The itchiness that comes with hidradenitis suppurativa (HS), or acne inversa, can be one of the condition’s most irritating and debilitating symptoms. An aggravating nuisance throughout the day, itching can also deprive you of much-needed sleep at night. Members of myHSteam often discuss how HS-induced itchiness interferes with their quality of life and solicit tips on how to find itch relief.

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“I’m currently having a flare-up as we speak — I’ll be up all night itching and irritated. I’m so sick of going through this,” one member shared.

“Tired of itching all the time because my skin is so dry … can’t sleep … again,” another member said.

You can try several techniques to calm HS itchiness. Everyone is different, so a remedy that works for someone else may not work for you. Check with your doctor or dermatologist before trying new treatments or skin care remedies. Remember that even over-the-counter products can have side effects, so it’s important to use them as directed.

What Causes Itching From HS?

Researchers aren’t entirely sure what causes itchiness linked to HS, although they’ve found that the symptom affects between 62 percent and 75 percent of people with the condition. HS breakouts on the armpits, groin, and thighs are often the itchiest, according to the American Academy of Dermatology.

One theory is that the itchiness may result from the release of histamine from mast cells in the nodules, abscesses, and surrounding skin. This histamine release can cause itching and other allergic symptoms.

The American Academy of Dermatology suggests applying a cool, damp cloth or an ice pack to itchy spots for five to 10 minutes.

Additionally, the formation of scars from HS can lead to nerve irritation, and scar tissue itself can be itchy. Although pain is a more common HS symptom, the itch can also be quite bothersome, especially at night, making it difficult to sleep.

“Scratching somewhere, only to realize that that particular bit is itching because it’s a lesion and you’ve just scratched the top off. Oh, the pain is real,” a myHSteam member wrote.

Relieving Itch With HS

There’s limited research on how to relieve itchiness specifically for HS. However, there’s been a lot of research into why other health conditions cause itchy skin, so a variety of dermatologist-recommended techniques can both prevent and soothe itchiness. Members of myHSteam have also discussed the products, techniques, and home remedies that work for them.

1. Wash With Care

Washing regularly can help reduce bacteria on your skin and may prevent or reduce HS flare-ups, which may help ease itchiness. Be mindful of the soap or cleansers that you use and how you treat your skin when you wash.

When choosing a soap or bodywash, look for an antimicrobial option. By lowering the amount of bacteria on your skin, you can reduce flare-ups.

Cleveland Clinic recommends avoiding soaps and cleansers that contain:

• Harsh chemicals
• Fragrances
• Dyes
• Exfoliators
• Parabens
• Beta-hydroxy acids
• Rubbing alcohol
• Tea tree oil

Antiseptic cleansers containing benzoyl peroxide, zinc pyrithione, or chlorhexidine may also help. These products can dry out the skin, so start by using them just once a week. If your skin tolerates the ingredients well and they help your symptoms, move on to daily use.

One myHSteam member recommended Dr. Organic Aloe Vera Body Wash. “I have been testing this stuff out, and it’s brought very good results so far,” they reported. “It’s stopped the itching that drives you crazy.”

Another member reported positive experiences with Dial Gold, an antibacterial soap: “Yesterday, I bought some Dial Gold. Showered with it, and I haven’t itched since.”

Remember that when you’re washing your skin, you’re not sanding a deck. Be gentle with the affected areas to avoid triggering inflammation or causing a lesion to burst. Washcloths, loofahs, and the like can irritate the skin, so don’t use them — let the soap or cleanser do the work.

After washing, gently pat the affected areas with a clean towel to remove excess moisture. Keep the area dry since moisture can worsen HS symptoms.

2. Keep Cool

Topical cooling is a time-tested remedy for relieving itchiness. “Doing cold compresses,” one myHSteam member told another.

The American Academy of Dermatology suggests applying a cool, damp cloth or an ice pack to itchy spots for five to 10 minutes. Products containing cooling agents like menthol — which comes from peppermint — or calamine can also help. You can also try cooling your moisturizer of choice in the refrigerator.

Sweating and overheating can make HS symptoms worse. Limit activity when it’s hot or stay indoors, ideally in an air-conditioned space. Enjoy outdoor time in the morning or late afternoon when the sun isn’t as intense.

3. Take a Warm Bath

Bathing (or showering) in lukewarm water can help prevent itching. Don’t turn up the heat too much, though, even if it feels good. Hot water can dry your skin, which can worsen inflammation. Limit your shower or bath to 10 minutes.

“Epsom salts baths help with inflammation and are especially relaxing before bed.”

— A myHSteam member

In a pinch, a warm compress may relieve swelling and inflammation. Run warm water over a clean washcloth, wring out the excess, and place the cloth on your itchy area for about 10 minutes.

Although a lukewarm bath can help, you might get additional relief by adding certain ingredients.

Oatmeal

Researchers have found that colloidal oatmeal — finely ground oatmeal — can help with chronic, itchy skin caused by skin conditions like eczema or psoriasis. Colloidal oatmeal also has moisturizing and cleansing properties.

To prepare an oatmeal bath, finely grind about a cup of oatmeal and add it to a tub of lukewarm water. Soak for about 15 minutes. You can also buy over-the-counter oatmeal bath treatments.

Epsom Salts

Some myHSteam members have found that baths with Epsom salts provide relief. Epsom salts are magnesium sulfate — magnesium is considered the active ingredient. The International Association of Hidradenitis Suppurativa Network recommends a warm bath with Epsom salts to relieve itchiness.

“Epsom salts baths help with inflammation and are especially relaxing before bed,” one member shared.

4. Try a Topical Treatment

Some over-the-counter anti-itch creams, ointments, wipes, and pads may bring relief. In addition to menthol and calamine, potentially helpful ingredients include:

• Aloe — This moisturizing extract from the aloe plant has anti-inflammatory properties and is sometimes used to soothe itchy skin. “Aloe plant has soothed my skin and taken away so much of the rawness and redness,” a myHSteam member said.
• Antihistamines — This class of drugs is often used to treat allergy symptoms, including itchiness. Members of myHSteam have mentioned success with creams containing antihistamines like diphenhydramine.
• Hydrocortisone — This steroid is used to treat inflammation and itching in skin conditions and is available in over-the-counter and prescription products. “I have HS in the groin area, and when I’m having a flare, I use hydrocortisone 2.5 percent for the swelling, itching, and irritation,” shared one member who uses a prescription strength.
• Pramoxine — This topical anesthetic can stop nerves from transmitting pain signals. One myHSteam member said that their itching “seems to go away MOST times with Neosporin ointment,” which contains pramoxine in formulations like Neosporin + Pain Relief.
• Witch hazel — This botanical astringent from the Hamamelis virginiana plant can relieve minor pain, itchiness, and irritation (but be careful not to dry out the skin too much). “Witch hazel works for the itching and swelling,” one member wrote.

Natural ingredients and over-the-counter medications may cause side effects, like contact dermatitis, or interfere with your current treatments. Check with your doctor before adding a new treatment to your regimen, and make sure to read the directions carefully.

5. Dress for Comfort

Tight clothing, especially in rough fabrics like wool or denim, can cause itchiness as it rubs against your skin. Look for loose clothing made from breathable, moisture-wicking fabrics, which draw wetness away from your body.

Wearing clothing made from cotton or bamboo may help reduce moisture and prevent itchiness.

Cotton can be a good choice. According to one study, clothing made from bamboo fibers is a better option. Bamboo is absorbent, hypoallergenic (unlikely to cause an allergic reaction or contact dermatitis), and less irritating.

One member said they further reduce irritation using liners: “I use panty liners. I stick about three or four of them on my panties. They help with friction, absorb the drainage, and don’t irritate my skin like the bandages do.”

6. Strive for Less Stress

Pain and itchiness from HS can be stressful — and stress can worsen itchiness, according to the American Academy of Dermatology. Stress-relief techniques that may put your mind at ease and also provide some physical relief include:

• Practicing meditation
• Breathing deeply
• Empowering yourself with daily affirmations
• Engaging in activities such as yoga, tai chi, or nature walks
• Receiving acupuncture

One member shared how reducing stress helped them feel better physically and mentally. “I have made changes to my diet and also more lifestyle changes, which include very low stress,” they said. “I have even had to cut out some people in my life who are stress triggers, and it was hard at first, but it was worth it for MY health and well-being.”

You can also speak with your doctor about counseling or medication if you suspect you have anxiety or depression.

7. Work With Your Doctor To Control Your HS

Itchiness is a symptom of HS, so an effective medical treatment to control your overall condition will go a long way in helping free you of that itch. Discuss HS treatment options such as antibiotics, biologics, corticosteroid injections, and retinoids with your healthcare provider. They may also recommend lifestyle changes, such as adopting an anti-inflammatory diet or quitting smoking. Follow your treatment plan, and if something’s not working, let your doctor know.

If you feel like your healthcare provider isn’t a good fit, you can always look for another doctor who specializes in HS. A specialist familiar with HS can offer valuable insights, guidance, and appropriate treatment options, which can greatly benefit how your condition is managed and may lead to better outcomes. A specialist may have a deeper understanding of the condition and be more up-to-date on recent HS research and treatments, such as some promising new therapies being tested by the U.S. Food and Drug Administration (FDA).

Join the Conversation

On myHSteam, people share their experiences with hidradenitis suppurativa, get advice, and find support from others who understand.

Have you discovered any effective strategies for reducing itchiness associated with HS? Let others know in the comments below.

Still have questions about your condition? I can help.