Thank you for posting in Doctorspring.com.
The condition is Hidradenitis suppurativa.It affects sweat forming areas like underarms,inner thigh etc.It presents as multiple abscesses where sweat glands are more.
As you produce lots of sweat,this condition is common.
The first image typically shows an abscesses with pus.The pus has to be drained and you should use Antibiotic.
I usually prescribe Antibiotics like Clindamycin tablet and Cefuroxime tablet along with antiinflammatory tablet to my patients with similar complaints. If the symptoms recur,i prefer to excise the affected area .
Now,you should get the pus drained and when you come to India,you get the tissue excised by surgery.The tissue has to be deeply excised.
Nothing to worry. Do post additional queries.
Wish you good health
Regards
Patient replied :
Doctor,
How to avoid them for time-being. Should i use any sweat sticks, which would help me a bit in reducing the amount of sweat.
Hello.
Your lifestyle has to be changed.
You should quit smoking, if you are smoker. Your weight has to be reduced.
When the lesions are more and active, you should not remove axillary hair with razor.
Antiperspirant should be used. A good antiperspirant, prescription strength will be given by a Dermatologist. You can use it and reduce the sweat temporarily.
Please use some antibiotic and anti inflammatory tablets like Advil (Ibuprofen 400 mg) , two times a day, after food, for 5 days.
Wish you good health.
Regards
Patient replied :
Does that mean, I have to take 4 tablets a day? ( 2 Anti biotic and 2 pain relief). Can I use crocin pain relief in place of the anti inflammatory tablets (Advil (Ibuprofen) 400mg). Also, Please let me know about the recovery period after the surgery.
~Varshan reddy.
Hello. Thank you for writing to us again.
I prescribe Antibiotic tablet like Cefuroxime 500mg twice daily and anti inflammatory tablet containing Aceclofenac, Paracetamol and Serratiopeptidase twice daily.
Simple Paracetamol will relieve pain only.You need anti inflammatory agent too.
Recovery after surgery varies from person to person. If sutures are placed after removal of tissue, they will be removed after 1 week.You can do routine work 2 days after surgery.
Wish you good health.
Feel free to discuss further,.
Regards