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Medical Forum / General / General / August 2006

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Help, infection on my butt, 2 months now

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ns666ns@yahoo.com - 07 Aug 2006 15:44 GMT
Hi, I need help here, I had infection on my butt the right side many
years ago, it's like a dark red bump on the skin about the size of
finger nail, a bit like bad mosquito bite, I remember doctor gave me
some kind of patch, it's a bit "bowl like" patch to cover the bump with
medicine inside I think, it got well after some applications. but I
forgot what it's and no idea how to get it again (anyone has any idea
please let me know).

now the same place got infected again just like before, I guess there
is abscesse deep inside and got infected again. I tried many different
medicine this time, tried Bactroban (mupirocin ointment), some iodine
solution, also taking some antibiotic pills, but it's not getting
healed and now has a small opening on the skin, I think the patch I
used before should work well but no idea what that was. any
idea/suggestion very appreciated!
Howard McCollister - 07 Aug 2006 20:29 GMT
> Hi, I need help here, I had infection on my butt the right side many
> years ago, it's like a dark red bump on the skin about the size of
[quoted text clipped - 11 lines]
> used before should work well but no idea what that was. any
> idea/suggestion very appreciated!

Such a thing could be a sebaceous cyst. Most of those will get infected.
When they do, they will be painful, then the abscess will drain, the thing
will heal, get infected again at some later time, and the whole process will
repeat itself over and over until the sebaceous cyst is removed. Antibiotics
are unlikely to solve the problem - the same process that walls off the
infection to keep it from spreading to the body systemically will also keep
systemic antibiotics from getting into the abscess. In a case like this,
topical antibiotics are especially likely to be pointless.

The typical way to treat an abscess is to incise and drain it, allow the
acute infection to subside, then remove the offending nidus for the
infection (sebaceous cyst, infected hair follicle, foreign body, whatever).

HMc
ns666ns@yahoo.com - 08 Aug 2006 14:27 GMT
thanks for the reply, I think it's exactly sebaceous cyst just as you
described, the question is what's the best way to treat it, I don't
feel any pain now, even when pressing it, but the opening not healed
and still some liquid coming out, and around the tiny hole it's red
skin I don't know if that means there's still infection? if so is it
safe to have operation to cut it open and remove the offending nidus?

thanks so much!

> Such a thing could be a sebaceous cyst. Most of those will get infected.
> When they do, they will be painful, then the abscess will drain, the thing
[quoted text clipped - 10 lines]
>
> HMc
Howard McCollister - 08 Aug 2006 15:47 GMT
> thanks for the reply, I think it's exactly sebaceous cyst just as you
> described, the question is what's the best way to treat it, I don't
[quoted text clipped - 4 lines]
>
> thanks so much!

Generally, the whole cyst would be removed by taking a generous ellipse of
skin around the drainage site. If it's not red, not painful, that could
likely be done any time.

HMc
 
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