Hidradenitis suppurativa, bad odors, pain, feber - #10818

Your symptoms suggest a condition called hidradenitis suppurativa, a chronic skin disease that causes painful, pus-filled lumps in areas like the armpits, groin, and buttocks. It can lead to recurrent infections, scarring, and systemic symptoms like fever. Please consult a dermatologist or a general surgeon for proper diagnosis, wound care, and long-term management, possibly including antibiotics or minor surgery.

Hello Yariela This suggests a moderate to severe form of HS, The presence of fever and continuous pus also raises concern for secondary infection or abscess formation

Advise Consult a Dermatologist or Surgeon Immediately You need clinical assessment and possibly culture of the pus

As you have described pus culture is needed as it needs empirical as well strong antibiotics.also u might need incision and drainage of the lesion

Topical clindamycin 1% (apply twice daily) Zinc gluconate supplements (helps reduce inflammation) post meal in afternoon Tab augmentin 625 mg twice daily for 7 days Rest antibiotics can be prescribed or changed post pus culture and sensitivity report

Lifestyle Adjustments Maintain ideal body weight Stop smoking (it worsens HS) Avoid tight clothing, waxing, deodorants with alcohol Keep area clean and dry

Home Remedies (Supportive) Warm compresses

Antibacterial washes (like chlorhexidine or benzoyl peroxide wash)

Turmeric supplements (natural anti-inflammatory)

Avoid shaving or friction in the area

Investigation Pus culture and sensitivity Cbc Lft

The symptoms you’re describing could indicative of a condition called hidradenitis suppurativa (HS), a chronic skin inflammation that affects areas with apocrine sweat glands, like the armpits, groin, or under the breast. It often starts as small painful lumps under the skin and can progress, becoming larger or forming tunnels under the skin called sinus tracts, which can have a bad odor due to bacterial infection. The presence of fever could suggest that an infection has become more significant or systemic, which warrants careful prompt attention. It’s important to consult with a dermatologist or healthcare professional to confirm the diagnosis and develop a tailored management plan. Knowing the potential for bacterial involvement, an initial step is usually proper hygiene; daily cleansing of affected areas with gentle, antimicrobial soaps can be helpful. Wearing loose-fitting clothing and avoiding shaving in these areas may also reduce irritation. Depending on the severity, treatments can vary—ranging from topical or oral antibiotics to more targeted therapies like biologics for those with extensive HS. Keeping a diary of flare-ups and any triggers might help identify factors that exacerbate the condition, although this should not substitute professional medical guidance. Over-the-counter pain relief can be considered, but if you experience worsening symptoms like increasing pain, more frequent fever, or spreading of lumps, seeking medical attention is advised. Early intervention can reduce complications like scarring and improve quality of life significantly. Consider discussing with your doctor possible systemic treatments if the condition severely impacts daily functioning. Do not hesitate to reach out promptly for emergency care if there are signs of sepsis or if pain becomes unbearable.