What Causes Hidradenitis Suppurativa?
The exact cause of HS is unknown, but it is believed to be related to overactive sweat glands and inflammation. Some things that may increase your risk of developing HS include:
- Obesity
- Smoking
- Family history of HS
- Friction from skin rubbing together
- Use of certain medications like lithium and corticosteroids
Can Deodorant Cause or Worsen Hidradenitis Suppurativa?
There is no evidence that deodorant directly causes HS. However, certain ingredients in some deodorants may irritate existing HS lesions or clog hair follicles, potentially making symptoms worse. Deodorants containing the following ingredients should especially be avoided:
- Aluminum salts
- Fragrances
- Alcohols like isopropanol, ethanol, and benzyl alcohol
Tips for Choosing a Deodorant with HS
When choosing a deodorant for hidradenitis suppurativa, look for products labeled as sensitive skin formulas. In general, you'll want to avoid the following:
- Strong fragrances
- Skin irritants like aluminum salts and alcohols
- Thick, greasy formulas that could clog pores
- Antiperspirant deodorants, as they contain irritating aluminum salts
Instead, look for deodorants with simple, clean ingredients like:
- Baking soda - Helps neutralize odor-causing bacteria
- Essential oils - Fragrance derived from plants
- Coconut oil - Has antibacterial and moisturizing properties
- Shea butter - Soothes and moisturizes sensitive skin
- Arrowroot powder - Absorbs moisture to prevent odor
Homemade Deodorant for HS
Making your own deodorant at home allows you to control exactly what ingredients touch your sensitive HS skin. Here are some easy homemade deodorant recipes to try:
Baking Soda Deodorant
- 1/2 cup baking soda
- 1/2 cup arrowroot powder or cornstarch
- 5-10 drops essential oil of your choice (lavender, lemon, tea tree oil are soothing options)
- 4-5 tbsp coconut oil, melted to liquid state
Mix baking soda and arrowroot powder together in a bowl. Add in essential oil(s) and pour in coconut oil while stirring continuously to eliminate clumps. Store in a sealed container, will keep 2-6 months.
Coconut Oil Deodorant
- 1/4 cup coconut oil
- 1/4 cup baking soda
- 1/4 cup arrowroot powder or cornstarch
- 10-15 drops tea tree, lemon or lavender essential oil
Melt coconut oil either in a double boiler or low heat in a pan. Remove from heat and stir in baking soda and arrowroot powder. Add essential oils and mix well to fully incorporate. Pour into storage container and let cool completely before use. Will keep about 6 months.
Deodorant Alternatives for HS
In addition to choosing sensitive skin deodorants or making your own, there are a few other things you can try to help manage odor while avoiding irritation to your HS lesions, including:
- Using odor-eliminating soaps when bathing
- Changing clothes more frequently to avoid bacteria buildup
- Using antifungal body powder with ingredients like zeolite clay or tea tree oil on problem areas
- Applying witch hazel to help temporarily shrink inflamed HS nodules
When to See a Doctor
If you experience a severe HS flare-up or your symptoms don't improve with over-the-counter treatments, it's important to make an appointment with your doctor. Prescription medications are available that can help reduce HS inflammation and prevent new nodules from forming.
Early diagnosis and treatment is key to reducing HS scarring over time. Be sure to talk to your doctor about any lifestyle changes or triggers you should avoid as well.
The Bottom Line
Living with hidradenitis suppurativa can be frustrating when it feels like everything irritates your skin. But with some trial and error, you should be able to find a gentle deodorant or alternative method that keeps odor in check without flaring up your HS lesions.
Avoid common sensitizers like fragrance, alcohol, and aluminum salts. Stick to simple, clean ingredients and sensitive skin formulas. Coconut oil, baking soda, shea butter, and essential oils are all usually well-tolerated. Making your own deodorant allows you to cater the recipe to your skin's needs.
And if you do experience a bad flare-up, don't hesitate to check in with your dermatologist. Prescription treatments are available that can help you better manage your HS symptoms.
FAQs
Can I use regular deodorant if I have HS?
You'll want to avoid regular deodorants, especially those with irritating ingredients like aluminum salts, alcohol, and added fragrance. Opt for a sensitive skin formula made with clean ingredients instead.
What is the best deodorant to use for hidradenitis suppurativa?
Some good options include Tom's of Maine sensitive skin deodorants, activated charcoal deodorants, and mineral salt deodorants made without aluminum. Coconut oil with baking soda also makes an effective homemade deodorant.
Can deodorant cause hidradenitis suppurativa?
No, deodorant does not directly cause HS. However, ingredients in some deodorants may irritate existing HS lesions. Fragrance and aluminum salts found in antiperspirants tend to be most problematic.
What can I put on painful hidradenitis suppurativa bumps?
Witch hazel, cold compresses, antibacterial cream, hydrocortisone, and warm Epsom salt soaks may help soothe painful HS lesions in the underarm and other areas. See your dermatologist if over-the-counter treatments aren’t helping.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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