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Suggest Treatment For Pimples On The Buttocks And Skin Infection

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Posted on Tue, 27 Sep 2016
Question: Hello I am a 50-year-old male and have three pimples all located in close proximity to one another on the lower side of my buttocks. They are just to the outside of the folds of my legs and just slightly toward the fleshy side of my buttocks. They are also located past the end of my scrotum further back jusr a bit toward the anus.
They are slightly larger than a normal pimple on the face and at times produce a hard white pus from beneath the surface. They do not ooze or pop on their own. They do not itch and are only mildly discomforting if I sit directly on them in certain positions
I have had them for months now and they will not go away or clear up after treating them with Clotrimazole cream and another round of Miconazole thinking it was jock itch. This treatment was done after I had my GP look at it and saying it was Jock itch. The weird thing is that after they pop they turn a darker color almost purple and never really scab over or heal completely.
I am sexually active but was nonetheless tested three months ago for STDs and all blood test came back negative
Am I experiencing some type of bacterial skin infection that won't go away?
doctor
Answered by Dr. Grzegorz Stanko (11 minutes later)
Brief Answer:
Please attach a photo of this pimples.

Detailed Answer:
Hello!

Thank you for the query.

Can you please attach a picture of this lesions? Otherwise it is hard to give valuable answer.

From your description it looks like you may have a bacterial skin infection. Pus presence indicates that. It does not seem to be a STD.

The best you can do at this point is to have a swab test done from the evacuated pus. This test will determine which bacteria is causing the pimples and which antibiotic will be the best to eliminate it.

You should also check your glucose level as such skin infections can be a sign of diabetes.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (1 hour later)
Here are a few different pictures. The darker ones are those that have erupted and have been there for a while. The two smaller ones are newer and the pus seems to be deep below the surface and never fully erupts unless I squeeze them. The pus that comes out is firm and tubular like tooth paste coming out of a tube. Not runny or watery.

I will see if I can figure out how to upload the pictures next
doctor
Answered by Dr. Grzegorz Stanko (22 minutes later)
Brief Answer:
It looks like hair follicle inflammation.

Detailed Answer:
It looks just like a hair follicles inflammation (so called Folliculitis). The erupted pimples become darker because the blood appears inside. They may stay darker for as long as 3 weeks or so.
I suggest you to start with using some antibacterial soap, increase the frequency of baths and wear loose underwear. In most cases this helps.
If it wont help, dermatologist should be visited.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (1 hour later)
Thank you for the response. It appears to get worse if I spend time doing sweaty activities and prolonged sitting. The two darker ones I have had for months or maybe even a year and won't go away. The two smaller ones, one simply erupted again and the smallest one just started to form this week

I have used Hibiclense to wash daily for 3 to 4 weeks and even applied over-the-counter acne medicine like Clearasil but nothing clears it up. Should I use a topical antibiotic and if so what kind? I just finished a 10 day dose of Ceftin for an unrelated upper respiratory infection and the pimples did not improve at all. Do I need a different oral antibiotic? Recently I have also been trying to dry the area after I shower in the morning and spray with Tinactin then reapply in the evening.

Seems like you suggest a Dermarologist for a follow-up consultation rather than my family doctor?


doctor
Answered by Dr. Grzegorz Stanko (8 minutes later)
Brief Answer:
Yes, you should consult dermatologist.

Detailed Answer:
Yes, you definitely should visit dermatologist. You have tried too many medicines without proper diagnosis. Please check your glucose level before visiting dermatologist.

Oral antibiotic does not reach such pimples. Pus is build of dead white blood cells and some bacteria. Antibiotic can hardly penetrate them.
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Suggest Treatment For Pimples On The Buttocks And Skin Infection

Brief Answer: Please attach a photo of this pimples. Detailed Answer: Hello! Thank you for the query. Can you please attach a picture of this lesions? Otherwise it is hard to give valuable answer. From your description it looks like you may have a bacterial skin infection. Pus presence indicates that. It does not seem to be a STD. The best you can do at this point is to have a swab test done from the evacuated pus. This test will determine which bacteria is causing the pimples and which antibiotic will be the best to eliminate it. You should also check your glucose level as such skin infections can be a sign of diabetes. Hope this helps. Regards.