What to do with absess on my but - #11706
this isthe 3rd absess im getting in 4months... so painfull and swollen, even blue from bruising and very very hot. why do i keep getting them now? is somethingdeeper wrong with me or my blood? what should i do?
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Doctors’ responses
Hi Dear Sune, Abscesses in perianal region or buttock region can occur due to local and systemic causes local can be increased hair growth /prolonged sitting posture/passing hard stools / any trauma /skin lesions systemic can be because of deranged blood sugar levels or decreased immunity sometimes deep seated infection can also be a cause Kindly evaluate yourself for perianal abscess and excise it completely under a general surgeon Take care
Hello,
I understand your concern. Recurrent abscesses in the buttock area suggest there may be an underlying reason such as skin infection with Staphylococcus aureus, diabetes, poor local hygiene, or even conditions like pilonidal sinus.
For now:
Do not press or try to pop the abscess.
Apply warm compresses 3–4 times daily.
Keep the area clean and dry, wear loose cotton clothes.
Since this is your 3rd episode in 4 months, I strongly recommend:
Blood sugar testing (FBS/PPBS/HbA1c) to rule out diabetes.
Swab culture of pus (if drained) to check resistant bacteria.
Please visit a surgeon at the earliest — especially since it is very painful, swollen, bluish, and hot (may indicate spreading infection).
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
1. Repeated abscesses usually happen when bacteria sit under the skin and flare up again, especially in areas that sweat or rub.
2. Since this is your 3rd in 4 months, it means the infection source is not fully cleared and needs proper treatment.
3. The pus sometimes needs to be drained by a doctor, and antibiotics may be required to stop it from coming back.
4. Blood sugar problems or low immunity can also cause frequent abscesses, so a simple blood check may be needed.
5. Do not squeeze it at home, keep the area clean, and consult a surgeon or skin specialist to get it treated fully and prevent recurrence.
Hello dear See third abscess in 4 months sounds to either consistent infection or chances of high blood sugar Before prescribing any medicine,I like to suggest you some tests for confirmation Accordingly the medications should be taken Rbs CBC Esr Bacterial culture Hb HbA1c Hemogram Kindly share the details with general physician or microbiologist for confirmation Please donot take any medications without consulting the concerned doctor Hopefully you recover soon Regards
Hello there, I can see the information available. Since you are getting recurring abscesses you can’t take it lightly. The probable cause may include recurring infection due to some common source that you might be using, immunodeficiency and diabetes, liver or kidney issues and local causes. If you have been taking antibiotics for earlier abscesses then it might have given some resistance to the microbe. What you should be doing now is Firstly don’t take any random antibiotics or any empirical treatment. Don’t poke the abscess as it may causes deeper infection and the microbe may get inoculated in blood or deeper tissues. Go to a Dr preferably a general surgeon. Get some tests done CBC, LFT, RFT, HIV, Hba1c. Once you see the surgeon get a culture and sensitivity done . Incision and drainage with targeted antibiotics will be the final treatment. You should watch for danger signs like fever, chills , dizziness and rapid spread of any of these develops go to the nearest hospital at the earliest.
Hi Sune,
Since this is your 3rd abscess in 4 months, I strongly recommend: Consult a surgeon/dermatologist for drainage + culture Get diabetes screening (fasting sugar, HbA1c) Check CBC
Meanwhile Dont burst abscesses Warm compressions will help For pain you can take paracetamol 500 mg when needed
You may need Incision and drainage followed by antibiotics. Please consult a surgeon in person
Thank you
Since this is the 3rd abscess in 4 months, it’s important to rule out diabetes or immune issues. The current abscess likely needs antibiotics and possibly drainage by a doctor. Please get blood sugar & CBC tested and see a surgeon for proper drainage.
Hello it’s seems like u got infection
Since its repeating again and again follow some suggestions
Investigation
Cbc
Liver function test
Pus swab go for culture so u will find out which bacteria it’s causing
It’s may be cellulitis seems like it
you didn’t mention which medication you are taking for anxiety ?
HbA1c test to rule out diabetes
I am not advising u any medication because since it’s not sure by which bacteria it’s causing infection go for blood culture test u will findout cause
Then start antibiotics
Stay hydrated don’t worry it will fine
U can consult to surgeon (general )
Thanks
Hello, You may be suffering from recurrent abscess.
You should get proper examination by surgeon for better results
For your symptoms, you can take: 1. Cap. Amoxyclav 625mg thrice daily for 3 days 2. Cap Pan 40mg once daily for 3 days 3. Tab Dolo 500mg when required for pain/fever.
Take care
Recurrent painful abscesses like yours—especially three within four months, with swelling, warmth, and bruising—may indicate an underlying infection tendency, immune issue, or skin condition (like staph infection, hidradenitis suppurativa, or diabetes-related susceptibility). It’s important not to self-drain and seek medical attention promptly, as repeated abscesses can cause deeper tissue infection or scarring. Please consult a dermatologist or infectious disease specialist for proper evaluation, which may include culture of the pus, blood tests (CBC, blood sugar, immune screening), and imaging if needed, and to discuss long-term preventive strategies and antibiotics.
Recurring abscesses, especially when they’re painful, swollen, and hot, can indeed signal an underlying issue that needs attention. The fact that this is your third abscess in such a short span strongly suggests that something more systemic might be contributing. It could involve infections that aren’t fully clearing up, or even a more general condition affecting your immune system or your skin. Sometimes, recurrent abscesses can be linked with certain risk factors like diabetes, skin conditions, or even an underlying chronic infection.
To address what’s going on, the first step is to consult a healthcare professional to determine the root cause of these abscesses. They might check for blood sugar levels to assess for diabetes, which is a common underlying cause of recurrent skin infections. They might also want to rule out any bacterial infections, like MRSA, which can cause repeated skin issues. Blood tests or cultures from the abscess itself could be necessary to figure out which bacteria are responsible, or if there’s a susceptibility pattern they need to tackle with specific antibiotics.
Do not attempt to drain or lance the abscess yourself, as this could lead to complications or spread the infection. Warm compresses may provide temporary pain relief and promote natural drainage, but medical evaluation is still required. Keep the area clean and dry, avoid wearing tight clothing over it, and take any prescribed antibiotics completely if your doctor gives them. If you haven’t seen a healthcare professional yet for any of these abscesses, it’s important to do so now, as they can become quite serious if untreated. If you experience fever, chills, increased redness, or spreading of the infection, seek immediate medical attention. Getting to the bottom of why these are occurring is crucial to prevent future episodes and ensure your overall health is managed.
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