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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Fluid Filled Boils On Lower Pelvic Area?

I have problems with boils. They usually are hard but really sore-with warm compresses ir antibiotics they go away after coming to a head and bursting or just going down in size. The last three that I have had are different. They are filled with liquid and drain sometimes with blood. They are painful. It s right wear my elastic in my underwear hits. Surgeon now is calling it a cyst. He put me on a very strong antibiotic that hurt my stomach so bad. I had to take probiotic and eat yogurt but still hurt my stomach. I finished antibiotic and it brought down the size but flared up again. My doctor calls it a boil and surgeon calls it a cyst. I just don t want to get any anymore. It s painful.
Mon, 24 Aug 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Recurring fluid and blood filled lesions which are painful can be due to boil or infected cyst.
Cyst may get infected but it usually does not recur once treated.
A cyst recurs by getting filled with fluid after being decompressed.
Since, the problem is recurring, antibiotic will have to be repeated till the infection clears away.
Since, your surgeon is sure that the lesion is a cyst, a surgical excision of the lesion may be attempted.
Surgical excision of complete cyst will prevent it from recurring.
However, the cyst can be surgically removed only when infection is under control.

Thanks and take care
Dr Shailja Puri

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What Causes Painful Fluid Filled Boils On Lower Pelvic Area?

Hello and welcome to HCM, Recurring fluid and blood filled lesions which are painful can be due to boil or infected cyst. Cyst may get infected but it usually does not recur once treated. A cyst recurs by getting filled with fluid after being decompressed. Since, the problem is recurring, antibiotic will have to be repeated till the infection clears away. Since, your surgeon is sure that the lesion is a cyst, a surgical excision of the lesion may be attempted. Surgical excision of complete cyst will prevent it from recurring. However, the cyst can be surgically removed only when infection is under control. Thanks and take care Dr Shailja Puri