrance-free, dye-free, and soap-free to minimize skin irritation.  

When showering, apply body washes with your hands, avoiding washcloths and loofahs as they can irritate sensitive tissue. Consider bleach baths at home as directed by your dermatologist to eliminate specific bacteria from your skin. 

  •  Odor Control

Combat odor by applying antibacterial products to problematic areas. Use body washes or acne washes labeled as “antibacterial” to reduce breakthrough odor and follow up with over-the-counter antibiotic creams.  

  • Shaving

While some report that shaving during a flare may worsen breakouts, evidence is inconclusive, and more research is needed. Consult your dermatologist for hair removal methods that are less likely to irritate your skin. 

  • When Away from Home

Always carry hand sanitizer and sensitive skin wipes to keep your skin fresh when not at home. This also helps wipe away the sweat and keep the area fresh. 

  • Loose-Fitting Clothing

Choose loose-fitting clothing made of natural fibers like cotton or hemp to prevent rubbing and exacerbation of breakouts. 

  • Breathable Layers

Layer up with breathable base layers to prevent anxiety about staining your outfit, especially if nodules are draining. Pack a change of clothes for added convenience. 

  • Gentle Laundry Detergents

Wash your clothing with detergents designed for sensitive skin, avoiding those with dyes, perfumes, or enzymes. 

What Treatment You Could do at Home

  • Over-the-Counter Pain Relievers

Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can alleviate pain and inflammation associated with HS. Numbing ointments, such as lidocaine, may provide relief from the discomfort of breakouts. 

  • Supplements

Turmeric contains curcumin which reduces inflammation. It can be prepared as tea or mixed with a carrier oil like coconut oil for direct application to tender areas. Consider adding a zinc supplement to your daily routine, as research suggests it may reduce inflammation and aid in wound healing. 

  • Compresses

Apply a warm compress directly to an HS lesion to reduce swelling and inflammation. Use dry heat from a heating pad or hot-water bottle at the nodule site for pain reduction. Cold compresses may offer relief for localized pain. Some find comfort in cold baths, wraps, or applying ice to tender areas. 

Changning Your Diet

Maintaining a balanced and mindful diet is crucial for overall health, particularly when managing Hidradenitis Suppurativa (HS). Recognizing which foods to incorporate and avoid is pivotal in controlling pain and preventing breakouts associated with this condition. 

Adopting an anti-inflammatory diet can effectively minimize flares. This dietary approach includes incorporating oily fish, fresh fruits, vegetables, and healthy fats like those found in nuts. For those with a sweet tooth, a dessert combo of chocolate and cinnamon can serve as an inflammation-fighting treat. 

 Individuals with wheat intolerance should steer clear of brewer’s yeast and wheat, commonly found in bread and fermented products such as beer, wine, vinegar, and soy sauce, as they may trigger an immune response. 

Furthermore, individuals living with HS who smoke are encouraged to consider quitting, as research suggests it may contribute to symptom reduction. Additionally, weight loss is identified as a potential factor in alleviating symptoms, especially for those who are overweight. 

Medical Treatment

While there is currently no cure for Hidradenitis Suppurativa (HS), effective management of symptoms and improvements in the quality of life are achievable through a tailored treatment plan and lifestyle adjustments. Treatment goals include resolving active flares, minimizing scars and tunnels, and preventing future breakouts.  

  1. Medications prescribed by healthcare professionals, such as antibiotics, corticosteroids, hormone therapy (e.g., birth control), and immune system-modifying drugs, including biologics. 
  1. Utilizing light, laser, and energy sources to address lesions. Although further evidence is needed for their efficacy. These treatments may reduce breakouts and laser is the most effective. 
  1. Wound dressings for tunnel management, aiding the healing process of lesions forming beneath the skin. 
  1.  Surgical interventions for severe or painful flares, including laser procedures, drainage, or removal of deep and painful nodules or extensive tracts causing infection. 


In conclusion, navigating the journey of living well with Hidradenitis Suppurativa requires a multifaceted approach that encompasses medical treatment, lifestyle adjustments, and emotional support.  Crafting your hidradenitis suppurativa diet plan involves selecting foods that can help manage symptoms and minimize potential triggers for flares. 

By working closely with healthcare professionals, participating in ongoing clinical trials, and embracing self-care practices, those affected by HS can empower themselves to navigate their journey with resilience and positivity. Remember, you are not alone, and with dedication and perseverance, you can find relief and lead a fulfilling life despite the challenges posed by Hidradenitis Suppurativa. 

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