How to treat painful recurring wounds underneath the arms?
Patient's Query
Hello doctor,
I have wounds that have been recurring for years underneath my arms and are quite painful. They are like holes or raised bumps and are filled with puss. They sometimes stink and leak clear white liquid. Please help.
Thank you
Hello,
Welcome to icliniq.com.
I can understand your concern. It seems you have Hidradenitis Suppurativa which is an infection of apocrine sweat glands and is very resistant to treatment. So, long-term medication is necessary for this. For the treatment, I would suggest you take the following steps:
• Maintain local hygiene in that area.
• Weight reduction should be done.
• Use of ordinary soaps and antiseptic and antiperspirant agents like 6.25 % aluminum chloride hexahydrate in absolute ethanol.
• Application of warm compresses with sodium chloride solution.
• Wearing of loose-fitting clothing.
• Do not shave that area, go for laser hair removal.
• Cessation of cigarette smoking if you smoke.
• Apply Clindamycin gel twice daily.
• Capsule Clindamycin 300 mg twice daily for seven days after consulting your doctor or nearby dermatologist.
6. For surgical therapy, wide surgical excision of the lesions with the removal of margins beyond the clinical borders of activity is the most definitive surgical therapy.
I hope this helps you.
Thank you.
Regards.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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