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Hidradenitis Suppurativa

2456712

Comments

  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    Hello all,

    I hope all fellow HS sufferers are doing well, and are as pain-free as is possible with this condition.

    Just wondering how do ye cope (or not) with working? I am currently out of work, and am finding it increasingly difficult to function normally (have a bad dose in the groin area at the moment), namely walking is a serious problem for me at the moment

    I was thinking of trying to apply for lomg term illness, although i am not sure that HS is recognised as such. Has anybody had any experiences of this, or other similar schemes? Any help on this would be greatly appreicated.

    Best wishes,


  • Registered Users, Registered Users 2 Posts: 166,026 ✭✭✭✭LegacyUser


    lockman wrote: »
    Hello all,

    I hope all fellow HS sufferers are doing well, and are as pain-free as is possible with this condition.

    Just wondering how do ye cope (or not) with working? I am currently out of work, and am finding it increasingly difficult to function normally (have a bad dose in the groin area at the moment), namely walking is a serious problem for me at the moment

    I was thinking of trying to apply for lomg term illness, although i am not sure that HS is recognised as such. Has anybody had any experiences of this, or other similar schemes? Any help on this would be greatly appreicated.

    Best wishes,

    I've got a bad dose (for me) at the moment and feeling pretty miserable about it. I'm managing work OK, though every step I take is painful right now, but I have a comparatively sedentary job. The worst thing is if I'm sitting down talking to someone, and I move suddenly in my seat and something catches. It brings tears to my eyes, which makes people think I'm far more invested in the conversation than I really am :)

    Next bit spoilered for the squeamish.
    I hope this doesn't sound gross, but I took an old soft bath towel and cut it into portions, and I line my trousers with those - stops the seams rubbing and catching and helps a bit. It requires a lot of changing and washing the towels, but does make walking easier.

    My big worry at the moment is the amount of weight I've put on - I want to start the Couch to 5k, but am putting it off because of the pain, and am pretty much getting no real exercise at the moment. Every time I try to go for a walk/run I come back covered in blood and beside the pain I just find it humiliating. I met a neighbour on my way back day and we were talking on the footpath when he suddenly went white and pointed out that I was standing in a small pool of blood :( He wasn't to know, but what do you even say to someone?


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    @someone 32,

    Thanks for the post, and especially so for the useful tips: will definitely give it a go.

    Regarding what you said about going for a walk/run, if it is any consolation, pretty much the same thing happens me, that is of course when i can physically manage it.

    best wishes,

    Lockman


  • Registered Users Posts: 240 ✭✭seabre


    Hello All!

    I cannot believe I have come across this thread! I have googled HS Ireland so many times for support groups / shared knowledge etc but to no avail so I gave up on it about 3 years ago so I am so pleased to see we HS sufferers have a corner in boards!!

    I have been suffering from this damn thing now for 17 years. it started in my right arm pit with several nasty boils and after monthly trips to the gps and countless drainings and antibiotics I decided to treat as much as I could myself. Over the next 12 years or so I suffered varying amounts from mild to severe. I currently have sites in both armpits, groin, both breasts and thighs.

    When I had my first baby by C section I had a very severe flair up and I was hospitalised for almost a week. The flair up was in my groin and very near the c section scar - I was so surprised to see the shock in most of the Nursing staff and even some doctors faces when they looked at the area, they were all incredulous yet when I saw the Plastic Surgeon who was more used to dealing with the disease he said that although my case was bad it was not the worst he had ever seen. He did think that surgery would be a good option for me but not until after I've finished having my family as effectively what he would be doing would be diminished if I were to have any further C Section surgeries so I'll struggle on for a few more years - I really don't want to be in the situation where by I'd be forced to make a decision not to have anymore kids.

    My GP is a dermatologist and v sympathetic and quite knowledgable about the condition. He prescribed me a cream called Dalacin - which is not really for this condition (not sure what it is supposed to be for but maybe quite embarrassing for male sufferers to go to the chemist for as I know it is some sort of vaginal pessary). It is supposed to be applied daily to the sites but as my sites are so extensive I would need 2 or more tubes a week and at 26 quid a tube I just can't afford to use the treatment. Its not covered by the DPS either which I think is a joke but don't get me started on that one.

    With regard to the work situation I can usually soldier on through but I have been so bad at times that I have had to leave work either through the pain of it or if I've had an untimely "burst". The smell is so foul it so embarrassing. I've had to tell 2 of my superiors in work which was embarrasment enough but my Manager is a man and I could not even think about telling him so when and if I have to call in sick I am always lying over what is wrong with me and I'm sure he senses this.

    I really think the ignorance of this disease is one of the hardest issues to deal with as a sufferer. There should be a Long Term Illness status for it so sufferers who for periods at a time genuinely cannot work are not being treated as dossers etc.

    Anyway - great to make contact with other sufferers If I can help anyone with any questions please feel free to pm me.


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    @Seabre,
    Glad you found us: there are a few of us here who post from time to time. Welcome to our little group, and very sorry to hear of your plight, but at least you now know you are not alone.

    As for your experiences, well i can relate to it somewhat. Most medics i have met (excluding my plastic and the odd specialist nurse) generally tend to look away in horror/disgust when i show them my bits and pieces. It is a very common reaction amongst people.

    With regard to your gp who is also a derm, has she/he ever spoken to you about the TNF-inhibitor drugs? (TNF= tumour necrsosis factor; there is thought to be an autoimmune aspect to HS, so this drug effecively suppresses your immune system). I started on one of these about a year ago (Infliximab is the name of the drug i am on). I have found it to be very beneficial to my HS at least. I know a few others here have also got some relief from it also. I have been put on this by my derm, in consultation with my plastic - i will need surgery but they are both waiting to see how well this treatment goes before putting me under the scalpel

    Anyway, hope you are as pain-free as possible.
    Best wishes,


  • Registered Users Posts: 240 ✭✭seabre


    lockman wrote: »
    @Seabre,
    Glad you found us: there are a few of us here who post from time to time. Welcome to our little group, and very sorry to hear of your plight, but at least you now know you are not alone.

    As for your experiences, well i can relate to it somewhat. Most medics i have met (excluding my plastic and the odd specialist nurse) generally tend to look away in horror/disgust when i show them my bits and pieces. It is a very common reaction amongst people.

    With regard to your gp who is also a derm, has she/he ever spoken to you about the TNF-inhibitor drugs? (TNF= tumour necrsosis factor; there is thought to be an autoimmune aspect to HS, so this drug effecively suppresses your immune system). I started on one of these about a year ago (Infliximab is the name of the drug i am on). I have found it to be very beneficial to my HS at least. I know a few others here have also got some relief from it also. I have been put on this by my derm, in consultation with my plastic - i will need surgery but they are both waiting to see how well this treatment goes before putting me under the scalpel

    Anyway, hope you are as pain-free as possible.
    Best wishes,

    Thankyou Lockman for this information. After I posted last night I took the time to go through the thread and read every post and I have to say I was shocked at the treatments that seem to be well known but have never been mentioned to me! I did do the long term antibiotic one for a few months but I had no improvement whatsoever so I didn't even persue it for the full 6 months.

    My doc did say there were a few other options but none advisable if I was thinking of getting pregnant anytime soon so perhaps the infliximab was what he was referring to. I will chek in often for updates and to see how everyone is doing.

    Great to get in touch - Thanks again!


  • Registered Users, Registered Users 2 Posts: 166,026 ✭✭✭✭LegacyUser


    Hi everyone my name is debbie i have had this condition since i was 14 and im now 24 and at stage 3, Im affected in my groin area and have had 6 ops in 2010 alone.

    I have tried every treatment under the sun im so fed up with this condition its ruining my life. I have had some wonderful really good jobs ive lost through this illness.

    Feeling so down lately as I cant funtion right at all my life is dominated by this can anyone help? any tips ?

    I attend a consultant but he doesnt really no what to do with me as i have tried all treatments and have responed to nothing


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    corsa01 wrote: »
    Hi everyone my name is debbie i have had this condition since i was 14 and im now 24 and at stage 3, Im affected in my groin area and have had 6 ops in 2010 alone.

    I have tried every treatment under the sun im so fed up with this condition its ruining my life. I have had some wonderful really good jobs ive lost through this illness.

    Feeling so down lately as I cant funtion right at all my life is dominated by this can anyone help? any tips ?

    I attend a consultant but he doesnt really no what to do with me as i have tried all treatments and have responed to nothing

    Corsa01,

    Glad you found us. Welcome, and very sorry to hear you have this awful condition.

    You have been through an awful lot - 6 ops in 2010 is unbelieveable. Hope you had some success with them.

    Have you tried or has you doc mentioned the anti-TNF drugs to you? (See some of the earlier posts for some users experiences with this). Like you, i too am stage 3. I am on this anti-TNF regime for about a year - i get it once every 8 weeks or so, and it has made an enormous difference to my life. It took about 6-8 months of this therapy before i noticed any tangible results.

    As for advice, all I can say is try and take things one day at a time (maybe others have suggested this to you). I used to let it dominate my life, but one cant let this happen! There are a few other HS people who write from time-to-time here. You arent alone and feel free to vent your frustrations here.

    All the best for now,


  • Registered Users Posts: 45 stupidskin


    Hi
    has anyone with HS suffered from a pilonidal cyst also?,

    I just had 1 removed last week and it was left open for healing from inside out and the dressing is a foam dressing that basically fills the cavity of the area that was removed. (cavicare I think) anyway just wondering if any1 has experience witht these dressings as I am supposed to take it out and clean it 3 times a day an as they say just pop it back in !

    that is not the easiest task in the world to perform and I am not normally that squeamish. I have had my axilla and groin surgeries done for HS in the past. But on this cavicare thing any advice?, I need to go and get a new one moulded next week :(

    SS:cool:


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  • Closed Accounts Posts: 105 ✭✭chappy


    Hi Stupidskin,

    I have had 2 surgeries in the past 8 months to have a pilonidal sinus removed.Both of mine where left open to heal as yours have.I did not use the dressing you are talking about.I instead used aqualcell AG which the district nurse came daily to change.How big is your wound?


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    stupidskin wrote: »
    Hi
    has anyone with HS suffered from a pilonidal cyst also?,

    I just had 1 removed last week and it was left open for healing from inside out and the dressing is a foam dressing that basically fills the cavity of the area that was removed. (cavicare I think) anyway just wondering if any1 has experience witht these dressings as I am supposed to take it out and clean it 3 times a day an as they say just pop it back in !

    that is not the easiest task in the world to perform and I am not normally that squeamish. I have had my axilla and groin surgeries done for HS in the past. But on this cavicare thing any advice?, I need to go and get a new one moulded next week :(

    SS:cool:

    Hi SS,

    I have pilonidal also. I never had to use the cavicare.
    From what i have read, it isnt 'unusual' for HS people to get pilonidal cysts, and vice versa.
    There is a dedicated thread for pilonidal sinus on the site, and some of the posters there might be able to answer your question:

    http://www.boards.ie/vbulletin/showthread.php?t=2055145515&highlight=pilonidal


  • Registered Users Posts: 45 stupidskin


    chappy wrote: »
    Hi Stupidskin,

    I have had 2 surgeries in the past 8 months to have a pilonidal sinus removed.Both of mine where left open to heal as yours have.I did not use the dressing you are talking about.I instead used aqualcell AG which the district nurse came daily to change.How big is your wound?

    Hi, it's probably only a small one, although to me it feels a lot more. it is about 1 inch deep and 2.5 inches long. Pain is still sporadic and sitting nigh on impossible. As for the dressing they basically poured this liquid into the cavity than added another to it an it solidified in minutes like a plug. Thos is what I take out a few times every day and try to line up to get back in. How long b4 u could go back to work ?

    thnx


  • Registered Users Posts: 45 stupidskin


    lockman wrote: »
    Hi SS,

    I have pilonidal also. I never had to use the cavicare.
    From what i have read, it isnt 'unusual' for HS people to get pilonidal cysts, and vice versa.
    There is a dedicated thread for pilonidal sinus on the site, and some of the posters there might be able to answer your question:

    http://www.boards.ie/vbulletin/showthread.php?t=2055145515&highlight=pilonidal

    Thanks Lockman, I came accross that 1 already but I was trying to get a perspective from other HS users as well as I am wondering about the risk of infection to an open wound from active HS in the groin area near the pilonodal region.
    Hopefully when this is healed it will b 1 less thing to deal with it, making my way through HS 1 excession at a time !:)


  • Registered Users, Registered Users 2 Posts: 16,288 ✭✭✭✭ntlbell


    A good friend of mine used to suffer very badly with this and the only way he got shot of it for good was by changing diet completely.

    Following Your one from i'm a celeb get me out of here? mckieth's books.

    no drinking, no smoking, no chocolate, no cakes no fried foods, no white breads or rice. etc _ever_

    basically rabbit food for life.


  • Registered Users Posts: 45 stupidskin


    ntlbell wrote: »
    A good friend of mine used to suffer very badly with this and the only way he got shot of it for good was by changing diet completely.

    Following Your one from i'm a celeb get me out of here? mckieth's books.

    no drinking, no smoking, no chocolate, no cakes no fried foods, no white breads or rice. etc _ever_

    basically rabbit food for life.

    Thanks ntlbell, I am on a fairly good diet already as it helps with the HS so my weight is average for height, now the smoking.........it's all I have left :/
    Ended up on fluflox 4 x 500 daily for 5 days after the op as I think an active area of HS may have gotten into the pilonidal.. getting better now though. Only thing is I'm wodering about how long b4 I consider going back to wotk. involves sitting all day and a 45min drive??


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  • Registered Users, Registered Users 2 Posts: 16,288 ✭✭✭✭ntlbell


    stupidskin wrote: »
    Thanks ntlbell, I am on a fairly good diet already as it helps with the HS so my weight is average for height, now the smoking.........it's all I have left :/
    Ended up on fluflox 4 x 500 daily for 5 days after the op as I think an active area of HS may have gotten into the pilonidal.. getting better now though. Only thing is I'm wodering about how long b4 I consider going back to wotk. involves sitting all day and a 45min drive??

    Well a "good" diet isn't enough I don't think, the sacrafices nearly killed him :)

    We're not talking eat your 5 a day and go for a walk here.

    if we take the avergae person who eats "healthy" take them and remove about 95% of what they're eating and that's probably getting closer

    it didn't "help" it cured it.

    I wouldn't last two days on it i'd say. giving up drinking and smoking can be tough but then add to that never having a bit of chocolate again, I'd lose my mind. :)


  • Closed Accounts Posts: 3 Stumauler


    Hi all,
    I'm male aged 30, had very bad acne from 13 to about 16 - roaccutane cleared that up.
    At 17/18 started to get lumps/boils under my arms in the groin and buttocks- thought it was just acne again.......wrong!!!

    Went for an operation in July '99 to excise from the arms and groin- got out of hospital 6 weeks later after 18 general anesthetics for dessings/excisions with MRSA and gaping open wounds everywhere.

    3 weeks later back into A+E to try and get something done- it was then that i was diagnosed with HS- Proceeded to have skin grafts under both arms - was in hospital for another 6 weeks due to the MRSA and needed 2 blood transfusions.

    Skin grafts started off ok but degraded badly after 3 weeks- went back to plastic surgeon and was told "I feel like saying don't call me I'll call you" !!!!!! and said there was nothing else he could do for me.

    Tried alternative medicine- no joy.
    Went to see a faith healer (don't laugh:))2 months later smelling and feeling like a lepper.
    Noticed a drastic improvement in the wounds under the arms in the next few weeks and bathing wounds with a mixture he gave me ( basically bread soda and salt) my arms cleared up within a few months - mainly scar tissue there now not much of the graft, no problems in under the arms since that.

    Groin is a different story.
    Tried Rifampacin and clyndamicin (excuse any spelling mistakes) seemed to work for the first couple of months but it would then flare up again.

    I was with Hibiscrub or something with aloe in it.
    I bath in potassium permanganate granules- seems to dry out the wounds pretty well, also dip a dressing in the solution and wear while I sleep if the flare up is really bad.

    Over a year ago I had a really bad flare up and decided to see the dermatoligist again after about 5 years without consulting them.

    They started me on injections- an immune surppressant called Adalimumab (HUMIRA): Cost was just 120euro with the DPS.- 1 injection every 2 weeks self administered- its a pen so no hassle.

    And ALL of the wounds in my groin and buttocks dried up closed over and healed, some of these for the 1st time in 10 years!
    I was playing sport- wearing clothes for longer than half a day it really was life changing- I even started cycling!!!
    Had a couple of flare ups but nothing at all serious and they went away in a couple of days.

    Currently off the treatment as hoping to start a family.
    6 months of the treatment now and wounds are open again- not as bad as before but I will be back on the treatment as soon as I can.

    In the meantime - I just keep clean try to keep the weight down, I wear breathable underwear like sports players do- the baselayer stuff it keeps sweat/moisture off the skin and helps reduce itching/rubbing and I don't use dressing I prefer the baselayer and change it during the day.

    Feel free to PM me about anything.

    Don't let it get you down, worrying about it won't make it better!!!


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    Stumauler wrote: »
    Hi all,
    I'm male aged 30, had very bad acne from 13 to about 16 - roaccutane cleared that up.
    At 17/18 started to get lumps/boils under my arms in the groin and buttocks- thought it was just acne again.......wrong!!!

    Went for an operation in July '99 to excise from the arms and groin- got out of hospital 6 weeks later after 18 general anesthetics for dessings/excisions with MRSA and gaping open wounds everywhere.

    3 weeks later back into A+E to try and get something done- it was then that i was diagnosed with HS- Proceeded to have skin grafts under both arms - was in hospital for another 6 weeks due to the MRSA and needed 2 blood transfusions.

    Skin grafts started off ok but degraded badly after 3 weeks- went back to plastic surgeon and was told "I feel like saying don't call me I'll call you" !!!!!! and said there was nothing else he could do for me.

    Tried alternative medicine- no joy.
    Went to see a faith healer (don't laugh:))2 months later smelling and feeling like a lepper.
    Noticed a drastic improvement in the wounds under the arms in the next few weeks and bathing wounds with a mixture he gave me ( basically bread soda and salt) my arms cleared up within a few months - mainly scar tissue there now not much of the graft, no problems in under the arms since that.

    Groin is a different story.
    Tried Rifampacin and clyndamicin (excuse any spelling mistakes) seemed to work for the first couple of months but it would then flare up again.

    I was with Hibiscrub or something with aloe in it.
    I bath in potassium permanganate granules- seems to dry out the wounds pretty well, also dip a dressing in the solution and wear while I sleep if the flare up is really bad.

    Over a year ago I had a really bad flare up and decided to see the dermatoligist again after about 5 years without consulting them.

    They started me on injections- an immune surppressant called Adalimumab (HUMIRA): Cost was just 120euro with the DPS.- 1 injection every 2 weeks self administered- its a pen so no hassle.

    And ALL of the wounds in my groin and buttocks dried up closed over and healed, some of these for the 1st time in 10 years!
    I was playing sport- wearing clothes for longer than half a day it really was life changing- I even started cycling!!!
    Had a couple of flare ups but nothing at all serious and they went away in a couple of days.

    Currently off the treatment as hoping to start a family.
    6 months of the treatment now and wounds are open again- not as bad as before but I will be back on the treatment as soon as I can.

    In the meantime - I just keep clean try to keep the weight down, I wear breathable underwear like sports players do- the baselayer stuff it keeps sweat/moisture off the skin and helps reduce itching/rubbing and I don't use dressing I prefer the baselayer and change it during the day.

    Feel free to PM me about anything.

    Don't let it get you down, worrying about it won't make it better!!!


    Hi Stumaler,

    Thanks for sharing your story with us.
    Your story made for harrowing reading in parts, and i am sure there are many readers who were able to identify with what you told us.

    So sorry to hear of your relapse, but glad to hear that you found the Humira useful.

    And the very best of luck in your plans for starting a family!


  • Closed Accounts Posts: 105 ✭✭chappy


    So I had an appointment this morning with a general surgeon and shockingly after requesting surgery for years and being turned down he agreed that my areas that are infected are too big for himself to do but he is referring me to a plastic surgeon.

    I know its going to be a little while longer but it really does feel like there is a light at the end of the tunnel.
    Don't get me wrong I know surgery is not a miracle cure but even if I get a few years relief it would be amazing.And now that my pilonidal sinus is also cleared up things are looking up!!!


  • Registered Users, Registered Users 2 Posts: 1,859 ✭✭✭m'lady


    Hi all, just a brief update, I finally got to see a Dermatologist a couple of weeks ago, and the HS was formally diagnosed. Anyway she gave me a prescription for the next four months, the name of the tablet/anti-biotic is 'Minicin' . Has anyone been on this ?


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  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    m'lady wrote: »
    Hi all, just a brief update, I finally got to see a Dermatologist a couple of weeks ago, and the HS was formally diagnosed. Anyway she gave me a prescription for the next four months, the name of the tablet/anti-biotic is 'Minicin' . Has anyone been on this ?

    Hi M'lady,

    Glad to hear you finally got a diagnosis for this, so at least you have some idea of what you are dealing with.
    I was on Minocin for ~6 months, did very little good if i am to be honest: in the first few weeks, i got a small bit of relief (i.e. less oozing and pus) and the pain died down a bit. But shortly afterwards again (about 2 months or so into the treatment), i was back to square one. Different people have differing experiences on antibiotics for HS, so you might get lucky with this (and i hope you do), but personally, no antibiotics have ever had a sustained impact on the HS for me.

    Regards


  • Registered Users, Registered Users 2 Posts: 1,087 ✭✭✭nomadic


    +1 to what ntlbell is saying. I've had it for about 12 years. I've had surgery a couple of times and been on all the drugs. I reached a point a couple of years ago where it was have more surgery and continue the cycle or suck it up and accept it. I decided to just get on with life and forget about surgery and more drugs. I started to take some sports a bit more seriously (running was sore at times but some gel like plasters were great) and i cleaned my diet up big time and started drinking a bit less. My HS is basically gone or inactive now. I do notice the lumps on the back of my neck coming back or my armpits getting a little leaky after a heavy session on the beer or after eating crap but it doesn't last long once i clean up the diet again.


  • Closed Accounts Posts: 15,914 ✭✭✭✭tbh


    There's a fine line between people sharing their experiences and people giving medical advice, I'm happy that we're on the right side of that line up to now, but just to remind everyone - with respect - that anecdotal evidence should be taken in that context - anecdotal, and to point out that your milage may vary.


  • Registered Users Posts: 30 PorridgeHead


    Hi All.
    I am so glad that I found this tread in an Irish forum.
    We are at our wits end.

    Our 15 year old daughter has been diagnosed with HS.... just to add to the complexity of her life. She has a rare chromosomal disorder classified as Profound Intellectual Disability.

    She doesn't walk or talk and wears nappies 24/7/365.

    She eats like a horse (but she is not in any way fat or chubby), but can't take tablets. As most of the prescriptions are tablet form, and are NOT crushable, her options (that we have been told about) are somewhat limited.

    Her HS is terrible, affecting her groin area.
    As a younger child she would Bunny Hop around the house, but since the HS and it's level of pain and discomfort, she just likes to sit on a couch. What a life?

    She was prescribed Cli/Rif, but the side affects on someone in nappies was rather unfortunate, and we decided to stop it.

    There seems to be a lot of people that have been through the mill with HS. I don't think surgery is an option.

    Any advice or suggestions would be appreciated.

    Is the fact that she is in nappies compounding the problem?


  • Registered Users Posts: 30 PorridgeHead


    m'lady wrote: »
    Hi all, just a brief update, I finally got to see a Dermatologist a couple of weeks ago, and the HS was formally diagnosed. Anyway she gave me a prescription for the next four months, the name of the tablet/anti-biotic is 'Minicin' . Has anyone been on this ?

    Hi m'lady.
    They put my daughter on Minicin, and 3 months later they doubled the dosage. We did see a temporary improvement, but not for very long, and it was an improvement, by no means a cure.


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    Hi All.
    I am so glad that I found this tread in an Irish forum.
    We are at our wits end.

    Our 15 year old daughter has been diagnosed with HS.... just to add to the complexity of her life. She has a rare chromosomal disorder classified as Profound Intellectual Disability.

    She doesn't walk or talk and wears nappies 24/7/365.

    She eats like a horse (but she is not in any way fat or chubby), but can't take tablets. As most of the prescriptions are tablet form, and are NOT crushable, her options (that we have been told about) are somewhat limited.

    Her HS is terrible, affecting her groin area.
    As a younger child she would Bunny Hop around the house, but since the HS and it's level of pain and discomfort, she just likes to sit on a couch. What a life?

    She was prescribed Cli/Rif, but the side affects on someone in nappies was rather unfortunate, and we decided to stop it.

    There seems to be a lot of people that have been through the mill with HS. I don't think surgery is an option.

    Any advice or suggestions would be appreciated.

    Is the fact that she is in nappies compounding the problem?

    Hi PorridgeHead,

    Glad you found us, and welcome.

    So sorry to hear about your daughter's troubles. I assume she hasn't been on much medication, with the difficulties ye have getting her to take tablets? If it is any consolation to ye, very few, if any, of the many different tablets i have been prescribed down through the years have made any big difference to my HS.
    I had similar problems when on Clin/Rif. combo, so i can appreciate how difficult it can be.

    In my case what helps me deal with the pain and discomfort is to keep the areas as clean as possible at all times. I bathe 1-2 times per day, and sometimes will bathe the affected areas in between. Also during the summer months i wear shorts as often as possible (and at night at home i will wear them). I find keeping the affected areas as cool as possible, and letting fresh air at it seems to help me. The medics will tell you to avoid any activity that causing sweating in the affected areas and i'd tend to agree with that.

    Regards


  • Registered Users, Registered Users 2 Posts: 861 ✭✭✭yawnstretch


    Hi,

    Reading this thread was emotional for me and I want to try to say something supportive to you.

    I always considered some conditions I'd been through to be hard and reading this thread has been educational about the next level of hardship.

    I respect the people who are coping with this and hope for improvement for you - whether through better medical understanding, personal strength/endurance, or other form of relief.

    My heart is with you.

    - I do not have HS


  • Registered Users Posts: 1 ClaireBear10


    Hi,

    I think i have been suffering from HS for around 5 years in total but was only diagnosed over a year ago. :(

    I was prescribed tetracycline but didn't find that helped so returned to my dermatologist and was then prescribed Erthyomycin which i have been taking twice a day for over a year, tablets are 500mg each and caused vomiting in the beginning. But i presume my tummy got used to them, however i still often feel sick after taking them. I am not sure if they beneficial to me but i would not like to discontinue, just in case.

    I was referred to a cosmetic surgeon in the Beaumont last month and he said that they were one of the worse he has seen and are quite infected. I have the opportunity to have surgery but i am unsure as i have heard it is painful and diffucult to heal. :confused: I don't think the surgeon was advising surgery as it is a hit & miss procedure with a 10% likelihood of it reoccurring-Even though i don't think i'm in that 10% ;)

    My 'lumps' are under my left and right arms, the left mainly being the worst, but one lump/scar is really raw (as in open). I tend to cover them with a plaster during the day but i am not sure if this is the best thing for them. I do this so that my tops/dresses do not irritate them.

    I try to see the best in this illness though, as i'm sure there are people worse off that us, but is ssssoooo annoying as it is such an 'ugly' disease :'(

    Thank You All For Previous Posts

    (PS, this is one of my bad days as i have read all about HS in this board before but have never posted)

    From A Sad Bear :( xxx


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    Hi,

    I think i have been suffering from HS for around 5 years in total but was only diagnosed over a year ago. :(

    I was prescribed tetracycline but didn't find that helped so returned to my dermatologist and was then prescribed Erthyomycin which i have been taking twice a day for over a year, tablets are 500mg each and caused vomiting in the beginning. But i presume my tummy got used to them, however i still often feel sick after taking them. I am not sure if they beneficial to me but i would not like to discontinue, just in case.

    I was referred to a cosmetic surgeon in the Beaumont last month and he said that they were one of the worse he has seen and are quite infected. I have the opportunity to have surgery but i am unsure as i have heard it is painful and diffucult to heal. :confused: I don't think the surgeon was advising surgery as it is a hit & miss procedure with a 10% likelihood of it reoccurring-Even though i don't think i'm in that 10% ;)

    My 'lumps' are under my left and right arms, the left mainly being the worst, but one lump/scar is really raw (as in open). I tend to cover them with a plaster during the day but i am not sure if this is the best thing for them. I do this so that my tops/dresses do not irritate them.

    I try to see the best in this illness though, as i'm sure there are people worse off that us, but is ssssoooo annoying as it is such an 'ugly' disease :'(

    Thank You All For Previous Posts

    (PS, this is one of my bad days as i have read all about HS in this board before but have never posted)

    From A Sad Bear :( xxx

    Hi there,

    Sorry to hear of your situation. As for your diagnosis, many people go many years before getting the correct diagnosis. A recent survey of std clinics in Scandanavian countires showed that just under 10% of those being treated for stds didnt have any std at all - it was in fact HS which hadnt been diagnosed properly!

    I have had both armpits done in recent years, and have to say it is one of the best things i have ever done. No reoccurence yet, although the HS has appeared elsewhere in the meantime.

    As for the surgery, it wasnt all that bad. In my case, i found the site from where they take the donor skin to be irritating and most troublemsome. The area from my armpits wasnt much trouble at all (once you can get through the first couple of dressings changes, you will be grand).

    Below is a link to a clip from the Embarassing Bodies series on Channel4, and you will see an overview of the surgical procedure. WARNING - contains some gruesome images. If you are queasy, dont watch

    http://www.youtube.com/watch?v=yjg0e5D3VVE

    As i mentioned i had this procedure done on each arm. In the first op, i was back to normal (functioning arm which could stretch and lift etc) within about 6-8 weeks.With the 2nd op, i ran into a few problems with a minor reoccuring infection at the wound site, but nothing too major.

    If you want to know anymore, please feel free to get in touch.

    Best wishes, and i hope you are as pain-free as is possible.


  • Registered Users Posts: 4 edelmegan


    Hi

    I have this for the past 10years so far and every treatment that has been mentioned on this HAS NOT WORKED for me as I'm also allergic to penicillin. I have lost count of the times I had them drained and pluged.

    I have been attending Dermatology Prof for the past 9 yrs and she recons that the surgery does'nt help with them as they can just come back again. ( My cousin had it done and they just came back)

    The most painful is in the groin and being a women its not nice at all I get them every 3 weeks I find the only thing that heals them is a trip to hospital for IV vancamincine (not sure about the spelling) which in its self is draining.

    I would like to hear from other who have this.:mad:


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  • Closed Accounts Posts: 23 sue800


    Omg i cant believe i found this thread..have suffered in silence for ten year now and thought not many ppl suffer from this horrible nasty condition..my sister also suffers from it tho..i have given up trying to get treatment at this stage as no one takes me serious..i have even been to a plastic surgeon about cutting my armpits out and he has refused me an operation as he said its not severe..not severe???i have constant lumps the size of golf balls which weep and smell,its totally affecting my life and making me miserable :mad::mad::mad::mad:


  • Registered Users Posts: 4 edelmegan


    Hi Sue800

    I know its a truly horrible thing to have to deal with I myself have just spent the past week going back and forth to hospital as I had 3abbcess 1 on the belly and 1 each side of my groin they decide to insize and drain them which Im sure you prob had done yourself, so I had to go back every day for dressings and for them to be re-pluged. The trouble with getting this done is that it leaves what the doctor call tracking (scar tissue). It was either that or spent 2 weeks as an inpatient on iv antibiotic which I wasn't going to do as I'm only out of hospital 4 weeks ago. I have them all the time and sometimes it just get's to much to bear. They say that if you have the surgery done there is no guarantee they wont come back and as I get them everywhere especially in my groin there would be no point in getting it done. Have you not seen a dermatologist anywhere. I live in Dublin so I attend St James Hospital am under Prof Barnes who is such a lovely lady, but sometimes it's very annoying when they say you need to be brave when you get them god I wish they would get one just to experience the pain and discomfort themselves. :mad::mad::mad::mad:


  • Closed Accounts Posts: 23 sue800


    sounds like you have it awful bad too,its so unfair that theres not a treatment that can cure this but most doctors are only aware of it recently, some not at all so hopefully in time a cure can be found(fingers crossed).iv not been to see a dermatologist,i feel like its a waste of time to be honest as 3 different doctors and a plastic surgeon have all said theres nothing that can be done.its a horrible thing to live with,ppl who arent effected dont understand..i cant wear sleeveless tops or dresses and am constanly aware of the odour..if i use deodorants it agrivates it so im constantly washing ..even my kids are making comments which hurts like hell.the lumps are only in my armpits but seem to be getting worse as time goes by and im dreading what they wil be like in the future.
    it actually feels a little better knowing your not the only one who suffers,thanks for your reply :)


  • Closed Accounts Posts: 23 sue800


    iv set up a page on facebook for ppl..its called Hidradenitis suppurativa support ireland


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    sue800 wrote: »
    sounds like you have it awful bad too,its so unfair that theres not a treatment that can cure this but most doctors are only aware of it recently, some not at all so hopefully in time a cure can be found(fingers crossed).iv not been to see a dermatologist,i feel like its a waste of time to be honest as 3 different doctors and a plastic surgeon have all said theres nothing that can be done.its a horrible thing to live with,ppl who arent effected dont understand..i cant wear sleeveless tops or dresses and am constanly aware of the odour..if i use deodorants it agrivates it so im constantly washing ..even my kids are making comments which hurts like hell.the lumps are only in my armpits but seem to be getting worse as time goes by and im dreading what they wil be like in the future.
    it actually feels a little better knowing your not the only one who suffers,thanks for your reply :)

    Hi Sue,
    Glad you found us, and you are most definitely not alone on this.
    I had tried the traditional doctors for years, and got nowhere (after a lot of prescriptions for antibiotics etc). However, i have to say that since i saw a dermatologist (about 2 years ago) my HS and life in general have improved enormously. Give the derm a go : you have nothing to lose and imho, a lot to potentially gain. Many doctors like gps etc, wouldnt necessarily be aware of some of the newer treatments available. If your derm is anyway on top of his/her game, they will at least offer you some options.

    As for general washing and hygeine, have you tried HibiScrub? (It is widely available in most pharmacies etc). I started using it recently (like you, a normal deodarant would irritate etc) and it most defnitiely helps me.

    Regards


  • Registered Users Posts: 30 PorridgeHead


    sue800 wrote: »
    iv set up a page on facebook for ppl..its called Hidradenitis suppurativa support ireland

    Hi Sue800.
    Couldn't find the facebook page, but found a bunch of others.

    I have been following HS since my 14 year old daughter was diagnosed with it. Jesus it is rotten.

    While it's good to have some forum connections in Ireland, I have found the UK HS Friends forum to be very helpful.

    http://hsf-uk.find-forum.net/

    "Helpful" is a bit of a subjective terms when considered in terms of HS.

    Keep the chin up.


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    @PorridgeHead,

    Thanks for posting that link.

    Here are a few other good info sites on HS:

    1) The British Association for HS:
    http://www.ba-hs.org.uk/

    2) The New Zealand assocation:
    http://dermnetnz.org/acne/hidradenitis-suppurativa.html
    NOTE: the DermetNZ page opens up directly onto some gruesome images of the condition,

    3) There is/was a crowd called the HS Foundation (HSF.org). That was an excellent source of info. Thier site appears to be down at the minute so i wont post a link.

    Hope everybody is as pain-free as possible.



    Hi Sue800.
    Couldn't find the facebook page, but found a bunch of others.

    I have been following HS since my 14 year old daughter was diagnosed with it. Jesus it is rotten.

    While it's good to have some forum connections in Ireland, I have found the UK HS Friends forum to be very helpful.

    http://hsf-uk.find-forum.net/

    "Helpful" is a bit of a subjective terms when considered in terms of HS.

    Keep the chin up.


  • Registered Users Posts: 1 hwayte


    Hi everyone. I've just spent the last hour reading throught this thread. I have not been diagnosed with HS but for at least 2 years now (I'd say probably more like 3 or more actually.. can't remember when it started!) there is an area in my groin which regularly swells up and what I thought was just a nuisance of a spot which wouldn't go away. After a particularly bad swelling the past week, it only occurred to me to look this up online today and given what I've seen it really does seem to be something similar. I will occasionally get swelling in one armpit too but no boils.

    To those of you who have it - did it get worse over a long drawn out period of time? I'm quite worried about it now but if I'm honest I'm only 24, living on my own and in no position to be spending all my wages on doctors visits and meds. From experience, the swelling usually goes away so I tend to just put up with it while it's there but if it's likely to get worse and worse over time then perhaps I ought to see someone about it :(


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    hwayte wrote: »
    Hi everyone. I've just spent the last hour reading throught this thread. I have not been diagnosed with HS but for at least 2 years now (I'd say probably more like 3 or more actually.. can't remember when it started!) there is an area in my groin which regularly swells up and what I thought was just a nuisance of a spot which wouldn't go away. After a particularly bad swelling the past week, it only occurred to me to look this up online today and given what I've seen it really does seem to be something similar. I will occasionally get swelling in one armpit too but no boils.

    To those of you who have it - did it get worse over a long drawn out period of time? I'm quite worried about it now but if I'm honest I'm only 24, living on my own and in no position to be spending all my wages on doctors visits and meds. From experience, the swelling usually goes away so I tend to just put up with it while it's there but if it's likely to get worse and worse over time then perhaps I ought to see someone about it :(

    @ hwayte,
    To answer your first query, might i suggest you talk to your gp, who may then refer you to a dermatologist. It is the derm who will be able to confirm HS or give you a different diagnosis.


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  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    Hi all,

    To any HS people currently taking the class of drugs called TNF-inhibitors (Remicade/Infliximab; etanercept (Enbrel) etc), the US FDA have updated their warnings regarding taking these drugs and the inherent risks of associated bacterial infections:

    from this site:
    http://www.clinicaladvisor.com/risk-for-new-infections-with-tnf-blockers-reported/article/211438/

    The existing boxed warnings on all tumor necrosis factor-alpha inhibiting drugs will be updated to reflect risk for infection with the bacteria Legionella and Listeria, the FDA announced.

    These pathogens have caused more than 100 infections in people taking TNF-alpha blockers including infliximab (Remicade), etanercept (Enbrel), adalimumab (Humira), certolizumab pegol (Cimzia) and golimumab (Simponi).

    “The risks and the benefits of the TNF-alpha blockers should be considered prior to initiating therapy in patients with chronic or recurrent infection and patients with underlying conditions that may predispose them to infection,” the FDA wrote in a drug safety communication.

    TNF-alpha inhibitors are used to treat patients with Crohn's disease, ulcerative colitis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, plaque psoriasis and/or juvenile idiopathic arthritis.

    Serious infections with bacterial, mycobacterial, fungal, viral, parasitic and other opportunistic pathogens are a known risk factor associated with this class of drugs.

    Between 1999 and 2010, the FDA received reports of 80 cases of Legionella pneumonia and 14 deaths after patients took a TNF-alpha inhibitor, most commonly for rheumatoid arthritis.

    Median TNF-alpha inhibitor treatment lasted for 10.4 months, with infections occurring as early as one month and as late as 73 months after initiating treatment. Many reported cases involved concurrent treatment with methotrexate and corticosteroids.

    The FDA has also received reports of 26 cases of serious Listeria monocytogenes infection, encompassing meningitis, endophthalmitis, bacteremia and sepsis among patients taking TNF-alpha inhibitors. There were seven deaths. Additional cases of Listeria are also occurring in clinical trials of the drugs, the agency warned.

    Clinicians should monitor patients taking TNF-alpha inhibitors for signs and symptoms of serious infection and should report any adverse events associated with the medication to the MedWatch Safety Database. Patients older than 65 years are at increased risk for infection, the FDA warned.


  • Registered Users Posts: 4 edelmegan


    sue800 wrote: »
    iv set up a page on facebook for ppl..its called Hidradenitis suppurativa support ireland
    Hiya cant find that facebook page


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    edelmegan wrote: »
    Hiya cant find that facebook page

    @Edel,

    I am aware of two very active HS groups on fb:
    a) HS Friends (an international group with many UK & European members)
    b) HS-Knowledge is Key (again international but most posters here are US based).

    Both are closed groups - afaik you may need someone to invite you (at least that is how i got there). If you need an invite, pm me.


  • Registered Users Posts: 4 edelmegan


    @lockman I joined the British hs group sent request for HS-Knowledge is Key but nothing came up for HS-Knowledge is Key

    Thanks


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    edelmegan wrote: »
    @lockman I joined the British hs group sent request for HS-Knowledge is Key but nothing came up for HS-Knowledge is Key

    Thanks

    @Edel:
    Try typing in the following:
    "Hidradenitis Suppurativa: Knowledge is key!"

    Any problems, pm me.

    Regards


  • Closed Accounts Posts: 2 Curly Chick


    Hi everyone,

    I read people's stories on this thread and felt the need to write my own story. Reading other people's harrowing stories both scared me and made me feel lucky... if you can call having a milder story to tell than some of you had lucky....

    I'm 38 years old, female, have been diagnosed with HS for 8 years. Mainly I got the lumps in my armpits but they were relatively small and managable. The ones on my left armpit were recurring all the time and I was put on long courses of antibiotics by my GP (I was fortunate enough that he had a nurse working for him who previously worked for a surgeon who deals with HS, so she was very helpful to me), which would keep it at bay, shrink it, but as soon as I was off the antibiotics, they would come back. Eventually I had a surgival procedure in my left armpit, that was about 6.5 years ago, didn't need skin graft, had about 15 stitches and that healed really well and now you can barely see the scar.

    I've had no major recurrances for years. I changed my diet to a healthier one, rarely eat meat, just fish, veg and carbs, eat plenty of nuts, whole wheat, fruit and yogurts.
    A year ago I started going to the gym and dance classes and shrunk from a size 20 to a size 12, losing over 4 stones in the process. My skin had cleared up, my secretions reduces to a few blackheads here and there.
    I recently started laser hair removal and saw this as another way to reduce any lumps coming, which usually form or start near infected hair follicles/ingrown hairs. I have very curly hair, which I understand is something shared by many HS sufferers.

    About 2 months ago, a serious lump came up in my groin. It was horrendous, big, angry and red, the size of a golf ball. I was in denial for a bit, I was so angry it came back! I had nearly forgotten I had HS! Finally went to get it seen to yesterday. Was sent straight to A&E of a hospital, where I spent an entire night in the waiting room. Got it lanced and drained this morning by the loveliest nurse practitioner who was very knowledgable about HS. She did the whole thing with local anasthetic and laughter gas and it was relatively painless and she was lovely keeping me talking the whole time so I forgot to hurt... Luckily it wasn't infected at all, just inflamed, and I don't need antibiotics. Hopefully it will settle down again but if it doesn't, this time around I'm not messing around with long courses of antibiotics that knock the socks out of me, but don't prevent a recurrance. I'm asking for surgery straight away. Maybe its a radical approach for some, but my belief is if you get it while its still not so big and remove it, maybe the skin grafts won't be necessary, and if you get it all, it may not come back.

    I've read all about your advice on various courses of treatment and also did my own research. I think some of the anti-inflammatory (anti-TNF-alpha]) drugs are too drastic for me and I'd be afraid of the damage to my immune system. I know that for some people the risk is worth it, but I don't feel I'm there yet... hopefully will never have to.

    I just wanted to say to people who may have just been diagnosed and are reading this thread feeling scared by some of the more extreme stories, that not everyone has such a severe experience, mine has not been too bad, I've had one surgery, not needed skin grafts, had a quiet few years (which must at least in part be attributed to the changes in my diet and overall fitness) and its now just come back. Hopefully not for long! I'm determined to do everything that I can to reduce the effects of HS on my life and not let it control me. I used to be very conscious of the scar in my armpit always wearing sleeves and avoiding sleeveless tops. I then didn't care anymore and since then, I've met at least 3 women on a night out who correctly identified it as a HS scar as they had similar ops/scars too! 2 of them I knew as acqaintances, but never knew they had HS. I guess you don't speak about it much on a night out! :) Seeing the scars made me feel better that there are others out there going through the same thing. Not so isolated.

    I'm happy to have found this thread and will come back to it now I know its there...

    all the best to you all.


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  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman




    I just wanted to say to people who may have just been diagnosed and area reading this thread feeling scared by some of the more extreme stories, that not everyone has such a severe experience, mine has not been too bad, I've had one surgery, not needed skin grafts, had a quiet few years (which must at least in part be attributed to the changes in my diet and overall fitness) and its now just come back. Hopefull not for long! I'm determined to do everything that I can to reduce the effects of HS on my life and not let it control me.

    @CC,

    Welcome aboard. Glad you found us.

    Just wanted to say thanks for what you posted above, especially what is highlighted in bold!

    That is a very important point. Different strokes and all that. Not everyone with HS will need surgery & grafting etc. Many people manage just fine without any need for surgery.

    Thanks again.


  • Closed Accounts Posts: 2 Curly Chick


    lockman wrote: »
    @CC,

    Welcome aboard. Glad you found us.

    Just wanted to say thanks for what you posted above, especially what is highlighted in bold!

    That is a very important point. Different strokes and all that. Not everyone with HS will need surgery & grafting etc. Many people manage just fine without any need for surgery.

    Thanks again.

    @lockman, thanks for your kind words. Thank you for being so active on this thread, its got a real sense of community. I'm not one for facebook or support groups, this thread is what I've been looking for.
    I was so scared when I read it at first, I had a bit of a panic attack.
    Then I came back to it this week and decided to write my story so that people can see its not necessarily going to be so bad.
    Yes, I have a busy job, HS does affect my life, but I'm no longer mortified to talk about it. So that's a big step for me, borne out of the fact that I've now met other people with HS.

    One other thing I wanted to add - one of my "excuses" for lack of exercise in the past was the fear that the excessive sweating and tighter sports clothes will contribute to HS flareups. From my experience, that has not been the case.

    Have a good day everyone, thanks again lockman.


  • Registered Users Posts: 65 ✭✭mossie11


    Hi, just found this thread, it seems there is a lot of us in Ireland.
    I have suffered from H.S. over the last 30 years or so, although I only knew what it was for the last five years. I had all the treatments and grafts etc. and it seemed to have cleared up over the last couple of years, but now it is back again in my left armpit.
    So I am back on Roaccutane and have an appointment with a Plastic Surgeon next week, so I know what's in store for me.
    Thanks for letting me share this with you.


  • Registered Users, Registered Users 2 Posts: 550 ✭✭✭lockman


    Hello Mossie,

    Yes, unfortunately, there are a few of us here in Ireland. Glad you found us though and feel free to share/rant or.....

    Sorry to hear that your armpit is causing you trouble, especially after a few years free of it.

    Best of luck with the treatment, and with the plastic. You might let us know how you get on with it.

    Regards,
    Lockman

    mossie11 wrote: »
    Hi, just found this thread, it seems there is a lot of us in Ireland.
    I have suffered from H.S. over the last 30 years or so, although I only knew what it was for the last five years. I had all the treatments and grafts etc. and it seemed to have cleared up over the last couple of years, but now it is back again in my left armpit.
    So I am back on Roaccutane and have an appointment with a Plastic Surgeon next week, so I know what's in store for me.
    Thanks for letting me share this with you.


  • Registered Users Posts: 65 ✭✭mossie11


    Thanks for that, will let you know how it goes.


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