HS Stage Self-Assessment

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Question 1 of 5

How would you describe the pain in your affected areas right now?

Mild — a firm, slightly tender lump, not severely painful Moderate — increased pain, area feels hot and swollen Significant — persistent pain that affects movement or sleep Severe — near-constant pain, restricts daily activity significantly

Question 2 of 5

Is there any discharge (pus, fluid) from your lesions?

No discharge — the lump is dry and firm Possibly starting — feels like it may be building pressure Yes — active discharge from one opening, with some relief after Yes — continuous or near-continuous discharge from multiple sites

Question 3 of 5

Have you noticed any tunnel-like channels or tracts under the skin?

No — each lump appears separate, no connections beneath the skin Not sure — the area feels thickened but no clear tract Yes — one sinus tract or tunnel connecting areas Yes — multiple interconnected tunnels, skin feels rope-like or thickened

Question 4 of 5

How does HS affect your movement or physical activity?

Minimal — I can move normally most of the time Some impact — I avoid certain positions during flares Moderate — walking, sitting, or raising my arm is consistently uncomfortable Significant — movement in the affected area is restricted daily

Question 5 of 5

How long has HS been recurring, and how often do new lesions appear?

First or early occurrence — occasional lumps, months between episodes Recurring — same sites flare repeatedly, weeks to months between episodes Chronic — flares are frequent, rarely fully clear between episodes Advanced — near-constant activity, multiple body areas affected, years of disease

This tool provides a clinical orientation only — not a diagnosis. A personalised evaluation is required before any treatment decision.

EPOH-DSS — Quick Stage Reference

Stage 1

Early Nodular

Firm nodules · Mild pain · No pus · No sinus. Most reversible stage.

Stage 2

Inflammatory

Increased pain · Redness & heat · Swelling · Early pus. Active inflammation.

Stage 3

Sinus Stage

Pus discharge · Single sinus tract · Recurrence at same site. Chronic stage.

Stage 4

Advanced Tunneling

Multiple tracts · Continuous discharge · Fibrotic skin · Restricted movement.

Full EPOH-DSS Stage Analysis →

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