Author's details
- Hakim A Abubakre
- BA (Hons) International Business Management, Msc Digital Marketing.
Reviewer's details
- Dr. Khashau Eleburuike
- MBBS (Ilorin) MSc. Global Health Karolinska Institute.
- Resident doctor in family medicine in Northen Sweden.

- Date Published: 2025-06-12
- Date Updated: 2025-06-12
Recurrent Painful Boils in the Armpit
🧕🏿👨🏿🌾 What You Should Know About Boils That Keep Coming Back
(Hidradenitis Suppurativa – “HS”)
💡 What is HS?
- HS (Hidradenitis Suppurativa) is a skin disease.
- It causes painful boils or lumps under your skin.
- These boils can break open and release bad-smelling pus.
- They happen in places where skin touches skin:
- Armpits
- Under the breasts
- Groin (private parts)
- Buttocks
- Inner thighs
🙅🏿♀️ It is NOT from poor hygiene
🙅🏿♂️ It is NOT contagious
💉 It is a medical problem that needs treatment
⚠️ Signs and Symptoms
You may notice:
- Skin feels hot, sore, or itchy
- Black spots (blackheads) in small pits
- Painful lumps or boils that last for weeks or keep coming back
- Boils that burst and release pus or blood
- Skin that becomes hard, thick, or scarred
- Holes or tunnels under the skin
- Pain that makes it hard to walk, sit, or move
❓ Why Do I Have This?
Doctors are not fully sure why HS happens, but:
- It is more common in women
- People with dark skin and from Sub-Saharan Africa are more likely to get it
- It often starts after puberty (teenage years)
- It may be worse if you:
- Smoke
- Are overweight
- Wear tight clothes.
- Live in hot or sweaty places
- Feel a lot of stress
✅ What You Can Do at Home
Here’s how to take care of your skin:
🧼 Wash with mild soap or antiseptic wash (like benzoyl peroxide)
🌡 Use warm cloth on the boil to help pain
💨 Wear loose, cotton clothes
🚫 Don’t squeeze or cut the boil
🪒 Shave carefully or avoid shaving
🚿 Shower after sweating
🚭 Stop smoking
⚖️ Try to lose weight if needed
😌 Reduce stress—talk to someone you trust
🏥 When to See a Health Worker
Go to the clinic or hospital if:
- Boils are very painful or keep coming back
- You have lots of pus or blood
- The skin is not healing
- You feel sad or embarrassed all the time
- You have difficulty moving
- You have new strange skin changes
- You want advice about treatment
🚫 What to Avoid
- Don’t use strong or harsh soaps
- Don’t wear tight clothes that rub your skin
- Don’t put unproven traditional creams
- Don’t touch or cut the boils
🛡 How to Prevent It from Getting Worse
- Stay clean and dry
- Don’t smoke
- Eat healthy and drink water
- Avoid stress
- Wear loose clothes
- Go to all your appointments
- Ask for support if you feel sad or lonely
🙋🏿♀️ Final Word
HS is a long-term skin condition, but you can manage it.
Don’t be ashamed. Many people live with HS. You are not alone.
Talk to your nurse, doctor, or community health worker.
They can help you feel better and prevent it from getting worse.
- World Health Organization (WHO) https://www.who.int/
- NHS UK – Hidradenitis Suppurativa. Available at: https://www.nhs.uk/conditions/hidradenitis-suppurativa/
- Mayo Clinic. Available at: https://www.mayoclinic.org/diseases-conditions/hidradenitis-suppurativa/symptoms-causes/syc-20352306
- Jemec GB. N Engl J Med. 2012;366(2):158-64
- Alikhan A et al. J Am Acad Dermatol. 2009;60(4):539-61
