Black boil on skin. The furuncle is black. Local treatment of boils

An abscess (boil) is a painful swelling, bump, nodule that forms against the background of reddened and hot skin. In the center of the abscess, an abscess is formed - a whitish-yellow focus, delimited from the surrounding tissues.

An abscess or boil is colloquially called purulent diseases of the skin and soft tissues: abscesses or abscesses. The cause of the disease are various pyogenic bacteria, most often staphylococci and streptococci. Predisposing factors may be:

injuries and damage to the skin (during shaving, pricks and cuts with contaminated objects, etc.),
violation of hygiene rules,
decrease in the body's defenses for colds, chronic diseases.

So, for example, the frequent appearance of abscesses (boils) on the skin is observed in patients with diabetes mellitus. An abscess on the finger or near the nail is often formed in people of working professions, often injuring their hands. Ulcers in the area of the hair follicles under the armpits, on the face, in the groin, as a rule, are formed after a sloppy shave, especially in the hot season, when it is difficult to keep the skin clean all the time.

What are abscesses (boils, abscesses)?

Abscesses occur on any part of the body. Some are harmless and go away on their own, while others require medical attention. The causes, symptoms, mechanism of development and general approaches to their treatment are usually similar.

Furuncle- This is a purulent inflammation of the hair follicle and the adjacent sebaceous gland. Boils are often called boils, they are usually located on parts of the body with vellus hair: face, arms and legs, buttocks, less often on the scalp.

Carbuncle is a more dangerous disease. Several nearby hair follicles and sebaceous glands become inflamed at once, forming a single abscess. Favorite places of the carbuncle: neck, face, back, lower back, buttocks.

Felon- this is an infectious inflammation of the tissues of the finger, which develops after any injury: an injection, a cut, a splinter, sometimes as a complication of an ingrown nail. Depending on the depth of the location of the purulent cavity, panaritium can be cured on its own, but, as a rule, requires the intervention of a surgeon. Without treatment, it often has dangerous complications that are fraught with loss of a finger.

Hydradenitis(bitch udder) - inflammation of the sweat glands in the armpit, less often in the groin. The disease begins with the appearance of pain and compaction in the depths of the armpit. The seal grows, the skin over it turns red, the pain intensifies. A focus of purulent softening of tissues is gradually formed. With a successful outcome, hydradenitis is emptied to the surface of the skin on its own. However, surgical opening of the abscess is often required, since hydradenitis tends to have a long (more than 2 weeks) course and involve neighboring sweat glands in the process.

All these diseases are treated and diagnosed by a surgeon.

Abscess, abscess, boil: symptoms

The abscesses develop gradually. First, a focus of inflammation is formed on the skin under the action of bacteria. The skin above it turns red, swells, becomes warmer and denser than the surrounding tissues to the touch. Soreness appears. In the future, pain and swelling of the skin increases. In the center, a focus of tissue softening is formed - a cavity filled with pus.

If the boil is located in the superficial layers of the skin, it is clearly visible as a limited whitish-yellow spot. With a deep location of the focus, pus may not be visible through the skin. Then you can feel a soft, fluid-filled formation.

If the purulent cavity is well delimited from the surrounding tissues, pain increases, a feeling of tension and pressure in the area of the abscess. Sometimes the pain reaches such intensity that it does not allow you to fall asleep, it can be twitching, throbbing or aching. With a successful development of events, the skin over the abscess breaks, its contents are released outward in the form of a viscous whitish-yellow liquid, sometimes with an admixture of blood. There is immediate relief after that. The wound crusts over and heals within a few days.

Unfortunately, the body does not always easily cope with abscesses. If the bacteria that caused the disease have pronounced aggressive properties, in addition to local symptoms, general complaints arise. Body temperature rises, aching muscles, joints, headache, weakness, loss of appetite appear. In the immediate vicinity of the abscess, you can feel the enlarged lymph nodes.

Sometimes the body fails to delimit the abscess from healthy tissues and pus rushes deep into, spreading into the subcutaneous fatty tissue, along the tendons, muscles, blood vessels and nerves. In this case, it is very difficult to stop the process. In especially severe situations, the infection can penetrate into the bone tissue, causing purulent fusion of bones - osteomyelitis. All these complications are very dangerous and require urgent treatment in the hospital. The likelihood of an unfavorable development of events is increased by:

the location of the abscess (boil) on the face (especially in the nasolabial triangle), on the fingers and hands, in the ear canal, breast, in the groin;
decreased immunity;
mechanical impact (attempts to squeeze out the abscess).

How to treat an abscess (abscess)?

As a rule, small pustules do not cause any special complaints, almost do not hurt and go away on their own without treatment. You can wait with a visit to the doctor in cases where there is only redness and swelling of the skin. At this stage, you can try to stop the process yourself, without bringing it to the purulent stage.

The initial stages of inflammation are amenable to conservative treatment. Some measures can be taken at home, without a doctor. To do this, dry heat is applied to the area of inflammation (when there is no pus yet). It can be a woolen cloth heated on a battery, a clean bag with heated sand, salt, rice, flaxseed, etc. You can use gel, salt or regular heating pads or special devices for home physiotherapy.

Wet warming procedures should not be used: wet towels, traditional compresses, mustard plasters, baths, etc. Moisture contributes to the rapid spread of infection to surrounding tissues. Do not massage the affected area. If an abscess appears on an arm or leg, it is advisable to ensure peace of the limbs.

The skin is treated with antiseptic solutions: medical alcohol, medical antiseptic solution 70-95%, a solution of brilliant green (brilliant green), betadine, vodka. The center of the abscess can be cauterized with iodine. At the same stage, drying compresses with medical alcohol help well. To do this, several layers of gauze or bandage are moistened in alcohol and bandaged to the site of injury. The film is not covered and allowed to dry completely, and then the manipulation is repeated.

The doctor may prescribe physiotherapy: UHF, UV, microwave therapy, infrared irradiation and other methods that are carried out in the physiotherapy department at the territorial clinic or in private clinics in the city.

Abscess, abscess, boil: when to see a doctor?

If the abscess has already formed, the only possible outcome is to empty it. Pus never resolves, and an abscess can only be cured by removing its contents. Waiting for the boil to open on its own can take several days and comes with a risk of complications. If you want to quickly get rid of pain and prevent a severe course of the disease, it is better to consult a doctor.

An additional reason to visit a doctor are the following factors:

severe pain in the area of the abscess (boil);
deep location of the abscess or its location in dangerous places (see above);
deterioration in general well-being (fever, swollen lymph nodes, weakness);
the presence of background diseases (diabetes mellitus, chronic hepatitis, chronic kidney disease, heart disease, frequent colds, AIDS);
several purulent foci on the skin.

The surgeon deals with the treatment of purulent skin diseases. At the reception, he will examine you and can immediately open the abscess. This is usually done in a polyclinic - on an outpatient basis, hospitalization may be required only with severe general symptoms, a large abscess, its deep location, or a high risk of complications. The operation is performed under local anesthesia (pain relief) and usually takes 10-15 minutes. Choose a good surgeon

After anesthesia, the surgeon makes an incision over the abscess and removes its contents. With a deep location of the abscess, the doctor may leave drainage in the wound - usually strips of latex through which pus will flow for several days. Stitches on abscesses are usually not applied, the skin heals on its own. Dressings will be required to care for the wound.

If the doctor recommends hospitalization, you can use our service to choose a good clinic for the treatment of an abscess. In the hospital, there are conditions for more serious surgical interventions, in addition, medical staff will monitor your well-being and care for the postoperative wound. Some types of boils are difficult to remove under local anesthesia, surgeons take longer to clear the wound of pus, so anesthesia may be required. In addition, the hospital usually uses general treatment: the introduction of antibiotics, drugs that strengthen the immune system and help fight infection.

Localization and translation prepared by site. NHS Choices provided the original content for free. It is available from www.nhs.uk. NHS Choices has not been reviewed, and takes no responsibility for, the localization or translation of its original content

All materials on the site have been checked by doctors. However, even the most reliable article does not allow taking into account all the features of the disease in a particular person. Therefore, the information posted on our website cannot replace a visit to the doctor, but only complements it. Articles are prepared for informational purposes and are advisory in nature.

When a big pimple appears on the body, it is always unpleasant. Usually it has a red tint, and it hurts a lot. Usually large pimples hurt for a long time, become very inflamed. In addition, large acne does not pass without a trace, after which traces remain on the skin. If you squeeze a large pimple incorrectly, negative consequences can occur. They call a large purulent pimple - carbuncle, because of its similarity in color with the gem of the same name.

Such formations are very dangerous, the infection that causes their appearance can get into the blood and bones. This often leads to diseases such as thrombophlebitis, osteomyelitis, lymphadenitis.

Important: large pimples on the face cannot be pressed, since meningitis can develop if the infection enters small vessels on the face. Do not self-medicate, and at the first symptoms, consult a doctor.

Large boils form in three stages:

A large pimple forms within two days. The place of his appearance begins to turn red. A small nodule appears, it can be single - this is a boil, or many nodules - a carbuncle. The pain at the very beginning of the formation is quiet, but as it matures, it intensifies and becomes acute.
At the second stage, filling begins, an infiltrate is formed. At this time, one rod is formed, and a pronounced pimple appears - a boil. If there are a lot of acne and the skin color becomes cyanotic, then this is a carbuncle.
Healing is the third stage. The result of inflammation may be scars that disappear over time, with a favorable outcome.

The usual time for the course of the disease is two weeks, but with complications, this process can be greatly delayed.

A huge pimple jumped up, how to remove it?

As soon as you find large bumps with a painful effect on your body, contact a dermatologist. The doctor will prescribe antimicrobial and anti-inflammatory ointments, which are so effective that the inflammation can go away without recurrence. If the focus of inflammation is large, then the dermatologist may prescribe special solutions with antibiotics in injections. Sometimes a blood transfusion is used, and this has an effect. Compresses with synthomycin emulsion help well in the initial stage.

Such treatment will not help with the appearance of a carbuncle, it is only removed operably.

A huge pimple is neatly cut at the top of the inflammation. The accumulation of pus and the appeared necrotic masses are removed. Do not wait until the carbuncle grows to a huge size, as in this case, after the removal of pus, a deep ulcer will remain.

Doctors choose the most effective way to remove a large carbuncle, and may resort to different solutions to the problem, such as:

In addition to the above procedures, doctors may resort to additional measures:

cryotherapy - exposure to a huge pimple with liquid nitrogen;
ozone therapy - a course of injections with ozone;
ultrasound therapy - deep skin cleansing, exfoliation of the stratum corneum;
mesotherapy - subcutaneous injections of special drugs.

It is worth noting that at home you need to provide first aid, while medicines do not have to be expensive.

The first medicine on the list is iodine, which needs to be smeared on a large pimple, while not having a traumatic effect on it. Iodine will dry the carbuncle and form a crust on its surface.
Vishnevsky's ointment will have a good therapeutic effect, if you do not know exactly how to remove a large pimple, then smear it with ointment. It helps to draw pus to the surface from the deep layers of the skin. Ichthyol ointment also works well with this.
Zinc ointment is very effective, but you need to apply it locally to each pimple separately. When using this remedy, the redness will go away and the healing process will begin.
As soon as the pimple breaks, apply synthomycin ointment, which will speed up the healing process. For the best effect, add a little boiled water to it before use.
A decoction of nettle, used daily as a drink, will help remove harmful substances from the body, which contributes to the overall improvement of the body.

Before starting treatment, consult a dermatologist, as there are contraindications in any prescription. Self-medication in this case is dangerous.

Large internal pimple - causes

Subcutaneous infection is the main cause of boils and carbuncles. They are mainly caused by streptococcal and staphylococcal bacteria, which, when they enter the pore, begin to multiply very actively. Of course, this requires a favorable environment that occurs in humans if the sebaceous glands do not work properly. What causes huge subcutaneous pimples to appear:

poor hygiene, or its complete absence;
skin lesions;
hypothermia and colds;
hormonal disruptions;
unbalanced diet;
diseases of the genitourinary system;
transitional age in adolescents;
violation of the secretion of the sebaceous glands;
clogging of pores with subcutaneous fat that has hardened;
pathogenic microflora;
improperly selected cosmetics and hygiene products;
diseases of internal organs;
skin diseases.

What are the symptoms of a large pimple?

redness and swelling at the site of the appearance of the carbuncle;
headache, nausea, diarrhea - with severe intoxication;
high temperature.

Agree, the symptoms are not very pleasant, and when one of them walks when a large pimple appears, it is worth contacting a specialist in a hurry.

Where does a large pimple most often appear?

In most cases this is:

back;
chin;
small of the back;
armpits
buttocks.

The most huge and painful pimple can appear on the head, face, or forehead. But there are precedents when a large swelling and redness appeared in the ear, in the nose. Often there is inflammation of one hair follicle, if measures are not taken, then neighboring bulbs begin to become inflamed, the result is a large carbuncle that hurts a lot.

When a large bump appears on the body, which is accompanied by painful sensations, you do not need to wait for the moment when the swelling goes away by itself, immediately go to the doctor. If the disease is delayed, then the carbuncle can break inward, and then infection cannot be avoided. Complications can also occur with self-medication.

Large pimple on the body of a child

How to remove a large pimple that has appeared in a child? In medical practice, there was a case when parents turned to an ENT because of the loss of hearing in a child. On superficial examination, they were not visible, and therefore no treatment measures were taken.

There are several reasons why a child may develop large acne with a high content of purulent masses:

hormonal disorders;
cold;
nervous shocks.

Large internal inflammation of the skin in a child can appear anywhere, even on the genitals. It is impossible to crush these purulent formations, as a fatal outcome can occur. The body of the baby is not strong enough to fight strong infections.

Tips to get rid of a big pimple fast

When treating huge internal acne, the following recommendations must be observed:

You need to watch your diet. We exclude fatty, smoked, sweet, spicy foods. Go in for sports, walk a lot in the fresh air, which will improve the metabolism in the body. Eliminate bad habits, alcohol, smoking. Minimize coffee consumption, but it is advisable to give it up forever.
Skin loves good care. You need to clean it even on days when you are sitting at home. There should be a separate towel for the face, do not wipe hands and other parts of the body on it. Replace all feather pillows, as germs and mites tend to infect feathers.
Do not treat with antibiotics unless they are prescribed to you by specialists. Use decoctions of various medicinal herbs for washing, you can also make steam baths from them - calendula, sage, celandine and chamomile will help you keep your skin healthy. Ice, from frozen decoctions of herbs, stimulates metabolic processes very well, organizing an active blood flow to the skin, but when using it, the main thing is to prevent hypothermia of the skin. Massage will help to save from this, which is recommended to be done before the procedure for several minutes.
Go to the lab for tests. You need to determine if you have a subcutaneous tick, it is he who often causes the appearance of large internal purulent acne. Skin mites can appear in youth, during pregnancy, or as a result of stress. Don't squash the pimple if you have a tick, as it can move onto healthy skin and cause a relapse.
Visit a beauty salon and learn about the ozone therapy procedure, which will not only help balance the sebaceous glands, but also make acne scars much smaller and less noticeable. In addition, the skin will become smooth and clean. All germs will be removed by this procedure.
Use cosmetics that contain only natural ingredients, give up foundation, at least for the duration of the procedures.

Some secrets of traditional medicine

At home, you can keep your skin healthy by using inexpensive and effective products:

Saline solution, which must be boiled, and then make lotions for inflammation - 2 tbsp. l. For a glass of water. Salt helps cleanse the skin.
Aspirin and water to relieve symptoms. Aspirin should be diluted in a small amount of water to a thick slurry and applied locally to a large pimple. Keep for 10 minutes, then wash off.
Garlic relieves inflammation well. Apply olive oil to your face. On acne, locally gruel of garlic, then cover your face with gauze soaked in hot water. Keep 20 minutes. In addition to relieving inflammation, such a mask will improve blood flow to the skin of the face.
Pour aloe with mineral water for an hour, then boil. Cool the leaves and grind into a porridge, which is applied to the face for 20 minutes. This will not only moisturize the skin, but also destroy pathogenic microbes in the pores.

Decoctions and infusions of herbs, coupled with drug treatment of carbuncles, leads to positive dynamics in the overall clinical picture. Of course, decoctions should be used with caution, as some people may be allergic to one or another herb.

And of course, hardening the whole body will perfectly raise your immunity. Drink vitamins in the complex, use the right cosmetics. Avoid hypothermia, and your skin will always be clean and healthy.

Pimples can deliver many unpleasant moments with their occurrence.

But the appearance of a large subcutaneous pimple turns into a real problem.

It does not go away for a long time and at the same time it hurts a lot. Well, there is no need to say what a person who has a huge pimple looks like.

All information on the site is for informational purposes and is NOT a guide to action!
Give you an ACCURATE DIAGNOSIS only DOCTOR!
We kindly ask you DO NOT self-medicate, but book an appointment with a specialist!
Health to you and your loved ones!

Self-treatment of such formations on the body can be a great danger to health and even life.

How to do the right thing, having discovered a large subcutaneous pimple?

Causes

The occurrence of a large pimple is associated not only with inflammation of the contents of the sebaceous gland.

This process covers the entire hair follicle. Therefore, purulent contents are located in deeper layers of the skin than in ordinary acne. Due to inflammation, tissue edema occurs, which completely blocks the exit of pus to the outside.

Therefore, subcutaneous acne hurts a lot and matures for a very long time.

The following factors can lead to such severe inflammation of the hair follicle:

changes in the hormonal background of the body, caused by its restructuring or diseases;
the appearance of subcutaneous acne can be caused by taking steroids;
infection of the follicle or streptococci, it is these microorganisms that provoke strong purulent processes;
untimely cleansing of the skin from impurities;
hypothermia, which leads to a weakening of local immunity (usually for this reason, acne and pope appear);
insufficient blood supply to skin cells due to pressure, friction.

Symptoms

If the inflammation covers one hair follicle and passes with the formation of pus, then such a pimple is called a boil.

Almost every person had to deal with such an education in his life.

They most often appear on the face in the area, on the nose and chin.
They can form on the back of the neck, pope.
No less rarely, such acne occurs in women and near the external genitalia of men.

Furuncle and carbuncle

The largest pimple is the carbuncle.

It appears if the inflammation covers several neighboring hair follicles.

The carbuncle can reach large sizes and look like a huge one on the body.

The world's largest carbuncle was the size of a child's palm, its hemispherical surface reached a height of 5 cm, and when it was opened, almost 200 ml of purulent contents were removed.

Of course, such formations cannot go unnoticed either by the person himself or by his body.

They manifest themselves with quite vivid symptoms:

redness appears on the skin;
swelling of the skin at the site of a large pimple is accompanied by induration;
with light pressure on the tubercle, it is felt, in the future the pimple can hurt even at rest.

Depending on the size of the pimple, symptoms of intoxication may also appear (with a carbuncle, they will be required):

headache;
weakness;
dizziness;
lack of appetite;
nausea, vomiting, diarrhea;
increase in body temperature.

Symptoms can be mildly expressed, but intoxication of the body occurs in any case, so it is imperative to treat such formations, and not wait for them on their own.

Photo

Rashes on the face with demodicosis

Large pimples on the face can also appear due to the defeat of the sebaceous glands by the subcutaneous mite Demodex.

It can exist on the surface of the epidermis and in the sebaceous ducts without causing any external manifestations.

Conventional acne remedies do not have any effect on the condition of the skin, which is why it is so important to diagnose this disease in time in order to prevent complications in the form of a bacterial infection.

Complications

All purulent acne is dangerous, first of all, the risk of infection entering the bloodstream and spreading it throughout the body.

This risk increases if the boil is located on the cheek or in the region of the nasolabial triangle. These areas are close to the brain, infection of which can lead to inflammation of the membranes (meningitis).
The direction of the infection inward from the skin can cause an inflammatory process in the vessels (phlebitis, thrombophlebitis) or in the bone tissue (osteomyelitis).
The infection can also affect the lymphatic vessels, causing purulent lymphadenitis. Concern should be caused by those boils that are located near large lymph nodes, for example, on the neck, on the penis or in the genital area.
The risk of complications increases many times if boils or carbuncles are squeezed out or acted in other ways that are not related to literacy.
The safest complication of large acne for health is the remaining on the skin after them. It doesn’t matter if the abscess is opened in a medical institution or breaks through on its own, after it a scar will remain on the skin, which will have to work hard to smooth out.

Do not hesitate to visit a doctor if subcutaneous acne has formed.

Photo: the appearance of a boil in a child can be life-threatening, so it must be immediately shown to the doctor

This is very dangerous for his health and can even lead to death.

Treatment for large internal acne

Photo: contacting a doctor at the initial stage of development of a boil will help to avoid surgical intervention

He will determine the degree of danger that the pimple represents, and decide whether a radical method of removing it should be applied or a therapeutic effect may be effective.

Medical

The surgical operation to open the abscess is performed under local anesthesia and does not last long.

The doctor only needs to completely clean the internal cavity from pus and necrotic formations. After this, the edges of the incision are closed with a suture, and the patient can go home.
But, of course, after the operation, a therapy is necessarily carried out that prevents the development and spread of a bacterial infection.

But if you see a doctor in the early stages, you can avoid surgery.

The following specialist appointments can help:

taking antibiotics(inside or in the form of intramuscular injections, the abscess is also used to chip the abscess with a medicinal one);
lubrication of the abscess erythromycin, tetracycline ointment, treatment with liniment;
cauterization, acid;
lotions With ;
autohemotherapy(from vein to buttock).

At home

Treatment can be carried out at home, but it must be carried out as prescribed and under the supervision of a physician.

Thus, the treatment of a focus of deep inflammation with ointments or solutions does not require the presence of a patient in a hospital at all.

The following methods may also help:

Photo: crushed aspirin will help reduce inflammation and redness

crush an aspirin tablet and, having slightly diluted this powder with water, apply to a large pimple for 30 minutes, this procedure can be repeated every hour;
the same compress masks can be performed with a crushed tablet ;
dry brewer's yeast, taken orally 1 tsp. before meals, increase immunity and remove toxic substances formed in the body during the inflammatory process;

Photo: brewer's yeast will help boost immunity

strong saline solution also draws out toxins and helps reduce swelling around the pimple, 1 tbsp. l. table or sea stir in a glass of warm water and apply a piece of cotton wool soaked in this solution to a pimple for half an hour.

ethnoscience

It is possible to significantly alleviate the condition in the event of a large pimple, but it would not be prudent to pin the only hopes on them for a complete cure.

Still, medical remedies act faster and reduce the risk of complications, and traditional medicine can only supplement therapy.

Traditionally used for large inflamed pimples.

Photo: aloe will relieve inflammation and draw out pus

Leaf compresses. The plant has anti-inflammatory property and will help the pus to surface. Its leaf is attached with a cut over the pimple for 30 minutes, you can leave such an application overnight.
Thickly smear a pimple and leave for an hour. It can be longer, until you decide to update this mask.
Rye bread knead well with salt(you can moisten a little) to make a cake. She is tied to a pimple for an hour.

Nettle decoction has good blood-purifying properties. 3 art. l. dry leaves are poured with 0.5 liters of boiling water and infused. Take a glass a day before meals, divided into 3 doses.
Decoction of plantain used as an external agent. It has anti-inflammatory and wound healing properties. 2 tbsp. l. leaves are infused in half a liter of boiling water and a cotton pad soaked in the decoction is applied to the area of \u200b\u200binflammation. This procedure can be performed several times a day.

Questions and answers

What to process

A large pimple can be treated with ointments and solutions with antiseptic and antibacterial action.

Photo: ichthyol ointment will accelerate maturation and draw out pus

It can be iodine, brilliant green, salicylic and salicylic acid. But in order to avoid burns on the skin, such products should not be used more than 2 times a day.
As prescribed by a doctor, you can smear a pimple with tetracycline, erythromycin ointments, synthomycin and streptomycin liniment. The last two preparations should be diluted with water before application.
To accelerate the maturation of the boil, compresses with Levomekol, Ichthyol ointment, Vishnevsky liniment will help. They can be performed during the day for an hour or left overnight.

How to uninstall yourself

It is not only not recommended to remove boils on your own, and even more so carbuncles, it can be life-threatening.

If the pus is not completely removed, then this can give rise to a new inflammatory process.

Photo: if the pus is not completely removed, this can lead to the spread of infection and the appearance of new rashes

And if part of the purulent contents goes inside, then serious complications can arise.

To open the abscess, you should contact a medical institution or a cosmetologist.

Under the hands of a specialist, this procedure will be as safe as possible for you.

How to quickly get rid of

To quickly get rid of an abscess, you should consult a dermatologist at the first symptoms.

Photo: to quickly get rid of rashes, you need to see a doctor

Antibacterial therapy and other medication prescribed by your doctor will help you.
Accelerate the process of maturation of the boil, some physiotherapy procedures.
The methods of beauty salons will also help: a course of ozone-oxygen injections.

Prevention

Prevention of boils consists, first of all, in finding out such formations and influencing them.

To prevent the appearance of large acne in the future, cosmetic procedures can help:

(chemical, hardware);
ELOS therapy;

therapy;
transfusion of blood previously enriched with ozone or irradiated with ultraviolet light;
ozone therapy;
mesotherapy.

You also need to follow some rules:

it is necessary to carry out daily hygiene procedures (twice a day), thoroughly cleanse the skin of impurities;
cleaning correctly and periodically;
avoid hypothermia and overheating of the skin;
do not squeeze pimples;
pay attention to any diseases in time and consult a doctor in a timely manner about their treatment.

A large pimple differs from an ordinary one not only in its size, but also in the danger that it carries in itself for health and even life.

Therefore, he requires the most serious attitude towards himself.

You can not try to treat it yourself, and even more so. The specialist will tell you a faster and more effective way to get rid of this dangerous formation.

Video: "Removal of a large pimple"

An abscess on the skin (abscess) is an inflammatory process in soft tissues that occurs due to exposure to pyogenic flora and is characterized by the accumulation of purulent contents. Often, an abscess is observed in people with reduced immunity, mainly in young and old age.

In acute inflammation, the volume of pus increases rapidly. At best, it can open the surrounding shell and reach the surface of the skin, which will lead to healing and recovery. At worst, it can break through under the skin and pour into the tissues, provoking blood poisoning.

Causes

The main cause of an abscess on the skin is the entry of pyogenic microbes into the human body and their further reproduction. There are two microorganisms that cause inflammation:

staphylococcus;
streptococcus.

Sometimes both pathogens are present in the human body and provoke inflammation (mixed flora). Microorganisms penetrate the skin through microcracks, pores of the sebaceous and sweat glands.

Factors provoking the development of inflammatory processes under the skin:

injuries received while working with earth and chemicals;
hypothermia;
overheat;
violation of the rules of personal hygiene;
unbalanced diet;
immunodeficiency;
endocrine system disorders;
angina infections, pneumonia).

Another provocateur is diabetes mellitus, in which cases of pustular abscesses are much more common. This is due to a violation of the permeability of the capillary walls, which contributes to the rapid spread of pathogenic microorganisms and slowing down the reaction of the immune system.

Classification

Abscesses on the skin are classified according to the nature of the flow:

acute - up to two months;
chronic - more than two months.

Depending on the degree of damage, there are:

superficial (in subcutaneous fat);
deep (deep in tissues, cavities and organs).

Depending on the route of entry of the pathogen:

exogenous (microbes penetrate from the outside - abrasions, cuts);
endogenous (spread of infection from a nearby purulent focus, for example, with tonsillitis).

Kinds

Pustular diseases are possible on any part of the body. Some are mild and go away on their own, while others require surgery. Symptoms, causes, course of the disease and their treatment are usually similar.

A furuncle (in the common people - a boil) is an acute purulent covering the connective tissue and a nearby sebaceous gland. They often occur in places of friction, sweating and pollution: on the face, neck, in the armpit and groin, buttocks, chest, thighs and lower back. The main causes of boils on the body are infections caused by staphylococcus aureus.
Carbuncle is a more complex disease. Several hair follicles, sebaceous glands with extensive damage to the skin and subcutaneous tissue become inflamed at once. Purulent formations are more often localized on the neck, buttocks and shoulder blades. The inflammatory process can affect the deep layers of the dermis.
Panaritium is a purulent inflammation of the tissues of the fingers (less often the legs). It usually develops after some kind of injury: a cut, scratch, prick, minor wound, sometimes as a complication of an ingrown nail. Often requires surgery. Without treatment, the disease can end in amputation.
Hidradenitis is a purulent inflammation that affects the sweat glands in the armpit, less often in the inguinal region. Provoking factors - increased sweating, poor hygiene. The disease develops gradually. First, itching occurs at the site of inflammation, then a dense and painful swelling forms. Over time, the seal increases, and the pain intensifies. The skin at the site of swelling becomes purple-red. The focus of inflammation softens, opens and empties to the surface of the skin. Surgical intervention is often required, since hydradenitis is prone to a long (over two weeks) course and involvement of nearby sweat glands in the process.

Diagnosis and treatment of all of the above diseases is carried out by a surgeon.

Symptoms

Skin lesions develop gradually. First, under the influence of pyogenic microbes, a focus of inflammation is formed. The skin above it swells and turns red, the surrounding tissues become warmer and denser. Over time, pain and swelling increase. In the center of the focus, tissue softening is observed, a cavity filled with pus is formed.

When localized in the subcutaneous fat, the abscess is clearly visible as a speck of white-yellow color. If the skin abscess is deep, pus may not show through the skin. In this case, you can feel a soft cavity filled with liquid.

If the focus of inflammation is demarcated from neighboring tissues, tension, soreness and pressure in the abscess area increase. Sometimes the pain is so pronounced that it does not allow you to sleep, it can be aching or throbbing. With a successful outcome, the skin over the focus opens, and its contents are poured onto the surface in the form of a viscous white-yellow liquid, possibly with a blood admixture. After that, the person feels better, the pain disappears, the wound heals and heals completely in a few days.

Unfortunately, there are times when the human body is unable to cope with an abscess. If the bacteria that provoked the abscess have a pronounced aggressive effect, then general complaints join the local symptoms. There is an increase in temperature, headache, aching joints and muscles, weakness, loss of appetite. Enlarged lymph nodes can be palpated near the source of infection.

Possible consequences

Sometimes an abscess under the skin on the finger, back, leg, lower back spreads to healthy tissues, pus rushes into the deeper layers of the skin, penetrates the muscles, nerves and blood vessels. Often this process is irreversible. In particularly difficult situations, inflammation affects bone tissue, causing purulent fusion of bones (osteomyelitis). All these consequences carry a serious danger and require urgent treatment in a hospital. The risk of a poor outcome increases with:

localization (especially in the nasolabial triangle), under the skin on the fingers, in the ear, mammary glands, in the groin;
reduced immunity;
mechanical action (an attempt to squeeze or pierce the abscess).

How to treat?

Treatment of small abscesses on the skin, as a rule, is not required, they do not bring much discomfort and go away on their own. You can postpone a visit to the doctor in case of slight swelling and redness on the skin. At this stage, the patient is able to cope on his own, preventing the development of a purulent stage.

Inflammation in the initial stage is amenable to conservative methods of treatment. Some of them are available at home. If you want to relieve inflammation, apply dry heat to the site of the outbreak (when there is still no pus) (a heating pad, a woolen cloth removed from the battery, a clean bag with heated salt or sand).

It is not recommended to use wet baths, mustard plasters. Water quickly spreads the infection to neighboring tissues. You can not knead and massage the inflamed area. If an abscess has formed on an arm or leg, it is necessary to ensure rest for the limbs.

Sometimes the inflamed areas are treated with antiseptics: medical alcohol, a special solution of 70-95%, brilliant green, ointment for abscesses on the skin (betadine), vodka. The center of the focus can be treated with iodine. Drying compresses soaked in medical alcohol and bandaged to the affected area do a good job with this stage.

At the discretion of the doctor, the patient can undergo a course of physiotherapy: UV, UHF, infrared irradiation and other procedures available in the arsenal of territorial clinics and private clinics.

When to see a doctor?

If the abscess is already formed, then the only possible outcome is its effusion. Pus cannot resolve, and treatment under the skin (and not only) always comes down to removing its contents. Do not wait until the boil opens on its own. This process can take several days, causing pain and discomfort, and there is a risk of complications. To avoid negative consequences, consult a doctor.

Factors requiring urgent medical advice:

severe pain in the affected area;
the location of the abscess deep under the skin or in dangerous places;
worsening condition (weakness, high temperature, swollen lymph nodes);
the presence of several ulcers on the skin;
the presence of background diseases (diabetes mellitus, chronic disorders of the heart, kidneys, AIDS, chronic hepatitis, frequent colds).

Diagnostics

Diagnosis is carried out with an external examination and palpation of an abscess on the back under the skin or other affected area. In rare cases, a diagnostic puncture is performed, as a result of which the seized material is sent for bacterioscopic examination.

Treatment

The decision on how and how to treat an abscess under the skin is made by the surgeon. At the reception, he will examine the area of \u200b\u200binflammation and, possibly, immediately open the abscess. Usually this manipulation is carried out in the clinic. Hospitalization is necessary only in case of severe malaise, large size of the focus of infection, its deep localization or high risk of complications.

Before the operation, the doctor makes local anesthesia. The very event of cutting the skin and removing purulent contents takes only 15 minutes. With deep localization of the focus in the wound, drainage is left. No stitches are needed for this operation. The wound heals on its own. To care for her, dressings will be needed.

If the doctor insists on hospitalization, then there are grounds for that. Some types of ulcers are difficult to remove under local anesthesia. In this case, surgeons resort to anesthesia. In addition, general treatment is carried out in medical institutions: antibiotics are administered, drugs that strengthen the immune system and help resist infection.

Treatment with folk remedies

Alternative medicine is effective only with a mild course of the disease. Therefore, before treating an abscess on the skin with folk remedies, consult a specialist.

Aloe juice. This remedy has an antibacterial effect and promotes wound healing. Porridge from the leaves or gauze soaked in juice, apply to the inflamed area overnight and bandage. The procedure is performed until the purulent contents are released and the affected tissues heal.
Medical alcohol, honey and Vishnevsky ointment. Mix the components in equal proportions. Apply the finished mass to the problem area overnight. This procedure will speed up the resorption of the abscess.
Onion. A baked onion, placed under a bandage, accelerates the maturation and rejection of the abscess.
Rye bread. The steamed product is applied to the damaged area, covered with cabbage leaves on top and left for a day.

Preventive actions

Prevention consists in maintaining a proper and balanced diet, observing hygiene rules, skin care, and giving up bad habits. It is also necessary to avoid overheating, hypothermia, microtrauma and treat endocrine diseases.

Conclusion

Sometimes people, fearing surgical interventions or underestimating the disease, self-medicate through folk recipes, open abscesses themselves, apply ointments and compresses without the knowledge of the doctor. All these manipulations are fraught with rupture of the capsule, penetration of pus into the blood and the spread of infection. Do not pull and contact specialists in the initial stages of the disease. Take care of yourself and take care of your health!

Unpleasant, painful, dangerous - all this rightly characterizes the internal boil. It is a subcutaneous inflamed element, formed deep under the skin as a result of a purulent staphylococcal abscess of the hair follicle and adjacent tissues.

Photo 1 - Internal boil

Symptoms of internal furunculosis are characteristic and beyond doubt:

IMPORTANT: The etiology of an internal boil is always bacterial, if the boil breaks inward, the infection can be absorbed into the bloodstream and even reach the brain.

Internal furuncle and its treatment

Finding out the causes and treatment of manifestations of internal boils, it is important to remember that the skin of young people, especially males, is more prone to the appearance of furuncle foci.

Photo 6 - Men are more prone to the appearance of boils

How to treat a pimple (furuncle) depends on the severity of the process. An uncomplicated boil and the skin around it are treated camphor or salicylic alcohols - this disinfects and prevents the spread of infectious processes.

Photo 7 - Camphor alcohol will disinfect a simple boil

Photo 8 - Salicylic alcohol will not allow the infection to spread

Pure ichthyol is used as a local anti-inflammatory, bactericidal, keratoplastic agent. After treatment with a skin disinfectant, the surface of the boil is covered with a thick layer of ichthyol ointment. Put cotton wool on top (not gauze or bandage!).

Photo 9 - The initial stage of the boil

Photo 10 - After treatment with alcohol, apply a thick layer of ichthyol

Photo 11 - Ichthyol is well washed off with soapy water

A cotton swab adheres well to the ointment, a bandage is not required. Ichthyol is also well washed off with soapy water. The procedure will interrupt the developing closed boil or accelerate the process of maturation of the pustule.

Photo 12 - Ichthyol will help the boil to ripen

Large inflammations will require ultraviolet irradiation, application of heat over an ichthyol compress.

Boils that occur in the area of the sciatic nerve are very painful. The method of their treatment depends on the course of the process.

Photo 14 - Furuncle in the sciatic nerve

How to treat if the boil is subcutaneous? It feels like a painful ball under the skin. Its growth is directed deep into the body, even more dangerous when it burst inside, and pus broke through into the subcutaneous layer.

Photo 15 - Subcutaneous boil can burst inside

Due to the breakthrough and penetration of the infection into the blood, meningitis, osteomyelitis, or even sepsis develop. Therefore, the treatment is carried out under the supervision of a doctor. Surgical removal of the contents of the abscess, antibiotic therapy, or even inpatient observation may be necessary.

Photo 16 - Sepsis

IMPORTANT: A competent dermatologist will develop a comprehensive treatment, controlling the process, especially accompanied by fever or intoxication. In severe cases, hospitalization is necessary.

Photo 17 - Only a doctor will select an effective treatment

If the boil does not mature

What to do when the fruncle does not ripen for a long time? If the general condition worsens, it would be wiser to consult a specialist. Based on the severity of the general condition, treatment is prescribed inpatient or at home.

Photo 18 - If you suspect a boil, do not delay a visit to a dermatologist

Photo 19 - Antibiotics can help ripen a boil

Small immature internal boils are prescribed to be smeared with antibiotic ointments, apply heat. Usually, after such measures, maturation is accelerated, and the head breaks out.

Photo 20 - If the boil does not mature for a long time, you need to apply heat

After examination and tests, the doctor may decide to open the inflamed internal node surgically. The surgeon, under local anesthesia, cuts the boil, cleans the pus and treats the focus with antiseptics. After a surgical opening, for some time it will be necessary to treat the wound with antiseptics, perhaps a drain will be installed.

Photo 21 - The boil is surgically opened under general anesthesia

With a complicated internal boil, antibiotics are used to cure an internal infection. In this case, the treatment can take up to two months!

How long does a boil ripen

How long the inflammatory process will mature inside depends on various factors: human immunity, the start of treatment, the complexity of inflammation. How many days does an uncomplicated internal boil ripen before opening - like a normal one, about five to seven (up to 10). From the appearance of a reddening swelling with a pustule in the center, the development and breakthrough of the abscess, it can take up to several weeks for the wound surface to heal.

Photo 22 - Furuncle before opening can ripen up to 10 days

You can influence how many days the head will open, by applying a warm compress - it will accelerate maturation. In some cases, boils cannot be heated, how long the abscess will mature - it will be determined in the process of complex treatment prescribed by a dermatologist.

Consolidation after a boil

Photo 23 - With proper treatment, the lump disappears quickly

What to do when the abscess is opened, the wound has healed, but a seal remains? After removal of the boil, the wound void is filled with a special tissue - collagen. This process is inevitable. With the right complex of treatment, gentle opening of the abscess, and the subsequent application of wound healing ointments at the site of the boil, the connective tissue resolves quickly and without consequences.

Photo 24 - A bump after a boil

A complicated furunculous abscess heals longer, and the connective tissue is tuberously cicatrized in the wound. It happens that everything is done on time, treated competently, but a bump remains. What to do if the seal or even the bump does not pass?

Treatment of a scar trace can be done in several ways:

Applying regularly (at least two months) absorbable scars (Kontraktubeks, Dermatiks), you can both get rid of the scar completely and significantly reduce the protruding bump.

Home methods use the aggressive properties of lemon juice, vinegar (3 parts water to 1 vinegar), onion (in the form of gruel) that are applied to the scar.

Photo 27 - Vinegar and lemon juice - a folk remedy for getting rid of scars

Cosmetic methods for removing a dense scar are allowed by a dermatologist, a few months after the wound has healed: chemical and laser peels, dermabrasion, needling (hardening is pierced repeatedly with mini-injections).

Photo 28 - Peeling can help get rid of the scar

How to treat unaesthetic seals that are not amenable to influence? They are removed surgically.
IMPORTANT: If, after opening the furuncle abscess, the seal changed color (turned red), became hot, soreness appeared - secondary infection and re-development of the boil is possible!

Swelling after a boil

After opening the abscess, especially on the face, edema often occurs. How to remove it yourself? After any intervention, swelling around the edges of the wound is inevitable. This is a natural reaction to tissue dissection. By itself, it will subside in a few days, if you do not bring the infection into the opening of the wound.

Photo 29 - Edema after opening the boil is inevitable

Photo 30 - The edema will go away on its own if you do not infect

To prevent this, the wound hole is washed with chlorhexidine, peroxide or saline (a teaspoon of salt in a glass of water).

Photo 31 - Chlorhexidine acts as an antiseptic

As healing progresses, the sterility of the wound opening should be ensured and the appearance of healthy tissue as soon as possible.

To do this, Ichthyol, Vishnevsky ointment, Panthenol, Bepanten are applied around the hole. These ointments relieve inflammation after the removal of the boil, help to "tighten" the edges of the wound, relieve swelling.