Understanding Hidradenitis Suppurativa
Hidradenitis suppurativa (HS) is a long-term skin condition characterized by small, painful lumps under the skin. These lumps typically develop where the skin rubs together, such as the armpits, groin, and under the breasts. The lumps may break open and smell bad or cause tunnels under the skin.
While the exact cause of HS is unknown, several factors seem to play a role, including genetics, hormone changes, and friction from skin rubbing together. The condition is not contagious. Some foods may make symptoms worse in some people, such as dairy, gluten, or foods high in sugar.
There is no definitive cure for hidradenitis suppurativa. However, various treatments can help manage symptoms and prevent flare-ups. Making certain lifestyle changes like losing weight, quitting smoking, and avoiding skin friction can also help.
Symptoms of Hidradenitis Suppurativa
Some common signs and symptoms of HS include:
- Painful, pea-sized lumps under the skin
- Puss-filled lumps that break open and scar
- Painful boil-like lesions in the armpits and groin
- Tunnels under the skin caused by infection
- Skin irritation and redness
- Foul odor from lesions
How Underwear Impacts HS
The choice of underwear plays an important role in managing hidradenitis suppurativa. Tight, restrictive underwear can cause friction and irritation in areas prone to HS lesions. This can further aggravate symptoms.
Moisture-wicking, breathable underwear helps prevent sweating and moisture build-up in hot spots. This aids healing of existing lesions while also reducing friction on the skin to prevent new ones.
Soft, seamless fabrics feel comfortable on sensitive HS-prone areas. They minimize rubbing on lesions. Underwear made of natural fibers like bamboo rayon and cotton have better airflow. This keeps the skin cooler and drier throughout the day.
Features of HS-Friendly Underwear
The best underwear choices for people with hidradenitis suppurativa include:
- Soft, seamless, and tagless
- Moisture-wicking fabric like bamboo rayon
- Breathable fabric like cotton-poly blends
- Comfortable waistbands that don't dig in
- No uncomfortable buttons, zippers, or snaps
Top Underwear Brands for HS
Many mainstream underwear brands now offer HS-friendly options catering to sensitivity and skin conditions. Some top picks include:
1. Tommy John
This brand pioneered the tagless design for a chafe-free, seamless feel. Tommy John underwear is crafted from lightweight fabrics like Cool Cotton that wick moisture to keep wearers comfortable and dry.
The signature Second Skin line has four-way stretch for a flexible fit that moves with you. The innovative Quick Draw fly also prevents friction and pulling for men.
2. MeUndies
MeUndies specializes in ultra-soft basics made from sustainably sourced MicroModal and cotton fabrics. The signature fabric feels luxuriously smooth on skin while providing breathability.
Fun prints and colors as well as matching sets make this a versatile brand. Seamless design, custom waistbands, and pouch options ensure all-day comfort.
3. SAXX Underwear
SAXX stands out with its patented BallPark PouchTM for breathability and support. Ultra-soft MicroModal and cotton blend fabrics offer chafe-free comfort. The innovative Vibe series also boasts bamboo charcoal-infused fabric for moisture control and odor elimination.
Ergonomic 3D pouch frames, tagless waistbands, breathable mesh panels, and chafe-free flatlock seams provide comfort for active lifestyles.
Caring for Your Skin
In addition to suitable underwear, properly caring for your skin is vital for people living with hidradenitis suppurativa. Some tips include:
- Take warm baths to soothe lesions and promote drainage of abscesses
- Use antibacterial soap to prevent infection
- Apply topical antibiotics prescribed by your doctor
- Keep your skin clean and dry to avoid irritation
- Wear loose breathable clothing to allow airflow
- Use bandages and gauze to protect draining lesions
See your dermatologist regularly to keep HS under control. New lesions should be evaluated promptly to determine if antibiotic treatment is required.
When to See a Doctor
Consult your dermatologist if you experience:
- Sudden increase in number of lesions
- Extreme pain or swelling
- Fever indicating infection
- Foul-smelling tunneling wounds
- HS lesions that won't heal
Early intervention can help prevent complications like skin abscesses and contractures under the skin. Your doctor can also advise advanced treatments like laser, drainage procedures, or medications for more stubborn HS cases.
FAQs
What fabrics are best for underwear with HS?
Lightweight, breathable fabrics like cotton, bamboo rayon, and cotton-poly blends are ideal. These allow airflow to keep skin cool and dry. Seamless, tagless materials prevent friction on lesions.
Can underwear cause hidradenitis suppurativa flares?
Yes, tight or ill-fitting underwear that rubs and irritates the skin can worsen HS symptoms. Choosing soft, moisture-wicking fabrics can help prevent flares.
Should you wear underwear to bed with HS?
Sleeping without underwear can allow airflow and prevent sweating in HS-prone areas during the night. Breathable cotton underwear or loose pajama shorts may also be comfortable.
What is the most comfortable underwear for HS?
Seamless, tagless underwear made of soft modal or bamboo fabric tends to be the most comfortable for HS-affected skin. Breathable cotton with moisture-wicking technology can also minimize irritation.
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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