Dr. Suvash Sahu
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a boil on the back side of my thigh. It has only been present for about a week but is still very red and sore. I have applied hot compresses, and when I shower I let the hot water run over it for about 10 minutes usually causing the boil to ooze pus or blood. I gently press the area until nothing else comes out, wash the area and my hands well with antibacterial soap, and cover with a bandage. This has been happening for two to three days but it does not seem to get any smaller and the pain or swelling has not lessened. Should I continue doing what I have been doing or should I consult with my doctor? (PS: no red streaks, or fevers, but I have been feeling more tired than usual and sick-ish).
Hello,
Welcome to icliniq.com.
I have read your query and understand your concern. Also, examine the picture attached (attachment removed to protect the patient's identity).
1. It seems like you are having furunculosis or folliculitis. Boils (also called furuncles) are a deep bacterial infection of hair follicles.
2. Causes of recurrent Staphylococcus aureus are most commonly carried in the nostrils, armpits, between the legs, and in the cleft between the buttocks. It may be transferred to other sites from the nostrils via the fingernails.
I suggest you follow these general measures-
1. If you are overweight, try to reduce your weight; take regular exercise.
2. Follow a balanced healthy diet with meat, plenty of fruit, and vegetables.
3. Avoid smoking.
4. Wash your whole body once a day with soap or cleanser and water. Wash your hands several times daily or use antiseptic hand rubs.
5. Do not share your towel with other family members.
6. Maintain a clean handkerchief and do not pick your nose.
7. Change your underclothes and night attire regularly.
8. Try to avoid activities that cause sweating and friction from clothing, such as squash and jogging.
9. If you are iron deficient, a course of iron tablets may help reduce infection.
10. Get your blood sugar tests done.
Treatment includes Oral antibiotics like tablet Augmentin 625 mg (Amoxicillin and Potassium clavulanate), if you are not allergic to Penicillin group, thrice daily for five days, and topical Mupirocin ointment (Polyethylene glycol) twice daily for five days. All medicine should be used after consulting your general physician or nearby dermatologist.
I hope this will help you. Thank you.
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Dermatology
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