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Skin & Hair Concerns
Question #14724
200 days ago
288

black pimples on back - #14724

Mira

I am really freaking out about these black pimples on my back that just won't go away. For about a month now, I started noticing small, dark spots that look like little black pimples on my back, mostly along my shoulders. At first, I thought it was just a weird rash or something but then they kinda got worse, more elevated, and they started itching a lot too. I tried some over-the-counter creams thinking it was something simple, but nothing seems to help! My friends said it could be from sweating too much or using the wrong lotion, but idk... I also have a pretty stressful job that has me on my feet all day and maybe that’s making things worse? I keep checking in the mirror, and it feels like I’m seeing more black pimples on my back every week. Should I be worried? I mean, could this actually be something serious like an infection or just another skin issue that’ll go away with time? What should I do to treat these black pimples on my back? Any advice would be really appreciated!

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Doctors' responses

It sounds like you’re dealing with a particularly frustrating and uncomfortable skin issue. While the appearance of black pimples on your back isn’t uncommon, persistent ones that are itchy or get worse instead of better are worth looking into more closely. Those small dark spots could potentially be clogged pores, commonly known as blackheads, but it’s also possible they’re papules or nodules associated with acne vulgaris—a condition that can be exacerbated by stress and lifestyle factors. Sweating excessively can indeed contribute to clogged pores, especially in combination with things like certain lotions or friction from clothing. Given the itchiness and persistence, though, keep in mind that other skin conditions, such as folliculitis or keratosis pilaris, might also be at play.

To address the issue, focus on keeping the affected area clean and dry. Use a gentle cleanser containing salicylic acid or benzoyl peroxide once daily; these agents can help with unclogging pores and reducing inflammation. Avoid heavy, occlusive lotions and look for moisturizers labeled “non-comedogenic” to prevent further clogging of pores. Try to wear loose-fitting clothing to minimize friction and allow your skin to breathe. If your occupation involves a lot of physical activity, showering soon after work might help reduce sweat accumulation. Stress management through exercise, adequate sleep, and relaxation techniques could also have a beneficial impact on your skin.

However, if the black pimples continue to worsen, become painful, or show signs of infection (such as increasing redness, swelling, or pus), that would be an indicator to see a healthcare provider. A dermatologist could give you a more thorough evaluation, ruling out other conditions and possibly prescribing stronger topical or oral medications if needed. It would be important, too, to establish whether there’s an underlying cause or environmental factor that’s contributing heavily to your skin issue. Don’t hesitate to seek medical attention if you notice any alarming changes, as they will better guide you in managing it effectively.

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