Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For A Skin Tag On The Shoulder
Question: my 6 yr old son has developed a skin tag on his shoulders......i searched the internet and it says children normally dont have skin tags and it is more developed in elderly......
Brief Answer:
Need more information.
Detailed Answer:
Hi,
Welcome to HCM,
I have read your query and seen the attached picture.
From the picture,I can't confirm whether it is a skin tag or something else as the picture is somewhat blur. So please send some good quality pictures.
Regarding skin tags, they are nothing but benign growth of skin which presents as out-pouching of excess skin. It can also occur in children (but not common) so no need to worry about it much.
Also,I would like to know certain more details from you.
Since how many days you have noticed that on your children?
Any pain or burning there?
Regards,
Dr.Sandip Kabra
Need more information.
Detailed Answer:
Hi,
Welcome to HCM,
I have read your query and seen the attached picture.
From the picture,I can't confirm whether it is a skin tag or something else as the picture is somewhat blur. So please send some good quality pictures.
Regarding skin tags, they are nothing but benign growth of skin which presents as out-pouching of excess skin. It can also occur in children (but not common) so no need to worry about it much.
Also,I would like to know certain more details from you.
Since how many days you have noticed that on your children?
Any pain or burning there?
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Naveen Kumar
no pain or burning it showed today only.....my son also suffers from night sweats in summers with ac at 28 or 29 temperature and in winter he doesnt take blankets. recently got his blood count which says wbc 9760 neutrophils 67% haemoglobin 12.3 pcv 32% crp 8 ....his appetite is ok and no weight loss or fever but he has always had skin rashes and itching since childhood. i was worried abt leukema . he has no pain in abdomen or bones and is active in school and at home. his school is from 7am to 5pm and after coming back frm school he is reasonably active. the only worry is the sweat he has around neck face head back the area above waist and also his dry itchy skin which i searched on the net . 2 weeks back i got the blood test done which were all in normal range except crp at 8
Brief Answer:
No need to worry about leukemia.
Detailed Answer:
Hi,
Thanks for the reply.
Excessive sweating (hyperhidrosis) is a wide array of manifestation to many underlying etiologies and need a lot of work up to reach one.
This symptom of sweating in excess of that required for normal thermoregulation, is a condition that usually begins usually in childhood or adolescence.
Although any site on the body can be affected by hyperhidrosis, the sites most commonly affected are the palms, soles, neck,forehead and axillae etc.
In your child,it sems very unlikely to be due to some underlying pathology at least at this point of time and also the blood works are within normal range. 8 CRP is not having much clinical significance.
Also,you said that your child is reasonably active without having any symptoms, so I do not think the could be some underlying pathology of sweating.
And,yes there is nothing like leukemia here,so remove your fear about leukemia.
Hyperhidrosis may be idiopathic or secondary to other diseases, metabolic disorders, febrile illnesses, or medication use which is unlikely here.
Dry itchy skin occurs following excess sweating which can be managed by good talcum powder in summers.
At present, I do not think there is any hard and fast treatment required in your child.
Hope this helps.
Regards,
Dr.Sandipkabra
No need to worry about leukemia.
Detailed Answer:
Hi,
Thanks for the reply.
Excessive sweating (hyperhidrosis) is a wide array of manifestation to many underlying etiologies and need a lot of work up to reach one.
This symptom of sweating in excess of that required for normal thermoregulation, is a condition that usually begins usually in childhood or adolescence.
Although any site on the body can be affected by hyperhidrosis, the sites most commonly affected are the palms, soles, neck,forehead and axillae etc.
In your child,it sems very unlikely to be due to some underlying pathology at least at this point of time and also the blood works are within normal range. 8 CRP is not having much clinical significance.
Also,you said that your child is reasonably active without having any symptoms, so I do not think the could be some underlying pathology of sweating.
And,yes there is nothing like leukemia here,so remove your fear about leukemia.
Hyperhidrosis may be idiopathic or secondary to other diseases, metabolic disorders, febrile illnesses, or medication use which is unlikely here.
Dry itchy skin occurs following excess sweating which can be managed by good talcum powder in summers.
At present, I do not think there is any hard and fast treatment required in your child.
Hope this helps.
Regards,
Dr.Sandipkabra
Above answer was peer-reviewed by :
Dr. Raju A.T
thank u sir but i was paarticularly worried since last 1 month first he had a boil in his foreaarm which burst open and now has healed.it was then we did the blood tests which results i gave u only crp was 8. then he had a sudden skin allergy which was treated with allegra. then one day saw white tiny dot marks on his penis shaft which the doc said are very common in kids due to hard skin and dont require any treatment. and also has red itchy eyes. only crp came at 8 in blood test. his night sweating occurs within 1 hour of sleepin and doesnt recur again and he also wants ac on in general too and doesnt like warm environment .in winters he throws away the blanket when a general person cant sleep without a blanket. scratching and itching are common year round for him. he did not have a weight loss or recurrent fever during last one year. his appetite is normally ok just that likes to eat special dishes more and eats rice more than roti. mosquito bites him a lot so much so that he scratches them like hell and makes it bleed sometimes . these are his general history but the sweating made me unable to sleep last night cos on the net when i searched it indicated something bad.....so i doubted leukemia which has night sweating as a big indicator . he is active in all activities and does get tired like a normal child
Brief Answer:
Nothing to worry about leukemia.
Detailed Answer:
Hi,
Thanks for asking again,
CRP-8 is slightly elevated and may be because of some kind allergy and mostly indicative of some sort of inflammation in the body.It is a non-specific and highly sensitive test and at present I will not consider it as clinically significant.
Itching or scratching over the skin could be sign of some kind skin allergy or reaction to mosquito bite but it is not the worrisome symptom. However,clinical inspection over the itchy skin can give us some clue whether it is significant or not.
As I already told night sweating is normal thermoregulation in body and I do not think it needs much medical attention here especially when your child is active,eating normally and without any clinical symptoms.
Children usually do not like (or tolerate) warm/hot environment and prefer to sleep in AC. Personally speaking, my 1 year old daughter also loves to sleep in AC and she immediately starts crying when I turn off AC in the middle of the night. So,that is normal in any case of any child.
So,I do not think there is anything to be worried much here.Your child seems to be normal as other childdren. And yes,do not worry about leukemia as the night sweating is not indication for it.
Most excess sweating is due to excess sweat glands or their hyper stimulation.
Here are some tips to stop this sweating,
1) Always give him balanced diet and make sure he drinks plenty of water daily.
2) Avoid tight fitting clothes rather wear loose clothes.
3) Wear cotton material clothes and avoid synthetic silk.
4) Bath with antibacterial soap like dettol,savlon
5) You may also use antiperspirants and deodarants together like aluminium chlorhydrate or zirconium to block perspiration.
6) Curtailing excess tea or coffee.
At present there is no need to go for any further tests and I will suggest you to wait till the completion of summer where temperature goes beyond 45 degree in XXXXXXX Most probably your child's problem will be resolved after that.
Regards,
Dr.Sandip Kabra
Nothing to worry about leukemia.
Detailed Answer:
Hi,
Thanks for asking again,
CRP-8 is slightly elevated and may be because of some kind allergy and mostly indicative of some sort of inflammation in the body.It is a non-specific and highly sensitive test and at present I will not consider it as clinically significant.
Itching or scratching over the skin could be sign of some kind skin allergy or reaction to mosquito bite but it is not the worrisome symptom. However,clinical inspection over the itchy skin can give us some clue whether it is significant or not.
As I already told night sweating is normal thermoregulation in body and I do not think it needs much medical attention here especially when your child is active,eating normally and without any clinical symptoms.
Children usually do not like (or tolerate) warm/hot environment and prefer to sleep in AC. Personally speaking, my 1 year old daughter also loves to sleep in AC and she immediately starts crying when I turn off AC in the middle of the night. So,that is normal in any case of any child.
So,I do not think there is anything to be worried much here.Your child seems to be normal as other childdren. And yes,do not worry about leukemia as the night sweating is not indication for it.
Most excess sweating is due to excess sweat glands or their hyper stimulation.
Here are some tips to stop this sweating,
1) Always give him balanced diet and make sure he drinks plenty of water daily.
2) Avoid tight fitting clothes rather wear loose clothes.
3) Wear cotton material clothes and avoid synthetic silk.
4) Bath with antibacterial soap like dettol,savlon
5) You may also use antiperspirants and deodarants together like aluminium chlorhydrate or zirconium to block perspiration.
6) Curtailing excess tea or coffee.
At present there is no need to go for any further tests and I will suggest you to wait till the completion of summer where temperature goes beyond 45 degree in XXXXXXX Most probably your child's problem will be resolved after that.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
sir
thank u for ur reply.....the ac is on 28 mostly at night and he gets a sweating in one hour of sleep after that the back and neck face is cold and doesnt sweat again as i keep checking till im awake.....he has sound sleep....theese tests were done on 19th may when he had a boil which was not healing on his right forearm but subsequently one day it burst out and after the pus was cleaned it healed. in last one month he is having one thing or the other like skin flare up which subsided by allegra then white spots on penis which a doc said was hard skin and was normal and can be ignored then he has watery itchy red eyes . his sweating problem is there for many days but the temperature in XXXXXXX is 33 degrees or so with humidity and with ac on 28 thermostat he sweats once. in winters as i told u he uses blanket in extreme cold. and generally he throws away any chaddar as we call it in hindi when in sleep. in day time also he feels warm and wants ac or fan in full speed but doesnt sweat much in day time. earlier he had this problem that whenever he cried he used to vomit but this problem subsided a lot now. He also coughs for a few seconds after waking up but not then later in the day. He last had fever in november and was cured in 2 days after taking crocin. however eating ice creams and cold drinks gives him runny nose and cough. my main tension is for leukema and nothing else so much so that whole day and night i keep searching the net for cold sweats in 6 yr old on the net and all point to leukema but im not a doctor to judge it. he tends to be active playing jumping around watching tv and likes to eat tasty things. i will not be able to face it if something of this sort happens and they say if detected earlier we can stop the disease from spreading so i got so worried. in the morning my wife gives him bournvita and as soon as he has it he goes for his bathroom and sometimes once in evening too. there is no weight loss but skin problems and excessive scratching leading to scabs is there which he again scratches and those form brown black patches in skin. immediately after mosquito bites the area becomes swollen which we call daffar in hindi. i might be writing a lot but whatever came to me about him i have written so that we dnt miss a single point. for skin boil i had shown to a dr in XXXXXXX dr khopkar after the docs in XXXXXXX frightened me but the XXXXXXX doctor said it was abt to burst and it so happened and he said pus formed because adequate antibiotics were not given and was also given very late. please read all my points carefully and advice sir. Have attatched the copy of the reports of blood done on 19th may
thank u for ur reply.....the ac is on 28 mostly at night and he gets a sweating in one hour of sleep after that the back and neck face is cold and doesnt sweat again as i keep checking till im awake.....he has sound sleep....theese tests were done on 19th may when he had a boil which was not healing on his right forearm but subsequently one day it burst out and after the pus was cleaned it healed. in last one month he is having one thing or the other like skin flare up which subsided by allegra then white spots on penis which a doc said was hard skin and was normal and can be ignored then he has watery itchy red eyes . his sweating problem is there for many days but the temperature in XXXXXXX is 33 degrees or so with humidity and with ac on 28 thermostat he sweats once. in winters as i told u he uses blanket in extreme cold. and generally he throws away any chaddar as we call it in hindi when in sleep. in day time also he feels warm and wants ac or fan in full speed but doesnt sweat much in day time. earlier he had this problem that whenever he cried he used to vomit but this problem subsided a lot now. He also coughs for a few seconds after waking up but not then later in the day. He last had fever in november and was cured in 2 days after taking crocin. however eating ice creams and cold drinks gives him runny nose and cough. my main tension is for leukema and nothing else so much so that whole day and night i keep searching the net for cold sweats in 6 yr old on the net and all point to leukema but im not a doctor to judge it. he tends to be active playing jumping around watching tv and likes to eat tasty things. i will not be able to face it if something of this sort happens and they say if detected earlier we can stop the disease from spreading so i got so worried. in the morning my wife gives him bournvita and as soon as he has it he goes for his bathroom and sometimes once in evening too. there is no weight loss but skin problems and excessive scratching leading to scabs is there which he again scratches and those form brown black patches in skin. immediately after mosquito bites the area becomes swollen which we call daffar in hindi. i might be writing a lot but whatever came to me about him i have written so that we dnt miss a single point. for skin boil i had shown to a dr in XXXXXXX dr khopkar after the docs in XXXXXXX frightened me but the XXXXXXX doctor said it was abt to burst and it so happened and he said pus formed because adequate antibiotics were not given and was also given very late. please read all my points carefully and advice sir. Have attatched the copy of the reports of blood done on 19th may
Brief Answer:
NOT having leukemia,
Detailed Answer:
Hello Mr.XXXX,
Thanks for writing again,
I have read your long follow-up query carefully and reviewed the attached reports.
I would say that your child is very much normal what he is facing can be applicable/seen in plenty of child like feeling warm,throw blankets in winters,night sweating,excessive scratching,eating ice-cream/cold drinks and getting runny nose/cough,watching TV,eat tasty things etc whatever you have shared here.
Regarding leukemia,I would say again that he is NOT having leukemia and you are unnecessarily worried too much about it.
I may agree that you have tension about leukemia and for that you are keep searching on internet from various web sites because every parents would want their child to be healthy and free from any disease especially this kind of non-curable diseases.
Further,I would also suggest you NOT to search on net even though there are plenty of web sites having a lot of information but they all just give a general information which lacks specificity what we need,so get a help from respective expert instead of google.
For the sake of your information,in leukemia,person would have altered blood counts drastically (like very high WBC counts or very low platelets counts according to the type) but it is NOT in your child's case.
His blood works are absolutely normal and CRP has no clinical significance.
I think you are unnecessarily worried and will advise you to remove from your mind about leukemia.
Your child is absolutely fine as per his history,behavior and attached reports.
Hope this explanation will ease your mind.
Regards,
Dr.Sandip Kabra
NOT having leukemia,
Detailed Answer:
Hello Mr.XXXX,
Thanks for writing again,
I have read your long follow-up query carefully and reviewed the attached reports.
I would say that your child is very much normal what he is facing can be applicable/seen in plenty of child like feeling warm,throw blankets in winters,night sweating,excessive scratching,eating ice-cream/cold drinks and getting runny nose/cough,watching TV,eat tasty things etc whatever you have shared here.
Regarding leukemia,I would say again that he is NOT having leukemia and you are unnecessarily worried too much about it.
I may agree that you have tension about leukemia and for that you are keep searching on internet from various web sites because every parents would want their child to be healthy and free from any disease especially this kind of non-curable diseases.
Further,I would also suggest you NOT to search on net even though there are plenty of web sites having a lot of information but they all just give a general information which lacks specificity what we need,so get a help from respective expert instead of google.
For the sake of your information,in leukemia,person would have altered blood counts drastically (like very high WBC counts or very low platelets counts according to the type) but it is NOT in your child's case.
His blood works are absolutely normal and CRP has no clinical significance.
I think you are unnecessarily worried and will advise you to remove from your mind about leukemia.
Your child is absolutely fine as per his history,behavior and attached reports.
Hope this explanation will ease your mind.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Sonia Raina
ok sir
just want to inform u that in december 6 months back his wbc was 14000 but now it is 9700 so its not a problem i guess and ige was 186 when he has some red skin infection . and the tests we done in may last month wbc is 9700 as i have sent to u. so i hope its nothing to worry and will keep u posted if there is anything more and thanks for ur valuable advice. looking at the internet my mind is taking all those thoughts as there is so much confusing literature which i interpret otherwise. sir i have written to much and the same things again and again im sorry for it. he is taking allegra 7.5 ml twice daily since last 5 days for skin rash that occured suddenly so can i continue allegra for 10 days more because he also keeps rubbing his eyes and r a bit watery and redness
just want to inform u that in december 6 months back his wbc was 14000 but now it is 9700 so its not a problem i guess and ige was 186 when he has some red skin infection . and the tests we done in may last month wbc is 9700 as i have sent to u. so i hope its nothing to worry and will keep u posted if there is anything more and thanks for ur valuable advice. looking at the internet my mind is taking all those thoughts as there is so much confusing literature which i interpret otherwise. sir i have written to much and the same things again and again im sorry for it. he is taking allegra 7.5 ml twice daily since last 5 days for skin rash that occured suddenly so can i continue allegra for 10 days more because he also keeps rubbing his eyes and r a bit watery and redness
Brief Answer:
Allegra,an antihistamine drug can be continued.
Detailed Answer:
Hi Mr.XXXX,
Thanks for asking again,
Your child's WBC count it absolutely normal and there is nothing to worry.
Also,I can understand the tension about your child's health. Personally I also got tensed easily when my daughter gets sick even though I am a doctor. It shows how you take care about your child. Even I would have done the same if I will be at your place.
You can ask me anytime if you have anymore concerns and update me,I will be happy to help you.
Allegra is an antihistamine drug and there is no harm to continue it further but I will want to address some concerns about his eye symptoms.
Slightly long duration of eye infection is usually caused by allergic conjunctivitis or dry eyes. The treatment is by use of anti-allergic eye (like visine) drops or artificial tears like Refresh eye drops.
And if sudden onset of infection (with redness or discharge) is caused by infective conjunctivitis and it is treated by use of antibiotic eye drops like ciprofloxacin (brand name: ciplox) eye drops.
Lastly,I will again say clearly NOT to search on internet about diseases or treatment especially if there is concern about child since there are plenty of irrelevant information available which are usually NOT helpful (or sometimes misleading) for us.
Regards,
Dr.Sandip Kabra
Allegra,an antihistamine drug can be continued.
Detailed Answer:
Hi Mr.XXXX,
Thanks for asking again,
Your child's WBC count it absolutely normal and there is nothing to worry.
Also,I can understand the tension about your child's health. Personally I also got tensed easily when my daughter gets sick even though I am a doctor. It shows how you take care about your child. Even I would have done the same if I will be at your place.
You can ask me anytime if you have anymore concerns and update me,I will be happy to help you.
Allegra is an antihistamine drug and there is no harm to continue it further but I will want to address some concerns about his eye symptoms.
Slightly long duration of eye infection is usually caused by allergic conjunctivitis or dry eyes. The treatment is by use of anti-allergic eye (like visine) drops or artificial tears like Refresh eye drops.
And if sudden onset of infection (with redness or discharge) is caused by infective conjunctivitis and it is treated by use of antibiotic eye drops like ciprofloxacin (brand name: ciplox) eye drops.
Lastly,I will again say clearly NOT to search on internet about diseases or treatment especially if there is concern about child since there are plenty of irrelevant information available which are usually NOT helpful (or sometimes misleading) for us.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
sir
thanks for ur reply. will ask u whenever is needed. sir the skin tag pic i send u is clear if u enlarge it cos its size of a piece of grain which is the same color as the skin so u may not be able to view it properly. its just near the armpit and is there since 2 days. my wife also has but on the left hand and my son has it on right hand. hope it is nothing serious. and one more bit of info i needed , the blood tests were done on 19th may morning and doc gave him moxclav antibiotic for his skin boil which is healed now. the antibiotic which we started on 18th evening so it wont make any much difference to the blood results. i also had lots of skin diseases since birth to 11 yrs age and my mother has it till now and she is 60 yrs old so it might be hereditary too . he likes to be free and lesser clothes but my wife keeps saying that he shud wear a banyan and then a tshirt at night too but i think we shud make him just wear a tshirt and night and completely remove any chaddar and also keep the room chilled for him. sir i think we will also ignore his skin tag and keep applying moisturiser and see that he is not over clothed and try that he is saved frm mosquito bites as much as possible. thank u
thanks for ur reply. will ask u whenever is needed. sir the skin tag pic i send u is clear if u enlarge it cos its size of a piece of grain which is the same color as the skin so u may not be able to view it properly. its just near the armpit and is there since 2 days. my wife also has but on the left hand and my son has it on right hand. hope it is nothing serious. and one more bit of info i needed , the blood tests were done on 19th may morning and doc gave him moxclav antibiotic for his skin boil which is healed now. the antibiotic which we started on 18th evening so it wont make any much difference to the blood results. i also had lots of skin diseases since birth to 11 yrs age and my mother has it till now and she is 60 yrs old so it might be hereditary too . he likes to be free and lesser clothes but my wife keeps saying that he shud wear a banyan and then a tshirt at night too but i think we shud make him just wear a tshirt and night and completely remove any chaddar and also keep the room chilled for him. sir i think we will also ignore his skin tag and keep applying moisturiser and see that he is not over clothed and try that he is saved frm mosquito bites as much as possible. thank u
Brief Answer:
no need to remove skin tag.
Detailed Answer:
Hello,
Welcome again,
Since the skin tag is a small piece grain sized and if it does not hurt then there is no need to remove it.Yes,it is not a serious.
Most of children like to wear lesser clothes especially in summer season.So you can put banayan and chaddi at night.No problem in it.
Also,put on some mosquito repellent like All Out or Good Knight in the night time to prevent mosquitoes bites to your child which will also be helpful to prevent further itching and scratching on his skin.
Hope this helps.
Regards,
Dr.Sandip Kabra
no need to remove skin tag.
Detailed Answer:
Hello,
Welcome again,
Since the skin tag is a small piece grain sized and if it does not hurt then there is no need to remove it.Yes,it is not a serious.
Most of children like to wear lesser clothes especially in summer season.So you can put banayan and chaddi at night.No problem in it.
Also,put on some mosquito repellent like All Out or Good Knight in the night time to prevent mosquitoes bites to your child which will also be helpful to prevent further itching and scratching on his skin.
Hope this helps.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Yogesh D
sir im writing u once again to clarify a thing. i showed to an opthamologist to my 6yr 5 mnth old son and he prescribed pataday 1 drop in both eyes and nomotear 1 drop both eyes thrice daily . this is just to inform you. My question is that as i had told you he got a skin abscess and it burst open last wednesday and was drained out of pus and since then we are applying fusidin cream 3 times after cleaning the area. after 8-9 days still the skin is hard from inside and i asked the doc who drained it on phone since he is in XXXXXXX he said it is skin thickening induration which will take time to go. sir how will ths skin induration go in its own as it is inside the body means below the skin and he also said to stop fusidin after 2 more days. the area is dry now and almost flat and a bit red but there is thickness when we touch it which really scared me as u know i am too much worried as u mu.st have seen in my last conversation with u. if it is normal then its ok cos i fear again any boil or something might happen because there is induration and how will the induration dissolve and disappear on its own and what if it increases in size. pls advice me
Brief Answer:
Likely antibioma,but no need to worry.
Detailed Answer:
Hello,
Welcome again,
i have read your whole query again,
As per your descriptions,it is likely to be a 'Antibioma' formation (in hindi we usually call it 'Gathan') which is not so abnormal after abscess. Usually it is formed firm to hard thick swelling or bump and mostly it does not hurt.
It occurs because of antibiotics which started too early or incompletely drained pus from the abscess,but there is no need to worry as it will get resolved on it's own within 6 to 8 weeks.
Yes, I agree with your doctor that it will take sometime to resolve and there is no need to apply further antibiotic cream like fusidin.
Again, I will assure that it is not abnormal and also it will not responsible for another boil.It will not increase, so no need to worry much.
Let me know if you need more help.
Regards,
Dr.Sandip Kabra
Likely antibioma,but no need to worry.
Detailed Answer:
Hello,
Welcome again,
i have read your whole query again,
As per your descriptions,it is likely to be a 'Antibioma' formation (in hindi we usually call it 'Gathan') which is not so abnormal after abscess. Usually it is formed firm to hard thick swelling or bump and mostly it does not hurt.
It occurs because of antibiotics which started too early or incompletely drained pus from the abscess,but there is no need to worry as it will get resolved on it's own within 6 to 8 weeks.
Yes, I agree with your doctor that it will take sometime to resolve and there is no need to apply further antibiotic cream like fusidin.
Again, I will assure that it is not abnormal and also it will not responsible for another boil.It will not increase, so no need to worry much.
Let me know if you need more help.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Sonia Raina
sir it is on right forearm but the doc said he cleared and drained the pus very well. we gve antibiotics inadequate and the 2nd dose was given too late so it led to antibioma. one surgeon told he wud do surgery to clear the pus but it burst open on its own and the doc which is my cousins family doc drained it. what if the antibioma or induration never clears and there is there in his forearm permanently? the abscess healed but the thick skin underneath is size of a 1 rupee coin and maybe 3mm thick but its my idea only as i cant measure it just feel it. is it due to the docs mistake who drained it? he told to keep washing it daily with soap and it will go on its own but i dnt know how it will go in its own which is inside the skin ? pls explain and can again it may thicken or pus increase or form due to this reason u gave that there might be more pus ....he is a small kid and im worried and this time i dnt wanna search for it online. on the surface of the skin there is very lil redness and my son says there is no pain but dnt know if he says the truth or lie due to fear of visiting a doc.pls advice. your words will clear my doubts i know
Brief Answer:
will not get thicken or pus increase.
Detailed Answer:
Dear Mr.XXXX,
I have read all your worries and doubts carefully again,
This Antibioma is not so abnormal as I said earlier. Inadequate antibiotics dosage could also be one of the reason behind it apart from what I mentioned earlier.
And I do not think there is mistake on doctor's side because it is not a big abscess and sometimes insufficient antibiotic course or too early initiation of antibiotics can also cause it.
I have seen thousands of abscess cases and drained plenty of them under strict aseptic precautions. Sometimes antibioma occurs or sometimes does not and will get healed very well. There is no need to understand the biochemistry or physiology behind it means how will it go which is behind the skin. It will go on it's own for sure.
Also i have not seen a single case of permanent antibioma till date and as I said it will take some time (may be 6 to 8 weeks) to get rid off it.
And mostly it does not hurt or pain,so your child is absolutely right on his hand.There is no need to doubt his words,honestly speaking.
Finally,I would ask you NOT to worry about this induration or antibioma since it will go away on it's own MEANS I do not think there is more treatment required now.
Also,it will not get thicken or leave behind any scar mark unless the indurated swelling or it's skin is touched repeatedly by you or your kid.
You should leave it as it is.You are worried unnecessarily.
So,no need to worry much.
Let me know if you have more doubts.
Regards,
Dr.Sandip Kabra
will not get thicken or pus increase.
Detailed Answer:
Dear Mr.XXXX,
I have read all your worries and doubts carefully again,
This Antibioma is not so abnormal as I said earlier. Inadequate antibiotics dosage could also be one of the reason behind it apart from what I mentioned earlier.
And I do not think there is mistake on doctor's side because it is not a big abscess and sometimes insufficient antibiotic course or too early initiation of antibiotics can also cause it.
I have seen thousands of abscess cases and drained plenty of them under strict aseptic precautions. Sometimes antibioma occurs or sometimes does not and will get healed very well. There is no need to understand the biochemistry or physiology behind it means how will it go which is behind the skin. It will go on it's own for sure.
Also i have not seen a single case of permanent antibioma till date and as I said it will take some time (may be 6 to 8 weeks) to get rid off it.
And mostly it does not hurt or pain,so your child is absolutely right on his hand.There is no need to doubt his words,honestly speaking.
Finally,I would ask you NOT to worry about this induration or antibioma since it will go away on it's own MEANS I do not think there is more treatment required now.
Also,it will not get thicken or leave behind any scar mark unless the indurated swelling or it's skin is touched repeatedly by you or your kid.
You should leave it as it is.You are worried unnecessarily.
So,no need to worry much.
Let me know if you have more doubts.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
sir
i take ur words completely but the original abscess was not small. it was 13mmx7mm and it got pus and didnt burst out becos antibiotics was given after 15 days and so it took 4 weeks to burst and now it is very small the hardened area and it has healed but had no idea abt the induration or antibioma so wrote to u. we will stop fusidic in 3 days . further just to tell u im keepin thermostat of ac at night on 25 so that he doesnt sweat much though i feel a bit cold. do let me know if i need to know more abt the antibioma healing and also i thank u for making things clear....i worry a lot becos he is a small kid and too many skin allergies mosquito bites he gets but applying moisturiser is helping now and also giving him neem patta bath . his abscess was drained on 25th may so as per your experience it might take july end to completely go and does it become big if we touch it or we shud not see or feel it. thanks again in advance
i take ur words completely but the original abscess was not small. it was 13mmx7mm and it got pus and didnt burst out becos antibiotics was given after 15 days and so it took 4 weeks to burst and now it is very small the hardened area and it has healed but had no idea abt the induration or antibioma so wrote to u. we will stop fusidic in 3 days . further just to tell u im keepin thermostat of ac at night on 25 so that he doesnt sweat much though i feel a bit cold. do let me know if i need to know more abt the antibioma healing and also i thank u for making things clear....i worry a lot becos he is a small kid and too many skin allergies mosquito bites he gets but applying moisturiser is helping now and also giving him neem patta bath . his abscess was drained on 25th may so as per your experience it might take july end to completely go and does it become big if we touch it or we shud not see or feel it. thanks again in advance
Brief Answer:
No,it will not go bigger by touching,feeling or pressing.
Detailed Answer:
Hello,
Thanks for the appreciation.
Yes,the formed antibioma would be much smaller than it's original abscess and we may expect that it will be resolved by the end of July.
No problem to keep AC at 25 degree.
And there is no need to do more search on antibioma through various web sites.As I am keep repeating that it will go by it's own way.
No,it will not go bigger by touching,feeling or pressing. But it would be better you should forget it rather than giving more attention to it. There is no need to touch it frequently, even there is no use of washing it with soap since the antibioma is inside skin and the skin is closed now.So no use of washing now.
Let me know if you have more doubts or any other query.
Regards,
Dr.Sandip
No,it will not go bigger by touching,feeling or pressing.
Detailed Answer:
Hello,
Thanks for the appreciation.
Yes,the formed antibioma would be much smaller than it's original abscess and we may expect that it will be resolved by the end of July.
No problem to keep AC at 25 degree.
And there is no need to do more search on antibioma through various web sites.As I am keep repeating that it will go by it's own way.
No,it will not go bigger by touching,feeling or pressing. But it would be better you should forget it rather than giving more attention to it. There is no need to touch it frequently, even there is no use of washing it with soap since the antibioma is inside skin and the skin is closed now.So no use of washing now.
Let me know if you have more doubts or any other query.
Regards,
Dr.Sandip
Above answer was peer-reviewed by :
Dr. Prasad
sir
i wanted to share something with u. actually i was traumatised by a docs view here in ghy. as i told u my 6 yr old son had skin abscess on his right forearm and the skin doc here said it is sarcaidosis and to get biopsy skin done. then we went to dr khopkar in XXXXXXX who is hod of kem medical college who on seeing said its an abscess which didnt heal or drain due to inadequate and late antibiotics administration and it was nothing serious. He also said dnt get it drained as it will burst open today or tommorow and the next very day it burst open and we got it drained and the doc who drained it said nothing else is required to be done just go home. sir the reason for these thoughts coming to me abt leukema and the like is this as i got so afraid that even minute things i get afraid.
i wanted to share something with u. actually i was traumatised by a docs view here in ghy. as i told u my 6 yr old son had skin abscess on his right forearm and the skin doc here said it is sarcaidosis and to get biopsy skin done. then we went to dr khopkar in XXXXXXX who is hod of kem medical college who on seeing said its an abscess which didnt heal or drain due to inadequate and late antibiotics administration and it was nothing serious. He also said dnt get it drained as it will burst open today or tommorow and the next very day it burst open and we got it drained and the doc who drained it said nothing else is required to be done just go home. sir the reason for these thoughts coming to me abt leukema and the like is this as i got so afraid that even minute things i get afraid.
Brief Answer:
An abscess can occur anywhere in body at any age.
Detailed Answer:
Hello,
Welcome again,
I have read your query.
It could be wrong diagnosis by that doctor saying that sarcoidosis but as per your descriptions,one can suspect about the abscess and it can be diagnosed by having a single look at the swelling which dr.Khopkar did.
An abscess can occur anywhere in body at any age and antibioma formation is not so uncommon,so there is no need to think about it much.
Also,it has nothing to do with leukemia,so again I would say remove from your mind about it.
Regards,
Dr.Sandip Kabra
An abscess can occur anywhere in body at any age.
Detailed Answer:
Hello,
Welcome again,
I have read your query.
It could be wrong diagnosis by that doctor saying that sarcoidosis but as per your descriptions,one can suspect about the abscess and it can be diagnosed by having a single look at the swelling which dr.Khopkar did.
An abscess can occur anywhere in body at any age and antibioma formation is not so uncommon,so there is no need to think about it much.
Also,it has nothing to do with leukemia,so again I would say remove from your mind about it.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Yogesh D
leukema nt related i know but i just gave u an example. the abscess didnt heal on its own due to antibiotics given after 2 weeks and initially fudic bnf cream was given when there was redness and swellin and 5ml teczim syrup for once daily for 5 days. the doc said that is why the abscess didnt drain early and pus formed ......i shud forget the abscess now na ? as the doc who drained it said no tests are required .....i never in my life got so scared and nervous sir..... do boils and abscesses happen in small kids and take so long to drain? he got eye infection skin redness and skin tag all at once so scared me that why so many things happening together and top of that the doc said for biopsy and all. is these things happening to otherss too cos my son is otherwise active playing eating though a bit over weight
Brief Answer:
Yes,boils or abscess can occur in kids.
Detailed Answer:
Hi,
Yes,boils or abscess can occur in kids or in fact they are more common in kids than adults though they can occur at any age.any yes,in kids it takes more time to drain compared to adults because of slightly low immunity of kids.
However,with proper care and timely treatment it can be managed easily.
Usually they are due to staphylococcus aureus bacterial infection.So there is no tests required for it.
Good gram positive coverage or broad spectrum antibiotic will take care of it.But the important thing is when to start that antibiotic as it depends on the condition of boil or abscess which can be determined with single look by the doctor. An experienced doctor does know very well.
But again,I would say not to bother about it much and better forget it. Also it does not indicate any other disease.
Eye infection,skin redness and skin tag are completely different than boil or abscess,It could be co-incidence that they occurred at the same time.
Lastly,this kind of things could occur with any kid even if he is active,joyful and fit otherwise.
Boils or abscess do not indicate our state of health.They occur and goes with treatment and sometimes without treatment even.
Regards,
Dr.Sandip Kabra
Yes,boils or abscess can occur in kids.
Detailed Answer:
Hi,
Yes,boils or abscess can occur in kids or in fact they are more common in kids than adults though they can occur at any age.any yes,in kids it takes more time to drain compared to adults because of slightly low immunity of kids.
However,with proper care and timely treatment it can be managed easily.
Usually they are due to staphylococcus aureus bacterial infection.So there is no tests required for it.
Good gram positive coverage or broad spectrum antibiotic will take care of it.But the important thing is when to start that antibiotic as it depends on the condition of boil or abscess which can be determined with single look by the doctor. An experienced doctor does know very well.
But again,I would say not to bother about it much and better forget it. Also it does not indicate any other disease.
Eye infection,skin redness and skin tag are completely different than boil or abscess,It could be co-incidence that they occurred at the same time.
Lastly,this kind of things could occur with any kid even if he is active,joyful and fit otherwise.
Boils or abscess do not indicate our state of health.They occur and goes with treatment and sometimes without treatment even.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Yogesh D
thank you sir.....when he had the redness and swelling i saw 2 tiny holes in the skin so may be insect bite also but we r just guessing as we or he didnt see an insect biting. first time he had abscess but then pus came out in the docs clinic only and he cleaned it. hope the antibioma skin hardening which is a coin size goes as u have repeatedly said.......thanks a lot for ur advice on all the issues and hope there is no prob with my son as minor things keep happenin but shudnt be any underlying prob which do not seem as he is healthy and may God blesses him with good health.
Brief Answer:
Your child seems to be perfectly all right.
Detailed Answer:
Hello,
Thanks for the appreciation and positive feed back,
Your child seems to be perfectly all right as per our previous all conversations.
Some minor problem comes and goes as it happens with all children and not only with yours.
So,there is nothing to worried.
Give him to eat healthy food and let me him do/play/study what he wants.
God bless your child.
I hope we have great conversation and if you have still any doubt about your child or any other question,you can ask me anytime. I will try my best to answer quickly.
Regards,
Dr.Sandip Kabra
Your child seems to be perfectly all right.
Detailed Answer:
Hello,
Thanks for the appreciation and positive feed back,
Your child seems to be perfectly all right as per our previous all conversations.
Some minor problem comes and goes as it happens with all children and not only with yours.
So,there is nothing to worried.
Give him to eat healthy food and let me him do/play/study what he wants.
God bless your child.
I hope we have great conversation and if you have still any doubt about your child or any other question,you can ask me anytime. I will try my best to answer quickly.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Sir
I am writing to you again as various people say so many things.....would first request you to read my sons history which i have discussed with you in details.
My parents my son my wife dont let me take him to any doctors and wont let me get any more tests as they are fed up of my doubts and all. As i told u he had an abscess which took 4 weeks to burst out and after it was drained it healed within 4 days and now he is fine. Soon after the abscess healed he had eye infection and a skin redness for which we gave him allegra. Doctor said get immunoglobin test which measures igg igb igm and the like but my family wont alllow it. Generally speaking he is healthy .im writing down the points for ur evaluation
1. He gets a cough when he eats ice cream in the morning but by evening he is fine and we never give him cough syrup
2. Once in a while he has runny nose which clears in 3 days that too without a medicine
3. In last 1 yr he had skin infection twice for which we gave anti allergic his ige came 186
4. In last 2 yrs he had fever twice and that was treated by crocin once and once homeopathic medicine.
5. Currently eye drops pataday and normotears for eye irritation which is okay now.
6. At the age of 1 he had diarrhea , at age 2 he and his mom had typhoid togther and once he had hand to mouth disease.
7. I have a history of skin diseasd till age 13 which was acute and also sneezing prob till age 30 and still have a bit and allergic to dust.
8. My son eats plays and is active , sleeps well and goes to natures call in morning as soon as he wakes up no constipation or diarhea
9. No ear infection ever no urine infection ever , eye infection was the first in 6 yrs.
10. No weight loss though he is a bit over weight as he loves to eat.
11.recent cbc was done twice in a gap of six months all normal except crp 8
12. His abscess didnt open for 4 weeks which disturbed me and was thinking if there was any underlying problem....i just have thought of bad uncurable diseases which i kept on asking you. But when the pus cleared it healed in 4 days.
Without further tests which my family member wont lemme do can we conclude anything
I am writing to you again as various people say so many things.....would first request you to read my sons history which i have discussed with you in details.
My parents my son my wife dont let me take him to any doctors and wont let me get any more tests as they are fed up of my doubts and all. As i told u he had an abscess which took 4 weeks to burst out and after it was drained it healed within 4 days and now he is fine. Soon after the abscess healed he had eye infection and a skin redness for which we gave him allegra. Doctor said get immunoglobin test which measures igg igb igm and the like but my family wont alllow it. Generally speaking he is healthy .im writing down the points for ur evaluation
1. He gets a cough when he eats ice cream in the morning but by evening he is fine and we never give him cough syrup
2. Once in a while he has runny nose which clears in 3 days that too without a medicine
3. In last 1 yr he had skin infection twice for which we gave anti allergic his ige came 186
4. In last 2 yrs he had fever twice and that was treated by crocin once and once homeopathic medicine.
5. Currently eye drops pataday and normotears for eye irritation which is okay now.
6. At the age of 1 he had diarrhea , at age 2 he and his mom had typhoid togther and once he had hand to mouth disease.
7. I have a history of skin diseasd till age 13 which was acute and also sneezing prob till age 30 and still have a bit and allergic to dust.
8. My son eats plays and is active , sleeps well and goes to natures call in morning as soon as he wakes up no constipation or diarhea
9. No ear infection ever no urine infection ever , eye infection was the first in 6 yrs.
10. No weight loss though he is a bit over weight as he loves to eat.
11.recent cbc was done twice in a gap of six months all normal except crp 8
12. His abscess didnt open for 4 weeks which disturbed me and was thinking if there was any underlying problem....i just have thought of bad uncurable diseases which i kept on asking you. But when the pus cleared it healed in 4 days.
Without further tests which my family member wont lemme do can we conclude anything
Brief Answer:
No need of testing immunoglobulins.
Detailed Answer:
Hello Mr.XXXX,
Welcome again and sorry for the delayed response.
I have read your whole long query again and would give my opinion.
From all the queries (1 to 12 as mentioned),there is no need to go for immunoglobulins tests. I do not agree with your doctor who advised it.
Because this kind of signs-symptoms (like cough after ice-cream, runny nose, some skin infection/irritation, eye infection, occasional fever etc as you mentioned in your post) are not so abnormal and uncommon.
Since we had also a long conversation on it previously,this kind of symptoms comes and goes (some times with treatment or without treatment) in child (or even in adults also) and they are NOT the perfect indicators of one's health. Means apparently health person can also have this kind of symptoms.
As your child is playing actively,eating well,studying well without any ear,urine or any other medical concerns,I would AGAIN suggest you NOT to worry about him. Yes,i can understand the you are much worried about your child' health but it is the case of each n every parents (and mine also).
So,the best thing is that get the expert advise and execute accordingly.
And in my opinion,there is no need of testing immunoglobulins because your child has no significant symptoms so that he would require evaluation.
Let me know if you want to clear anymore doubt.
Regards,
Dr.Sandip Kabra
No need of testing immunoglobulins.
Detailed Answer:
Hello Mr.XXXX,
Welcome again and sorry for the delayed response.
I have read your whole long query again and would give my opinion.
From all the queries (1 to 12 as mentioned),there is no need to go for immunoglobulins tests. I do not agree with your doctor who advised it.
Because this kind of signs-symptoms (like cough after ice-cream, runny nose, some skin infection/irritation, eye infection, occasional fever etc as you mentioned in your post) are not so abnormal and uncommon.
Since we had also a long conversation on it previously,this kind of symptoms comes and goes (some times with treatment or without treatment) in child (or even in adults also) and they are NOT the perfect indicators of one's health. Means apparently health person can also have this kind of symptoms.
As your child is playing actively,eating well,studying well without any ear,urine or any other medical concerns,I would AGAIN suggest you NOT to worry about him. Yes,i can understand the you are much worried about your child' health but it is the case of each n every parents (and mine also).
So,the best thing is that get the expert advise and execute accordingly.
And in my opinion,there is no need of testing immunoglobulins because your child has no significant symptoms so that he would require evaluation.
Let me know if you want to clear anymore doubt.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
sir
abt the abscess u didnt answer....why did it take 4 weeks for the pus to come out and why did the abscess happen ...is there any underlying disease....as i told u im worried for uncurable diseasea if any ......if its due to simple infections then i am not worried at all.i have never seen an abscess like this . the only thing which relieves me is it got healed fast though and he is okk now but after it was drained he got skin flare up and eye redness infection which all are fine now too. so many things in the last 6 weeks made me uncomfortable and put so many doubts inside
abt the abscess u didnt answer....why did it take 4 weeks for the pus to come out and why did the abscess happen ...is there any underlying disease....as i told u im worried for uncurable diseasea if any ......if its due to simple infections then i am not worried at all.i have never seen an abscess like this . the only thing which relieves me is it got healed fast though and he is okk now but after it was drained he got skin flare up and eye redness infection which all are fine now too. so many things in the last 6 weeks made me uncomfortable and put so many doubts inside
Brief Answer:
An abscess or boil can occur at anywhere in the body at any age.
Detailed Answer:
Dear Mr.XXXX,
Regarding that abscess,we have already had a long discussion earlier,
Still I would say that,it might take some time for the pus to form inside abscess and come out. Usually it takes 7 to 10 days and maximum 14 days in adults.
But it might take some more time (like 3 or 4 weeks depending upon the infection and body response) in children because of their slightly low immunity as compared to adults.So that is the reason why I am keep saying NOT to worry about it.
'An abscess or boil can occur at anywhere in the body at any age' which we have already discussed earlier.
Also,the person or child can not be immunized against abscess permanently,all this kind immunity is temporary. It may again happen in future but that does NOT MEAN your child is having some underlying disease or any major problem.
Hope this answers your doubt.
Regards,
Dr.Sandip Kabra
An abscess or boil can occur at anywhere in the body at any age.
Detailed Answer:
Dear Mr.XXXX,
Regarding that abscess,we have already had a long discussion earlier,
Still I would say that,it might take some time for the pus to form inside abscess and come out. Usually it takes 7 to 10 days and maximum 14 days in adults.
But it might take some more time (like 3 or 4 weeks depending upon the infection and body response) in children because of their slightly low immunity as compared to adults.So that is the reason why I am keep saying NOT to worry about it.
'An abscess or boil can occur at anywhere in the body at any age' which we have already discussed earlier.
Also,the person or child can not be immunized against abscess permanently,all this kind immunity is temporary. It may again happen in future but that does NOT MEAN your child is having some underlying disease or any major problem.
Hope this answers your doubt.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
ok sir
some doctors gave the reason that sufficient and timely antibiotics were not given so the pus coming out was delayed . he had skin infection eye infection and abscess during the same period so the doc said immunity test but if his immunity is less then wud the abscess heal fast and will he have good body weight. even in fever cough cold i never give him medicines. in last 6 months he had skin patches for which we did give ointments and anti allergic allegra currently. fever once in 6 months sometimes treated with crocin. he does have cough when eating ice cream or cold stuff but then improves in 3 or 4 days without any medicines. runny nose also sometimes which improves wih time. i hope my son doesnt have any serious illness which cannot be curable for all the other things i do not worry.thanks in advance
some doctors gave the reason that sufficient and timely antibiotics were not given so the pus coming out was delayed . he had skin infection eye infection and abscess during the same period so the doc said immunity test but if his immunity is less then wud the abscess heal fast and will he have good body weight. even in fever cough cold i never give him medicines. in last 6 months he had skin patches for which we did give ointments and anti allergic allegra currently. fever once in 6 months sometimes treated with crocin. he does have cough when eating ice cream or cold stuff but then improves in 3 or 4 days without any medicines. runny nose also sometimes which improves wih time. i hope my son doesnt have any serious illness which cannot be curable for all the other things i do not worry.thanks in advance
Brief Answer:
No need to worry about any underlying problem
Detailed Answer:
Hello Again,
Yes,the reason could be insufficient antibiotics dosage or late administrations of them but it is very unlikely related to some underlying condition.
Also as I said earlier,it could be co-incidence that skin and eye infection occurred just after abscess but they are not related to each other.
The immunoglobulin testing will not help to identify any underlying issue since there is almost no chance of having it from your child's history and clinical symptoms which you mentioned in your detailed query and that is the reason why I am NOT in favor of going for further blood immunoglobulins tests. It could also be slightly difficult for a child to undergo them and when there is no hard and fast requirement.
Cough, runny nose and other allergic symptoms are quite common children and they are NOT NOT indicative of any underlying disease, so no need to worry about it.
Finally,I do not think there is any underlying problem to your child.
Let me know if you need more clarifications.
Regards,
Dr.Sandip Kabra
No need to worry about any underlying problem
Detailed Answer:
Hello Again,
Yes,the reason could be insufficient antibiotics dosage or late administrations of them but it is very unlikely related to some underlying condition.
Also as I said earlier,it could be co-incidence that skin and eye infection occurred just after abscess but they are not related to each other.
The immunoglobulin testing will not help to identify any underlying issue since there is almost no chance of having it from your child's history and clinical symptoms which you mentioned in your detailed query and that is the reason why I am NOT in favor of going for further blood immunoglobulins tests. It could also be slightly difficult for a child to undergo them and when there is no hard and fast requirement.
Cough, runny nose and other allergic symptoms are quite common children and they are NOT NOT indicative of any underlying disease, so no need to worry about it.
Finally,I do not think there is any underlying problem to your child.
Let me know if you need more clarifications.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Sonia Raina
sir
im asking you abt skin problem with my son. he is now on allegra since last 10 days - 7.5ml twice daily . still on his face he has multiple pimple type point which are not pink and on buttocks and chest and stomach and on left thighs 8-10 total pimple type points which have a pink head . what are the reason for this. his ige was 186 when we tested in december last and he keeps having skin problems like these pimples pin heads. my parents and wife say that these r due to warm weather and also stomach becoming warm due to eating habits and the weather. he likes to eat spicy food more. i am sending you the pics . All year round he has these on his face hands legs near knees and thighs hands face near the nose.
im asking you abt skin problem with my son. he is now on allegra since last 10 days - 7.5ml twice daily . still on his face he has multiple pimple type point which are not pink and on buttocks and chest and stomach and on left thighs 8-10 total pimple type points which have a pink head . what are the reason for this. his ige was 186 when we tested in december last and he keeps having skin problems like these pimples pin heads. my parents and wife say that these r due to warm weather and also stomach becoming warm due to eating habits and the weather. he likes to eat spicy food more. i am sending you the pics . All year round he has these on his face hands legs near knees and thighs hands face near the nose.
Brief Answer:
Please resend images
Detailed Answer:
Hi,
I have seen the three more pictures.
But I am sorry that I am unable to locate any pimple like points or rashes,so will request you to send some good quality images and upload them.
IgE level 186 is completely normal,so it is unlikely to be due to some allergy.However,I will have to see them before arriving at a certain conclusion.
Regards,
Please resend images
Detailed Answer:
Hi,
I have seen the three more pictures.
But I am sorry that I am unable to locate any pimple like points or rashes,so will request you to send some good quality images and upload them.
IgE level 186 is completely normal,so it is unlikely to be due to some allergy.However,I will have to see them before arriving at a certain conclusion.
Regards,
Above answer was peer-reviewed by :
Dr. Yogesh D
very tiny red pin head type on stomach one on chest on thighs and pin head type pointed on face which are not pink if u can see on the new pics......the pink ones are in total around 10.....
Brief Answer:
Unlikely allergic
Detailed Answer:
Hi,
After careful view of pictures,I can say that it is unlikely to b due to some allergic and yes,they are much more looking summer spots due to warm weather or eating spicy foods during when excess sweating occurs leaving behind this kinds very small dots.
For itching,I would give more preference on cetrizine 5mg chewable tablets over allegra syrup since syrup formulations are very less effective in children above 6 years or whose weight is above 15 to 20 kg.
Give him lots of water to drink which will further reduce body's temperature in warm season. Better to avoid spicy foods and make his habit of giving more home foods.
Cool talcum powder should also be used over sweat prone skin. It will block excess sweating.
Allow him to play only in evening time means after 7 Pm in summers and do not let him go in direct sunlight.
Ensure that he takes bath at least two times daily means in morning and evening.
Bath without using soap just before sleeping would also be good and will give him nice sleep.
Regards,
Dr.Sandip Kabra
Unlikely allergic
Detailed Answer:
Hi,
After careful view of pictures,I can say that it is unlikely to b due to some allergic and yes,they are much more looking summer spots due to warm weather or eating spicy foods during when excess sweating occurs leaving behind this kinds very small dots.
For itching,I would give more preference on cetrizine 5mg chewable tablets over allegra syrup since syrup formulations are very less effective in children above 6 years or whose weight is above 15 to 20 kg.
Give him lots of water to drink which will further reduce body's temperature in warm season. Better to avoid spicy foods and make his habit of giving more home foods.
Cool talcum powder should also be used over sweat prone skin. It will block excess sweating.
Allow him to play only in evening time means after 7 Pm in summers and do not let him go in direct sunlight.
Ensure that he takes bath at least two times daily means in morning and evening.
Bath without using soap just before sleeping would also be good and will give him nice sleep.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Yogesh D
XXXXXXX ji
the abscess drainage is almost 3 weeks now. on the point now there is scab and brown all around and it is flat no swelling. so if my son scratches it and if it bleeds then there might be infection so wud u suggest a cream now or when it bleeds. secondly as we have discussed a lot earlier abt the induration which is just below the drainage and it feels like a rectangle piece and its shape is same as the original abscess size is less so i fear again turnig into abscess or possibility of little pus now and eventually increasing. the induration when i touch and feel sometimes seems small and sometims seems bigger which is confusing to me. should we give any medicines ? 10 days back and todays size seem the same to me in the inside though above the skin there is no swelling. if there is boil or abscess again then there might be some underlying disease or problem ?
the abscess drainage is almost 3 weeks now. on the point now there is scab and brown all around and it is flat no swelling. so if my son scratches it and if it bleeds then there might be infection so wud u suggest a cream now or when it bleeds. secondly as we have discussed a lot earlier abt the induration which is just below the drainage and it feels like a rectangle piece and its shape is same as the original abscess size is less so i fear again turnig into abscess or possibility of little pus now and eventually increasing. the induration when i touch and feel sometimes seems small and sometims seems bigger which is confusing to me. should we give any medicines ? 10 days back and todays size seem the same to me in the inside though above the skin there is no swelling. if there is boil or abscess again then there might be some underlying disease or problem ?
Brief Answer:
Provide picture of that swelling.
Detailed Answer:
Hello,
Welcome again,
I have read your query again in details.
From your descriptions,it is likely evident of antibioma (which you described as a rectangle piece) and does not seem to be an another abscess or pus formation but I will have to look at the swelling for further assessment.
So,please take a close picture of that swelling an upload it.
I will guide you accordingly.
Regards,
Provide picture of that swelling.
Detailed Answer:
Hello,
Welcome again,
I have read your query again in details.
From your descriptions,it is likely evident of antibioma (which you described as a rectangle piece) and does not seem to be an another abscess or pus formation but I will have to look at the swelling for further assessment.
So,please take a close picture of that swelling an upload it.
I will guide you accordingly.
Regards,
Above answer was peer-reviewed by :
Dr. Prasad
u didnt read my question properly sir. from outside there is no swelling it is almost flat. inside there is a rectangle hard piece which is like the original infection size which then increased and became abscess. i mean to say the skin induration right down the abscess drainage area looks like same. sometimes on touching it seems bigger sometimes it seems smaller cant make out. no use sending any pics becos induration is inside and can be fellt by fingers on touching. i was fearing that this might again increase or puss again fill in it to become an abscess again and if it does then it wud mean some underlying disease ? and also if the area is scratched much there might be infection so wud u gv any medicines and ointment and ur views. pls read both msgs carefully and reply on top of skin no swelling
Brief Answer:
No need to worry. Pictures would have been helpful.
Detailed Answer:
Dear Mr.XXXX,
I have read that question carefully.
The rectangular piece of inside swelling which you want to address is actually a antibioma what I have figured out so far.
In plenty of case,this kind of antibioma formation is either equally to the size of that previous abscess or may be slightly bigger in size.Usually it does not hurt to the person because there is no infection left inside.
Yes,I do understand that I can not examine it or even feel it but having a single look at this induration or swelling will certainly be helpful for me (or even any doctor) to arrive at a certain conclusion.
Because of this reason I have asked about the pictures.
Anyway,it will take some time to get rid off it as we discussed earlier.But it is very unlikely that it will go bigger or there is further pus collection inside it.So,there is no question about of any underlying disease.
There is no need to take any medications or ointment for it.However hot fomentation may be helpful up to some extent.There is no need to be worried about any disease.
Let me know if you have any more doubts.
Regards,
Dr.Sandip Kabra
No need to worry. Pictures would have been helpful.
Detailed Answer:
Dear Mr.XXXX,
I have read that question carefully.
The rectangular piece of inside swelling which you want to address is actually a antibioma what I have figured out so far.
In plenty of case,this kind of antibioma formation is either equally to the size of that previous abscess or may be slightly bigger in size.Usually it does not hurt to the person because there is no infection left inside.
Yes,I do understand that I can not examine it or even feel it but having a single look at this induration or swelling will certainly be helpful for me (or even any doctor) to arrive at a certain conclusion.
Because of this reason I have asked about the pictures.
Anyway,it will take some time to get rid off it as we discussed earlier.But it is very unlikely that it will go bigger or there is further pus collection inside it.So,there is no question about of any underlying disease.
There is no need to take any medications or ointment for it.However hot fomentation may be helpful up to some extent.There is no need to be worried about any disease.
Let me know if you have any more doubts.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
No attachment seen.
Detailed Answer:
Hello Mr.XXXX,
I did not find any attachment though i have waited for almost an hour.
Kindly send them and upload it reports section or you can mail it to YYYY@YYYY
Regards,
No attachment seen.
Detailed Answer:
Hello Mr.XXXX,
I did not find any attachment though i have waited for almost an hour.
Kindly send them and upload it reports section or you can mail it to YYYY@YYYY
Regards,
Above answer was peer-reviewed by :
Dr. Prasad
sent
Brief Answer:
Antibioma
Detailed Answer:
Hi Mr.XXXX
I have gone through the pics of your son (total 7 pics received)
From them,it is likely evident of a antibioma and not a large one.
As I am keep saying,it will take some time to get rid off. You are worried unnecessarily and there is no need to apply any ointment/cream or to take any medications since it is not the sign of infection. It occurs actually because of fibrosis,a kind of body response and always subsides on it's own.
Raised bumps could be due to warm weather or may be some insect bite but I will say honestly that it is very difficult to judge the underlying cause.
However,one thing is sure that they are not serious and usually they come as a part of body response over skin as result of scratching.Also they subside by their own. So,clinically they are not much significant.
Hope this helps.
Regards,
Dr.Sandip Kabra
Antibioma
Detailed Answer:
Hi Mr.XXXX
I have gone through the pics of your son (total 7 pics received)
From them,it is likely evident of a antibioma and not a large one.
As I am keep saying,it will take some time to get rid off. You are worried unnecessarily and there is no need to apply any ointment/cream or to take any medications since it is not the sign of infection. It occurs actually because of fibrosis,a kind of body response and always subsides on it's own.
Raised bumps could be due to warm weather or may be some insect bite but I will say honestly that it is very difficult to judge the underlying cause.
However,one thing is sure that they are not serious and usually they come as a part of body response over skin as result of scratching.Also they subside by their own. So,clinically they are not much significant.
Hope this helps.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
sir
as u r aware about my sons abscess drainage. it has been 3 weeks since it was drained but we have noticed redness and slight swelling so we went to a surgeon. im attatching yesterdy pics and also the usg report which was done in may. the surgeon gave augmentin 375 tabs - thrice daily for a week and said we will get a usg done after it and remove the cyst which is shown in the earlier usg. what r ur views. i am reallly worried abt some big disease he might have which is resulting in infection again....u already know how concerned i was with certain uncurable diseases..pls advice and share ur thoughts.
as u r aware about my sons abscess drainage. it has been 3 weeks since it was drained but we have noticed redness and slight swelling so we went to a surgeon. im attatching yesterdy pics and also the usg report which was done in may. the surgeon gave augmentin 375 tabs - thrice daily for a week and said we will get a usg done after it and remove the cyst which is shown in the earlier usg. what r ur views. i am reallly worried abt some big disease he might have which is resulting in infection again....u already know how concerned i was with certain uncurable diseases..pls advice and share ur thoughts.
Brief Answer:
Send pictures.
Detailed Answer:
Hello,
Welcome again,
I have not found any attachments here.
Kindly send that swelling pictures and upload ultrasound report in 'reports section' or you can mail it to YYYY@YYYY .
I will go through them and will give my opinion accordingly.
Regards,
Dr.Sandip Kabra
Send pictures.
Detailed Answer:
Hello,
Welcome again,
I have not found any attachments here.
Kindly send that swelling pictures and upload ultrasound report in 'reports section' or you can mail it to YYYY@YYYY .
I will go through them and will give my opinion accordingly.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Sonia Raina
in the attatched files i can see the usg report but i am attatching it again....2 hand swellin and redness pics too
Brief Answer:
It is a dermal cyst.
Detailed Answer:
Hello,
I have gone through the reports.
The USG report is indicative of dermal cyst which may or may not be due to that abscess.
It is benign cyst and need to remove it surgically only when it becomes infected or painful or in some persons for cosmetic reasons.
Your surgeon has started Augmentin 375,an antibiotic to take care of these cyst.
Since it is not painful in your child there is no need to worry.It is NOT indicative of any underlying incurable disease.It comes and goes within few days with proper treatment or sometimes without definitive treatment.
At present,I would suggest you to continue this antibiotic for 1 week and will advise you to wait till it goes away.
Simple excision of this kind cyst is also a easy way to get rid off it and it will take hardly 5 to 10 minutes to remove it on OPD basis.Mean there is absolutely no need to get admitted.
Your treating surgeon will do it.You can see him.
Regards,
Dr.Sandip Kabra
It is a dermal cyst.
Detailed Answer:
Hello,
I have gone through the reports.
The USG report is indicative of dermal cyst which may or may not be due to that abscess.
It is benign cyst and need to remove it surgically only when it becomes infected or painful or in some persons for cosmetic reasons.
Your surgeon has started Augmentin 375,an antibiotic to take care of these cyst.
Since it is not painful in your child there is no need to worry.It is NOT indicative of any underlying incurable disease.It comes and goes within few days with proper treatment or sometimes without definitive treatment.
At present,I would suggest you to continue this antibiotic for 1 week and will advise you to wait till it goes away.
Simple excision of this kind cyst is also a easy way to get rid off it and it will take hardly 5 to 10 minutes to remove it on OPD basis.Mean there is absolutely no need to get admitted.
Your treating surgeon will do it.You can see him.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Sonia Raina
sir
there is again pus and redness on the drained abscess after 3 weeks ?? and the surgeon said excision biopsy for the cyst.....the word biopsy makes me dreaaded so much that i cant bear it. some say skin cysts like this which have recurrent abscesses and infections indicate skin cancer... the surgeon said we will get a usg after 1 week of augmentin and then decide to remove it or not. even if the redness heals it might recur again. pls answer all my points sir i am in the middle of nowhere since the last 2 months as u must have seen
there is again pus and redness on the drained abscess after 3 weeks ?? and the surgeon said excision biopsy for the cyst.....the word biopsy makes me dreaaded so much that i cant bear it. some say skin cysts like this which have recurrent abscesses and infections indicate skin cancer... the surgeon said we will get a usg after 1 week of augmentin and then decide to remove it or not. even if the redness heals it might recur again. pls answer all my points sir i am in the middle of nowhere since the last 2 months as u must have seen
Brief Answer:
Always benign and they are very rarely cancerous.
Detailed Answer:
Hello Mr.XXXX,
Thanks for the quick response.
The redness and pus formation inside swelling could be due to inadequate draining of the abscess or lack of sufficient antibiotics dosage or course to the post draining of abscess as we discussed earlier.
Also,this kind of cyst formation is not uncommon after abscess treatment.
Usually,non-infected (likely in your child's case) cyst can be managed well with the help of proper antibiotic course but there is high chances of recurrence of it.
To avoid recurrence,it is BEST to go for simple excision of the cyst with the removal of cyst SAC followed by antibiotic course.
Excision biopsy is a routine method (usually after cyst excision) to send the tissue sample for histo-pathology laboratory examination to rule out malignancy (cancer). But as I said earlier,this kind of cysts (even recurrent cysts also) are always benign and they are very rarely cancerous.
So,no need to worried much until the final biopsy report comes.
Let me know if you need more help.
Regards,
Dr.Sandip Kabra
Always benign and they are very rarely cancerous.
Detailed Answer:
Hello Mr.XXXX,
Thanks for the quick response.
The redness and pus formation inside swelling could be due to inadequate draining of the abscess or lack of sufficient antibiotics dosage or course to the post draining of abscess as we discussed earlier.
Also,this kind of cyst formation is not uncommon after abscess treatment.
Usually,non-infected (likely in your child's case) cyst can be managed well with the help of proper antibiotic course but there is high chances of recurrence of it.
To avoid recurrence,it is BEST to go for simple excision of the cyst with the removal of cyst SAC followed by antibiotic course.
Excision biopsy is a routine method (usually after cyst excision) to send the tissue sample for histo-pathology laboratory examination to rule out malignancy (cancer). But as I said earlier,this kind of cysts (even recurrent cysts also) are always benign and they are very rarely cancerous.
So,no need to worried much until the final biopsy report comes.
Let me know if you need more help.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Nagamani Ng
sir
i think u have some confusion.. this cyst was present in the usg report of may and at the same place where there was abscess.....so abscess is due to cyst or cyst due to abscess i cant understand......and abt cyst excision....suppose now with antibiotic the abscess heals again but still there is cyst in sonography then what is done and if abscess recurs again after 2 months or cyst recurs again.....honestly asking you do i need to go to some big city and show to specialist as if there is any bad disease then maybe the surgery wud have to be done differently with negative margins being kept so that the disease doesnt spread again or try to stop it and further medications started. another possibility being get a biopsy done first then do surgery after the result. in such young age there is a cyst and recurrent abscess do u not think it is abnormal and indicate towards what i was fearing all these days. Agree that i might be sounding strange to you but my mind is not workinh very properly noww
i think u have some confusion.. this cyst was present in the usg report of may and at the same place where there was abscess.....so abscess is due to cyst or cyst due to abscess i cant understand......and abt cyst excision....suppose now with antibiotic the abscess heals again but still there is cyst in sonography then what is done and if abscess recurs again after 2 months or cyst recurs again.....honestly asking you do i need to go to some big city and show to specialist as if there is any bad disease then maybe the surgery wud have to be done differently with negative margins being kept so that the disease doesnt spread again or try to stop it and further medications started. another possibility being get a biopsy done first then do surgery after the result. in such young age there is a cyst and recurrent abscess do u not think it is abnormal and indicate towards what i was fearing all these days. Agree that i might be sounding strange to you but my mind is not workinh very properly noww
Brief Answer:
Excision is the best treatment.
Detailed Answer:
Hello,
Welcome again,
First,let me assure you that I do not have any confusion.Whatever advise I am giving is on the basis of your previous clinical finding and present ultrasound report.
Anyway,this cyst needs to be removed surgically (known as simple excision biospy) and send the tissue sample to the histo-pathology lab to rule out cancer.
And it is rare that the cyst may turned out to be a cancerous even if it is recurrent. So no need to worried much.
You may had earlier cyst which may turned into infected abscess and it was drained as you said. But due to infection or some other reason the cyst has formed again and now it has developed a full cyst (what showed in your ultrasound report and by your surgeon's examination)
Also,this kinds of cysts may get healed with antibiotics but as I told earlier, there is very high chance of recurrence.So the best thing is to excision it and send the excised tissue for biopsy (HP) examination to rule out cancer.
There is no need to go in any big city or to see some big specialist. Any well know or experienced surgeon will know about it. And there is nothing like a rocket science in it so that it will be difficult to understand for the doctor.
It seems that you have been trapped in some medical terminologies like 'abscess','cyst','excision biopsy',cancerous or some incurable disease.
It is not only to know the definition of these cysts or abscess,the important thing is to understand it's pathology behind it which is beyond your scope understanding (frankly speaking) since you are not USE TO with medical terms like a doctor.
As I keep telling you,abscess (and also cyst) can occur at any age and at anywhere in body.They comes and goes with treatment and mostly NOT indicative of some underlying incurable disease. The chances of cancer is quite rare (may be one in thousands),so please please do not worry about it.
Finally, go to a surgeon and get that cyst excised. If your treating doctor denies it then approach some other surgeon. It is not that major surgery and surgical excision in the best treatment to get rid off it completely.
And wait till the histo-pathology report comes,most probably it will be non-cancerous (benign).
Regards,
Dr.Sandip Kabra
Excision is the best treatment.
Detailed Answer:
Hello,
Welcome again,
First,let me assure you that I do not have any confusion.Whatever advise I am giving is on the basis of your previous clinical finding and present ultrasound report.
Anyway,this cyst needs to be removed surgically (known as simple excision biospy) and send the tissue sample to the histo-pathology lab to rule out cancer.
And it is rare that the cyst may turned out to be a cancerous even if it is recurrent. So no need to worried much.
You may had earlier cyst which may turned into infected abscess and it was drained as you said. But due to infection or some other reason the cyst has formed again and now it has developed a full cyst (what showed in your ultrasound report and by your surgeon's examination)
Also,this kinds of cysts may get healed with antibiotics but as I told earlier, there is very high chance of recurrence.So the best thing is to excision it and send the excised tissue for biopsy (HP) examination to rule out cancer.
There is no need to go in any big city or to see some big specialist. Any well know or experienced surgeon will know about it. And there is nothing like a rocket science in it so that it will be difficult to understand for the doctor.
It seems that you have been trapped in some medical terminologies like 'abscess','cyst','excision biopsy',cancerous or some incurable disease.
It is not only to know the definition of these cysts or abscess,the important thing is to understand it's pathology behind it which is beyond your scope understanding (frankly speaking) since you are not USE TO with medical terms like a doctor.
As I keep telling you,abscess (and also cyst) can occur at any age and at anywhere in body.They comes and goes with treatment and mostly NOT indicative of some underlying incurable disease. The chances of cancer is quite rare (may be one in thousands),so please please do not worry about it.
Finally, go to a surgeon and get that cyst excised. If your treating doctor denies it then approach some other surgeon. It is not that major surgery and surgical excision in the best treatment to get rid off it completely.
And wait till the histo-pathology report comes,most probably it will be non-cancerous (benign).
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Sir
Yesterday we went to a pediatric surgeon. He on physical examination said stop antibiotic and gave boven multivitamin and asked to come to hospital on sunday and when i asked what he wud do he said i will incision it and drain it. I said we did it once 3 weeks back and the infection came back again and also showed him the usg report which shows dermal cyst and that if you dont remove the cyst the infection will recur again . But he was firm on his stand that first he will clear the contents of the infection and if the cyst requires treatment or removal he will think about it after 4 weeks. We cannot argue over and above this much. Fot my knowledge i am asking you what is a dermal cyst ?? i got terms like sebacous epidermal cyst and dermal cyst usually is present in birth and not the symptoms similar to which my son has so its a bit confusing as the usg says it is a dermal cyst.?? The surgeon is recommended by many for children so we went to him and we cannot argue or question much becos it is their practice and education and experience. Very rarely cysts are malignant but as it was infected twice can it increase its chance?? Also he said again and again that pus clearance alone is not sufficient since it ruptured but it shud have been incisioned . so what did he mean and whats the difference cos the doctor who drained it was also a good pediatrician . Sir many of my repeated questions must be irritating you but bear with me.....so much of planetary effects on us now that every hour there is a different story.....maybe very tough times for me and my family
Yesterday we went to a pediatric surgeon. He on physical examination said stop antibiotic and gave boven multivitamin and asked to come to hospital on sunday and when i asked what he wud do he said i will incision it and drain it. I said we did it once 3 weeks back and the infection came back again and also showed him the usg report which shows dermal cyst and that if you dont remove the cyst the infection will recur again . But he was firm on his stand that first he will clear the contents of the infection and if the cyst requires treatment or removal he will think about it after 4 weeks. We cannot argue over and above this much. Fot my knowledge i am asking you what is a dermal cyst ?? i got terms like sebacous epidermal cyst and dermal cyst usually is present in birth and not the symptoms similar to which my son has so its a bit confusing as the usg says it is a dermal cyst.?? The surgeon is recommended by many for children so we went to him and we cannot argue or question much becos it is their practice and education and experience. Very rarely cysts are malignant but as it was infected twice can it increase its chance?? Also he said again and again that pus clearance alone is not sufficient since it ruptured but it shud have been incisioned . so what did he mean and whats the difference cos the doctor who drained it was also a good pediatrician . Sir many of my repeated questions must be irritating you but bear with me.....so much of planetary effects on us now that every hour there is a different story.....maybe very tough times for me and my family
Brief Answer:
Dermal cyst slightly different than abscess
Detailed Answer:
Hi,
Welcome again,
Dermal cyst is actually a sac (a kind of bag) containing epidermal tissue,hair follicles and cells.
As per your USG report,it may be post infective dermal cyst.
As we discussed earlier, it might have started with cyst and when it gets burst open and it turn into abscess (collection of pus but there is no sac like structure unlike in cyst).
As per pediatric surgeon view,it can also be incised and drained but the sac should also be removed completely to prevent its recurrence. The surgical wound will get heal within 2 weeks with proper dressing.
Aslo,antibiotics will not be the definitive treatment as the chances of recurrence is high following antibiotics course without surgical treatment.
So,surgical excision or incision and drainage with complete removal of sac would be the definitive treatment.
As I keep saying,it is very rare due to cancer and the biopsy will confirm it,so we should wait till the biopsy report comes.
Let me know if you need more help.
Regards,
Dermal cyst slightly different than abscess
Detailed Answer:
Hi,
Welcome again,
Dermal cyst is actually a sac (a kind of bag) containing epidermal tissue,hair follicles and cells.
As per your USG report,it may be post infective dermal cyst.
As we discussed earlier, it might have started with cyst and when it gets burst open and it turn into abscess (collection of pus but there is no sac like structure unlike in cyst).
As per pediatric surgeon view,it can also be incised and drained but the sac should also be removed completely to prevent its recurrence. The surgical wound will get heal within 2 weeks with proper dressing.
Aslo,antibiotics will not be the definitive treatment as the chances of recurrence is high following antibiotics course without surgical treatment.
So,surgical excision or incision and drainage with complete removal of sac would be the definitive treatment.
As I keep saying,it is very rare due to cancer and the biopsy will confirm it,so we should wait till the biopsy report comes.
Let me know if you need more help.
Regards,
Above answer was peer-reviewed by :
Dr. Nagamani Ng
some doc said that the cyst cannot be completely removed only the lining can be cut and removed and that will stop the recurrence.....it means he explained to me hindi that mein ise beech mein se faad doonga and phir infection nahi hoga.......
Brief Answer:
It might be incision and drainage procedure.
Detailed Answer:
Hi,
Welcome again,
Surgical excision of cyst means removal of contents along with the sac of cyst to prevent recurrence.
Incision and drainage means to cut the swelling and drain it's contents.Your doctor might be talking about I&D procedure.
But in my opinion,it should be better excised if not painful.
We have already discussed this in our previous conversation.
Regards,
Dr.Sandip kabra
It might be incision and drainage procedure.
Detailed Answer:
Hi,
Welcome again,
Surgical excision of cyst means removal of contents along with the sac of cyst to prevent recurrence.
Incision and drainage means to cut the swelling and drain it's contents.Your doctor might be talking about I&D procedure.
But in my opinion,it should be better excised if not painful.
We have already discussed this in our previous conversation.
Regards,
Dr.Sandip kabra
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Sir
I am attatching you a total of 7 pages ....5 of the pages are from may 19th report and no 6 & 7 are todays reports.i.e.,20th XXXXXXX
What i have observed i am writing down and i am requesting you to please see all the reports very minutely , i know i might sound rude to you but sir i believe in you and i follow u so pls see it properly so that you dont miss out on a single point.
The surgeon performed incision drainage curetage and now daily dressing change
In December , i .e. , 6 months back his Haemoglobin was 12.1 RDW was 1
19th may 2016 Haemoglobin was 12.0
today - 20-06-2016 Haemoglobin is 11.4
HCT is 35 , MCV is 77 and MCH is 25 MCHC is 32.7 RDW is 13
is he anaemic?? because such a drastic decrease and all things in borderline lower value.???? i am so worried
# It is constantly decreasing despite same appetite and activities 12 to 11.4 in 30 days.
In December his Platelet count was 359
19th may 2016 platelet 378
and today 20-06-2016 platelet 400
It is constantly increasing Platelet
Lymphocites was 28 one month back and today 42
and Polymorphs or neutrophyls was 67 one month back and today 50
ESR in december was 22 and today itss 19
IGE in december was 187.07 and today i didnt get it done
CRP was 8.4 one month back and today it is 2.0
Thee immunoglobulinn profile also which is not done here and will take a weeks time to get it done.
Sir
i am zero about all these but have written what i have seen and i might have missed on something more too, pls patiently guide me and explain to me.
Please write in detail and explain to me when you have free time everything sir , please also give me a detailed answer whenever you are free say.....
Could these test reports be due to the fear i am constantly having
I am attatching you a total of 7 pages ....5 of the pages are from may 19th report and no 6 & 7 are todays reports.i.e.,20th XXXXXXX
What i have observed i am writing down and i am requesting you to please see all the reports very minutely , i know i might sound rude to you but sir i believe in you and i follow u so pls see it properly so that you dont miss out on a single point.
The surgeon performed incision drainage curetage and now daily dressing change
In December , i .e. , 6 months back his Haemoglobin was 12.1 RDW was 1
19th may 2016 Haemoglobin was 12.0
today - 20-06-2016 Haemoglobin is 11.4
HCT is 35 , MCV is 77 and MCH is 25 MCHC is 32.7 RDW is 13
is he anaemic?? because such a drastic decrease and all things in borderline lower value.???? i am so worried
# It is constantly decreasing despite same appetite and activities 12 to 11.4 in 30 days.
In December his Platelet count was 359
19th may 2016 platelet 378
and today 20-06-2016 platelet 400
It is constantly increasing Platelet
Lymphocites was 28 one month back and today 42
and Polymorphs or neutrophyls was 67 one month back and today 50
ESR in december was 22 and today itss 19
IGE in december was 187.07 and today i didnt get it done
CRP was 8.4 one month back and today it is 2.0
Thee immunoglobulinn profile also which is not done here and will take a weeks time to get it done.
Sir
i am zero about all these but have written what i have seen and i might have missed on something more too, pls patiently guide me and explain to me.
Please write in detail and explain to me when you have free time everything sir , please also give me a detailed answer whenever you are free say.....
Could these test reports be due to the fear i am constantly having
Brief Answer:
Please send reports.
Detailed Answer:
Hello,
Welcome again,
I have not found any attachments here.
Kindly send that report pages in 'reports section' or you can mail it to YYYY@YYYY .
However,the facts and figures you have posted here,hemoglobin values may fluctuate 0.5mg% which might be laboratory variations or depends on the blood sample and also 11 to 12 mg% Hb is clinically normal,so no need to worry about it.
In addition to this platelets,ESR,lymphocytes and other blood indices values are completely normal and these values keep fluctuating.So clinically they do not have any significance.
CRP and IGE are also within normal limits.
Regards,
Dr.Sandip Kabra
Please send reports.
Detailed Answer:
Hello,
Welcome again,
I have not found any attachments here.
Kindly send that report pages in 'reports section' or you can mail it to YYYY@YYYY .
However,the facts and figures you have posted here,hemoglobin values may fluctuate 0.5mg% which might be laboratory variations or depends on the blood sample and also 11 to 12 mg% Hb is clinically normal,so no need to worry about it.
In addition to this platelets,ESR,lymphocytes and other blood indices values are completely normal and these values keep fluctuating.So clinically they do not have any significance.
CRP and IGE are also within normal limits.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
sir already emailed the reports to YYYY@YYYY
but is platelet increasing constantly and now at 400 not too high .......in leukema platelet is raised significantly......and all haemoglobin related values like mch mcv mchc etc all on borderline and healthy weight child haveing 11.4 haemoglobin ....shud have been more sir............also getting his dressing done daily after incision curettage.........i havent seen in general kids at this age with 400 platelets.....u do not see any serious problem ? you are a health expert so i am seeking reassurance from you .........what i came across is haemoglobin of this value is mild anaema and platelet so high and increasing in one month be leukema type things......ur views sir
but is platelet increasing constantly and now at 400 not too high .......in leukema platelet is raised significantly......and all haemoglobin related values like mch mcv mchc etc all on borderline and healthy weight child haveing 11.4 haemoglobin ....shud have been more sir............also getting his dressing done daily after incision curettage.........i havent seen in general kids at this age with 400 platelets.....u do not see any serious problem ? you are a health expert so i am seeking reassurance from you .........what i came across is haemoglobin of this value is mild anaema and platelet so high and increasing in one month be leukema type things......ur views sir
Brief Answer:
Reports are normal.
Detailed Answer:
Hi,
I have gone through all the reports.
11.4 HB value is also considered as a normal especially in child and there is nothing abnormal in it.
400 platelets are also within normal limits and there is absolutely NO sign of leukemia here.
In leukemia, platelets go beyond thousands like 50000 or 60000.So remove from your mind about leukemia.
Blood indices like MCH,MCV etc are normal with CRP and ESR values.
Finally,all these blood reports are completely normal and I would reassure you NOT to worry about your child.
Regards,
Dr.Sandip kabra
Reports are normal.
Detailed Answer:
Hi,
I have gone through all the reports.
11.4 HB value is also considered as a normal especially in child and there is nothing abnormal in it.
400 platelets are also within normal limits and there is absolutely NO sign of leukemia here.
In leukemia, platelets go beyond thousands like 50000 or 60000.So remove from your mind about leukemia.
Blood indices like MCH,MCV etc are normal with CRP and ESR values.
Finally,all these blood reports are completely normal and I would reassure you NOT to worry about your child.
Regards,
Dr.Sandip kabra
Above answer was peer-reviewed by :
Dr. Prasad
Sir
Today morning we went to the surgeon for dressing of the abscess drainage .....on saturday evening it was incisioned and guage inserted and then on sunday and then again today. Due to puss discharge today also , he said he will need to do the dressing daily and hence he has asked us to come everyday for atleast a week. He did curreting too on the first day. He has also given antibiotic cetil 250mg - 1 tab twice a day but still there is pus and liquid coming out though i cant tell u the volume as i cant see very properly as they dont allow attendants to stand very close. Isnt it a serious issue as there is continous drainage after giving even antibiotics and inserting guage. He said it might even take weeks as the wound is deep cavity is big and this abscess has been there for almost 2 months . We cannot go for a second opinion now as again a different surgeon will say something else and stop this treatment and he may start a different treatment.
How is it possible for discharge for weeks after drainage ...where will the puss come from?? when asked the surgeon gave the above reply that it has been for 2 months and it will take time even weeks to stop draining and complete healing which he cant give a time frame now .. Please help because already due to differing opinions and changing doctors there has been a lot of suffering
Today morning we went to the surgeon for dressing of the abscess drainage .....on saturday evening it was incisioned and guage inserted and then on sunday and then again today. Due to puss discharge today also , he said he will need to do the dressing daily and hence he has asked us to come everyday for atleast a week. He did curreting too on the first day. He has also given antibiotic cetil 250mg - 1 tab twice a day but still there is pus and liquid coming out though i cant tell u the volume as i cant see very properly as they dont allow attendants to stand very close. Isnt it a serious issue as there is continous drainage after giving even antibiotics and inserting guage. He said it might even take weeks as the wound is deep cavity is big and this abscess has been there for almost 2 months . We cannot go for a second opinion now as again a different surgeon will say something else and stop this treatment and he may start a different treatment.
How is it possible for discharge for weeks after drainage ...where will the puss come from?? when asked the surgeon gave the above reply that it has been for 2 months and it will take time even weeks to stop draining and complete healing which he cant give a time frame now .. Please help because already due to differing opinions and changing doctors there has been a lot of suffering
Brief Answer:
It depends on the size of the abscess and infection.
Detailed Answer:
Hi,
Welcome again,
I have read your query again and I hope that you have satisfied with the previous reply.
It is slightly unusual for the pus to drain from the abscess even after 1 week of Incision and Drainage. However,it depends on the size of the abscess and infection.
The draining pus is likely due to infection inside abscess which will get cleared gradually.And there isn't need to go for second opinion because line of treatment will remain same even if you change your doctor.
Here,I would suggest you to continue giving antibiotics to your child as prescribed and regular daily dressing to the respective hospital. But there is nothing serious in that as it may take sometime to heal it completely which we have discussed earlier. So do not worry much.
Regards,
Dr.Sandip Kabra
It depends on the size of the abscess and infection.
Detailed Answer:
Hi,
Welcome again,
I have read your query again and I hope that you have satisfied with the previous reply.
It is slightly unusual for the pus to drain from the abscess even after 1 week of Incision and Drainage. However,it depends on the size of the abscess and infection.
The draining pus is likely due to infection inside abscess which will get cleared gradually.And there isn't need to go for second opinion because line of treatment will remain same even if you change your doctor.
Here,I would suggest you to continue giving antibiotics to your child as prescribed and regular daily dressing to the respective hospital. But there is nothing serious in that as it may take sometime to heal it completely which we have discussed earlier. So do not worry much.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Sonia Raina
Sir
I have sent you last years report when my son had some skin allergy and we got tests done......some values came higher like wbc ....in ref ranges wbc shows at12000 for children his age but it was very higher and rdw and ige too higher........since u know i am very afraid of the uncurable diseases so you would have guessed why i am asking you again. Though currently last month and yesterdays values are normal for TLC.....pls share your views .........the reports are 7months old when he had skin blisters which later cured in 2 weeks.
I have sent you last years report when my son had some skin allergy and we got tests done......some values came higher like wbc ....in ref ranges wbc shows at12000 for children his age but it was very higher and rdw and ige too higher........since u know i am very afraid of the uncurable diseases so you would have guessed why i am asking you again. Though currently last month and yesterdays values are normal for TLC.....pls share your views .........the reports are 7months old when he had skin blisters which later cured in 2 weeks.
Brief Answer:
Reports are normal
Detailed Answer:
Hi,
I have gone through your son's reports on 24 dec2015 at sir gangaram hospital.
Complete blood counts,ESR,TSH,free T4,urine examination, absolute eosinophills counts are within normal limita.
Marginally high RDW value has no clinical significance.
IgE is elevated which could be because of some kind of allergy but it is not indicative an underlying incurable disease.
You are unnecessarily worried about these which I would consider as clinically normal.
Regards,
Dr.Sandipkabra
Reports are normal
Detailed Answer:
Hi,
I have gone through your son's reports on 24 dec2015 at sir gangaram hospital.
Complete blood counts,ESR,TSH,free T4,urine examination, absolute eosinophills counts are within normal limita.
Marginally high RDW value has no clinical significance.
IgE is elevated which could be because of some kind of allergy but it is not indicative an underlying incurable disease.
You are unnecessarily worried about these which I would consider as clinically normal.
Regards,
Dr.Sandipkabra
Above answer was peer-reviewed by :
Dr. Prasad
Sir
today i went to a doc for discussing entire things happened with him how the abscess was inadequately drained and then it formed again and now everyday it is being inserted with guage and everyday pus comig out and surgeon saying it might take weeks and also if cyst remains it has to be removed. His comment really put me in a fix.....he said it could be soft tissue sarcoma and it is being teeated as a abscess but real thing is something different......i had read earlier abt it soft tissue disease in children which is almost difficult to treat.......how do you interpret had you been in my place and as a doctor
today i went to a doc for discussing entire things happened with him how the abscess was inadequately drained and then it formed again and now everyday it is being inserted with guage and everyday pus comig out and surgeon saying it might take weeks and also if cyst remains it has to be removed. His comment really put me in a fix.....he said it could be soft tissue sarcoma and it is being teeated as a abscess but real thing is something different......i had read earlier abt it soft tissue disease in children which is almost difficult to treat.......how do you interpret had you been in my place and as a doctor
Brief Answer:
Sarcoma should be rule out by biopsy.
Detailed Answer:
Hi,
Welcome again,
I have read your query again,
As we discussed earlier,it will take some time like 2 or 3 weeks to get rid off abscess.
Also it depends on the size of abscess and infection as i told previously, your treating doctor knows about it very well.
Regarding soft tissue sarcoma,I would say that it is very difficult to tell about it without biopsy report.So one should always wait for the repot to come if biopsy has been sent.
I do not know about your doctor how he managed to say about soft tissue sarcoma.
If I would be at your place,I will certainly wait for the abscess to heal and in case if I am not satisfied with the doctor's reply, I will surely change my doctor as a both Lehman and doctor. But I would not think about cancer or any other underlying incurable disease till the confirmation.
I will want to investigate it thoroughly to rule out very minor possiblity of cancer.
Regards,
Dr.Sandipkabra
Sarcoma should be rule out by biopsy.
Detailed Answer:
Hi,
Welcome again,
I have read your query again,
As we discussed earlier,it will take some time like 2 or 3 weeks to get rid off abscess.
Also it depends on the size of abscess and infection as i told previously, your treating doctor knows about it very well.
Regarding soft tissue sarcoma,I would say that it is very difficult to tell about it without biopsy report.So one should always wait for the repot to come if biopsy has been sent.
I do not know about your doctor how he managed to say about soft tissue sarcoma.
If I would be at your place,I will certainly wait for the abscess to heal and in case if I am not satisfied with the doctor's reply, I will surely change my doctor as a both Lehman and doctor. But I would not think about cancer or any other underlying incurable disease till the confirmation.
I will want to investigate it thoroughly to rule out very minor possiblity of cancer.
Regards,
Dr.Sandipkabra
Above answer was peer-reviewed by :
Dr. Prasad
my doc didnt say it.....it was some third doc whom i just chose to show the reports and one pic of the abscess and he said it is that........my surgeon says it is a chronic abscess and thats it
i also went to a known circle who is a general surgeon he also said it looks like an abscess which shud have been incisioned but was just squeezed which led to recurrence and nothing else. the surgeon whom i consulted said its an abscess and due to late and inadequate drainage it is taking time and he doesnt see anything else in it. As per him the usg reports are also normal
today also my surgeon did the dressing and called again on friday for dressing
i also went to a known circle who is a general surgeon he also said it looks like an abscess which shud have been incisioned but was just squeezed which led to recurrence and nothing else. the surgeon whom i consulted said its an abscess and due to late and inadequate drainage it is taking time and he doesnt see anything else in it. As per him the usg reports are also normal
today also my surgeon did the dressing and called again on friday for dressing
Brief Answer:
Yes,it is likely a abscess
Detailed Answer:
Hello,
Welcome again,
Since we have been discussing the swelling/lump as a abscess and I also opined it as a abscess from the given history and clinical picture.
It will take some time to heal completely,so I would suggest you to be patient.
Continue with daily dressing at your treating doctor.
Regards,
Dr.Sandip Kabra
Yes,it is likely a abscess
Detailed Answer:
Hello,
Welcome again,
Since we have been discussing the swelling/lump as a abscess and I also opined it as a abscess from the given history and clinical picture.
It will take some time to heal completely,so I would suggest you to be patient.
Continue with daily dressing at your treating doctor.
Regards,
Dr.Sandip Kabra
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
