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The painful lesions of HS may also fill with an unpleasant-smelling fluid that can leak without warning.There’s currently no cure for HS. Side effects of topical antibiotics can include a mild burning sensation and the risk of antibiotic resistance.Oral antibiotics can be prescribed for mild disease. Long-term use may lead to thinning skin, high blood sugar, and osteoporosis.HS is thought to be influenced by hormones called androgens. Depending on the severity of your condition, your care may also involve specialists in colorectal surgery, plastic surgery or digestive diseases (gastroenterology).Here's some information to help you get ready for your appointment.For hidradenitis suppurativa, some basic questions to ask your doctor include:Your doctor is likely to ask you a number of questions, such as:Mayo Clinic does not endorse companies or products. This can help to clear existing HS lesions and prevent new ones from forming.A short-term course of oral corticosteroids can be used to manage a flare-up of symptoms.Longer-term oral corticosteroids can also be used in severe HS cases that aren’t responding to standard treatments. However, in these cases, the lowest dose possible should be prescribed.Injected corticosteroids can lead to pain near the injection site, facial flushing, and insomnia.Some potential side effects of oral corticosteroids are high blood pressure, weight gain, and mood changes.
Your doctor will ask you about your signs and symptoms, examine your skin and take your medical history.No laboratory test is available to diagnose hidradenitis suppurativa. Because of the effect of hormones on HS, your doctor may recommend hormone therapy as a potential treatment option. Healthline Media does not provide medical advice, diagnosis, or treatment. These are typically used for moderate to severe HS but can also be used for mild cases.One of these techniques involves using a laser to treat active lesions. Examples can include stomach upset, nausea and vomiting, and constipation. Other interventions being studied are topical antiseptics, novel biological therapies and further study of adalimumab.Mild hidradenitis suppurativa may be treated with only self-care measures. Use of opioids also carries the risk of addiction.Corticosteroids can also be used to decrease swelling, reduce inflammation, and manage pain. The injection is made directly at the affected area and can help to ease pain and swelling.Oral corticosteroids are used for more moderate to severe cases. Hormone therapy may help to decrease pain and reduce the amount of fluid draining from HS lesions during a flare-up.Hormone therapy for HS could involve taking the following types of medications:Hormone therapy for HS can be taken orally. Depending on the severity of your condition, you may receive one antibiotic or multiple antibiotics.Side effects of oral antibiotics can include diarrhea, HS-related pain can come from a variety of sources, including lesions, abscesses, and scarring. Don’t overdo it, though — too much zinc can cause an upset stomach.There are many potential treatments for HS, each with its own benefits and possible side effects. They can treat infections, reduce inflammation, and prevent new lesions from forming.
Topical treatments for HS are typically products such as antiseptic agents or acne treatments. Hidradenitis suppurativa occurs in cycles throughout a patient’s lifetime, with periods of breakouts and healings. Some examples are:The above topical treatments may be used for mild to moderate HS. Photosensitizing drugs are applied topically or injected at the lesions. Then apply an over-the-counter antibiotic cream or a cream containing the antimicrobial benzalkonium chloride.
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