Download FREE Practo app
Get ₹200 HealthCash
Hidradenitis suppurativa lesions
I have hidradenitis suppurativa and have had these painful, blister-like lesions in my groin for over 2 weeks. They're not healing and cause burning while urinating. They are bright red and oozing little blood and yellowish fluid. I have gotten this flare up almost 2 years ago. At that time, doctor prescribed 2 weeks of doxycycline tablet and zimba ointment. It healed eventually. Shall I us ethe same medicines again?
Answers (26)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+184
You’re sure it’s a similar HS flare-up and not herpes, fungal infection, or another condition?
Then
1)Start doxycycline 100 mg twice daily for 10–14 days. Take with food and plenty of water.
2)Apply topical antibiotic ointment (like Zimba/fusidic acid/mupirocin) 2–3 times daily after gentle cleaning.
Next Steps
you might need Long-Term Management:
If these flares are recurring or becoming chronic, dermatology consultation is advised. You may benefit from: Long-term antibiotics.
please contact with reports and details for further management.
Health Tips
see a doctor urgently if you notice:
Spreading redness or warmth (suggesting cellulitis)
Fever or chills
Lesions worsening despite antibiotics
New blisters or ulcers
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You can take doxycycline twice daily for 2 weeks along with the cream.If not relieved consult a dermatologist in your area for appropriate treatment.
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Continue treatment if suits but proper hygiene is the most priority contact if you need
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Hiii
Hiradenitis supprativa is an inflammatory condition whose flare up depends mainly on
Patient diet intake
If u avoid certain food products then its flare ups gets reduced in number
In order to know more about it n proper treatment n guidance
Connect with me over here
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Hidradenitis Suppurativa is a chronic inflammatory skin condition characterized by painful lumps, boils, and abscesses in areas with sweat glands—commonly the armpits, groin, buttocks, and under the breasts.
Treatment include
A.Lifestyle & Preventive Measures
-Weight loss, if overweight
-Quit smoking
-Wear loose-fitting clothes
-Maintain good hygiene
B.Medical Treatment
-Topical antibiotics
-Oral antibiotics
-Retinoids (e.g., isotretinoin, especially if acne is also present)
C.Supportive treatment
-Warm compresses to relieve pain and drain pus
-Antibacterial soap for hygiene
-Zinc supplements (anti-inflammatory effect)
I believe I have explained it with consice words. Do connect if need any help further.
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Yes use the same medicine
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Yes you can use same .
Add
Montek lc one at night for five days.
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
You are suffering so much.
Please consult a Dermatologist in your area for a physical examination and further management
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Take tab cloxacillin 1gm every 8hours for 7 days,
Tab metronidazole 400mg one every 8hours for 5 days.
Tab acefenac 100mg one morning and one evening for 5days.
Apply sumeg ointment over the blisters 2 to 3 times daily.
Eventually they will dry up or burst open. In that case clean with spirit or savlon, apply betadine ointment and cover it.
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Need few more details
Kindly connect.
Answered
Flag this answer
1/2 people found this helpful
Was this answer helpful?
YES
NO
Diagnosis
You are describing a flare-up of Hidradenitis Suppurativa (HS), which is a chronic, relapsing inflammatory skin condition involving:
Painful, red nodules or abscesses.
Predominantly in apocrine gland-bearing areas such as the groin.
May ooze purulent or bloody discharge.
Treatment Approach (Flare-up Phase)
As per Harrison's guidelines:
Antibiotic therapy:
Oral tetracyclines (like doxycycline) are considered first-line therapy for mild to moderate HS.
Duration: Usually continued for 2–3 weeks, depending on response.
Topical/Local Care:
Antibacterial or antiseptic washes like chlorhexidine.
Warm compresses for drainage facilitation.
Ointments like clindamycin or fusidic acid may be added, though not specifically mentioned in Harrison.
Pain and inflammation control:
NSAIDs may be used for pain relief during active flare.
Avoid reusing old prescriptions without physician advice, as resistance or progression may occur.
Bacterial culture and sensitivity may be warranted if no improvement.
What Not to Do
Do not continue the same medicines without medical review, especially if:
Lesions are worsening.
Systemic symptoms (fever, burning micturition) are present.
Pus discharge is increasing.
Next Steps
Consult a dermatologist for culture/sensitivity and possible escalation (like clindamycin + rifampin).
If multiple recurrences occur, surgical intervention or biologics may be considered long-term.
Reference: Harrison’s Manual of Medicine, 20th Ed. – Dermatologic Disorders – Hidradenitis Suppurativa.
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Kindly connect for a proper evaluation and further treatment .
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Are they new lesions or persistent ones?
Persistent lesions may need cryotherapy/intralesional steroids/ wide excision after re examination and confirmation of diagnosis.
Health Tips
warm water baths
weight loss
smoking cessation helpful
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
I can definitely help you over this being a general physician
You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Connect
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Sure. But pls take care . Reasons for relapse should be avoided.
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly connect
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vamshi Krishna Koppula
General Physician
5 yrs exp
Karimnagar
Consultation on practo
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Kindly connect
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Sunil Nagar
General Physician
18 yrs exp
Rewa
Connect
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes plz
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be started on higher antibiotics.
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.