[35F] With chronic ingrown hairs on labia, diabetes, and methamphetamine use

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Ingrown Hairs and Associated Symptoms

• Chronic Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can lead to redness, swelling, and the formation of boils or abscesses.
• Hidradenitis Suppurativa: This is a chronic skin condition that causes small, painful lumps to form under the skin, often in areas where skin rubs together, such as the groin. These lumps can become infected and form abscesses or sinus tracts.

Contributing Factors

• Diabetes: Poorly controlled diabetes can impair your immune system, making you more susceptible to infections and slower to heal.
• Methamphetamine Use: Methamphetamine can weaken your immune system and exacerbate skin conditions, making it harder for your body to fight off infections.

What you can do

Ingrown Hairs and Associated Symptoms

1. Seek Medical Attention: Given the chronic nature and severity of your symptoms, it's important to consult a healthcare provider. They may prescribe antibiotics or other medications to treat any underlying infections.
2. Alternative Hair Removal Methods: Consider switching to waxing or laser hair removal, which may reduce the occurrence of ingrown hairs.
3. Hygiene Practices: Keep the affected area clean and dry. Avoid tight clothing that can cause friction and irritation.
4. Warm Compresses: Applying a warm compress to the affected area can help reduce swelling and promote drainage of any abscesses.
5. Over-the-Counter Treatments: You can use over-the-counter antiseptic washes or creams to help manage the symptoms.

Diabetes Management

1. Improve Blood Sugar Control: Work with your healthcare provider to develop a plan to better manage your diabetes. This may include medication adjustments, dietary changes, and regular monitoring of your blood sugar levels.
2. Healthy Lifestyle: Adopt a balanced diet and regular exercise routine to help manage your weight and improve your overall health.

Methamphetamine Use

1. Seek Help: Consider seeking help for your methamphetamine use. There are many resources available, including counseling, support groups, and treatment programs, that can help you manage and overcome substance use.

General Tips

1. Hydration: Drink plenty of water to keep your skin hydrated and support overall health.
2. Avoid Irritants: Avoid using harsh soaps or products that can irritate your skin.

What you should look out for

Given the severity of your symptoms and the potential for complications, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Signs of Infection: Increased redness, warmth, pus, or foul-smelling discharge from the affected area.
• Systemic Symptoms: Fever, chills, or feeling generally unwell.
• Severe Pain: Pain that is not relieved by over-the-counter medications or interferes significantly with your daily activities.

Remember, while I can provide guidance, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.