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Having bump on the head. Used AB ointment. Bump persists. What to do?

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Practicing since : 2005
Answered : 1919 Questions
my daughter has bump on are ..size of quater....and it's been almost 5th week.
I've tried AB and AB ointment...but still persisting

what could it be ?
I have photo of it....

she does not remember any bug bite....
it started like small XXXXXXX ..
I've tried OTC antihistamine cream....but did not work...and size got bigger..
and I've checked with my family doctor but he did not know either...and
give us RX of AB and AB cream to try...
but they don't seem to help.....

what could it be ?......

should we try aspiration with needle or I&D ?
Posted Sun, 9 Jun 2013 in Skin Hair and Nails
Answered by Dr. Johny Chacko 38 minutes later
Welcome to XXXXXXX

The swelling looks red and inflamed.
Where is the location of this swelling?
Is it painful or itchy ?
Is there a central black spot (punctum) on the swelling ?
What is the consistency of the lesion? Is it soft or doughy or firm like your ear lobe or nose or hard like a bone ?
Is there any pulsations when you touch the swelling ?

The lesion looks like an abscess in the picture but an abscess is painful and will break down to release pus and it would not stay usually for 5 weeks.

The other possibility I am thinking of is an inflamed sebaceous cyst.

Incision and drainage is the treatment for abscess and an infected pointing sebaceous cyst. Before putting in a needle we should rule out whether the swelling is vascular in origin or not.

Waiting for more details so that I can advice you better.
Take care
Above answer was peer-reviewed by
Follow-up: Having bump on the head. Used AB ointment. Bump persists. What to do? 12 hours later
The location of this swelling is right arm elbow
It is painful upon touch .....used to be itchy first time...but now no longer itchy..
I don't see black spot on the swelling ....
the consistency is more like palpable and soft like ear lobe...
I don't notice any pulsation when touching...

what worries me is that it won't go away after 5 weeks...
Tried AB pill and AB ointment....but did not work..

Should I take her to ER to get the I&D?...
Answered by Dr. Johny Chacko 10 hours later
Thanks for the details.
It is painful and soft in consistency. It seems like an abscess (collection of pus) to me and photograph looks like abscess.
An abscess can start as an insect bite or any itchy condition, the bite or scratch can introduce infection into the skin.
I would recommend you to see a doctor for Incision and drainage. The faster the pus is released the sooner it will heal. If appointment with doctor is faster in ER go for it, otherwise a dermatologist or surgeon can be consulted if you get an appointment with them soon enough.
Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer.
Wish you and your family good health.
Above answer was peer-reviewed by
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