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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Of Blood Filled Boils Under Buttocks?

hello doctor, i am a resident in uae, i have been living my life here, i have had boils under my buttocks that are filled with blood mostly and less pus, which worries me as only blood discharges, its been half a year i am having this problem and it is embarasing to see the doctor, evetually i will but not now. Just for the record, i have used hydroquinone on my face for one month, but i dont think that was what caused since my skin on face had no reaction and the problem was before that as well. please help. thanks for reading, hope to hear a reply soon, thanks, Mika.
Fri, 21 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

I will keep a possibility of chronic recurrent furunculosis. Using hydroquinone on face is certainly not the cause.
Recurrent furunculosis is common in those who are carriers of Staphylococcus aureus.
I would suggest a pus culture and sensitivity testing from one of the furuncle which would identify the antibiotic sensitivity of the bacterium.
In chronic recurrent furunculosis the choice of oral antibiotic ideally should be guided by sensitivities.
Empirical therapy with a penicillin group or macrolide group of drugs can be started till sensitivity report is awaited.
If I was the treating doctor I would treat you for two weeks initially guided by antibiotic sensitivity, but you may need a longer course of perhaps six or eight weeks.
Topically you may use an OTC topical antibacterial e.g 2% mupirocin ointment, twice daily.

General measures that might prove useful are-
-Twice daily bathing with an antibacterial soap, preferably that which contains chlorhexidine would be useful.
-Wash sheets and underwear regularly in a hot wash (above 55°C). The clothes should be turned inside out.
-Keep surroundings clean
-Other members in the family should also be identified for carrier state and overt infections.

I would suggest you to visit a specialist in your region. Your doctor will order a culture sensitivity investigation as well as prescribe appropriate treatment.

Regards
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How To Get Rid Of Blood Filled Boils Under Buttocks?

Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of chronic recurrent furunculosis. Using hydroquinone on face is certainly not the cause. Recurrent furunculosis is common in those who are carriers of Staphylococcus aureus. I would suggest a pus culture and sensitivity testing from one of the furuncle which would identify the antibiotic sensitivity of the bacterium. In chronic recurrent furunculosis the choice of oral antibiotic ideally should be guided by sensitivities. Empirical therapy with a penicillin group or macrolide group of drugs can be started till sensitivity report is awaited. If I was the treating doctor I would treat you for two weeks initially guided by antibiotic sensitivity, but you may need a longer course of perhaps six or eight weeks. Topically you may use an OTC topical antibacterial e.g 2% mupirocin ointment, twice daily. General measures that might prove useful are- -Twice daily bathing with an antibacterial soap, preferably that which contains chlorhexidine would be useful. -Wash sheets and underwear regularly in a hot wash (above 55°C). The clothes should be turned inside out. -Keep surroundings clean -Other members in the family should also be identified for carrier state and overt infections. I would suggest you to visit a specialist in your region. Your doctor will order a culture sensitivity investigation as well as prescribe appropriate treatment. Regards