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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pus Filled Blister On The Neck?

Hi doctor, I have a spot on the right side of my neck where a clear liquid comes out of it. Now, the weird thing is that I especially feel like the liquid is going to come out whenever I eat. I've been to a dermatologist and they did a biopsy, and that came back clear. But, after they did the biopsy, the liquid kept coming out. So they scheduled me for an encision. Well, they did the encision and still the liquid comes out. Before I went to the doctor, there was a little spot on my neck that you could barely see, but now, thanks to the biopsy and encision, the spot is bigger and definitely noticeable. I can tell the dermatologist is having trouble figuring out what it really is. Whatever it is, I would like for it to be gone. Please help. Any help will be greatly appreciated.
Mon, 6 Jul 2015
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General & Family Physician 's  Response
Thank you for asking Healthcare majic.
My name is Dr Ehsan Ullah &
I have gone through your query.

you have mentioned that your initial biopsy Came clear and then you had excision and fluid is still coming out of that Scar or spot .
The first thing is the establishment of the nature of this spot which is leaking fluid or whether it has communication with body cavities or not...
Some skin tracks which in medical language we call Fistula which cause such fluid discharge ... one example of such Fistula is Chylous fistula but that occurs in cases of Neck region Surgery mostly ...

Another Category of condition which is associated is Called Sinus..

sinus has one open draining end and the channel ends in a blind ending.
An example would be a dental sinus draining from a dental abscess to either the inside of the mouth or the skin.

There is a huge list of their examples , the details of which will be difficult for your understanding ...

You need to Visit ENT / Neck Surgeon , first to establish the root Cause of this condition and get treatment...
Regarding your wound condition which you mentioned that Spot is bigger and Noticable, that can grow smaller after definitive treatment or you that can be managed by the Plastic Surgery people to cover.


Hope this may help you. Let me know if anything not clear.
Thanks.
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What Causes Pus Filled Blister On The Neck?

Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. you have mentioned that your initial biopsy Came clear and then you had excision and fluid is still coming out of that Scar or spot . The first thing is the establishment of the nature of this spot which is leaking fluid or whether it has communication with body cavities or not... Some skin tracks which in medical language we call Fistula which cause such fluid discharge ... one example of such Fistula is Chylous fistula but that occurs in cases of Neck region Surgery mostly ... Another Category of condition which is associated is Called Sinus.. sinus has one open draining end and the channel ends in a blind ending. An example would be a dental sinus draining from a dental abscess to either the inside of the mouth or the skin. There is a huge list of their examples , the details of which will be difficult for your understanding ... You need to Visit ENT / Neck Surgeon , first to establish the root Cause of this condition and get treatment... Regarding your wound condition which you mentioned that Spot is bigger and Noticable, that can grow smaller after definitive treatment or you that can be managed by the Plastic Surgery people to cover. Hope this may help you. Let me know if anything not clear. Thanks.