Managing pain and flare-ups in hidradenitis suppurativa

Hidradenitis Suppurativa (HS) is a painful skin condition. Learn its causes, recognize the symptoms of HS boils, and explore effective treatments and management tips.

16 September, 2025

Are painful, recurring lumps under your skin causing distress? You're not alone. Understanding what hidradenitis suppurativa is, and its triggers, is the first step toward managing the condition and finding relief. Don't let it control your life any longer.

What are the main causes of Hidradenitis Suppurativa?

  • The condition begins when hair follicles become blocked with keratin, sweat, and bacteria, leading to inflammation, rupture, and the formation of painful nodules.
  • A strong genetic link exists, with many patients having a family history of the condition; hormonal fluctuations are also thought to play a role in flare-ups.
  • While not direct hidradenitis suppurativa causes, factors like smoking, excess weight, and living in hot, humid climates can worsen symptoms and increase flare frequency.
Stages of hidradenitis suppurativa condition

Key symptoms of Hidradenitis Suppurativa to watch for

  • The primary symptom is the appearance of painful, pea-sized lumps or HS boils, typically in areas where skin rubs together like the armpits or groin.
  • Over time, these recurring boils can connect under the skin, forming sinus tracts that leak pus and can lead to significant scarring and discomfort.
  • Affected areas often feature clusters of blackheads, typically in pairs or a "double-barrel" pattern, which is a distinctive sign of this chronic condition.

How can you prevent Hidradenitis Suppurativa effectively?

  • Adopting a healthy hidradenitis suppurativa diet, maintaining a healthy weight, and quitting smoking can significantly reduce the severity and frequency of painful flare-ups.
  • Avoid tight clothing to reduce friction, use gentle antiseptic cleansers on affected areas, and refrain from squeezing or attempting to pop the painful nodules.
  • Consult a hidradenitis suppurativa specialist to discuss treatment, which may range from antibiotics to biologics like Humira for HS, or even surgery in advanced cases.

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Image of Hidradenitis Suppurativa

Consultation with hidradenitis suppurativa specialist
Medical pictures of hidradenitis suppurativa
Painful HS boils and skin flare presentation
Causes linked to hidradenitis suppurativa
Recommended diet for hidradenitis suppurativa
Understanding what hidradenitis suppurativa is

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Managing hidradenitis suppurativa is a long-term journey that requires a personalized approach. If you suspect you have HS, seeking an early diagnosis from a dermatologist is crucial for creating an effective treatment plan and improving your quality of life.

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