When the burning and pain gets pretty bad I use Medline Remedy Olivamine Calazime. It's a skin protectant paste. It has a kind of cooling sensation to calm down your irritation and also it's thick paste to help with the rubbing of the skin. It's a temporary solution but it does help me when I'm hurting really bad. I try not to rely on ibuprofen and other pain pills. So this is my go to topical. I purchased on Amazon. It's what they use in nursing homes for the bed sores.

Try Aloe gel it helps to soothe and feels cool on the irritated areas and Dial soap is good it’s a Antibacterial soap. Mild bleach bed will help to just a cap full

Doxycycline so many times. And does nothing for me!!!

That's oatmeal collider silver

I've been dealing with HS since I was 27 and now I am 54 I find that taking hot Epsom salt baths and using oatmeal provider silver they come in packets like oatmeal helps cool them after the Epsom salt bath also