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I have just had my first under arm experience a few weeks ago but it wasn’t too bad and no bumps opened or anything. I am worried it’ll get worse and I don’t know what causes the flare ups. I eat pretty healthy and have been dairy free for years because I’m lactose intolerant. So I think sugar might be a cause but I’m not sure. Any suggestions on how to narrow it down? What helps keep it at the mild stage? I also have had a few bumps in my groin but it’s all scars now, which is good but I’m… read more

July 26
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A myHSteam Member

Sugar is definitely a factor for flare ups for me. But I don’t go completely without it. I just know it’s a risk. Sometimes I’m ok and other times I know I’ve pushed too far. Sugar during flare ups makes it worse for sure I think.

July 27
myHSteam

First off, a recent diagnosis can feel really overwhelming, so it's completely understandable to have these concerns. The good news is that HS does not automatically progress to more severe stages — many people manage to keep it mild with the right lifestyle adjustments and medical support.

Being dairy-free already puts Show Full Answer

First off, a recent diagnosis can feel really overwhelming, so it's completely understandable to have these concerns. The good news is that HS does not automatically progress to more severe stages — many people manage to keep it mild with the right lifestyle adjustments and medical support.

Being dairy-free already puts you ahead of the curve, since dairy is one of the more commonly reported dietary triggers! To help narrow down sugar as a trigger, keeping a food and symptom diary is a great approach. Track what you eat and note any flare-ups in the days that follow. A myHSteam member shared: "My flares are caused by stress, dairy products, and high blood sugar." Everyone's triggers are different, so logging your own patterns is really valuable.

Other common triggers to watch for include:

- Heat and sweating
- Stress
- Hormonal changes
- Friction from tight clothing
- Smoking
- Brewer's yeast (found in soy sauce, beer, and wine) To help keep HS at a mild stage, here are some practical steps:

- Wear loose, breathable clothing to reduce friction
- Use gentle, non-abrasive cleansers on affected areas
- Apply warm compresses to ease discomfort
- Stay cool and dry, especially in hot weather
- Avoid picking or squeezing lesions
- Reduce stress where possible
- Eat an anti-inflammatory diet rich in fruits, vegetables, whole grains, and omega-3s Regarding the groin scarring — it's worth mentioning to your dermatologist so they can monitor it. Staying on top of your triggers and maintaining a consistent skincare routine gives you the best chance of keeping things calm in all affected areas.

Working closely with your dermatologist is really the most important step — early management can make a meaningful difference.

July 26

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