What are the common symptoms of pediatric hidradenitis suppurativa?

Common symptoms include painful lumps under the skin, often in the armpits, groin, buttocks, and breasts. These lumps can heal slowly, reappear, and lead to tunnels and scarring.

What comorbidities are associated with pediatric hidradenitis suppurativa?

Pediatric HS is often associated with obesity, depression, anxiety, hyperlipidemia, and gut microbiome dysregulation.

How is pediatric hidradenitis suppurativa typically treated?

Treatment for pediatric HS is primarily based on adult protocols and may include topical and oral medications, antibiotics, biologics, and surgical procedures.

Why is early detection of hidradenitis suppurativa important in children?

Early detection is crucial for managing symptoms,preventing disease progression,and addressing associated comorbidities like obesity and mental health issues.

What role do multidisciplinary teams play in managing pediatric hidradenitis suppurativa?

Multidisciplinary teams, including dermatologists, mental health professionals, and other specialists, are essential for providing comprehensive care and addressing the complex needs of pediatric HS patients.

What are the dangers of spending too much time on the toilet?

Spending extended periods on the toilet can lead to hemorrhoids, constipation, pelvic floor issues, discomfort, numbness, and even skin lesions, especially in older adults.

How can I improve my intestinal health to avoid spending too long on the toilet?

Improve intestinal health by increasing fiber intake, staying hydrated, engaging in regular physical activity, respecting your body's natural rhythm, and avoiding distractions like cell phones during bathroom visits.

What is the ideal amount of time to spend on the toilet for good intestinal health?

Gastroenterology experts suggest limiting your time on the toilet to 10 to 15 minutes to avoid overloading the pelvic floor muscles and potentially causing issues like constipation and hemorrhoids.

When should I see a doctor about my intestinal health?

Consult a healthcare professional if you experience persistent changes in bowel habits, such as difficulty evacuating, pain, bleeding, or changes in stool patterns. These symptoms may indicate underlying conditions requiring medical attention.

Can prolonged toilet sitting affect the pelvic floor?

Yes, prolonged sitting on the toilet can weaken the pelvic floor muscles, which are essential for proper bowel function. This weakening can make the natural evacuation process more tough.

What role does fiber play in maintaining healthy intestinal function?

Fiber-rich foods, such as fruits, vegetables, and whole grains, help regulate intestinal transit, promoting regular bowel movements and preventing constipation. A diet rich in fiber is crucial for maintaining healthy intestinal function.

Pediatric Hidradenitis Suppurativa: Study Links skin Condition to Obesity, Depression

Q: What is hidradenitis suppurativa (HS)?

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition characterized by painful lumps, abscesses, and scarring, primarily in areas with sweat glands.

Q: Are there specific guidelines for treating hidradenitis suppurativa in children?

currently, there are no specific treatment guidelines for pediatric HS, and management strategies are largely based on adult protocols. More research is needed to develop pediatric-specific guidelines.

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Pediatric Hidradenitis Suppurativa: Study Links skin Condition to Obesity, Depression

A comprehensive analysis of over 17,000 pediatric patients reveals a strong association between hidradenitis suppurativa (HS), a chronic inflammatory skin condition, and several comorbidities, including obesity, depression, and anxiety.The study, published in JAMA Dermatology, underscores the need for early detection and comprehensive clinical guidelines for managing HS in children and adolescents.

Comorbidities Linked to Pediatric HS

Hidradenitis suppurativa, sometimes referred to as inverse acne, is a long-term skin condition characterized by painful lumps under the skin, ofen in areas were skin rubs together, such as the armpits, groin, and buttocks. These lumps can heal slowly, reappear, and lead to tunnels and scarring. A significant challenge in pediatric HS is its impact on development during late childhood and adolescence, compounded by pain, frequent pus formation, and odor.

The research highlights that pediatric HS is frequently associated with other chronic health issues. For example,obesity,hyperlipidemia,and anxiety can affect nearly 93% of young patients with HS. Furthermore, studies suggest a link between HS and gut microbiome dysregulation, perhaps influencing mental health through the gut-brain axis.

Did You Know? The prevalence of obesity among children and adolescents in the United States was 19.7% between 2017-March 2020, according to the CDC. CDC

Study Details and Findings

The systematic review and meta-analysis included 19 observational studies encompassing 17,267 pediatric patients with HS and 8,259,944 controls. The average age of participants ranged from 12 to 17 years, with a majority being female (76.7%).

Obesity emerged as a highly prevalent comorbidity, affecting between 6% and 59% (combined proportion: 37%) of pediatric HS patients. While one study noted racial differences in obesity prevalence, the overall conclusion pointed to a significant association between HS and increased obesity risk in this population.

All studies indicated a higher incidence or prevalence of depression among HS patients compared to control groups, suggesting a probable link between HS and depression in pediatric patients. Anxiety (ranging from 1.4% to 33.6%) and depression (ranging from 2.7% to 13.7%) were the most commonly observed psychiatric comorbidities. Acne vulgaris was the most frequent dermatological condition in this patient group (combined proportion: 43%).

Pro Tip: Early intervention and mental health support are crucial for pediatric HS patients due to the high prevalence of anxiety and depression.

Implications for Treatment and Management

Currently, there are no specific treatment guidelines for pediatric HS, and management strategies are largely based on adult protocols.The study authors emphasize the importance of early detection of obesity, diabetes, mental health issues, and Down syndrome in affected children. They advocate for comprehensive clinical guidelines and multidisciplinary teams to address the complex needs of this patient population.

The researchers suggest the need for an early detection of obesity, diabetes, mental health problems and Down syndrome in those affected patients. “our findings highlight the need for comprehensive clinical guidelines for the detection of comorbidity in this population and emphasize the participation of multidisciplinary teams to achieve it,” the authors of the study concluded.

Key Comorbidities in Pediatric HS Patients

comorbidity	Prevalence Range	Combined Proportion
Obesity	6% – 59%	37%
Depression	2.7% – 13.7%	N/A
Anxiety	1.4% – 33.6%	N/A
Acne Vulgaris	N/A	43%

What are the long-term effects of HS on children’s mental health?

How can parents and caregivers best support children with HS?

Understanding Hidradenitis Suppurativa

Hidradenitis suppurativa (HS) is a chronic, inflammatory skin disease characterized by recurrent boil-like lumps, abscesses, and scarring, primarily affecting areas with apocrine sweat glands, such as the armpits, groin, buttocks, and breasts. The exact cause of HS is unknown, but it is believed to involve a combination of genetic, hormonal, and environmental factors.HS is not contagious and is not caused by poor hygiene.

The condition typically begins after puberty and can substantially impact a person’s quality of life due to pain, discomfort, and social stigma. While there is no cure for HS, various treatments can help manage symptoms and prevent disease progression.These include topical and oral medications, antibiotics, biologics, and surgical procedures.

Frequently Asked Questions About Pediatric Hidradenitis Suppurativa

Disclaimer: This article provides general data and should not be considered medical advice. Consult with a qualified healthcare professional for diagnosis and treatment of any medical condition.

Share this article to raise awareness about pediatric hidradenitis suppurativa! what are your thoughts on the importance of early detection and mental health support for children with HS? Leave a comment below.

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The Risks of Lingering Too Long on the Toilet: Intestinal Health Concerns

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The Risks of Lingering Too Long on the Toilet: Intestinal Health Concerns

A growing number of people are spending extended periods on the toilet, often engrossed in their cell phones, but gastroenterologists are raising concerns about the potential impact on intestinal health. Spending more than 10 to 15 minutes can strain the pelvic floor muscles, potentially leading to discomfort and more serious issues like constipation and hemorrhoids.

Why Extended Toilet Time is Harmful

Remaining seated on the toilet for prolonged durations puts continuous pressure on the muscles and blood vessels in the anal region. This pressure can hinder complete bowel emptying and elevate the risk of developing conditions such as constipation and the uncomfortable sensation of incomplete evacuation. Furthermore, the posture assumed during this time can contribute to the emergence of hemorrhoids, characterized by dilated and inflamed veins in the anal and rectal area.

Did You Know? according to a 2023 study published in the “Journal of Clinical Gastroenterology,” individuals who spend more than 20 minutes on the toilet are twice as likely to develop hemorrhoids compared to those who spend less than 10 minutes.

The use of mobile phones or other electronic devices during bowel movements exacerbates the problem by causing distraction and further prolonging sitting time. This can result in numbness in the buttocks, general discomfort, and even skin lesions, particularly in elderly individuals or those with reduced mobility. Experts strongly advise limiting bathroom time and avoiding distractions during this process.

Main risks of Prolonged Toilet Sitting

Several common problems are associated with the habit of sitting on the toilet for extended periods:

Hemorrhoids: Increased pressure in the anal region promotes the development of these dilated veins,leading to pain,itching,and bleeding.
Constipation: Excessive straining to evacuate can impair bowel function, resulting in constipation.
Changes in the Pelvic Floor: prolonged sitting can weaken the muscles responsible for evacuation, making the natural process more difficult.
Discomfort and Numbness: Nerve compression in the gluteal region may cause tingling or loss of sensitivity.
Skin Lesions: In older adults, prolonged sitting can cause wounds and skin irritation.

Pro Tip: Keep reading material out of the bathroom to discourage long visits.

Bathroom Habits: Doctors Warn of Gut Health Risk

Person in the bathroom (credits: depositphotos.com / denisnata)

Improving Intestinal Health to Avoid Bathroom Problems

Adopting healthy habits is crucial for ensuring proper bowel function and minimizing the need to spend excessive time in the bathroom. Simple measures can make a important difference:

Increase Fiber Consumption: Foods like fruits, vegetables, and whole grains help regulate bowel transit.
Stay Hydrated: Drinking water throughout the day facilitates stool formation and prevents constipation.
Engage in Physical Activity: Regular exercise stimulates bowel function and strengthens pelvic muscles.
Respect Your Body’s Rhythm: Go to the bathroom only when you feel the urge, avoiding forced attempts.
Avoid Distractions: Leave your phone aside during bowel movements for a faster and healthier process.

When to Seek Medical Advice

Persistent changes in bowel habits, such as difficulty evacuating, pain, bleeding, or alterations in stool patterns, should be evaluated by a healthcare professional. These symptoms may indicate underlying conditions requiring medical follow-up, such as gastrointestinal diseases or pelvic floor disorders. early diagnosis and appropriate treatment are essential for preventing complications and ensuring quality of life.

Reducing time spent on the toilet and adopting healthy daily practices are beneficial for intestinal health.Small changes in routine can significantly improve well-being and prevent common problems associated with prolonged bathroom visits.

June 16, 2025 0 comments

Risk Factor	Potential Result	Recommended Action
Prolonged Toilet Sitting	Hemorrhoids, Constipation	Limit time to 10-15 minutes

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Childhood Skin Condition Linked to Obesity, Anxiety & Depression