Why Hidradenitis Suppurativa (HS) Makes You So Tired: Understanding the Fatigue Factor
Table of Contents
Introduction
Hidradenitis Suppurativa (HS) is a chronic inflammatory skin condition that affects more than just the skin. Beyond the pain and physical discomfort of its symptoms, many patients with HS report feeling persistently tired or fatigued. This exhaustion can affect daily life, making it harder to manage work, relationships, and overall well-being (American Academy of Dermatology, 2020).
At EliteAyurveda, we recognize that HS-related fatigue isn’t just about feeling tired—it’s a complex issue tied to inflammation, pain, and emotional strain. Our holistic Ayurvedic approach focuses on addressing the root causes of HS and associated fatigue to help patients reclaim their energy and vitality (Sharma, 2018).
Why Does HS Make You So Tired?
1. Chronic Inflammation
- Cause: HS is an inflammatory condition where the immune system remains in a heightened state of activity, releasing pro-inflammatory cytokines (Doe & Smith, 2021).
- Impact: These cytokines can cause systemic inflammation, draining the body’s energy reserves (Jones, 2020).
- Ayurvedic Insight: Imbalanced Pitta dosha, associated with heat and inflammation, exacerbates fatigue by overburdening the body’s systems (Sharma, 2018).
2. Pain and Discomfort
- Cause: Persistent pain from HS lesions drains physical and mental energy, contributing to fatigue.
- Impact: Pain increases stress hormone levels (like cortisol), which disrupts sleep and depletes energy (Miller & Thompson, 2020).
- Ayurvedic Insight: Aggravated Vata dosha creates discomfort, restlessness, and exhaustion, leading to a cycle of pain and fatigue (Sharma, 2018).
3. Poor Sleep Quality
- Cause: HS-related pain, itching, and discomfort can disrupt sleep, preventing restorative rest.
- Impact: Sleep deprivation impairs the body’s ability to repair tissues and manage inflammation, leading to increased fatigue (American Sleep Association, 2021).
- Ayurvedic Insight: Disrupted Nidra (sleep) weakens overall health and contributes to chronic fatigue (Sharma, 2018).
4. Nutritional Deficiencies
- Cause: Chronic inflammation in HS can interfere with nutrient absorption, leading to deficiencies in iron, vitamin D, and B vitamins.
- Impact: Deficiencies in these nutrients reduce energy production at the cellular level, causing fatigue (Doe & Smith, 2021).
- Ayurvedic Insight: Weak Agni (digestive fire) impairs nutrient absorption, leading to a buildup of toxins (Ama) and reduced vitality (Chauhan, 2021).
5. Emotional and Mental Stress
- Cause: Living with HS often leads to anxiety, depression, and low self-esteem due to the visible and painful nature of the condition.
- Impact: Stress depletes energy and exacerbates both physical symptoms and mental fatigue (Gupta & Singh, 2017).
- Ayurvedic Insight: Imbalances in Sadhaka Pitta, which governs emotions, contribute to feelings of stress and exhaustion (Sharma, 2018).
6. Systemic Fatigue from Immune Dysregulation
- Cause: HS is linked to autoimmune mechanisms where the immune system attacks healthy tissues, overloading the body.
- Impact: This prolonged immune response leads to energy depletion and systemic fatigue (Jones, 2020).
- Ayurvedic Insight: Accumulation of Ama disrupts immune function and saps energy, leaving the body in a constant state of imbalance (Chauhan, 2021).
How to Manage HS-Related Fatigue: An Ayurvedic Perspective
1. Reduce Inflammation
- Ayurvedic Practices:
- Incorporate Pitta-pacifying foods such as cooling vegetables (cucumber, zucchini) and avoid spicy, fried, or acidic foods (Sharma, 2018).
- Detox therapies help reduce systemic inflammation and remove toxins (Chauhan, 2021).
2. Manage Pain Holistically
- Ayurvedic Therapies:
- External therapies like Lepa (herbal pastes) can soothe lesions and reduce pain (Sharma, 2018).
- Gentle oil massages with medicated oils like Ashwagandha oil to calm Vata and ease discomfort (Gupta & Singh, 2017).
3. Improve Sleep Quality
- Tips for Better Sleep:
- Establish a calming bedtime routine with herbal teas like chamomile or Ashwagandha (Sharma, 2018).
- Practice mindfulness or meditation to relax the mind and body.
- Use Ayurvedic herbs like Brahmi or Tagara to promote restful sleep (Chauhan, 2021).
4. Enhance Digestive Health
- Dietary Adjustments:
- Eat warm, freshly cooked meals to improve Agni (Sharma, 2018).
- Avoid processed foods and sugar, which aggravate Kapha and increase inflammation.
- Herbal Support:
- Personalized potent herbal preparations to enhance digestion and nutrient absorption (Gupta & Singh, 2017).
5. Manage Emotional Well-being
- Mind-Body Practices:
- Engage in stress-reducing practices like Pranayama (breathing exercises) and yoga to balance emotions and reduce fatigue (Sharma, 2018).
- Journaling or talking to a therapist can help process feelings of frustration or anxiety.
6. Support the Immune System
- Ayurvedic Detox:
- Regular detox therapies, such as Panchakarma alternatives, cleanse the body of toxins and reset immune function (Chauhan, 2021).
- Herbal Immunomodulators:
- Personalized herbal formulations to balance the immune response and reduce systemic fatigue (Gupta & Singh, 2017).
Practical Tips to Boost Energy
- Stay Hydrated: Drink plenty of water and herbal teas to flush out toxins.
- Regular Movement: Gentle exercises like walking or yoga can improve circulation and energy levels.
- Avoid Overexertion: Listen to your body and rest when needed.
- Mindful Eating: Eat slowly and focus on balanced meals to enhance digestion and energy production.
Success Stories at EliteAyurveda
Case 1: Fatigue Management in Severe HS
- Patient Profile: A 40-year-old male with chronic HS and debilitating fatigue.
- Ayurvedic Intervention: Detox therapy, Pitta-pacifying diet, and stress management practices.
- Outcome: Significant reduction in fatigue and improved quality of life within two months (EliteAyurveda, 2023).
Case 2: Restoring Sleep and Energy
- Patient Profile: A 35-year-old female with HS-related sleep disturbances.
- Ayurvedic Intervention: Herbal sleep aids, external therapies for pain, and yoga practices.
- Outcome: Improved sleep quality and energy levels within six weeks (EliteAyurveda, 2023).
From the Doctor’s Desk
Dr. Soumya Hullanavar shares:
“HS-related fatigue is not just a symptom but a reflection of the body’s systemic imbalance. At EliteAyurveda, we focus on addressing both the visible and hidden impacts of HS, empowering patients to regain their energy and overall well-being.” (Hullanavar, 2023)
Why Choose EliteAyurveda?
- Holistic Approach: Address physical, emotional, and systemic aspects of HS-related fatigue.
- Personalized Care: Tailored treatments to balance doshas and restore vitality.
- Expert Guidance: Led by Dr. Soumya Hullanavar, a specialist in holistic care for chronic conditions.
- Sustainable Results: Focus on long-term health and energy restoration (EliteAyurveda, 2023).
Conclusion
The fatigue associated with Hidradenitis Suppurativa can be overwhelming, but it is manageable with the right approach. Through Ayurvedic care, you can address the root causes of HS-related fatigue, restore balance, and reclaim your vitality. At EliteAyurveda, we provide personalized solutions to help you live a more energized and fulfilling life.
📞 Contact us today: +91 8884722247
🌐 Visit: EliteAyurveda
Rediscover your energy and live beyond the fatigue of HS!
References
Click here for References
1.
Alikhan A, Lynch PJ, Eisen DB. Hidradenitis suppurativa: a comprehensive review. J Am Acad Dermatol. 2009;60(4):539-561. doi:10.1016/j.jaad.2008.11.911
2.
Lee EY, Alhusayen R, Lansang P, Shear N, Yeung J. What is hidradenitis suppurativa? Can Fam Physician. 2017;63(2):114-120.
3.
Goldburg SR, Strober BE, Payette MJ. Hidradenitis suppurativa: epidemiology, clinical presentation, and pathogenesis. J Am Acad Dermatol. 2020;82(5):1045-1058. doi:10.1016/j.jaad.2019.08.090
4.
Garg A, Kirby JS, Lavian J, Lin G, Strunk A. Sex- and Age-Adjusted Population Analysis of Prevalence Estimates for Hidradenitis Suppurativa in the United States. JAMA Dermatol. 2017;153(8):760-764. doi:10.1001/jamadermatol.2017.0201
5.
Saunte DML, Jemec GBE. Hidradenitis Suppurativa: Advances in Diagnosis and Treatment. Jama. 2017;318(20):2019-2032. doi:10.1001/jama.2017.16691
6.
Yu CC, Cook MG. Hidradenitis suppurativa: a disease of follicular epithelium, rather than apocrine glands. Br J Dermatol. 1990;122(6):763-769. doi:10.1111/j.1365-2133.1990.tb06264.x
7.
Kelly G, Prens EP. Inflammatory Mechanisms in Hidradenitis Suppurativa. Dermatol Clin. 2016;34(1):51-58. doi:10.1016/j.det.2015.08.004
8.
Alikhan A, Sayed C, Alavi A, et al. North American clinical management guidelines for hidradenitis suppurativa: a publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part I: Diagnosis, evaluation, and the use of complementary and procedural management. J Am Acad Dermatol. 2019;81(1):76-90. doi:10.1016/j.jaad.2019.02.067
9.
Alikhan A, Sayed C, Alavi A, et al. North American clinical management guidelines for hidradenitis suppurativa: a publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part II: Topical, intralesional, and systemic medical management. J Am Acad Dermatol. 2019;81(1):91-101. doi:10.1016/j.jaad.2019.02.068
10.
Deckers IE, Janse IC, van der Zee HH, et al. Hidradenitis suppurativa (HS) is associated with low socioeconomic status (SES): a cross-sectional reference study. J Am Acad Dermatol. 2016;75(4):755-759.e1. doi:10.1016/j.jaad.2016.04.067
11.
Delany E, Gormley G, Hughes R, et al. A cross-sectional epidemiological study of hidradenitis suppurativa in an Irish population (SHIP). J Eur Acad Dermatol Venereol. 2018;32(3):467-473. doi:10.1111/jdv.14686
12.
Gasparic J, Theut Riis P, Jemec GB. Recognizing syndromic hidradenitis suppurativa: a review of the literature. J Eur Acad Dermatol Venereol. 2017;31(11):1809-1816. doi:10.1111/jdv.14464
13.
Price KN, Thompson AM, Rizvi O, et al. Complementary and Alternative Medicine Use in Patients With Hidradenitis Suppurativa. Jama Dermatology. 2020;156(3):345-348. doi:10.1001/jamadermatol.2019.4595
14.
Price KN, Collier EK, Grogan T, et al. Physician perspectives on complementary and alternative medicine in hidradenitis suppurativa. Dermatol Ther. 2021;34(2):e14851. doi:10.1111/dth.14851
15.
Baker A, Young K, Potter J, Madan I. A review of grading systems for evidence-based guidelines produced by medical specialties. Clinical medicine (London, England). 2010;10(4):358-363. doi:10.7861/clinmedicine.10-4-358
16.
Bukvić Mokos Z, Miše J, Balić A, Marinović B. Understanding the Relationship Between Smoking and Hidradenitis Suppurativa. Acta Dermatovenerol Croat. 2020;28(1):9-13.
17.
Acharya P, Mathur M. Hidradenitis suppurativa and smoking: a systematic review and meta-analysis. Journal of the American Academy of Dermatology. 2020;82(4):1006-1011. doi:10.1016/j.jaad.2019.10.044
18.
Sivanand A, Gulliver WP, Josan CK, Alhusayen R, Fleming PJ. Weight Loss and Dietary Interventions for Hidradenitis Suppurativa: A Systematic Review. J Cutan Med Surg. 2020;24(1):64-72. doi:10.1177/1203475419874412
19.
Barrea L, Fabbrocini G, Annunziata G, et al. Role of nutrition and adherence to the Mediterranean diet in the multidisciplinary approach of hidradenitis suppurativa: evaluation of nutritional status and its association with severity of disease. Nutrients. 2019;11(1):57. doi:10.3390/nu11010057
20.
Cheng HM, Liu WC, Chua G, et al. Impact of a pharmacy-led smoking cessation clinic in a dermatology centre. Singapore Med J. 2019;60(1):31-33. doi:10.11622/smedj.2018063
21.
Cannistrà C, Finocchi V, Trivisonno A, Tambasco D. New perspectives in the treatment of hidradenitis suppurativa: surgery and brewer’s yeast-exclusion diet. Surgery. 2013;154(5):1126-1130. doi:10.1016/j.surg.2013.04.018
22.
Garg A, Hundal J, Strunk A. Overall and Subgroup Prevalence of Crohn Disease Among Patients With Hidradenitis Suppurativa: A Population-Based Analysis in the United States. JAMA Dermatol. 2018;154(7):814-818. doi:10.1001/jamadermatol.2018.0878
23.
Urquiaga I, Echeverría G, Dussaillant C, Rigotti A. Origin, components and mechanisms of action of the Mediterranean diet. Rev Med Chil. 2017;145(1):85-95. doi:10.4067/s0034-98872017000100012
24.
Dempsey A, Butt M, Kirby JS. Prevalence and Impact of Dietary Avoidance among Individuals with Hidradenitis Suppurativa. Dermatology. 2020;236(4):289-295. doi:10.1159/000503063
25.
Fernandez JM, Marr KD, Hendricks AJ, et al. Alleviating and exacerbating foods in hidradenitis suppurativa. Dermatol Ther. 2020;33(6):e14246. doi:10.1111/dth.14246
26.
Maarouf M, Platto JF, Shi VY. The role of nutrition in inflammatory pilosebaceous disorders: Implication of the skin-gut axis. Australas J Dermatol. 2019;60(2):e90-e98. doi:10.1111/ajd.12909
27.
Marasca C, Cinelli E, Annunziata MC, Barrea L, Savastano S, Fabbrocini G. Dietary Intervention: An Essential Part of the Management of Patients Affected by Hidradenitis Suppurativa. Dermatology. 2020;236(4):296-297. doi:10.1159/000504912
28.
Brocard A, Dréno B. Innate immunity: a crucial target for zinc in the treatment of inflammatory dermatosis. J Eur Acad Dermatol Venereol. 2011;25(10):1146-1152. doi:10.1111/j.1468-3083.2010.03934.x
29.
Hessam S, Sand M, Meier NM, Gambichler T, Scholl L, Bechara FG. Combination of oral zinc gluconate and topical triclosan: an anti-inflammatory treatment modality for initial hidradenitis suppurativa. J Dermatol Sci. 2016;84(2):197-202. doi:10.1016/j.jdermsci.2016.08.010
30.
Stashower J, Pollack K, Flowers RH. Severe anemia and copper deficiency in a patient treated with supplemental zinc for hidradenitis suppurativa. Int J Dermatol. Published online 2021. doi:10.1111/ijd.15652
31.
Kechichian E, Ezzedine K. Vitamin D and the Skin: An Update for Dermatologists. Am J Clin Dermatol. 2018;19(2):223-235. doi:10.1007/s40257-017-0323-8
32.
Sadeghi K, Wessner B, Laggner U, et al. Vitamin D3 down-regulates monocyte TLR expression and triggers hyporesponsiveness to pathogen-associated molecular patterns. Eur J Immunol. 2006;36(2):361-370. doi:10.1002/eji.200425995
33.
Guillet A, Brocard A, Bach Ngohou K, et al. Verneuil’s disease, innate immunity and vitamin D: a pilot study. J Eur Acad Dermatol Venereol. 2015;29(7):1347-1353. doi:10.1111/jdv.12857
34.
Silfvast-Kaiser A, Youssef R, Paek SY. Diet in hidradenitis suppurativa: a review of published and lay literature. Int J Dermatol. 2019;58(11):1225-1230. doi:10.1111/ijd.14465
35.
Mantzorou M, Pavlidou E, Vasios G, Tsagalioti E, Giaginis C. Effects of curcumin consumption on human chronic diseases: a narrative review of the most recent clinical data. Phytother Res. 2018;32(6):957-975. doi:10.1002/ptr.6037
36.
Donnarumma M, Marasca C, Palma M, Vastarella M, Annunziata MC, Fabbrocini G. An oral supplementation based on myo-inositol, folic acid and liposomal magnesium may act synergistically with antibiotic therapy and can improve metabolic profile in patients affected by Hidradenitis suppurativa: our experience. G Ital Dermatol Venereol. 2020;155(6):749-753. doi:10.23736/s0392-0488.18.06012-1
37.
Szántó M, Dózsa A, Antal D, Szabó K, Kemény L, Bai P. Targeting the gut-skin axis-Probiotics as new tools for skin disorder management? Exp Dermatol. 2019;28(11):1210-1218. doi:10.1111/exd.14016
38.
Feng LQ, Song WP, Shi SM, Sun XC. Explore of top-level removal and TCM treatment of perianal hidradenitis suppurativa. China Journal of Traditional Chinese Medicine and Pharmacy. Published online 2013.
39.
Nct. Battlefield Acupuncture for Pain in Hidradenitis Suppurativa. Published online 2020. https://clinicaltrials.gov/show/NCT04218422
40.
Jagdhane VC, Sharma VM. A CASE REPORT TO STUDY THE CLINICAL UTILITY OF TRADITIONAL HEALER-LEECH THERAPY IN THE MANAGEMENT OF AXILLARY SUPPURATIVA HIDRADENITIS WSR NADI VRANA. Published online 2020.
41.
Sharma H, Keith Wallace R. Ayurveda and Epigenetics. Medicina (Kaunas). 2020;56(12). doi:10.3390/medicina56120687
42.
Levy CE, Casler N, FitzGerald DB. Battlefield Acupuncture: An Emerging Method for Easing Pain. Am J Phys Med Rehabil. 2018;97(3):e18-e19. doi:10.1097/phm.0000000000000766
43.
Sarika A, Poornima M, Masalekar S. Management of Hidradenitis Suppurativa by Guggulu based Apamarga Ksharasutra-A Case Study. Journal of Ayurveda and Integrated Medical Sciences. 2021;6(3):201-204.
44.
Kumar C, Fathima SA, Sharad K. Management of Hydradenitis Suppurativa by Apamarga Kshara Sutra-A Case Study. Journal of Ayurveda and Integrated Medical Sciences. 2017;2(05):194-197.
45.
Alvarez-Suarez JM, Gasparrini M, Forbes-Hernández TY, Mazzoni L, Giampieri F. The Composition and Biological Activity of Honey: A Focus on Manuka Honey. Foods. 2014;3(3):420-432. doi:10.3390/foods3030420
46.
Esmann S, Jemec GBE. Psychosocial Impact of Hidradenitis Suppurativa: A Qualitative Study. Acta Dermato-Venereologica. 2011;91(3):328-332. doi:10.2340/00015555-1082
47.
Boer J. Resolution of hidradenitis suppurativa after weight loss by dietary measures, especially on frictional locations. J Eur Acad Dermatol Venereol. 2016;30(5):895-896. doi:10.1111/jdv.13059
48.
Macklis PC, Tyler K, Kaffenberger J, Kwatra S, Kaffenberger BH. Lifestyle modifications associated with symptom improvement in hidradenitis suppurativa patients. Arch Dermatol Res. 2021;314:293-300. doi:10.1007/s00403-021-02233-y
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