Enter content title Treatments for Hidradenitis Suppurativa

Enter content title Treatments for Hidradenitis Suppurativa

Hidradenitis Suppurativa or HS, causes bumps and lumps of the hair roots under your skin by your sweat glands. Nobody knows what causes these painful bumps, but some medical personnel believes that they are caused by a some blockage by the roots of the underarm hair, groin, or pretty much any place where the skin rubs together on the body. People who smoke or are overweight are more likely to have HS. Also, HS tends to run in families.

The Symptoms of HS

• Blackheads.

• Red, sore bumps that may swell and leak pus.

• Hard, pea-sized lumps that enlarge and can become inflamed.

• Tunnels connecting the lumps can form under the skin, connecting the lumps. They don’t heal without help and can leak pus with odor.

Treatments for HS

Treatment includes several phases. If you feel mentally upset about having HS, your health care provider can suggest a support group near you to comfort you with the knowledge that you are not alone in your struggles with HS.

Hot Compresses

Hot compresses may bring the HS bumps to a head, allowing them to drain and begin to heal. Hot compresses remain a comforting and straightforward way of dealing with these annoying and painful bumps and are very simple to make. Choose a clean cloth and run it under water that is as hot as you can bear to touch. Wring a washcloth out, and then place it over the affected area for about 10 minutes.


NSAIDs, which are non-steroidal anti-inflammatory drugs, remain one of the easiest over the counter drugs to find and use to treat HS symptoms. With your doctor’s approval, try the following NSAIDs for the swelling and pain of HS:

• Aspirin

• Ibuprofen

• Naproxen sodium


If your HS bumps become infected, you may require an antibiotic to treat that infection. Using antibiotics may require that you take a pill or an antibiotic ointment. Antibiotics require a prescription. You may need to take clindamycin or another antibiotic, or clindamycin and rifampin in combination to reduce the incidence of HS symptoms and help you while you have the bumps, too. Both clindamycin and rifampin kill bacteria. You may need to take antibiotics for two to three months, however.


To ease the swelling and inflammation of HS bumps, your doctor may choose to inject the bumps with a corticosteroid once a month for about three months. For individuals with a severe case of hidradenitis, you may also require treatment with an oral steroid.

Oral Retinoids

Some of the treatments for acne also work well for HS. Oral retinoids are taken by mouth and include such products as acitretin or isotretinoin. Topical retinoids use chemicals that peel the skin. Usually these medications are only given if a person has a severe case of HS, however.

Hormone Therapy Spironolactone and birth control pills contain hormones that many women find useful in controlling their HS symptoms. Another hormonal treatment that works to improve your immune system is biologics. Biologics require receiving an injection. Some may get their injection in the doctor’s office or giving yourself an injection. Other types of biologics may need to be given as an IV in a medical facility. Some of the biologics used for HS include:

• Adalimumab, or Humira, is the only biologic approved by the FDA to treat this disorder.

• Infliximab (Remicade). Doctors use it to manage HS, even though the FDA has not yet approved it.

• Anakinra, canakinumab, ustekinumab may also be used to treat HS in stubborn cases of HS.

If you have what looks like a pimple that won’t go away, a boil or a deep cyst that recurs, you might have HS. You should consult with your healthcare provider. The sooner a diagnosis of HS is made, the sooner this disorder can be treated.