A purulent abscess on the inside of the thigh. Internal boil or boil: causes and treatment. Boil on the face

Boil is an unpleasant phenomenon that is accompanied by a purulent abscess on the skin. If it is not treated in time, the pathology can affect deep-lying tissues, which can lead to unpleasant consequences. Treatment of boils can be successfully carried out at home, after consulting with a dermatologist.

Boil - causes, symptoms

The appearance of a boil on the skin is caused by staphylococcus bacteria.

Normally, they are constantly present on human skin, but cause diseases only in certain conditions.

An infection can develop for a number of reasons:

  • hypothermia;
  • metabolic disease;
  • decreased immunity;
  • diseases of the digestive tract;
  • violation of personal hygiene rules;
  • severe stress;
  • chemical or physical damage to the skin;
  • poor nutrition.

Additionally, there is a greater risk of developing a boil if a person has diabetes. Lack of vitamins in the body, abrupt change climate, constant heavy physical exercise and lack of sleep lead to suppressed immunity... When the body is weakened, it is easier for harmful bacteria to attack a person and cause the appearance of a festering boil.

Externally, the boil at the initial stage looks like an ordinary pimple. But in this case, the pathology is accompanied by very strong pain.

There are three stages in the development of the inflammatory process:

  1. Cluster.
  2. Suppuration.
  3. Healing.

At each stage, the boil changes and new symptoms appear.

  1. The first stage is accompanied by redness of a certain area of ​​the skin, pain and formation small seal, like a tiny ball inside the skin. Over the course of several days, the area of ​​inflammation expands, healthy areas of the skin turn red, and discomfort intensifies. After three days, the pathology moves to the second stage.
  2. The hard node under the skin expands, it can reach a diameter of 2 centimeters, and takes on the shape of a cone. Pus forms inside this cone. Any touch to the affected area causes severe pain. The temperature may rise to 38 degrees and symptoms of dehydration may occur. The boil becomes clearly visible.
  3. As soon as suppuration has formed, the third phase of the disease begins. Healing occurs after the pus either drains on its own or is surgically removed. The pain and swelling of the skin gradually begins to subside. Temperature drops.

After two days, the boil heals, and a small scar appears at the site of the wound. The pathogenesis of boils from its inception to scarring takes about 10 days.

Treatment at home

Surgical intervention when pathology appears - extreme method. The boil is opened on the operating table if the pus does not drain out on its own. But if you treat a boil immediately from the moment it appears, you can get by with home therapy.

Under no circumstances squeeze out the boil yourself! This is not only very painful, but usually does not bring any results.

Under unfavorable circumstances, inflammation can affect nearby tissues and cause deep skin damage. Treatment of this problem will require mandatory use of antibiotics and, probably, surgical intervention.

Ointments against boils

Ointment accelerates the ripening process purulent rod boil, draws its contents out of the wound and promotes a breakthrough. On last stage pathogenesis, antibacterial types of ointments are used that act directly on pathogens at the site of inflammation. During the healing stage, it is good to use ointments that accelerate tissue regeneration.

  • Vishnevsky ointment. The medicine accelerates the formation of pus, so it is used at the first stage of boil development. It consists of castor oil, tar and xeroform, is the most inexpensive and effective remedy. The ointment accelerates the metabolism, as a result of which blood flow to the affected area increases and pus forms and flows out faster. The drug must be applied in a thick layer to a piece of gauze, applied to the wound, secured with an adhesive plaster and left for 9 hours. After you remove the bandage, check the boil. If it does not open, treat the skin with an antiseptic and reapply the ointment.
  • Ichthyol ointment. It should be applied to the sore spot after opening the abscess. The medicine relieves pain and eliminates harmful bacteria. Remains of pus, if any, flow out, and the clean wound begins to heal. The drug has an unpleasant tar smell, but it works. Before applying ointment to your skin, make sure that the product will not cause you an allergy. To do this, apply a little ointment to the crook of your elbow and monitor the reaction for an hour or two. If there is no redness or burning, squeeze the drug onto a cotton pad and secure it in place with an adhesive bandage.

Medications

Treatment will be most effective and quick if you use a complex additional measures. Therefore, in addition to ointments, use tablets and traditional medicine.

Medicines are aimed at eliminating bacteria. Antibiotics are prescribed to a patient by a doctor when it is known what type of bacteria caused the inflammation.

Depending on the type of bacteria, drugs are divided into several groups:

  • tetracycline;
  • aminoglyside;
  • fucidinaceae;
  • cephalosporins;
  • sinerite;
  • fluoroquinyl;
  • macrolide.

In addition to antibiotics, they are prescribed antimicrobials, which help clean the wound from harmful microorganisms.

Among them:

  • "Biseptol";
  • "Lincomycin";
  • "Dimexide";
  • "Miramistin";
  • "Gyoksizon".

Antiseptics are used to prevent new inflammation.

Among them:

  1. Salicylic acid.
  2. "Chlorophyllipt".
  3. "Betadine."
  4. Magnesia.
  5. "Fukortsin".
  6. Potassium permanganate solution.
  7. "Viniline".

In order to completely cure the disease, it is advisable to take vitamins that will boost immunity, strengthen the body and improve its resistance to bacteria.

Traditional methods

In addition to ointments and tablets, you can use folk remedies. Basically, these are compresses that promote the maturation and opening of the abscess.

  1. Garlic compress. It must be applied to the affected area at the first stage of boil maturation. Using a knife, mash the garlic cloves into a paste, apply it to gauze and apply to the sore spot, after treating the skin with an antiseptic.
  2. Burdock. Burdock leaves should be washed and boiled in boiling milk until soft. We fix the sheet to the affected area of ​​the skin.
  3. Nettle with vinegar. This remedy is used to speed up the ripening process of the boil stem.
  4. Bread yeast. We dilute 15 grams of raw yeast in 200 ml of warm water. The resulting solution should be drunk every morning on an empty stomach.

Features of the treatment of boils

Boils can occur on absolutely any area of ​​the skin. If it appears on a moving area of ​​the body, for example, under the armpit or in the groin, it causes great inconvenience, and the pathology is much more severe.

On the butt

Do not try to open the abscess or squeeze it out yourself. This can provoke the appearance of new ulcers. It is best to use Vishnevsky or ichthyol ointment. We change the dressings with the medicine once a day. After the purulent contents come out of the wound, treat the boil on the butt with iodine or brilliant green.

On the eye, on the face

The face is the most visible part of the body. Therefore, it is advisable to get rid of the boil in this area as quickly as possible, making sure that it does not leave a scar or cause serious complications. For example, a boil on the eye can spread infection, which can harm your vision. The facial nerve affected by inflammation can “distort” the face and it is not clear whether it will be possible to correct the situation after recovery.

If pus noticeably appears, it is best to take antibiotics as prescribed by your doctor. Before applying ointment to the affected area, thoroughly disinfect your hands and face. At the first stage of the pathology, anti-inflammatory drops are instilled into the eye.

In the ear canal

Ear boils need to be treated as quickly and effectively as possible, as if the infection spreads, it can affect a person's hearing. It is best to use antibiotics and anti-inflammatory drugs. Use drops instead of ointments.

Boil on the leg

In such cases, ointments, compresses and lotions with traditional medicine are very effective.

On the armpit

How it will pass faster boil, the more likely that you won't have any scars. At the first stage, the boil is treated with antibiotic solutions.

Due to constant friction when walking, infection may spread and involve a large area in the inflammatory process.

Therefore, until the boil in the armpit heals, it is better to fix the arm, minimizing movement.

How to treat boils during pregnancy and in children?

Most antibiotics and ointments are contraindicated in pregnant women and children. When pregnant women have a boil, the temperature rises to 39 degrees, which is dangerous for the fetus. If treatment is not started in time, the pathology can spread throughout the body and become chronic. It is best to use compresses with ointments and lotions made from chamomile, honey or sage. If home therapy does not bring results, you should definitely go to the hospital!

Prevention of occurrence

To prevent the occurrence of boils, it is necessary to observe the rules of personal hygiene, protect your body from hypothermia and monitor the condition immune system. These simple steps will save you from unpleasant sensations and serious consequences of developing a boil.

Each of us would like to have a healthy and beautiful skin, but very often pathogenic acne causes a lot of trouble and painful sensations. The purity of the skin can be disrupted by acne, irritation and peeling, as well as boils, which are a very dangerous problem for the skin of people of any gender and age.

Boils cause a lot of trouble, they hurt and it's hard to get rid of them, and if they are treated incorrectly, this leads to complications. How to prevent the appearance of a boil, and if one appears, how to treat it so as not to harm the body and skin?

Causes and diagnosis

Popularly, a boil is called a boil, it is a very unpleasant thing, at first it looks like an ordinary pimple and does not bother you much. The most unpleasant sensations begin at the moment purulent inflammation on the scalp. If you do not start treating an internal boil in time, then very soon it will cause great harm throughout the body.

Boils can appear on the skin of a healthy or sick person, they caused by Staphylococcus aureus, sometimes white. There are several reasons for the appearance:

Children are the least likely to suffer from this disease. Men are most often infected, less often women. Especially many manifestations are observed in spring and autumn period time. The first signs by which a boil can be recognized appear on the 3-4th day: first, a small pimple becomes red, and then the boil begins to increase in size and is very disturbing.

Subcutaneous internal boils are characterized by the fact that they do not break out on their own, they need to be opened and this should only be done by a doctor. Self-treatment of boils can lead to serious complications.

Boils always appear in areas of the skin where there are hair follicles, most often they can be:

  • on the face or neck:
  • on the buttock or chest part of the body;

Less commonly, boils can be located on other parts of the body;

  • back and lower back;
  • on the leg and near the genitals;
  • in the ear and nose.

There are the most dangerous places where a boil can appear, since it is an infectious disease, then over time the internal boil can break through to the internal tissues of the body and cause blood poisoning. If a boil appears in the area of ​​the face or scalp, then this leads to to the risk of meningitis. The appearance of a boil should be taken seriously and measures should be taken in a timely manner by contacting medical care.

Symptoms and danger zones for abscesses

Very often people are not even aware of the real reason, mistaking a boil for a pimple. Unlike a pimple, pus collects inside the boil and also forms necrotic rod Green colour. Severe stabbing pain is noted at the site of the boil, since pressure on the boil causes, in addition to pain, swelling and the development of an inflammatory process. The infection may reach the lymph nodes, which can cause unpredictable consequences.

First of all, you should contact a dermatologist, but you may also need to consult other specialists:

If there is more than one boil on the skin, the specialist prescribes the patient to undergo a series of tests, the results will allow us to establish a connection internal organs with the appearance of an internal boil.

Doctors identify several of the most dangerous areas on the body; this can pose a serious danger and cause acute pain - this face area, auricle, nose, lips, as well as the armpits.

Methods for treating boils

Modern dermatology has many methods for treating internal boils quickly and effectively. Many medications contribute to the rapid maturation of the abscess:

  • compresses from ichthyol ointment;
  • novocaine and antibiotics, they are used to inject the area of ​​the abscess;
  • local UFO;
  • compresses based on 1% silver nitrate;
  • ointments - Dimexide, Biopin, Shostakovsky balm.

After opening the boil, it is also necessary to perform a number of procedures - treat the source of infection with 3% hydrogen peroxide, and then apply a sterile bandage with sodium chloride solution. Treat the wound additionally with Vishnevsky ointment every 2 days.

You can also do some useful procedures yourself at home, which are offered by ethnoscience, they are very effective and safe. Accelerate the ripening of boils The following tools will help:

After opening the abscess, it can be treated with ointment, which is prepared from a decoction of calamus root, St. John's wort oil, and Kalanchoe. A decoction of chamomile and St. John's wort flowers is also considered effective; you need to take 1 tablespoon of a mixture of herbs and pour 0.5 liters of boiling water over it. A fresh cucumber will help reduce the inflammatory process. You need to grate it and apply the paste to the sore spot for about 30 minutes. Aloe helps very well; you need to apply a fresh cut leaf to the abscess.

Preventive measures

Children and elderly people are considered the most vulnerable to infection with furunculosis due to weak immunity. Adhering to simple rules, you can avoid the appearance of boils:

  • observe the rules of personal hygiene at home and at work;
  • always treat wounds;
  • try to strengthen the immune system;
  • avoid hypothermia of the body.

These are so simple preventive measures will help keep the skin healthy and clean and protect it from the problem of furunculosis.

Furuncle(syn. in everyday life - “ulcer”, “boil”) - this is a type staphyloderma(pustular inflammatory skin disease caused by staphylococcal microorganisms). It is characterized by the development of a purulent-inflammatory process in the hair follicle and surrounding tissue.

Furunculosis– a disease characterized by the appearance of a large number of boils on different parts of the skin.

Carbuncle– a disease in which several nearby hair follicles become inflamed. We can say that these are several boils combined into one. The disease has a more severe course.

Prevalence of boils

Pyoderma* - a group of diseases that include boils - are quite widespread. They make up about 40% of other skin pathologies. Patients with boils make up from 4% to 17% of all patients treated in inpatient dermatological clinics.

IN last years The number of patients with boils of the face, especially the nose area, is increasing.

*Pyoderma is a pustular skin disease. A general concept that unites a large number of various diseases. The two main types of pyoderma are staphyloderma (purulent processes caused by staphylococci) and streptoderma (caused by streptococci).

Anatomy of skin and hair follicles

Human skin is a special organ that covers almost the entire surface of the body. Its area in an adult is on average 1.5 - 2.5 meters. It consists of layers that are tightly connected to each other.

Layers of skin:

  • Epidermis- outer layer of skin. Consists of several layers of epithelial cells. The deepest layer is responsible for cell growth and reproduction. The outer layer, the horny layer, is represented by horny scales and performs a protective function.
  • Dermis. It is located under the epidermis and fits tightly to it. Consists of connective tissue. Is the basis for the epidermis, contains blood vessels, nerves.
  • Subcutaneous fat. Represented by adipose tissue.

Skin defense mechanisms

  • Maintaining a certain level of acidity. The pH level of the skin ranges from 3 to 7. In such conditions, only microorganisms that are representatives of normal microflora can exist.
  • Normal microflora. Microorganisms that are normally present on the surface of the skin prevent the proliferation of pathogens.
  • Langerhans cell. These are specific immune cells that are found in the epidermis. They take part in providing immune protection, producing interferon And lysozyme- substances that destroy pathogens.

Structure of hair and hair follicle

Hair– these are keratinized skin appendages. There can be up to 2 million hairs on the human body.

Hair structure:

  • Hair shaft- a thin part of the hair that protrudes above the surface of the skin.
  • Hair root- part of the hair located deep in the skin, in the hair follicle.
The hair follicle is embedded in the dermis and subcutaneous adipose tissue. Around it there is a dense capsule of connective tissue.

At the bottom of the hair follicle is its expanded part. It contains the hair follicle - the club-shaped expanded lower end of the hair. The hair follicle contains cells, the division of which ensures hair growth. A connective tissue papilla grows into the hair follicle and hair follicle. It contains blood vessels and nerves for nutrition and innervation of the hair.

In the upper part of the hair follicle, an expansion in the form of a funnel is also formed - its mouth. The duct of the sebaceous (any hair) and sweat (only hair located in certain areas of the body) gland flows into it.

Sebaceous glands draining into the mouth of the hair follicle

The sebaceous gland consists of an enlarged part, which is directly responsible for the secretion of sebum, and an excretory duct.

Sebum has a complex structure. It has bactericidal properties - it can destroy pathogenic microorganisms that fall on the surface of the skin.

Sebum production in humans is mainly regulated by the adrenal glands and sex hormones. The more testosterone is present in the body, the more active the sebaceous glands work.

Sweat glands that secrete secretions at the mouth of the hair follicle

Only specific ducts flow into the mouths of hair follicles. apocrine sweat glands . The final part of the gland that secretes sweat is located deep in the dermis.

Apocrine sweat glands are located in the armpits, around the nipples, genitals and anus.

Causes of boils and furunculosis

Who is staphylococcus?

Staphylococcus is a microorganism that is constantly present on the surface of the skin normally, and, at the same time, is capable of causing a wide variety of purulent infections, ranging from boils to severe blood poisoning - sepsis.

How can the same bacteria be both harmless (and sometimes even beneficial) and very dangerous?

The fact is that there are different strains of staphylococci. Strain is a group within a species, like breeds in dogs.

Some strains are completely harmless to humans. Other conditionally pathogenic, that is, they are capable of causing infections only under reduced immunity and other special circumstances. Still others always cause illness if they enter the body.

Normally, 90% of staphylococci found on human skin are harmless strains. 10% are pathogenic, but there are so few of them that they are not capable of causing a purulent process. Boils and furunculosis develop in cases where this ratio changes greatly.

What skin features predispose to the development of boils?

  • increased sweating: with constant sweat, the structure and protective properties of the skin are disrupted
  • scratching and damage caused by other skin diseases and disorders
  • frequent skin injuries: abrasions, scratches, abrasions - any infection easily penetrates through these defects
  • constant contact of the skin with discharge from the nose and ears in case of chronic diseases: rhinitis, otitis, etc.
  • skin contamination, lack of personal hygiene: most often, boils form on the back of the neck, as a lot of dirt and sweat accumulate here, and there is constant friction against the collar
  • violations of skin protection as a result of occupational hazards: constant contact with lubricating oils, dust (coal, cement, lime, etc.), aggressive chemicals

Decreased immunity

The normal state of the body's immune forces prevents the penetration of any pathogenic microorganisms into the skin.

Factors leading to decreased immune strength and furunculosis:

  • severe chronic infectious and inflammatory diseases: tonsillitis, bronchitis, frequent pneumonia, rhinitis and sinusitis, otitis, etc.;
  • diseases accompanied by decreased immunity: HIV;
  • reception immunosuppressants(medicines intended specifically to suppress the immune system in autoimmune diseases), cytostatics(medicines to destroy tumor cells), the use of radiation therapy;
  • hypothermia or overheating;
  • insufficient and malnutrition, hypovitaminosis.

Hormonal disorders

Diabetes

Furunculosis can be considered a complication of long-term diabetes mellitus. The disease leads to disruption of blood flow in small vessels. As a result, the skin does not receive enough oxygen and nutrients. Dystrophic processes occur in it, and protective mechanisms decrease. Staphylococci penetrate more easily into hair follicles.

Excessive adrenal function

The cortex (outer layer) of the adrenal glands secretes glucocorticoid hormones. They have many effects.

Effects of glucocorticoids on boils:

  • immunosuppression, decreased skin protection
  • an increase in the production of sebum, which, accumulating on the skin and in the lumen of the sebaceous glands, turns into a breeding ground for pathogens
Increasing the content of male sex hormones in the body
Testosterone and its analogues enhance the function of the sebaceous glands of the skin.

Stages of boil development

Usually the boil lasts no more than 10 days. After this, it usually goes away completely. There are 3 stages during a boil:
Stage Characteristic
Infiltrative stage Appears on the surface of the skin infiltrate– an area of ​​swelling, redness and hardness. It is painful, gradually increases in size, reaching an average of 1 - 3 cm. The skin around the infiltrate also becomes swollen and painful. The tingling feeling bothers me. A characteristic feature: an infiltrate always forms around the hair, since staphylococci primarily affect the hair follicle and multiply inside it. At this stage of the boil, the phrase “boil is brewing” is often used in everyday life.
Purulent-necrotic stage It is observed 3 to 4 days after the first symptoms of a boil appear. A core consisting of pus and dead tissue appears in the center of the infiltrate. Its end protrudes above the surface of the skin in the form of an abscess.
At a certain point in time, the thin layer of tissue covering the rod bursts, and pus and dead tissue come out. After this there is a significant improvement. All symptoms decrease: swelling and redness begin to subside, pain no longer bothers you. In common parlance, this condition is referred to by the phrase “the boil has broken through.”
Healing stage After the pus is rejected, the wound remaining at the site of the boil begins to heal. If the boil was small, then after healing there are no signs left on the skin. Large ulcers leave behind scars.

Symptoms of furunculosis

Manifestations of furunculosis depend on the stage of the process, the location of the boil, and the state of the body’s immune forces.

Areas of the body where boils are most common:

  • face: nose, nasolabial triangle(the area of ​​skin between the nose and upper lip), ear area
  • back of the neck: in this case, the fact that the skin of the neck constantly experiences friction in contact with the collar plays a certain role
  • forearms
  • buttocks and thighs

Symptoms of a boil on the face

The face is one of the favorite places to localize a boil, since the skin on the face most often has increased fat content, there are a large number of sebaceous glands here. The most common boils of the nose are upper lip, areas of the ear canal.

Characteristic symptoms and complaints of patients with nasal boils:

  • the boil quickly becomes noticeable, since even with small sizes it leads to a cosmetic defect
  • there is severe pain
  • pain in the area of ​​the boil intensifies during movements of facial muscles, shaving, washing;
  • Facial boils are more often than in other places, accompanied by an increase in body temperature and general malaise
  • headaches are noted
  • small boils resemble blackheads (pimples), attempts to squeeze them out are accompanied by severe pain.
Why is a facial boil dangerous?

The veins of the facial area are connected to the veins of the skull. When trying to squeeze out a boil on the face, carelessly pressing on it, the work of facial muscles, or a decrease in immunity, the infection can penetrate into the venous bed and lead to the development of thrombophlebitis - inflammation of the walls of the veins with the formation of blood clots. The face becomes swollen, acquires a bluish coloration, and is painful to touch. The general condition of the patient is severely disturbed, body temperature rises to 40⁰C.

Further, the infection can spread into the cranial cavity, leading to meningitis(inflammation of the meninges), meningoencephalitis(inflammation of the meninges and brain matter), sepsis(generalized inflammation).

There is a rule in purulent surgery: boils on the face that are located above the upper lip should be treated with the utmost caution.

Symptoms of a boil under the armpit

Boils in the armpit are relatively uncommon. Another disease is more common here - hidradenitis– purulent inflammation of the sweat gland.

Overall boil axillary region accompanied by the same symptoms as boils of other locations. An increase in pain is noted during movements in shoulder joints, careless touching and pressing on the boil.

Symptoms of a boil in the groin area and on the lower limb

In the groin area, boils and hidradenitis may occur. A boil in the groin manifests itself with typical symptoms and goes through typical stages.

Conditions that may complicate a boil in the groin area and lower limb:

  • Regional lymphadenitis. Inflammation of the lymph nodes located in the area of ​​the boil. It appears as a painful lump under the skin. With a boil in the groin, the inguinal lymph nodes are most often affected.
  • Regional lymphangitis. Inflammation of the lymphatic vessel located next to the boil. It appears as a painful cord under the skin. Lymphangitis is often combined with lymphadenitis.

Symptoms of a boil in the genital area

Among the boils that arise in the genital area, the furuncle of the labia majora has the greatest specificity. Most often, its development is associated with bartholinitis– purulent staphylococcal inflammation of the Bartholin glands located in the thickness of the labia majora. Normally, their function is associated with the release of a special lubricant.
A furuncle of the labia majora is accompanied by swelling, redness, and severe pain.

Symptoms of a boil in the buttocks and back of the thigh

The largest boils are usually found in the area of ​​the buttocks and thighs. They are accompanied by the most severe symptoms.

Furunculosis

Furunculosis– a disease that is characterized by the appearance of a large number of boils in different parts of the body or on limited area(most often on the buttocks, thighs). Furunculosis is also called constant recurrence, when after the healing of boils new ones constantly appear.

Types of furunculosis, depending on the severity of the process:

  • acute furunculosis: there are many boils on the skin at the same time
  • chronic furunculosis: sequential appearance of boils, when some disappear while others appear - this form of the disease usually lasts for a very long time
Types of furunculosis depending on the prevalence of elements:
  • disseminated(common) furunculosis: boils are found throughout the body;
  • localized(limited) furunculosis: all boils are concentrated in only one limited area.

Causes of furunculosis

The causes of individual boils and furunculosis are described above. Furunculosis almost always occurs against the background of decreased immunity.

Symptoms of furunculosis

Furunculosis is accompanied by the same symptoms as a single boil. Each element sequentially goes through three stages of development. But with furunculosis, signs of a violation of the general condition are more pronounced. Malaise and elevated body temperature are noted.

Complications of furunculosis

Complications with furunculosis are relatively common.

The most common complications of furunculosis:

  • lymphadenitis– inflammation of nearby lymph nodes;
  • lymphangitis- inflammation of nearby lymphatic vessels;
  • sepsis, or, in common parlance - blood poisoning - severe generalized infectious process;
  • meningitis and meningoencephalitis – inflammation meninges and brain substances when infection penetrates into the cranial cavity (if the skin of the face and head is affected);
  • arthritis – inflammation in the joints (with skin lesions in the joint area);
  • glomerulonephritis – inflammatory kidney disease.

Treatment of furunculosis

When should you see a doctor to open a boil?

In most cases, uncomplicated boils do not require surgical treatment. Conservative techniques are used.

Treatment methods for uncomplicated boils at the infiltration stage:

  • wiping the skin in the area of ​​the abscess with an antiseptic solution, most often with ordinary medical alcohol
  • frequent washing hand soap and antiseptics
  • cauterization of the boil itself with iodine solution (5%)
  • applying dry heat to the boil (under no circumstances apply compresses to the area of ​​the boil: this helps loosen the abscess and spread it to surrounding tissues)
  • UHF therapy
  • laser therapy
Despite the fact that a boil can be treated at home, it is still worth contacting a surgeon or dermatologist at the clinic. The doctor will examine the abscess and give recommendations for treatment. If appropriate indications are found, the doctor will give a referral for hospital treatment. If necessary, he will perform a blockade: he will inject a mixture of antibiotic and anesthetic solutions (Novocaine) into the area of ​​the boil.

Treatment methods for uncomplicated boils at the stage of formation of the rod

When the abscess has already formed, you need to help ensure that its opening occurs as quickly as possible.

What is important to remember:

  • only a doctor after an examination can say exactly what stage the boil is at and whether it is ready to burst
  • In no case should you try to squeeze out the abscess yourself: any pressure on the boil can cause it to begin to spread to surrounding tissues
Methods for treating boils at the stage of formation of a purulent-necrotic core:
  • The doctor applies a bandage with several crystals to the skin in the area of ​​the boil. salicylic acid. After some time, they corrode the cover of the boil and contribute to the release of the purulent-necrotic core.
  • The doctor removes the purulent-necrotic rod using a thin clamp. This is done very carefully, avoiding pressing on the boil.
After the abscess has broken through, the doctor places a small rubber strip cut from a glove into it. There will be an outflow of pus through it. Apply a bandage. After 3 days, the gum is removed, the bandage is removed, and the boil is treated with brilliant green.

When is surgical treatment indicated for a boil?

One of the complications of a boil is subcutaneous abscess(abscess). It is formed when pus spreads into the subcutaneous fatty tissue. A subcutaneous abscess must be opened. Such patients are treated in a hospital setting.

Is it possible to squeeze out a boil?

Doing this is strictly prohibited. During squeezing, the pus spreads into the surrounding tissues, venous and lymphatic vessels. This can lead to serious complications.

It is especially dangerous to squeeze out boils located on the face.

When should you start taking antibiotics for a boil?

For uncomplicated boils, antibiotic therapy and others general methods no treatment is prescribed.

Conditions for which antibiotic therapy is indicated:

  • complications of boils: lymphadenitis, lymphangitis, thrombophlebitis, etc.
  • boils located in the facial area
  • boils that occur against the background of other serious illnesses : diabetes mellitus, severe infections, HIV, etc.
Antibiotics used to treat boils
Name Application
Penicillins:
  • ampicillin
  • amoxicillin
  • amoxiclav
Antibiotics from the penicillin group are the oldest. Many of them remain effective against staphylococci and other microorganisms. Penicillins are broad-spectrum antibacterial drugs.
Cephalosporins:
  • ceftriaxone
  • cefuroxime
  • cefotaxime
Usually more effective than penicillins. These antibiotics are prescribed most often because they have a relatively low cost and a pronounced effect. Available in the form of powders for dilution and injection.
Gentamicin It is a fairly powerful antibacterial drug, but has a number of contraindications. Under no circumstances should it be used by children or pregnant women. Available in the form of tablets, injection solutions and ointments. Local forms (ointments) have fewer contraindications.
Tetracycline Broad-spectrum antibiotic. Effective against many types of microorganisms. Can be used for general (in tablets) and local (in the form of ointment) treatment of boils.
Levomycetin Powerful antibiotic. It is used topically for boils, in the form of an ointment (see below).

Attention! Self-medication with antibiotics for boils is often ineffective and can lead to negative consequences. These medications must be prescribed by a doctor.

In addition to the use of antibiotics, the following are used: general techniques treatments such as UV therapy, anti-inflammatory drugs.

What to do if boils appear frequently? Treatment of furunculosis.

If a large number of boils appear on the body at once, or they occur very often, then this condition is called furunculosis.

Self-medication of furunculosis most often does not bring any effect. Incorrect treatment can lead to further dissemination process and severe complications. To prescribe the correct therapy, you must consult a doctor.

Treatment methods for furunculosis :

Method Description
UV therapy Ultraviolet radiation has antibacterial effect, promotes tissue regeneration.
Laser therapy Effects of laser radiation:
  • destruction of pathogens
  • improving blood circulation and skin regeneration
  • pain reduction
T-activin Immunostimulant, promotes the formation and activation of leukocytes - immune cells. Treatment with T-activin is carried out under the strict supervision of a physician.
Antistaphylococcal immunoglobulin Immunoglobulins are antibodies that protect the body from foreign antigens. For furunculosis, antibodies produced against staphylococci are used. Treatment is carried out under the strict supervision of a doctor.
Interferon
Antibiotics See above “Antibiotics that are used to treat boils”
Rinoleukin Medicine, stimulating the general defenses of the body.

What to do if the boil opens on its own, but a lot of pus flows out of it?

After the boil has opened, it must be washed with hydrogen peroxide and a clean bandage applied. After this, wash your hands thoroughly. Contact your doctor at the clinic as soon as possible.

Traditional methods of treating boils

Attention: Improper self-medication can lead to the spread of the purulent process and the development of severe complications. Therefore, before using any traditional methods for treating boils, be sure to consult your doctor.

Coniferous baths for boils

Substances that pine and spruce needles contain:

  • phytoncides– destroy pathogenic microorganisms
  • vitamin C– is an antioxidant, protects cells from damage, increases protective functions
  • tannins– tone the skin and close skin pores.
In order to take pine baths, it is enough to buy essential oil. You need to dilute a few drops of it in a warm bath and take it for 15-20 minutes daily.

Treatment of boils with aloe leaves

This method is used for ripening boils ( in the stage of infiltration and purulent-necrotic stage) in order to accelerate its breakthrough and rejection of the purulent-necrotic rod.

Aloe is a houseplant that is often grown in pots. It has succulent leaves. To speed up the breakthrough of the boil, their juice is used. The aloe leaf is cut and applied with a cut to the abscess, fixing it with an adhesive plaster. So you need to walk constantly, replacing the aloe leaf 1 - 2 times a day.

Preparation of ointment for boils

Ingredients:

  • beeswax – 100 grams
  • unrefined vegetable oil– 500 ml
  • spruce sulfur – small amount
  • lower part of the onion – 10 pieces
It is necessary to pour vegetable oil into an enamel pan and put on fire. When it boils, add beeswax and spruce sulfur. After 30 minutes, add the bottoms of the onions. Cook the resulting mixture for 1 hour, stirring occasionally and skimming off any foam that forms. Then remove from heat, strain, and pour into clean containers. The ointment should cool down, thicken, take on a yellow color and a pleasant smell.

Mode of application: Periodically lubricate the areas where boils occur.

Treatment of boils with garlic

Substances contained in garlic:

  • phytoncides – destroy pathogenic microorganisms;
  • adaptogens – tone living organs and tissues, help increase defenses.
Method 1. Cut the garlic clove into thin pieces. Take one of them, apply the cut to the boil, and secure with a bandage. Walk like this for a day until the abscess matures and breaks through.

Method 2. Grate a clove of garlic. Apply to the boil and secure with adhesive tape. Walk like this for a day until the abscess matures and breaks through.

Ointments for furunculosis

For furunculosis, ointments containing antibacterial drugs are mainly used.
Gentamicin Description: Ointment in tubes, from 15 to 80 g. Gentamicin is an antibiotic that is effective against many types of infections, including staphylococcal.

Mode of application: Apply to the location of boils 2 – 3 times a day. Usually the course of treatment lasts 7–14 days.

Tetracycline Description: Tetracycline is a broad-spectrum antibiotic. Effective against many types of microorganisms, including staphylococci. Available in tubes of 100 g.

Method of application 1. Apply a small amount of ointment to the areas
location of boils 2 – 3 times a day.

Method of application 2. Apply bandages with tetracycline ointment. Change every 12 – 24 hours.

Levomycetin Description. Levomycetin is a powerful antibiotic that has a pronounced effect in purulent processes. Available for local cutaneous use for furunculosis in the form of liniment (a thick mass like an ointment). Sold in tubes of 25 and 30 g, in cans of 25 and 60 g.

Mode of application: Make bandages with chloramphenicol liniment, change once a day.

Levomekol
Active substances:
  • chloramphenicol– antibacterial agent, active against purulent infections
  • methyluracil– a drug that stimulates tissue regeneration
Description. Levomekol not only has pronounced antibacterial properties, but also stimulates tissue regeneration. Therefore, it is used for large opened boils for speedy cleansing and healing.

Mode of application: Soak sterile ointment gauze pad and apply it to the wound. Apply a bandage. Perform dressings daily.

Sintomycin Description. Syntomycin is an antibiotic, which in its chemical structure is very similar to chloramphenicol. Also available in the form of liniment, in 25 g jars.

Mode of application. Apply liniment to the area where the boil is located. Place a bandage over it. Perform dressings daily.

Dimexide Description. A medication belonging to the group of non-steroidal anti-inflammatory drugs (NSAIDs). Eliminates inflammation and pain.

Mode of application: Moisten a sterile gauze pad with dimexide. Apply to the location of the boil and apply a bandage. Do dressings daily.

The effectiveness of ichthyol ointment in the treatment of furunculosis


Ichthyol ointment is an ointment prepared on the basis of the active component ichthyol. It has anti-inflammatory, antiseptic and analgesic effects. Ichthyol ointment is widely used in the treatment of boils.

The antibacterial properties of ichthyol ointment apply to all strains of streptococci and staphylococci.

The pronounced analgesic and anti-inflammatory effect of ichthyol ointment appears several hours after its application to the surface of the boil.

Method of using ichthyol ointment for furunculosis

The required amount of ichthyol ointment is applied to the surface of the boil so that it covers the abscess in the form of a cake. Place a cotton swab on top and stick it with an adhesive plaster. The tampon should be changed every 8 hours. After about a day there is improvement.

The effectiveness of Vishnevsky ointment in the treatment of furunculosis

Vishnevsky ointment(full name - balsamic liniment according to Vishnevsky) - a combined drug that has complex composition and several active components.

Basic steps: disinfectant, irritant. Vishnevsky ointment destroys many types of pathogens. By irritating the skin, it stimulates tissue regeneration. With a boil, Vishnevsky’s ointment helps soften the walls of the abscess and allow it to penetrate deep into the tissue. This creates a threat of developing a subcutaneous abscess - an abscess. Therefore, the use of Vishnevsky ointment for boils is not practiced.

Why does a boil occur in a pregnant woman and how does it manifest?

Pregnancy is a condition during which the expectant mother often remains defenseless against many ailments and microbes.

Reasons for development

Basically the same as in other patients: an infection gets into the skin in the presence of certain predisposing factors - for example, friction of clothing, lesions chronic infection, endocrine diseases and others.

However the expectant mother is at risk by two additional factors:

  • Under the influence of hormones that are produced during pregnancy, physiological decrease in immune activity future mother. Thanks to such hormonal changes, the pregnant woman’s immune system “does not see” the fetus - a “stranger” to her own body. This condition is necessary to maintain pregnancy so that the mother’s immune system does not reject the fetus.
  • During pregnancy, the expectant mother provides the fetus nutrients, minerals and vitamins. Therefore, it needs additional supply from outside. However, if this does not happen, then the pregnant woman’s immune system activity decreases even more.

Symptoms

In its development, a boil usually goes through all its typical stages. That's why local signs the diseases are the same as in other patients: a dense red tubercle appears, a rod forms, a boil opens (either independently or surgically), the wound heals.

However, taking into account the hormonal changes in the body of the expectant mother general symptoms The diseases are sometimes somewhat more pronounced: body temperature often rises, general malaise and headache appear.

Why is a boil dangerous during pregnancy?

Microbes can cause harm to the expectant mother, and so does the baby.

For mother

A weakened immune system sometimes causes Bacteria spread more easily through the bloodstream to other areas of the skin and organs, causing the development of furunculosis or complications (meningitis, lymphadenitis, sepsis and others).

For the fetus

There is a high risk of infection of the membranes and fetus. Moreover, the consequences depend on the duration of pregnancy.

In the first trimester

The formation of internal organs is disrupted, which leads to the formation birth defects development: heart, kidneys and others. Moreover, they are often incompatible with life, so a miscarriage occurs.

In the second trimester

  • Intrauterine infection of the fetus mainly manifests itself after birth. When the lungs are damaged, pneumonia or pleurisy develops, the heart - carditis, the meninges - meningitis and others.
  • When the membranes become infected, fetoplacental insufficiency develops (a syndrome in which all functions of the placenta are disrupted). As a result, the fetus experiences oxygen starvation, its growth and development are delayed, and the risk of premature birth increases.
  • Available high probability development of mastitis in the mother after the birth of the child.

What are the causes of chronic furunculosis?

Common factors contribute to the formation of the disease:
  • Severe disturbances in the functioning of all parts of the immune system - for example, with HIV infection, congenital immunodeficiency.
  • At taking medications to treat tumors- cytostatics that disrupt the division and development of all cells in the body, including tumor cells.
  • For autoimmune diseases(psoriatic arthritis, rheumatoid arthritis, systemic lupus erythematosus) drugs are used that suppress the activity of the immune system (Arava, Methotrexate, Metypred).
  • Diseases gastrointestinal tract: chronic gastroduodenitis, chronic cholecystitis, erosive bulbitis and others.
  • Violation normal microflora intestines with a predominance of coccal forms, which include Staphylococcus aureus.
  • The presence of foci of chronic infection. Most often - ENT organs: tonsillitis (tonsillitis), sinusitis, pharyngitis and others.
  • Endocrine diseases, causing disturbance carbohydrate metabolism (diabetes mellitus), production of hormones by the thyroid gland (thyroiditis) and sex glands (hypogonadism, amenorrhea).
  • The presence of allergic diseases or a tendency to allergic reactions: bronchial asthma, allergy to house dust and others. Because in these cases the functioning of the immune system is also impaired.

What are the symptoms of chronic furunculosis?

Most often, the disease occurs in a relapsing form - when, after a period of imaginary well-being (remission), signs of the disease reappear.

The course and manifestations of the disease are determined by the degrees of severity


What are the causes of boils in children?

Due to the characteristics of the body, the disease occurs somewhat more often in children than in adults.

The main “culprit” of the boil is Staphylococcus aureus. However, its reproduction is normally controlled by the immune system. Whereas with the combined influence of certain local and general factors, the disease develops.

Local factors

  • Constant rubbing of clothing or minor skin injuries(abrasions, abrasions, scratches), which is not uncommon in children.
  • Allergic diseases- for example atopic dermatitis. There is dry skin, erosions and peeling appear on the skin, the child scratches the skin due to itching, and the functioning of the immune system is disrupted.
  • Close contact with contaminated objects- for example, while playing outside or in the sandbox.
  • Features of skin structure: Children have a thin upper (horny) layer of skin, it has a well-developed network of capillaries and blood supply. Therefore, any microbes enter the skin easily, and then quickly spread through the blood or lymph flow to other areas.
  • Poor personal hygiene leads to children introducing bacteria into a wound or abrasion with unwashed palms.

General factors

  • Presence in the body foci of chronic infection, in which colonies of staphylococci live (isolated cluster). From them, through the blood and/or lymph flow, bacteria are spread to all organs and tissues, including the skin. The leading diseases are from the ENT organs: chronic tonsillitis, sinusitis (sinusitis, sinusitis).

  • Imperfect immune system, which matures in the process of growing up. Therefore, microbes easily penetrate the body without encountering obstacles on their way.

  • Endocrine disorders. In children and adolescents, as a rule, hormonal instability of the body plays a large role in the occurrence of boils.
    Under the influence of sex hormones, the functioning of the sebaceous glands is disrupted. Increased production of sebum begins, which leads to blockage of the outlet (mouth) of the sebaceous glands of the hair follicle (sac). In such conditions, infection occurs more easily. Besides sebum is an excellent breeding ground for staphylococci.
    However, often other endocrine diseases contribute to the development of furunculosis in adolescents and children - for example, diabetes mellitus or dysfunction of the thyroid gland.

  • Gastrointestinal diseases: gastritis, colitis, ulcers and others. Digestion of food is disrupted, as is the supply of microelements and vitamins to the body. In addition, Staphylococcus aureus may be present in the intestines.

  • Anemia, lack of vitamins and nutrients, physical or emotional stress, anorexia in adolescents(decreased appetite, deliberate refusal to eat) lead to disruption of the immune system.

  • The intensive work of the sweat and sebaceous glands is due to immaturity of thermoregulation processes in children under seven years of age. As a result, sweat and sebum quickly accumulate on the surface of the skin. According to research, under such conditions it decreases local immunity, and the protective function of the skin decreases by 17 times.

  • Helminthiasis reduce the activity of the immune system, which is quite common in children.

What are the symptoms of boils in children?

A boil can develop on any area of ​​the skin where hair is present, since the disease affects the hair follicles and the adjacent sebaceous gland.

Whereas a boil never forms on the skin of the palms and soles, since there is no hair in these areas.

There are two forms of the disease:

  • A large single abscess appears on a limited area of ​​skin. In this case, with timely and adequate treatment recovery usually occurs within 8-10 days.
  • Furunculosis develops: Many boils appear on the skin. The disease can be acute or chronic in its course.

Single boil in children

Arises large abscess, which in its development goes through the same stages as in adults.

However In children there are some differences in the course of the disease:

  • As a rule, several symptoms are more pronounced intoxication: The body temperature rises to high levels (38-39°C), general malaise appears, the child refuses to eat, and complains of a headache.
  • Despite the rapid course of the disease, usually cure in children occurs in a shorter time than in adults. In addition, it develops less often chronic process.
  • Furuncle in children of wounded age(up to three years) is most often located in places that are difficult to reach for treatment - for example, at the base of the nasal passages.
    Whereas preschoolers and junior schoolchildren boils are mainly located on the nose (slopes, back and base of the nasal passages), forehead, cheeks and chin.
    In other areas of the skin, boils develop somewhat less frequently.
  • Due to the location of the boils, as well as the abundant and good blood supply to the skin, there is high risk of spreading infection from primary focus with the development of acute furunculosis or complications (sepsis, thrombosis of the cavernous veins and others).

Furunculosis in children

Ulcers can appear either in the form of separate clusters on a certain area of ​​the skin or spread to other areas.

Acute furunculosis in children

There are several boils on the skin that appear almost simultaneously. Therefore, they are at the same stage of development.

In this case, as a rule, the child’s general condition is sharply disturbed: he becomes lethargic and refuses to eat, his body temperature rises to high levels and is difficult to lower.

In this case, the course of the disease usually resembles a severe infectious process. Moreover, the general trend is as follows: than younger child- the more severe the disease.

Chronic furunculosis in children

Usually boils are located on different stages development: at the same time, red bumps, ulcers, and wounds can be seen on the skin after the rejection of pus.

However, most often the disease occurs in a relapsing form: periods of exacerbation alternate with periods of apparent well-being (remission).

The general condition of the child is usually disturbed when new boils appear, resembling acute course diseases.

How to treat chronic furunculosis?

This task is quite difficult, since numerous factors lead to its development. Therefore, an integrated approach is required.

Basic principles

1. Local and general treatment is carried out depending on the stage of development of the boil and the complications that have developed.

At the compaction stage - local treatment with antiseptics, ultraviolet radiation, applications with antibacterial ointments. At the stage of rod formation, if necessary, the boils are opened, drained, treated with antiseptic solutions, and bandaged with antibacterial ointments are applied. When indicated, antibiotics are prescribed taking into account the sensitivity of the microbe to them.
2. Impact on the underlying disease

It is carried out at any stage of development of furunculosis: treatment of foci of chronic infection, diseases of the gastrointestinal tract, endocrine diseases(for example, diabetes) and others. Therapy is carried out by specialized specialists: ENT doctor, endocrinologist, gastroenterologist and others.
3. Improving immune system function

An immunologist prescribes medications depending on the type of immune system disorder and the stage of the disease. At timely application chronic furunculosis is cured in 80% of cases within 1-2 months of treatment.

How to increase immunity during furunculosis?

Immunostimulating drugs are prescribed as part of complex treatment.

During an exacerbation

A drug Mechanism of action Directions for use and duration
Polyoxidonium
  • Increased activity
    phagocytes (macrophages, neutrophils) - cells that protect the body by digesting foreign particles and pathogens.
  • They enhance the production of antibodies - blood serum proteins that bind to a microbe or virus and then remove them from the body.
Intramuscularly 6-12 mg once a day.

In tablets for resorption under the tongue 2-3 times a day, half an hour before meals. The dose for adolescents is 12 mg, for adults 12-24 mg.

The course is 6-12 days, and sometimes longer.

Galavit
  • Restores the activity of macrophages, which destroy microbes and viruses through digestion.
  • Regulates the production of cytokines - proteins that ensure the transfer of information between molecules and cells of the immune system.
  • Normalizes the production of antibodies.
Daily for adults and children over 12 years old - 100 mg, for children under 12 years old - 50 mg.
The drug can be taken in injections, suppositories or tablets.

Course - 15 days.

Myelopid
  • Increases the level of B-lymphocytes - cells of the immune system that produce antibodies.
  • Normalizes the level of CD4 cells (lymphocytes), which send a signal to killer cells of the immune system (T-killers), which destroy microbes and viruses.
3-6 mg intramuscularly daily or every other day.

Course - 3-5 injections.

Immunoglobulin class G preparations: Octagam, Gabriglobin, Intraglobin

(used when Galavit is ineffective)

They compensate for the deficiency of immunoglobulins G (IgG), which provide long-term immunity against pathogens of many infections.

Moreover, for each microbe or virus in the body, its own IgG is produced.

Drugs are administered intravenously only in a hospital setting.

The dosage and duration of treatment depend on the specific drug used and the course of the disease.


During remission- during the period when there are no symptoms of the disease
A drug
Indications Directions for use and doses
Polyoxidonium Discussed above Discussed above
Galavit Discussed above Discussed above
Lycopid
  • Increases the activity of phagocytes.
  • Enhances the formation of B-lymphocytes and T-lymphocytes.
  • Increases antibody production
Dissolve under the tongue half an hour before meals.
The dosage depends on the severity of the disease and age.

The duration of treatment is about 10 days. If necessary, longer.


Drugs of the future: Neogen and Seramil

Medicines are not yet widely used. However, according to recent studies, their use has reliably established positive changes in the functioning of the immune system.

When using Neogen in remission:

1. The number and ratio of T- and B-lymphocytes are normalized.
2. The activity of phagocytes against Staphylococcus aureus increases.
3. The level of CD4 cells is normalized .

Treatment regimen: daily administration of 1 ml of 0.01% solution intramuscularly. Course - 10 injections.

When using Seramil at the stage of remission and/or exacerbation:

1. The level of B-lymphocytes is normalized.
2. The content of CD8 lymphocytes, the cells of the immune system, which normally complete the body’s immune response when the “stranger” has already been destroyed, decreases. However, with an excess of CD8 lymphocytes, the immune system completes its work much earlier, before it can cope with the microbe or virus. Therefore, it does not fulfill its main function - protective.

Treatment regimen: intramuscular administration of 5 mg of the drug. Course - 5 injections.

How to treat a boil for pregnant women?

The difficulty is that during pregnancy most drugs are prohibited for use because they have a negative effect on the fetus.

Local treatment

Tactics depend on the stage of development of the boil, which is no different from the treatment of other patients.

However, in this case, only drugs are used approved for use during pregnancy:

  • Antiseptics- drugs that prevent or suppress the growth of bacteria - Betadine (only up to 12 weeks of pregnancy), Chlorhexidine.
  • Ointments- Levomekol, Ichthyol, Syntomycin.

General treatment

Antibiotics are prescribed that are approved for use during pregnancy, taking into account the period: penicillins (Amoxiclav, Ampicillin), cephalosporins (Cefazolin, Ceftriaxone, Suprax, Cefepime), macrolides (Erythromycin, Rovamycin, Vilprafen).

However, antibiotics are only used in case of emergency:

  • When complications develop - for example, lymphadenitis (inflammation of the lymph nodes), lymphangitis (inflammation of the lymphatic vessels) and others.
  • If the boil is on dangerous place: face, neck, scalp.
  • In acute or chronic furunculosis.
  • In the presence of common diseases- for example, diabetes mellitus, HIV infection, pyelonephritis and others.
Use of drugs improving the functioning of the immune system, not recommended during pregnancy.

Treatment of foci of chronic infection

The most common “place of residence” of Staphylococcus aureus is the pharynx and nasopharynx. The microbe is detected by culture from the nasopharynx.

Local processing

1. Antiseptic solutions are used, which are approved for use during pregnancy and also inhibit the growth and reproduction of Staphylococcus aureus.

  • Alcohol solution used for gargling. Before use, it is diluted as follows: one teaspoon per 200 ml of warm water.
  • Oil solution the pharynx is processed, back wall pharynx, tonsils and nasal cavities.
  • Spray The mouth, throat and nose are irrigated.
All procedures are carried out 3-4 times a day. The course of treatment is 7-10 days.

2. Used staphylococcal bacteriophage which is safe for the fetus:

  • The nasopharynx is irrigated: two or three pipettes of the solution are inserted into each nasal passage. Anything that gets into your throat should be swallowed.
  • Then you should leave a cotton swab soaked in the bacteriophage in the cavity of each nostril for 5-7 minutes.
Treatment is carried out in the intervals between meals - from one to three times a day. Duration of treatment is 7-10 days.

Moreover, both drugs are also good because they carriage of staphylococcus in the intestines they can be used internally.

How to protect the fetus from infection?

Sometimes carried out immunization with staphylococcal toxoid at 32, 34 and 36 weeks of pregnancy. To do this, 0.5 ml of the drug is injected subcutaneously at the angle of the scapula.

What vitamins should I take for furunculosis?

Vitamins A and E improve skin nutrition and wound healing, promote cell renewal, and participate in protein synthesis.

Vitamin C increases the body's resistance to infections, improving the functioning of the immune system.

B vitamins normalize the functioning of the stomach, intestines, liver, endocrine glands(for example, the thyroid), nervous system, are involved in protein synthesis and other processes.

It is not difficult to compensate for the deficiency of such a number of vitamins at the same time. Since the modern pharmaceutical industry offers big choice combined vitamin preparations , also containing minerals, such as iron, calcium and others. For example Vitrum, Multi-Tabs, Centrum.

However, practice proves that it is still better take vitamins separately, in small courses.

For example, drugs with B vitamins- brewer's yeast, Milgamma, Neurobex, Tricortin and others. You can also compensate for the deficiency of B vitamins by taking biologically active supplements - for example, Mega B Complex, B vitamins - dietary supplement "Tiens".

Vitamin C or ascorbic acid Available in tablets or dragees with similar names.

How is a boil treated for diabetes?

In compliance with key principles: local treatment, prescription of immunostimulants, vitamins and other drugs.

However, when diabetes mellitus the main emphasis is on normalizing metabolism and carbohydrates: diet therapy (discussed in the section below) and prescription of medications.

Diabetes mellitus type II (non-insulin dependent)

Insulin is produced. However, cell receptors (proteins with which the substance binds to penetrate inside) in organs and tissues either do not respond to it or their sensitivity is reduced. Therefore, the flow of glucose into the cells is disrupted.

Two groups of drugs are prescribed:

  • Drugs that increase the sensitivity of cell receptors to insulin and reduce the absorption of glucose from the intestine: Glucophage, Metformin.
  • Drugs that stimulate pancreatic cells to synthesize insulin - for example Gliclazide, Diabepharm, Maninil and others.

Diabetes mellitus type I (insulin dependent)

The pancreas either does not synthesize insulin or produces it in insufficient quantities. In this case, replacement therapy is prescribed with the selection of an individual dose.

There are insulins that have different action by duration: short, medium and long.

Ideally, the patient should receive long-term and/or intermediate insulins throughout the day. In this way, a dosed supply of insulin into the body is achieved, which imitates normal work pancreas.

While short-acting insulins are usually used only when necessary: ​​for example, before taking rich food or a small dose of alcohol.

However, unfortunately, such treatment is quite expensive. Therefore, patients often “sit” on short insulin for many years, which aggravates the course of diabetes mellitus and leads to the development of complications.

Diet therapy during treatment is aimed at improving the functioning of the immune system, normalizing metabolism, fighting infection and accelerating the recovery of the skin. Moreover, such a diet resembles nutrition for diabetes, but correction is still required. 1. Simple carbohydrates : sugar and sweets, pasta, cakes, pastries, alcohol, watermelon, banana, grapes and others. They contain carbohydrates (glucose), which are instantly absorbed into the blood from the intestines.

We need carbohydrates in moderation as a universal source of energy for all processes occurring in the body.

However, when there is an excess of them in the body, completely different mechanisms are triggered, which lead to metabolic disorders, which impairs the functioning of the immune system. In addition, glucose entering the tissues from the blood is an excellent nutrient medium for Staphylococcus aureus.

2. Undesirable fried, salty, sour and spicy dishes. Because their consumption disrupts the functioning of the gastrointestinal tract.

As a result, the absorption of vitamins, microelements and nutrients, which are necessary for the full functioning of the immune system and the body as a whole, is reduced. In addition, this diet reduces the amount beneficial bacteria in the intestines, which leads to increased growth of pathogens.

3. Extractives, which go into solution when cooking meat, fish, vegetables and mushrooms (broth). Because they increase the production of gastric and intestinal juices, stimulating digestion, increasing the load on the gastrointestinal tract.

In addition, they are quickly absorbed into the blood and increase the load on the liver and have an irritating effect on the skin.

4. You should avoid foods that are known to cause an allergic reaction: chocolate, citrus fruits, products containing preservatives and/or dyes, eggs and others .

1. WITH increased content easily digestible proteins: boiled meat and egg white(if you are not allergic to them), lactic acid products (cottage cheese). Proteins are building material for our tissues, which is important for the full functioning of the immune system and the body as a whole.

2. Vegetable fats(sunflower, olive oil). They have a high content of vitamins A and E, which improve wound healing, weaken allergic reactions and increase the body's resistance to infections.

3. Animal fats(butter) is better to limit, but not completely exclude from the diet.

4. Fresh vegetables and fruits- sources of vitamins and microelements that are necessary for the functioning of the immune system and wound healing. In addition, they improve the functioning of the digestive system.

5. If there are no problems with the gastrointestinal tract, you can use legume dishes(beans, peas). They contain a lot of plant proteins, vitamins (A, B, C and group B), minerals (magnesium, calcium, sodium).

6. Dried fruits(raisins, dried apricots, prunes, figs) replace sweets and are sources of vitamins and microelements (potassium, vitamin A, groups B and C). They also contain fiber, which improves the functioning of the digestive tract.

7. Porridge is useful(oatmeal, buckwheat, pearl barley, millet), which contain a lot of vitamins, minerals and amino acids (building blocks for protein).

8. Spices. Previously, it was believed that their use should be limited or eliminated in case of furunculosis. However, studies were conducted at the Chita State Medical Academy that proved that some spices can suppress the growth and reproduction of Staphylococcus aureus in the intestines. These include turmeric, red pepper, mustard and cloves.

9. You can replace sugar sorbitol or xylitol. Moreover, xylitol is preferable because it also regulates the metabolism of fats and carbohydrates.

You can also use natural sweetener- stevia and extract from its leaves. In addition to adding sweetness to dishes, it also has a lot of useful properties: it normalizes the metabolism of fats and carbohydrates, contains vitamins (B1, B2, C, precursors of vitamin A), and lowers cholesterol in the blood.

A boil is an unpleasant thing. At first, similar to an ordinary pimple, it does not bother a person. But when purulent inflammation begins on the scalp, this is a reason to start treatment. After all, boils, especially internal ones, if left unattended, can greatly harm the body.

Inflammation of the hair follicle is caused by staphylococcus aureus and occasionally white. Boils appear, or as they are popularly called - boils, both in sick people and in healthy people, on almost any part of the body. The causes of internal boils are varied:

  • deviation from hygiene rules;
  • profuse sweating;
  • chaotic and unhealthy diet;
  • contact with the skin of synthetic underwear;
  • excessive passion for alcoholic beverages;
  • weakened immune system;
  • sudden climate change.

Most often, men suffer from boils, less often women, and children are less susceptible to their occurrence than adults. In spring and autumn, boils appear more often than in winter and summer.

A boil can be recognized on the 3-4th day of illness, when a small red pimple increases in size and becomes more noticeable, and stabbing pain begins to bother you. Subcutaneous chiryaki do not break through, but you cannot pierce them yourself. The opening of the lesion should be performed by a doctor.

Possible consequences

An infection caused by a boil poses a huge risk to the body. Subcutaneous is especially dangerous because it grows inside without ever breaking through. If this happens inside the body, then blood poisoning is possible, the consequences can be the most complex, even fatal outcome. An uncontrolled boil on the head or face can lead to meningitis, the treatment of which is complex and lengthy.

Complications can also result from attempts to squeeze out or accidentally injure the boil. In some cases, phlebitis may occur, for example, when a sore appears on the lips. The hips, chest and neck as a source of infection can contribute to lymphadenitis and stem lymphangitis. Also, with boils, metastases can penetrate into the kidneys and liver, so the issue of treating a boil should be approached with the utmost seriousness.

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Treatment methods

Only a doctor can prescribe adequate treatment after examining the boil.

When examined by a specialist, it may turn out that the boil has not matured enough to break out on its own. In this case, one of the local treatment options or the use of folk remedies subject to physician approval:

  • lubricate the inflammation site with a 2% salicylic acid solution or a 5% iodine solution;
  • Apply cotton bandages with pure ichthyol twice a day;
  • apply a mixture of rye flour and honey wrapped in a clean cloth to the boil;
  • if you have aloe at home, you can apply a cut leaf to the boil, this will help reduce inflammation;
  • A solution of ordinary boiled water with a teaspoon of calendula and a spoonful of honey is effective for treatment, if you apply lotions every hour.

If local treatment does not produce positive results, internal boils are opened under anesthesia in a hospital setting. The incision ensures the drainage of pus, so that the inflammatory process does not spread deep into the tissues. After surgery, the surgeon prescribes compulsory course antibiotics to reliably neutralize the infection, and multivitamins to maintain a weakened immune system. The body especially needs vitamins A, C, B1, B2 and PP.

Therapy cannot be neglected, otherwise a relapse is possible.

In advanced cases, treatment can last up to two months.

In addition to the therapeutic course, you must follow a special diet. It is recommended to consume the maximum amount of vitamins from vegetables and fruits. The diet should be high in calories, contain a minimum of carbohydrates, exclude spicy and fatty food, as well as alcohol. Poultices, compresses on the site of internal boils, as well as massage are prohibited to prevent the spread of infection and the appearance of new inflammations.

Prevention

The following will help prevent the occurrence and development of boils:

  • compliance with hygiene rules: personal, household and industrial;
  • timely treatment of small wounds;
  • increasing immunity;
  • balanced diet, regular intake of vitamins.

Do not self-medicate - instead of helping, you can harm yourself. If local therapy did not help within two or three days, you should definitely contact a specialist. Skin diseases, such as furunculosis, are treated by a dermatologist.

A boil, also known as a boil, is a purulent inflammation of the hair follicle, as well as adjacent tissues.

Over time, the inflammatory process affects the sebaceous gland and adjacent connective tissue. As a rule, the disease is provoked by Staphylococcus aureus. Failure to maintain personal hygiene and damage to the skin, in most cases, lead to the development of purulent inflammation.

A weakened immune system, chronic diseases, lack of vitamins, and diabetes play a significant role in the development of the disease.

ICD-10 code

L02 Skin abscess, boil and carbuncle

Causes of boils

Boil is a rather painful disease. The inflamed hair follicle is very hard when palpated; after pus begins to accumulate there, the pain increases greatly. But as soon as the abscess breaks through, the pain and inflammation gradually subside.

An abscess can appear for a variety of reasons. The most common causes of boils are low immunity, lack of personal hygiene, violation hormonal levels, poor nutrition. In some cases, furunculosis can be triggered by taking certain medications; in addition, in people with diabetes, the likelihood of the disease increases due to metabolic disorders.

A boil is formed after the bacterium Staphylococcus aureus enters the hair follicle. The bacterium can penetrate through damaged areas of the skin and causes severe inflammation inside the hair follicle, as well as in adjacent tissues. An abscess can form on any part of the human body (only where there is hair). Children and men are most susceptible to the disease. Small children have such a bad habit as scratching with dirty hands damaged areas on the skin, as a result of which infection can easily penetrate under the skin. In men, boils most often form on the face, since shaving can damage the skin.

Most often, boils appear on the face, neck, armpits, thighs and buttocks.

Risk factors

Hypothermia is considered to be the main cause of boils. However, the development of an abscess on the body can also be caused by overwork (nervous or physical), decreased immunity, lack of vitamins in the body (especially C and A), chronic diseases, metabolic disorders (obesity, anemia, diabetes), various damages on the skin, where infection can occur (abrasions, scratched insect bites, scratches), poor personal hygiene, and a tendency to excessive sweating. In addition, a boil can become a complication of an infectious disease.

The formation of boils most often occurs in the spring, when the human body is weakened and susceptible to all kinds of infections.

Boil symptoms

A boil appears as a small swelling on the skin around the hair. Pain (from mild to very strong), redness (in some cases, the color of the skin does not change significantly), itching, and tingling may also appear. With normal maturation of the abscess on days 3–4, the redness and swelling increases, a white or yellowish head of a purulent core appears in the center of the compaction, and throbbing pain is felt.

If after a few days there is no improvement, the boil becomes very large or very painful, and the purulent head of the rod does not appear, you need to consult a specialist for help.

The size of boils can be from 1 to 3 cm. In some cases, purulent liquid may ooze from it throughout the entire period of ripening, or, conversely, a boil may be covered with a rather hard crust.

Is boil transmitted?

Staphylococcus aureus, which in most cases provokes the development of boils, can be present on the skin and mucous membranes of many people, but does not manifest itself at all until conditions favorable for its development are created. Since Staphylococcus aureus can be transmitted from person to person, furunculosis is considered a fairly contagious disease.

How long does a boil last?

The boil that appears quickly becomes inflamed and increases in size. In some cases, a small amount of pus may be released from it; if personal hygiene is not maintained, the disease may spread to other parts of the body.

At the beginning of development, a painful reddish seal appears around the hair follicle, which after 2-3 days can greatly increase in size, become denser, and the pain intensifies. On days 3–5, a purulent core appears ( white dot inside a reddish lump). At this time, your general condition may worsen (fever, weakness, headaches). After opening or spontaneous breakthrough of the pus, the pain and swelling disappear. If the disease proceeds without complications, then 10-12 days pass from the moment the boil appears until the opening.

Boil on the head

A boil on the head poses quite a big danger to human health. Such purulent inflammations can be complicated by purulent meningitis and blood infection (sepsis).

It is better to treat ulcers on the head under the supervision of a specialist, since if treated incorrectly, pus can quickly enter the brain.

There are several treatment options for scalp boils. Usually a specialist prescribes a course of antibiotics, treating the affected area with special antiseptic solutions that accelerate the maturation process. With this approach, the boil goes away in 4-6 days.

You can also resort to surgical treatment of boils, when the surgeon opens the inflamed area and cleanses it of purulent contents.

In any case, no matter what treatment is chosen, after opening the abscess (naturally or surgically), it is necessary to apply antiseptic agents to the affected area for several days, which will prevent infection from entering the wound and promote healing of the skin.

Boil on the face

A boil on the face can provoke such a serious complication as inflammation of the venous wall, which in turn creates optimal conditions for the development of purulent meningitis. Such severe complications are accompanied by severe swelling of the face, pain, and stiffness of the neck muscles. If there are multiple boils on the face, and the neck is also affected, it is necessary to urgently seek the help of a dermatologist and undergo a course of antibiotic treatment.

Do not touch the abscess with dirty hands. At the beginning of ripening, it is recommended to apply an antibacterial agent (Vishnevsky ointment, ichthyol ointment) to the boil several times a day. It is not recommended to warm up ulcers, since in this case the likelihood of pus breaking inside increases, which threatens sepsis. You should also not pick, scratch or squeeze the boil to prevent the infection from spreading throughout the body.

As a rule, after 8-12 days the boil matures well and breaks out. After this, you need to remove any remaining pus with clean hands, rinse the wound with hydrogen peroxide and apply an antiseptic to speed up the healing process. It is necessary to apply an antiseptic until the wound is completely healed.

Boils on the face most often appear in people with oily skin types. Usually, timely and correct treatment helps to cope with the abscess. When boils appear, the main thing is to seek medical help in time to avoid complications. You should not delay contacting a specialist if a purulent core does not form within 3-4 days after its appearance. In this case, the risk of pus breaking through significantly increases, which can lead to the spread of infection throughout the body and blood poisoning.

Boil on forehead

A boil on the forehead puts the body in great danger. First of all, this is due to the fact that blood from the face quickly enters the brain and in the event of pus breaking inside or improper treatment, purulent meningitis can develop.

As a rule, in such cases, the doctor prescribes a course of antibiotics, which help not only to destroy the infection, but to almost halve the healing process. Local treatment in the form of ointments or compresses (Levomekol ointment, Vishnevsky ointment, etc.) is also prescribed.

Surgical removal of boils may leave a small scar on the face.

Boil on the eye

A boil on the eye first appears in the form of slight redness of the skin under the eye, the skin over the affected area itches, swells a little, and hurts. After a few days, an abscess appears. At normal course disease, the abscess completely matures in a few days and comes out.

In order to prevent the development of an abscess on the eye, it is necessary to begin treatment as soon as the first signs of the disease appear. First of all, you need to consult with an ophthalmologist who will prescribe effective treatment. Usually, for inflammatory processes in the eyes, it is prescribed antibacterial therapy(penicillin, gentamicin), drops or ointments for topical use (tsiprolet, levomycin). The most effective way to get rid of boils on the eye is to use ointments (erythromycin, tetracycline), which effectively destroy bacteria from the mucous membrane of the eye.

Boil under the eye

A boil under the eye requires urgent treatment. An abscess under the eye is formed as a result of inflammation of the hair follicle as a result of bacteria. A boil usually appears when the immune system is weakened; often an abscess is a harbinger of a cold; it can also appear after an illness that has already been suffered.

At the first signs of the disease, when there is no formation of pus yet, it is recommended to use dry heat. This method is widely known among the people: apply a warm hard-boiled egg (or hot through a layer of towel) to the sore eye. In addition to eggs, you can also use heated salt wrapped in a bag.

This method speeds up the process of boil maturation well (however, there have been cases when the boil completely disappeared, without the formation of a purulent core). It is worth noting that it is impossible to warm up the affected area after a purulent core has formed.

Besides traditional methods Traditional remedies, for example, Albucid drops, help to cope well with an abscess under the eye. To boost immunity, it is recommended to take a course of vitamins. If boils appear regularly under the eye or boils on other parts of the body periodically bother you, you need to consult a specialist, find out the cause of the appearance of ulcers and undergo the necessary course of treatment.

Boil on the eyelid

The boil most often affects the upper eyelid or eyebrow area; extremely rarely it forms on the edge of the eyelid. Initially, a dense nodule appears with slight swelling, which over time spreads to the entire eyelid and can even cover half of the face. After the purulent core matures and comes out, the eyelid heals, and a small scar remains in place of the abscess. Quite often, a boil on the eyelid is accompanied by a deterioration in the general condition of the body (headache, weakness, fever).

During treatment, antibacterial therapy (broad-spectrum drugs), local treatment of the affected area is usually used (before opening the abscess - camphor oil, antiseptics, after opening - iodine, brilliant green), anti-inflammatory and antiseptic ointments are also prescribed to accelerate maturation, as well as after breakthrough pus to speed up healing and prevent infection.

Boil on the upper eyelid

At the first stage of development of boils on upper eyelid appears in the form of a small compaction; there may also be slight redness of the eyelid and pain when blinking. At this stage of development, dry heat is recommended to speed up the process of maturation of the purulent core. If, as the boil matures, the general condition worsens (temperature, weakness, headaches bother you), you can take painkillers and antipyretics.

Boil on the eyebrow

A boil on the eyebrow appears in the form of a small painful nodule. Over time, swelling can affect the entire eyelid, as well as half of the face. When the boil matures, throbbing pain may bother you, general weakness, temperature, nearby lymph nodes may become inflamed. Treatment of boils on the eyebrows is best done under the supervision of a specialist, since boils on the face are quite dangerous and can lead to undesirable consequences. As in other cases, at the first stage dry heat and the use of antiseptic and anti-inflammatory agents are recommended; at the stage of purulent maturation (when a purulent core appears), it is impossible to warm up the boil; only compresses with traction and antiseptics. After the pus breaks through, it is necessary to apply anti-inflammatory drugs for a few more days until the wound is completely healed. The reason for immediate consultation with a surgeon is the condition of a boil, in which on the 3-5th day the head of the purulent core is not visible on the surface, increased pain, severe swelling. In this case, pus may burst inside and lead to serious complications.

Boil in the nose

Any inflammatory disease on the face is dangerous due to the characteristics of the blood flow. Infection from the surface of the facial skin can easily penetrate deeper tissues and enter the systemic circulation. It is for this reason that any rash on the face, and especially boils, must be treated with extreme caution.

A boil in the nose is located on the mucous membrane, in a rather inaccessible place. If such an abscess appears, it is better to immediately consult a doctor to avoid possible serious consequences.

The boil begins to appear with slight tingling, the next day the tingling intensifies, pain, swelling, redness appear, and subsequently the maturation of a boil in the nose is no different from maturation on any other part of the body. It is very important that the boil is fully matured and goes away on its own, otherwise the infection may remain inside.

During the examination, the doctor will determine the most the best way treatment. In some cases, applying antibacterial ointments and restorative therapy is quite sufficient. But if the boil develops with some complications or if the process is advanced, a course of antibiotics or surgery will be required.

Boil under your nose

A boil under the nose usually occurs as a result of insufficient hygiene, infections, and various chronic diseases. The principle of treating boils under the nose is no different from treatment on another part of the face or body. The inflamed area can be treated with iodine, brilliant green, and alcohol. In some cases, the use of antibiotics is required.

Boil on the bridge of the nose

Boil on the bridge of the nose by stages of development and appearance no different from ulcers on other parts of the body. In this case, the tumor can affect not only the site of the lesion, but also cover most of the face.

Boil on the lip

Boils appear most often on the face. It is characteristic that in the vast majority of cases the abscess develops on the upper lip. It is worth noting that a boil on the lip is dangerous because this part of the face is connected to both the anterior facial vein and the cavernous sinus (carries out venous outflow from the brain and eye sockets and is involved in the regulation of intracranial circulation). It is for this reason that pimples or ulcers located in the nasolabial triangle should not be squeezed out, scratched, etc. If the infection penetrates through the damaged area into the cavernous sinus or facial vein, this can lead to the development of thrombosis or meningitis, and death is not excluded.

Boil under lip

In addition to the upper lip, boils can form under the lip and in the corners of the mouth. When ulcers appear in the lip area, after 2-3 days severe swelling of this area appears, and the cheeks and cheekbones may also swell.

Over time, a boil under the lip becomes like a small bleeding ulcer, which gradually heals. It is very important to know that you should only touch boils with clean hands, and you should also wash your hands well after handling the boil so as not to spread the infection throughout the body.

Treatment of boils in the lip area should be carried out under the supervision of a specialist. As a rule, therapy does not differ from that prescribed for other localizations of boils (provided that the development process is not complicated) - at the initial stage, dry heat (UHF), then antiseptic, stretching compresses and, after the pus comes out, it is recommended to apply anti-inflammatory drugs until complete healing.

Boil on the tongue

A boil on the tongue may appear as a result of poor hygiene. oral cavity, as well as when infection occurs during dental procedures. A boil on the tongue initially appears as a small painful lump; after a few days the tongue may become very swollen and red. As the boil progresses, the general condition of the body is disrupted and the person cannot eat normally. As a rule, treatment of ulcers on the tongue is carried out surgically: the surgeon cuts the boil and cleanses it of purulent contents, after which the patient is prescribed rinsing the mouth with antiseptic solutions.

Boil in mouth

A boil in the mouth causes a lot of trouble. First of all, this is due to severe pain and swelling, due to which a person cannot eat normally. Also, treating purulent abscesses in the mouth is quite difficult, because the commonly used treatment methods (dry heat, applying ointments, compresses, etc.) are practically impossible when the boil in the oral cavity matures.

In this case, surgical treatment and, if necessary, antibacterial therapy are prescribed.

In the oral cavity, on the mucous membrane, bacteria and microbes multiply quite well in a moist environment. It is for this reason that treatment of any inflammatory processes in the mouth must begin immediately after the first unpleasant symptoms appear in order to prevent more severe complications.

Boil on the gum

Boils on the gums appear as a result of poor oral hygiene. Also, the cause of ulcers on the gums can be diseases of the gums and teeth. The disease is caused by pyogenic bacteria, most often staphylococci. Microbes enter the tissues through damage to the mucous membrane. In addition, with insufficient oral hygiene, bacteria accumulate on the mucous membranes and, as a result, cause inflammatory processes with subsequent suppuration.

The treatment of ulcers in the oral cavity is carried out by a dentist; surgical intervention is usually performed: opening the purulent focus and cleansing of necrotic masses.

Boil in the ear

A boil in the ear begins to manifest itself with a slight feeling of congestion, itching, and in some cases, tinnitus appears. Over time, as the boil matures, it appears sharp pain When pressed, the temperature may rise.

To prevent the appearance of ulcers in the ear, you need to maintain personal hygiene, avoid damage inside the ear, and above all, do not use it for cleansing. sharp objects(toothpicks, needles, etc.), since even a small abrasion is good place for the reproduction of microorganisms. Minor damage should be immediately treated with alcohol, iodine, hydrogen peroxide or other antiseptics.

Typically, only one boil can form in the ear. But when boils appear frequently or the development occurs with complications, several ulcers appear, then it is necessary to consult a dermatologist and determine the cause. Possibly frequent or multiple lesions Boils develop as a result of an existing chronic disease (for example, diabetes).

A boil can occur in a person at any age; most often, overweight people, children and adolescents suffer from ulcers.

Boil on earlobe

A boil on the earlobe may appear as a result of infection after piercing. Especially often, ulcers on the earlobe are formed as a result of unprofessional piercing, which occurs at home in unsanitary conditions. Infection can also be spread in the salon, for example, by poorly disinfected instruments, dirty hands, etc.

Boil behind the ear

Boils can appear on any area of ​​the skin where there is hair, i.e. The only place on the human body where boils cannot occur is the feet and palms. Since a boil is an inflammation of the sac from which hair grows, the area behind the ear is no exception. A boil formed behind the ear causes many problems for the patient: pain, general malaise, and the parotid lymph nodes can become inflamed. At the same time, the location of the boil makes it problematic to independently apply ointments or compresses to accelerate the maturation of the purulent core.

Boil on the cheek

Boils appear on the face quite often. Poor hygiene, hypothermia, colds or chronic diseases - all this leads to purulent inflammation. In women, boils on the face may appear due to contamination of the pores from frequent use of decorative cosmetics.

An abscess on the cheek causes quite a lot of inconvenience and discomfort. First of all, an abscess can lead to severe swelling (which greatly spoils the appearance), pain, and the maturation of the purulent core can be accompanied by a deterioration in the general condition (weakness, fever, inflammation of the lymph nodes). Treatment of purulent abscesses on the face should be carried out under the supervision of a specialist, since in case of complications or abnormal development(for example, when a purulent core breaks inside), the infection in most cases goes directly to the brain.

Boil on the chin

Inflammations and ulcers are always unpleasant, especially if they appear on the face. A boil is difficult to confuse with a regular pimple. First of all, the beginning of a boil manifests itself in the form of a painful compaction, upon which the pain intensifies when pressed. Most often, ulcers are caused by an infection that gets through damage to the skin.

In men, boils on the chin are quite common, since careless shaving can cause infection in the cut. Boils can also bother people with oily skin, impaired metabolism (obesity, diabetes), and weakened immunity (especially in spring).

The first signs of a boil are itching, swelling, and redness of the skin. A painful lump with a purulent center appears at the site of the lesion. Usually, after a few days, the abscess opens on its own and the contents are cleared. After this, the swelling and pain subside. To help in the maturation of the purulent core, thereby speeding up the healing process, you can apply compresses of antiseptic and anti-inflammatory agents.

But if after 3-5 days the head of a purulent core does not appear in the center of redness, the process of opening the abscess does not occur for a long time (after 8-10 days from the beginning of development), or after opening the wound for a long time does not heal, bleeds or continues to leak pus, you should urgently consult a dermatologist.

Boil on temple

A boil on the temple a few days after its appearance can cause severe swelling of the face. The maturation of a boil occurs in almost the same way as on other parts of the body.

With improper treatment or severe exhaustion of the body (for example, after serious illnesses), a boil can develop into an abscess.

Boil on the back of the head

Boils on the back of the head appear quite often. It is best to see a specialist if a lump or pain appears in the neck area to rule out possible complications.

Boil on the neck

A boil on the neck, as well as on the face, is very dangerous, since the spread of infection inside can lead to infection of the brain. It is best to immediately consult a doctor when the first symptoms of an abscess develop (tingling, itching, thickening, redness), who, after examination, will determine best practices treatment.

Boil on the back

The first signs of a boil on the back are a small painful lump, quite often redness forms at the site of the lesion. In the early stages of development, it is recommended to warm up the inflammation with dry heat, after which, when a purulent core appears, it is necessary to apply a compress of antiseptic ointments. In some cases, you will need to take a course of antibiotics.

Boil on chest

Boil is a rather dangerous purulent disease that can occur for several reasons. The main reason for the appearance of ulcers is weak immunity. You should also maintain personal hygiene. In addition, the consumption of large amounts of sweets or alcohol contributes to the appearance of boils on the body. If hygiene is not maintained, boils can spread to other parts of the body. Therefore, before touching the abscess and after treating it, you must wash your hands well.

With a weakened immune system, a boil can pose a great danger, since in this case several hair follicles may become inflamed at the same time, which will lead to the development of a carbuncle - an acute inflammation of the skin and subcutaneous tissue.

Boil on the mammary gland

If any inflammation, lumps, or abscesses appear on the mammary gland, you should immediately seek the advice of a specialist to determine the cause of such rashes. A boil on the mammary gland can be the result of hypothermia, a cold, or some disturbances in the functioning of the body.

Boil on the side

Inflammation of the hair follicle can occur, as already mentioned, on any part of the body. Factors that provoke diseases are primarily associated with weakened immunity, when the body is unable to resist infection. The most common causative agent of purulent processes is Staphylococcus aureus. 20% of the population are carriers of these bacteria, which are present on the skin and do not manifest themselves until a certain point. Malfunctions in the functioning of the immune system are a good impetus for the active proliferation of staphylococcus, and if there is damage to the skin, then bacteria easily penetrate under it and provoke inflammation.

A boil that appears on the side initially looks like a small pimple that hurts when touched. Treatment in this case differs little from accepted treatment methods. First of all, it is necessary to accelerate the maturation of the purulent core and facilitate the release of purulent contents with the help of antiseptic, anti-inflammatory compresses.

Boil on nipple

The nipple is absolutely not a typical place for boils to form, so you should consult a doctor as soon as possible. If possible, it is better to immediately contact a mammologist, but if this is not possible, then you need to consult a surgeon.

Boil on the stomach

As already mentioned, boils occur on those areas of the skin where there is hair.

In modern fashion, some men resort to depilation of the chest and abdomen, which can provoke inflammation of the hair follicles in this area.

As in other cases, at the beginning a small painful lump appears, which after a few days grows to several centimeters, while the pain and redness intensify, and a white (or yellow) purulent core appears in the center of the inflammation.

In cases where the process of boil ripening occurs with certain difficulties (severe pain, swelling, high temperature, etc.), you should immediately consult a doctor.

Boil on the butt

Boils often appear on areas of the skin that are often warm, sweat, or rub against clothing. This is why ulcers on the butt are very common. Most often, boils bother older people and teenagers, as well as people prone to obesity or suffering from diabetes.

The maturation of boils is almost always accompanied by pain, especially in the buttocks area, since it is extremely difficult for a person to sit in this case. With proper treatment, the process of boil ripening can be significantly accelerated, and this will also help prevent complications.

Boil on elbow

A boil on the elbow appears at the first stage in the form of a small, rather painful pimple. Over time, when palpated inside, you can feel a hard ball, increasing every day. The diameter of the abscess can reach up to 4 cm, while it is very painful and causes a lot of inconvenience to the patient, especially on the elbow - where the arm is bent.

Boil on finger

Often, after cuts, scratches or small wounds on the fingers, purulent inflammation occurs. A sign of a boil on the finger is swelling, redness of the finger, and twitching pain.

Boil under the arm

Armpit boils can appear for several reasons. First of all, this is non-compliance with personal hygiene rules, hypothermia, minor damage after shaving. Interestingly, a boil can also appear in case of excessive hygiene, for example, too much frequent use deodorants lead to clogged pores and as a result, the hair follicles become inflamed.

Boil on an intimate place

Boils can appear in a person of any age and anywhere. However, people are not always able to seek the help of a specialist, since a boil can jump up in an intimate place and many are simply embarrassed to seek medical help with such delicate issue. Quite often an abscess in intimate places ah develops after shaving and hair removal.

Boil in the groin

A boil in the groin causes a lot of inconvenience to a person. In addition to severe pain, a person may experience discomfort when moving. Despite the delicacy of the problem, the boil must be shown to a specialist who, after examination, will determine whether the ripening process is proceeding normally or whether it is still necessary to resort to surgical intervention.

Boil on penis

A boil on the penis occurs for the same reasons as in other places, but the appearance of an abscess on the male genital organ is a rather complex situation that requires consultation with a dermatologist. If the boil is not treated correctly, it threatens the appearance of new abscesses (in the same or other parts of the body). At the first stage of development of the abscess, before contacting a specialist, it is recommended to apply compresses with ichthyol ointment, Vishnevsky ointment, Levomekol ointment, in parallel, you can apply an aloe leaf with the fleshy part to the affected area for a couple of hours (preferably at night). At your appointment, a specialist may consider it necessary to prescribe a course of antibiotics to relieve inflammation and pain. A boil on the penis requires immediate treatment, since this organ contains a large number of vessels, and the skin is quite thin, which makes the process of opening difficult advanced stages inflammatory process.

Boil on the labia

A boil on the labia should not be treated independently, since the problematic location of the abscess will not allow a normal assessment of the correct development, and this, in turn, can lead to furunculosis (multiple appearance of boils on the body, which are quite difficult to get rid of).

In addition to the usual reasons for the appearance of boils, in women the appearance of ulcers on the labia can occur under the influence of physiological cycles, when a restructuring of certain functions occurs in the female body.

Boil on the clitoris

A boil on the clitoris can appear as a result of insufficient hygiene of intimate places, due to too tight underwear, minor injuries, hypothermia, etc. An abscess on such a delicate place causes women a lot of inconvenience, since severe pain and swelling interfere with normal movement. A boil on the clitoris must be treated under the supervision of a specialist, otherwise serious complications are possible.

Boil in the crotch

The perineal mucosa may be involved in the inflammatory process, which may be expressed by purulent skin lesions. A boil in the perineum can manifest itself in different forms: from small pimple before severe inflammation, with swelling, ulceration and bleeding. Typically, this kind of inflammation in the perineum appears as a result of secondary infection of the hair follicles and tissue damage.

Boil on testicle

The testicles have a fairly extensive vascular network, so with any complication, a boil can lead to inflammation of the venous wall or varicose veins. You should not self-medicate; if any rashes appear on the testicles, it is better to immediately consult a dermatologist who will help determine an effective and safe treatment method.

Boil on the scrotum

The scrotum is the most vulnerable, unlike other areas of the skin. When boils appear on the scrotum, swelling can affect the entire area, and over time, the testicles will also be involved in the inflammation process. Abscesses on the scrotum must be treated under the supervision of a specialist.

Boil on the anus

Boil on anus may appear as a result of acute purulent inflammation. The disease occurs with severe pain and causes great discomfort. Typically, treatment uses antibacterial agents that prevent boils from spreading throughout the body.

Boil on the leg

A boil on the leg at the beginning of its development looks like a pimple, only slightly larger in size. Damage to the skin that has become infected, weak immunity, or accompanying illnesses, lack of vitamins in the body. If a boil forms on your leg, you should not try to squeeze it out or pick it out. Such skin rashes should mature well and break out on their own; treatment in this case is aimed at accelerating the maturation of the purulent core. Surgical treatment is prescribed when complications occur (a purulent core does not appear, pus does not break out for a long time, there is too much swelling and inflammation, etc.).

Boil on thigh

The boil appears as a pimple, in the center of which you can see a rod - an inflamed follicle. The inflammation increases quite quickly, and the pain intensifies. Over time, the hair follicle becomes filled with pus, a waste product of bacteria. In the normal course of the disease, the pus breaks out on its own, after which wound care is needed - applying an antiseptic, anti-inflammatory drugs, and, if necessary, a sterile bandage.

Boil on the knee

As already mentioned, acute purulent inflammation on the skin can appear anywhere where hair grows. Quite often, a boil can jump up on the knee; its appearance is provoked by the same factors as in any other place. Treatment in this case consists of maintaining hygiene, applying compresses with Vishnevsky ointment, ichthyol ointment, etc. In the early stages, the affected area can be lubricated with alcohol and iodine. After breaking through the purulent contents, the resulting cavity should be rinsed well with hydrogen peroxide, then apply antiseptic ointment. If the boil on the knee is very large (more than 5 cm), the purulent core is not visible on the surface, and ripening occurs with severe pain - this is a reason to seek urgent consultation with a dermatologist.

Boil on the inner thigh

The appearance of boils on the inner thigh is not uncommon. The infection can affect any hair follicle. In this case, treatment should be carried out after examination by a dermatologist, since there is a possibility that the abscess may mature with some complications. The doctor will also order you to take some tests that will help determine the cause of the boil and avoid the recurrence of purulent inflammation.

Boil on the heel

A boil is a purulent inflammation of the sac from which hair grows. Hairs do not grow on the heel, so such an abscess cannot appear on the heel. Most likely, when purulent inflammation appears in the heel area, we're talking about about a completely different disease.

Boil on the foot

The only places where boils cannot appear are the feet and palms. This is due to the fact that in these places there are no hair follicles, which become inflamed when boils develop.

Boil at an early stage

A boil at an early stage looks like a small pimple, in the center of which there is a whitish point - a purulent core. If you start treating boils at an early stage (dry heat, applying compresses with anti-inflammatory drugs), you can significantly speed up the process of maturation of the purulent core. In addition, in some cases, earlier treatment helped completely prevent further development of the boil.

Boil during pregnancy

Boils can appear as a result of reduced immunity, which is often observed in pregnant women. Besides hormonal changes women during this period can provoke purulent boils on the skin. During pregnancy, you should not try to treat or squeeze out boils on your own. Female body during pregnancy is quite vulnerable and approaches to the treatment of any diseases during this period should be determined by a doctor.

Boil in a child

Boils in children are quite common. This happens primarily due to insufficient hygiene. Children, especially small ones, tend to touch everything with their hands, and they often fall and get injured, which leads to infection. If an abscess begins to develop on a child’s body, then he loses his appetite, develops weakness, fatigue, headaches, and fever. It’s good if parents notice a boil at an early stage of development, in which case proper treatment will help avoid surgery to remove the boil.

Boil on a child's face

Boils appear on the face quite often. Children often touch their faces with dirty hands; if there is even the slightest damage to the face, this can cause the development of an inflammatory process. Boils are also a consequence of weak immunity, so if a child often has boils, you need to pay attention to his diet, reduce the amount of sugar consumed, and increase fruits and vegetables in his diet.

At the first stage of maturation, a slight swelling appears on the skin around the hair, redness, itching, and soreness may appear.

At the second stage, the boil increases in size, the skin becomes red and inflamed, and a throbbing pain is felt at the site of the abscess. On the 3rd - 4th day, the development of the boil peaks - in the center of the abscess (which reaches 1 to 3 cm in diameter) a purulent core appears (a whitish dot in the center of the redness, covered with a thin white film). During this period, depending on the location of the boil, nearby lymph nodes may become inflamed.

The third stage of development of boils is expressed in the opening of the abscess - the film covering the rod is torn away and the pus breaks through and the purulent rod leaves. After this, the pain and redness begin to subside, and recovery begins.

Treatment of boils

First of all, when you find a boil on the skin, you should not try to squeeze it out or pick it out. It is best to seek the advice of a specialist as soon as possible in order to begin effective treatment.

Has proven itself in the treatment of boils ointment Elon K, produced by the German pharmaceutical company Cesra Arzneimittel GmbH & Co. The ointment is made on the basis of medicinal herbs and is effective, more aesthetically pleasing in use, an alternative to Vishnevsky and Ichthyol ointments.

The basis of the active ingredient of the ointment is larch turpentine and purified turpentine oil, as well as essential oils of eucalyptus, thyme, rosemary and thymol. Not belonging to the group of antibiotics, the ointment has pronounced anti-inflammatory, antibacterial and blood circulation-enhancing properties. Applied to the skin under a sterile bandage or patch, the ointment disinfects the affected area and increases blood flow to the site of inflammation, which helps accelerate the resorption or maturation and opening of the boil.

The active substances contained in the ointment completely remove pus from the affected area of ​​the skin and prevent further spread of inflammation. Due to the herbal origin of the ingredients, the ointment is well tolerated and has virtually no contraindications. Therefore, the ointment can be used not only for treatment, but also as prophylactic to prevent skin inflammation. You can purchase Elon K ointment in pharmacies.

If it is not possible to seek medical help immediately, then anti-inflammatory drugs can be applied to the affected area ( Vishnevsky ointment, ichthyol or levomekol), you can also lubricate the inflamed area with iodine.

On initial stage development helps well dry heat(salt, boiled egg and so on.). Has a good pulling effect aloe plant, which can be applied with pulp to the inflamed area for 2 - 3 hours (preferably at night). Treat the affected area only with clean hands, and be sure to wash your hands after treating the abscess.

Treatment for boils is to promote more rapid maturation purulent core. For this, local compresses of antiseptic and anti-inflammatory drugs are used.

How to cure a boil?

If boils occur, it is advisable to take a course of vitamin supplements to increase the body's defenses. It is very important to wash your hands thoroughly before and after handling boils, preferably with antibacterial soap.

To treat boils on initial stages dry heat is used (UHF, heating). You can use a fairly simple method yourself - wrap a boiled egg in a towel and apply it to the affected area, you can also use heated salt and sand. This method helps speed up the ripening process. It is worth noting that warming up after a purulent vesicle (head of the rod) appears on the surface of the boil is strictly prohibited. In this case, the likelihood of premature rupture of the abscess and the spread of infection throughout the body increases. At the stage of the appearance of a purulent core, it is recommended to use products that have a pulling effect - Vishnevsky ointment, levomekol. After the boil has broken through and the purulent core has come out, the wound must be thoroughly cleaned with hydrogen peroxide and applied with ichthyol ointment or levomekol, which will speed up healing.

Is it possible to squeeze out a boil?

When a boil appears, you should not try to squeeze it out yourself, especially if it is located on the face. When squeezing, an infection can get into the wound, as a result a boil may appear on another area of ​​the skin, and this can also provoke furunculosis (multiple boils).

If a boil appears, the body needs to be helped to cope with the disease, and not provoke even greater complications. To speed up the process of ripening of the boil, and thereby speed up the healing process, you can treat the affected area with special means (ointments, creams, antiseptic essential oils, etc.).

How to remove a boil?

Boils can also be removed surgically. Doctors recommend opening boils located in the nasolabial triangle immediately, since due to closely located vessels, the likelihood of infection of the deeper layers of skin and blood increases.

When surgically removing a boil, the surgeon makes an incision in the skin over the affected area of ​​skin and cleans the cavity of accumulated pus and the stem. After this, the wound is treated with antiseptics, and an anti-inflammatory ointment (usually levomekol) is placed into the cavity, which helps to completely clean the wound and reduce inflammation in the tissues. This operation is performed under local anesthetic; the pain and discomfort caused by the boil quickly disappears after the operation.

How to treat a boil on the butt?

A boil on the butt should be treated in the same way as on any other part of the body. At the initial stage, the boil that has just appeared must be warmed with dry heat and treated with anti-inflammatory and antiseptic agents, then it is necessary to apply stretching compresses (Vishnevsky ointment, ichthyol), after opening the abscess, clean the cavity with hydrogen peroxide and apply anti-inflammatory ointments (levomekol, ichthyol)

How to squeeze out a boil?

At self-extrusion Boils should be kept as clean as possible. It is important to wash your hands well with an antibacterial agent before squeezing and treat the surface of the damaged area with alcohol. You can only squeeze out a well-ripened boil, and be sure to completely remove the purulent core, otherwise complications are possible (recurrence of boils, skin infection, severe inflammation, etc.).

Prevention

To prevent boils, it is important to follow the rules of personal hygiene and treat various injuries with antiseptics (iodine, brilliant green). In addition, it is extremely important to monitor general condition health – treat diseases in a timely manner. The spread of boils throughout the body is facilitated by squeezing, cutting off the upper part of the purulent core with a razor, warming compresses at the stage of purulent formation, and this can also cause serious complications.

How to prevent boils?

To prevent boils, in addition to maintaining personal hygiene and treating wounds, abrasions and other injuries with antiseptics, it is important to avoid hypothermia (as well as overheating, especially in the sun), and you should also properly care for oily skin face, do not overuse deodorants.

When cleaning the ear canals, use only special cotton swabs so as not to injure the delicate skin.

You need to watch your diet, which should include a sufficient amount of vitamins.

Forecast

The prognosis of a boil, if it is a single uncomplicated abscess, is favorable in most cases. Also, a lot depends on the location of the boil. If the process of development of boils is accompanied by any complication, then favorable prognosis largely depends on timely and effective treatment.

Boil is a rather dangerous inflammatory process that can lead to serious consequences. Usually, with the right and timely treatment, the ulcers are successfully cured and no longer bother the person. Often boils are just a consequence of an existing chronic disease, so it will be impossible to cure boils without treating the underlying disease.