How To Treat Bullous Pemphigoid

Make Dietary Changes

Some patients who have bullous pemphigoid may be recommended to make dietary changes. Various types of foods have been reported to cause the worsening of bullous pemphigoid symptoms due to boosting of the immune system. These foods include acidic fruits, garlic, barbeque sauce, horseradish, bagels, potato chips, relishes, onions, pickles, red sauces, chocolate, and tomatoes. In addition, popcorn, pretzels, tortilla chips, coffee, Worcestershire sauce, pizza, and red wine are known to exacerbate symptoms of bullous pemphigoid as well. Certain foods may cause symptomatic lesions that occur in the mouth of affected individuals to become worse and more painful. When a bullous pemphigoid patient has mouth ulcers, they are recommended to eat soft and moist foods that are easier to swallow. Salty foods may cause the patient to feel extreme discomfort if there are ulcers present in the mouth, but salt also promotes the healing process of the sores.

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Appropriate Blister Care

The most common manifestation of bullous pemphigoid is blistering around the body. Blisters are best characterized as pockets of skin filled with clear fluid on the surface of the skin, and they can be especially painful even for individuals who are not affected by bullous pemphigoid. The best way to promote the healing of blisters around the body is to keep them clean with mild soap and water and keep them intact. However, sometimes the blisters will be too painful to leave the fluid. The best way to handle extremely painful blisters is to properly drain the fluid from them without disturbing the overlying skin of the blister. The blister can be drained with a sterilized needle from one of its edges. Antibiotic ointment should be used on any blister that has been punctured or accidentally eroded. A physician may prescribe a bullous pemphigoid patient a steroid and or antibiotic ointment that is more potent than over-the-counter ones. These should be applied to the affected areas once they are properly cleaned according to the directions given.