8 Surprising Things Making Your Hidradenitis Suppurativa Worse

Living with Hidradenitis Suppurativa (HS) can be challenging, but understanding what can make it worse is the first step toward managing this condition effectively. Here are eight things to be mindful of in your daily life that can exacerbate HS symptoms and some friendly tips to help you navigate them.

1. Being Overweight

Extra weight can increase friction and sweat between skinfolds, leading to more irritation and inflammation.

“There are plenty of thin people with the condition, but we do know being overweight is a risk factor,” John Frew, MD, PhD, a clinical scholar in the Laboratory of Investigative Dermatology at The Rockefeller University in New York, tells Everyday Health.

Consider incorporating healthy eating habits and regular physical activity into your routine to help manage your weight and potentially improve your HS symptoms.

2. Sweating

Heat and sweating can aggravate HS, so it's essential to find ways to stay cool and dry.

“Some people do report that heat and sweating make HS worse, but it is not clear whether it is due to the rubbing of skin together or more complex factors, such as bacteria and acid levels in the skin,” Dr. Frew adds.

Opt for breathable clothing, take frequent breaks during physical activity, and shower promptly after sweating to help minimize its impact on your skin.

3. Tight-Fitting Clothing

Avoid wearing tight clothing that can rub against your skin and trigger HS flare-ups.

Choose loose-fitting, comfortable clothes made from breathable fabrics to reduce friction and chafing.

4. Shaving Affected Areas

Shaving over active HS lesions can irritate the skin and worsen the condition.

Consider alternative hair removal methods like laser hair removal, which can target the hair follicles without causing additional irritation.

5. Smoking

Smoking has been linked to worsening HS symptoms. What's more, a study published in January 2017 in the Journal of the American Academy of Dermatology shows that nonsmokers respond better to HS treatments than smokers do.

If you smoke, quitting can be beneficial for your overall health and may help improve your HS management. Talk to your doctor about resources and support to help you quit.

6. Unhealthy Diet

While there's no specific diet for HS, maintaining a healthy and balanced diet can support your overall well-being, Everyday Health notes.

Not sure where to start? According to a review published in November 2019 in the International Journal of Dermatology, eliminating dairy, eating less sugar, and avoiding food made with brewer’s yeast may help some people with HS.

Reducing your intake of processed foods and increasing your consumption of fruits, vegetables, and whole grains may also help.

7. Stress

Stress can trigger HS flare-ups, so finding ways to manage stress is crucial.

Practice relaxation techniques, engage in activities you enjoy, and consider talking to a mental health professional for support.

8. Skin Irritation or Injury

Avoid unnecessary trauma or irritation to your skin, as this can exacerbate HS. Be gentle when caring for your skin, avoid squeezing or popping lesions, and protect your skin from unnecessary friction or injury.

When to See a Doctor

If you're experiencing severe or persistent HS symptoms despite following these tips, it's essential to seek medical attention. Additionally, if you notice any signs of infection, such as increased pain, swelling, or pus drainage from lesions, or if you develop fever or chills, it's crucial to see a doctor promptly. Your healthcare provider can assess your condition, recommend appropriate treatments, and help you manage your HS effectively.

Remember that managing HS is a journey, and it's essential to work closely with your healthcare provider to develop a personalized management plan that suits your needs. By being mindful of these factors and implementing healthy habits, you can take proactive steps toward managing your HS and improving your overall quality of life.