Living with Hidradenitis Suppurativa Tips for Managing the Condition

Hidradenitis Suppurativa (HS) is a chronic skin condition characterized by painful, inflamed nodules, abscesses, and scarring, usually in areas where skin rubs together, such as the armpits, groin, buttocks, and under the breasts. While the exact cause stays unclear, HS can significantly affect one’s quality of life. Living with HS requires a multi-faceted approach to managing symptoms, preventing flare-ups, and maintaining emotional well-being.

Below are practical tips for managing HS effectively. Moreover, we will include where one can join our Hidradenitis Suppurativa clinical trials in Boston.  

  1. Understand Your Condition

Knowledge is power when it comes to managing HS. Understanding what triggers your flare-ups, how the condition progresses, and what treatments are available can make an enormous difference in managing symptoms. Collaborating closely with a dermatologist can help you learn about your specific type and severity of HS, as well as treatment options that might work for you. 

Actionable Tips: 

  • Track Your Symptoms: Use a journal or app to record flare-ups, triggers, and any treatments you’re using. 
  • Learn the Stages of HS: Familiarize yourself with the Hurley staging system, which classifies the severity of HS. 
  • Stay Informed: Regularly read credible sources, such as medical websites or HS-specific forums, to stay updated on new treatments and management strategies.
  1. Seek Professional Medical Advice

HS often requires medical intervention for effective management. While over-the-counter remedies may provide temporary relief, they are usually not sufficient for long-term control. Treatment options for hidradenitis suppurativa (HS) include topical and oral medications, such as antibiotics, anti-inflammatory drugs, or hormonal therapies. For moderate to severe cases, biologic treatments like adalimumab can help reduce inflammation. In more severe instances, surgical options such as drainage or excision of the affected areas may be needed. 

  1. Adopt a Skin-Friendly Hygiene Routine

Proper hygiene can help prevent infections and reduce irritation in sensitive areas. However, it’s important not to overdo it, as harsh cleaning can worsen symptoms. To care for sensitive skin affected by hidradenitis suppurativa (HS), opt for gentle, fragrance-free, and hypoallergenic cleansers to avoid irritation. Instead of scrubbing, use your hands or a soft cloth to cleanse the affected areas gently. After washing, pat your skin dry with a clean towel instead of rubbing, which can cause further irritation. Additionally, keep your skin cool and dry, as heat and moisture can worsen symptoms. Wear breathable fabrics and change out of sweaty clothes promptly to help manage discomfort and reduce flare-ups.

  1. Manage Triggers

Finding and managing your specific triggers is crucial in preventing flare-ups. Common triggers include hormonal changes, stress, friction, and certain foods.

Actionable Tips: 

  • Monitor Your Diet 
  • Wear Loose Clothing 
  • Minimize Stress 
  • Manage Hormonal Changes 
  1. Keep a Healthy Diet

Though there is no specific “HS diet,” certain foods may reduce inflammation and improve overall health. A balanced diet can also support your immune system and help manage weight, which can be a factor in HS. 

To support your skin and overall health, focus on incorporating anti-inflammatory foods like fruits, vegetables, whole grains, fatty fish, and nuts into your diet. At the same time, minimize processed foods, including sugary snacks, fried items, and refined carbs, as they can contribute to inflammation. Staying hydrated is equally important, so drink plenty of water to keep your skin moisturized from within. Additionally, consider supplements like zinc, vitamin D, and turmeric, which some studies suggest may help reduce inflammation and promote better skin health. 

  1. Be Initiative-taking About Pain Management

Pain is a significant aspect of HS that can affect your daily life. Managing pain effectively is key to keeping an excellent quality of life. 

Actionable Tips: 

  • Use Warm Compresses: Applying warm compresses to affected areas can help relieve pain and drain abscesses. 
  • Try Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can provide temporary relief. 
  • Experiment with Topical Treatments: Some people find relief using lidocaine creams or herbal balms. 
  • Consult Your Doctor: If pain becomes unmanageable, ask your doctor about stronger pain management options. 
  1. Build a Support System

Living with a chronic condition like hidradenitis suppurativa (HS) can be emotionally challenging, but building a support network can make a significant difference. Joining support groups, whether local or online, allows you to connect with others who understand your experience and can offer comfort and practical advice. Opening up to trusted friends and family about your condition can help them better understand what you’re going through and provide emotional support. If you’re feeling overwhelmed, don’t hesitate to seek professional help by talking to a therapist or counselor who can guide you in managing the emotional impact of HS. 

  1. Stay Active Within Your Limits

Exercise can improve overall health, reduce stress, and help with weight management, but it’s important to choose activities that don’t worsen symptoms. 

Actionable Tips: 

  • Choose minimal-impact activities. 
  • Wear moisture-wicking clothing.  
  • Cleanse at once after exercise.
  1. Explore Alternative Therapies

While medical treatments are essential, some alternative therapies may complement your care plan. Always consult your doctor before trying innovative approaches. 

Actionable Tips: 

  • Try Mind-Body Techniques: Practices like acupuncture, meditation, or biofeedback can help reduce stress and improve pain management. 
  • Consider Natural Remedies: Some people find relief using aloe vera gel, tea tree oil, or turmeric paste. 
  • Experiment with Diet Adjustments: Elimination diets may help find specific food triggers. 
  1. Focus on Mental Health

The emotional burden of living with HS can be significant. Feelings of frustration, embarrassment, or depression are common, but they can be addressed with the right strategies. 

Actionable Tips: 

  • Practice Self-Compassion: Treat yourself with kindness and remember that your condition does not define you. 
  • Engage in Enjoyable Activities: Pursue hobbies and activities that make you happy. 
  • Stay Connected: Regularly reach out to friends and family for emotional support. 
  • Consider Therapy: Cognitive Behavioral Therapy (CBT) can help you reframe negative thoughts and develop coping strategies.
  1. Create an HS Toolkit

Having a set of go-to items can make managing daily symptoms and flare-ups easier. 

Suggested Items: 

  • Warm compresses or heating pads 
  • Fragrance-free cleansers and moisturizers 
  • Antibiotic ointments or prescribed topicals 
  • Comfortable, loose-fitting clothing 
  • Pain relievers (as recommended by your doctor) 
  • Bandages and wound dressings 
  • A notebook or app to track symptoms.
  1. Advocate for Yourself

HS is often misunderstood, even within the medical community. Advocating for your needs can ensure you get the best possible care.

Advocating for yourself is essential when managing a condition like hidradenitis suppurativa (HS). Be persistent and don’t hesitate to seek a second opinion if you feel your concerns are not being taken seriously. Keeping detailed records of your symptoms, treatments, and their effects can help you communicate more effectively with your doctor and ensure the best care. Additionally, consider educating others by sharing your story with friends, family, or advocacy groups to raise awareness about HS and foster understanding and support.

Final Thoughts 

Living with Hidradenitis Suppurativa is undoubtedly challenging, but with the right strategies, it is possible to manage symptoms. As a result, you get to improve your quality of life and regain a sense of control. By staying informed, one can get to know why the hidradenitis suppurativa diet is important for people with HS. 

It is important to seek professional help, and adopt initiative-taking self-care measures, to make it easier on yourself around the clock. 

Thus, you can take significant steps toward living well with HS.

Anas Arif
Author: Anas Arif