I've suffered from boils in the groin area since adolescence. In my thirties, the problem migrated to my armpits. I've read countless articles on this subject, and I’ve found that there’s no cure for chronic hidradenitis. However, there are things we can do to minimize and alleviate the problem. Here are some dos and don'ts:
1. Don't rely upon antibiotics UNLESS you come down with a large boil that is causing great pain or a cluster of boils that won’t seem to heal on their own. The effects of antibiotics don't last. If you take them frequently to address a chronic problem, you will develop immunity to the pills, and they won’t work when you come down with a severe infection. (Do try antibiotics if this is your first boil or if boil attacks are infrequent.)
2. Don't squeeze hard! This drives the infection deeper into the pore and creates a larger "channel" for your next infection to develop. When boils are good and READY to drain, puss will run out with GENTLE pressure. To help draw boils to a head faster, apply a warm compress or take a hot bath to open your pores.
3. Don't be afraid to lance boils yourself. (It's safe if done properly, and it results in immediate relief.) To lessen the possibility of creating a large hole that could become re-infected, use the smallest sewing needle you can find. Sterilize the needle by soaking it in alcohol for at least sixty seconds. Insert slowly and gently. Do not re-insert the needle without sterilizing it again. (Do not attempt to lance "solid" boils or hard lumps under the skin. Lance boils that are visibly plump with fluids.)
4. Do clean boil drainage from your skin with Bactene or peroxide. Drainage is loaded with bacteria that can infect open pores surrounding the original boil.)
5. Don’t shave areas that are prone to boils. Ingrown hairs from shaving are a leading cause of boils. Learn to live with hair under your arms and on your upper thighs. Hair is more attractive than puss filled bumps.
6. Do keep chronic areas CLEAN AND DRY. Keep a bottle of Bactine or Iodine in the shower. Dry armpits and inner thighs with a hair dryer to avoid that moist feeling that lingers after towel drying.
7. Alpha Hydrox (a brand name) makes a clear fruit acid gel that is much more concentrated than most lotions containing Alpha Hydroxys. The formula is meant to lift dead skin cells on your face, unclog pores and reduce the appearance of fine lines. On a whim, I used this product under my arms. I saw a dramatic improvement the very next day. The product won’t exactly cure a large boil overnight, but it does shrink pores and eliminate small bumps from infected hair folicles. When I use it religiously, my small bumps don’t grow into big boils.
7. I’ve also tried the Proactive Acne System under my arms. It didn’t work, and it left my skin so dry that it flaked for days.
Other Thing's I've Learned:
1. There’s a strong correlation between boils and menstrual cycles. The fluids running through your pores become thicker before a period, resulting in pore blockages. Yes, boils typically slow down after menopause, but not always.
2. There’s a correlation between obesity and boils. Losing a significant amount of weight may lessen the problem for several reasons. A) Healthy bodies have stronger immune systems that are more capable of attacking infections, including infections of the skin. B) Losing weight can reduce the severity of rubbing and chafing, especially in the thigh area.
3. No, losing weight won’t fix everything. Many thin people suffer from chronic boils and skin irritations.
4. There’s a strong correlation between boils and diabetes. For this reason, I have often wondered if a low carb diet could lessen the severity of chronic boils. Can anyone tell me?