Hidradenitis Suppurativa (Antibiotics Only)
Hidradenitis suppurativa, also known as Acne inversa, is a skin condition that causes painful lumps deep in your skin. They look like pimples or acne, but they are not. They are often filled with pus, get larger, and may break open and drain. The nodules aren't contagious. The condition isn't caused by poor hygiene.
Watch for signs of early inflammation in the future. Look for small, tender lumps. Then follow the treatment advice below.
Home care
Follow these tips when caring for yourself at home:
-
If oral antibiotics were prescribed, take all of them as advised by your health care provider.
-
Make a warm compress by running hot water over a washcloth. To prevent spreading bacteria, use a fresh, clean washcloth. each time. Apply it to the affected area for 10 minutes. Warm the washcloth again as needed if it cools off. Or you can stand in the shower and direct the warm spray onto the area.
-
Gently wash the area with antibacterial soap. Don't scrub it.
-
Use over-the-counter medicine to control pain and swelling, unless another pain medicine was given. If you have kidney or liver disease or ever had a stomach ulcer or gastrointestinal bleeding, talk with your provider before using this medicine.
Prevention
Try the following to help prevent your condition:
-
Use antiperspirants and deodorants that do not contain alcohol, baking soda, parabens, dyes or fragrance.
-
Stay out of the heat as much as possible.
-
If shaving the affected area, be careful of nicks and cuts.
-
If you smoke, quit.
-
Lose excess weight.
-
Wear loose clothing. Stay away from tight synthetic clothing.
Follow-up care
Follow up with your provider, or as advised. Depression is common in people with this condition. Talk to your provider if you have feelings of hopelessness, sadness, or other symptoms of depression. Help is available.
When to contact your doctor
Contact your provider right away if:
-
You have a fever of 100.4°F (38°C) or higher, or as directed by your provider.
-
Your pain increases.
-
You have increasing redness.
-
The nodules keep getting bigger.
Online Medical Reviewer:
Daphne Pierce-Smith RN MSN
Online Medical Reviewer:
Lalitha Kadali
Online Medical Reviewer:
Rita Sather RN
Date Last Reviewed:
2/1/2025
© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.