Five days ago, I got a boil between my little finger and ring finger of my left hand. I am not sure what caused it whether it was an insect bite or just a rash. It was itching a bit initially if I remember correctly, but then it stopped. It started as a small boil, but then it got bigger. I tried to drain it by removing the pus, cleaning with Savlon and putting band-aid around it. But for the last 3-4 days it has just remained as it is. When I remove the band- aid, pus started coming out of it automatically. So, at that point I clean it with Savlon, and again put the band-aid on. I have been doing it for three to four days, but nothing has changed. This morning, when I removed the band-aid, I saw dark greenish swelling, that again started draining on its own. But, this morning it was greenish pus and not watery one. I also see a dark red spot around the boil. The boil does not itch and there is no pain. How can I take care of this? Also, on both my feet I have had sort of rashes for several weeks now. I cannot quite remember how they started or what caused them. They itch very much and while taking a bath or while sleeping I somehow manage to peel them off by scratching. They are not going away. I do not know if this is related to the boil on my hand. Please suggest remedies for both and let me know if they are related or not.
Welcome to icliniq.com.
I have gone through your complaint and seen the pictures attached (attachment removed to protect patient identity).
It seems to be either bacterial or fungal infection and best treatment option would be pus culture to look for organism followed by antibiotic sensitivity testing to treat it.
Green pus indicates Pseudomonas infection. You need to be put on antibiotics to treat it.
You can apply Mupirocin or Neosporin antibiotic (combination of Neomycin, Bacitracin and Polymyxin B) over the boil after cleaning it with warm water. Do not apply Savlon.
I would also suggest you to have your blood sugar tested.
Itching lesion could be allergic. You can apply Tenovate (Clobetasol propionate) which is a mild steroid cream over it once a day. It will resolve.
Revert back after pus culture test to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician
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Thank you for your kind and detailed answers. Just a few more queries please. Is pus culture and sensitivity test required right away? Or could we try Mupirocin or Neosporin for a few days and then think about it? And by the way, what could have caused this boil? My chemist says that Neosporin has been discontinued. He also says that there is no ointment called Mupirocin, but there is something called Supirocin. Can I go for that? Also, there appears to be something called B-Bact. Can that be used? How frequently and for how long should I be using the above mentioned ointment? Also, do I need to do any kind of dressing such as band-aid on the boil? Would it be fine if water gets on it while bathing, washing my hands, etc? There appears to be Tenovate M, Tenovate GM, Tenovate NM, etc. Which one to use? And what strength - 0.05%, 2% or something else? Chemist says that Tenovate is a strong medicine and he will not give without prescription. So can I try something else in that case? Also, are there any home remedies I could look out for the itching lesions? Many thanks once again for your help.
Welcome back to icliniq.com.
Thank you for your feedback.
Regarding the cause of the boil it can be due to low immunity status. And so I have suggested you to carry out blood glucose to rule out diabetes or it could be due to previous unnoticed injury like you said insect bite that got infected.
Best option would be to have pus culture and antibiotic sensitivity followed by taking oral antibiotics, but you can apply Neosporin or Mupirocin ointment over it twice a day for three to four days.
For further clarifications consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician
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