Various ways to remove a boil. At home. Traditional methods of treating boils

At first it may seem like it's just a pimple, only a large one. A little time passes, and the cavity of the tubercle fills with pus, and it begins to hurt. In this case, you need to know that you are dealing with a boil and squeezing it out like a simple pimple will not work. When wondering how to remove a boil, you need to understand the causes and consequences of its occurrence.

Self-medication can be very dangerous for your health. Before you try any method on yourself, carefully read the information about what a boil is and how to remove a boil, relying on medical reference books and the words of experts.

A furuncle is an inflammatory disease of the hair bulb (follicle), accompanied by the formation of a large amount of pus and necrosis (death) of the tissue of the bulb itself, the adjacent sebaceous gland and the surrounding connective tissue base of the skin. Popular name this disease is a boil or abscess. It is caused by pyogenic microorganisms, most often bacteria of the St. aureus (Staphylococcus aureus).

The disease can also be caused by other common microorganisms, for example, epidermal and saprophytic staphylococcus, as well as group A beta-hemolytic streptococcus.

Causes

Staphylococcus aureus is part of normal microflora in many people without causing disease. However, under certain conditions, it penetrates the skin and begins to multiply in it, causing inflammation.

Causes of boils:

• skin contamination, especially with petroleum products, machine oil;
• scratches, abrasions, scratches, other damage, including microscopic (for example, from metal shavings or shaving);
• increased sweating associated with illness or caused by exposure to a warm, humid environment;
• presence of suspended cement, coal, mineral dust in the air;
• excess secretion sebum, which is also observed in adolescents during puberty;
• diabetes mellitus, which inhibits the activity of skin immune cells;
• lack of vitamins or protein;
• immunodeficiency of various origins - both congenital and acquired under the influence of drugs (immunosuppressants, cytostatics) or viral infection(AIDS virus).

Hypothermia, stress, lack of sleep and other nonspecific factors that deplete the body's defenses contribute to the occurrence of a boil.

External manifestations of a boil

It can be located on any area of ​​the skin where there is hair or hair follicles. However, its most common location is on the face, neck, occipital region, on the back, lower back, buttocks and thighs, as well as on the back of the hand.

What does a boil look like: in its course it goes through certain stages associated with the development of the process of purulent inflammation.

Stages of the disease:

• infiltration;
• formation of a purulent-necrotic core;
• opening;
• cleansing, healing.

At the very beginning, a pustule - a small bubble - appears at the mouth of the hair follicle. Then a vaguely limited swelling and thickening of the skin (infiltrate) appears, having a bright red color and raised above the surface of the skin in the form of a small cone. A painful nodule forms in the thickness of the infiltrate. Over the course of several days, the compaction grows, the redness spreads to the surrounding tissues, and in the outbreak itself the skin becomes purple in color.

For a single process, the symptoms of intoxication are uncharacteristic, the patient’s well-being does not suffer, and the body temperature does not rise.

After 3-4 days, the tissues in the center of the cone die off, that is, necrosis occurs. Dead tissues immune cells, bacteria form pus, which forms a rod having greenish color. At the same time, a softening (fluctuation) forms at the top of the boil, and then it opens. This is how the formed necrotic rod.

The opened boil secretes a large number of pus, often mixed with blood. Within 2-3 days of this process, the necrotic rod comes out of the wound (rejected). At the same time, the swelling and pain of the surrounding tissues decreases quite quickly. In its place, a deep wound or ulcer remains, bleeding moderately for some time. It quickly fills with granulation tissue and heals with the formation of a scar within 2-3 days.

How long does it take for a boil to mature?

The entire described cycle takes 8-10 days, half of which is occupied by the process of infiltration and formation of a purulent-necrotic core, and the second half by the opening, cleansing and healing of the abscess.

Special forms of boils and their consequences

There are some types of boils that require special attention doctors. These include ulcers located on the nose, under the eyes on the cheeks, in the area of ​​the nasolabial folds and upper lip. This localization is characterized by severe pain when talking, chewing, and facial movements. Patients are often concerned headache, feeling weak, fever. Only after opening the boil does the patient’s well-being improve.

Furuncle on the face

Dangerous of developing severe complications. In this anatomical region, a network of lymphatic and venous vessels, which fall into pathogens from the source of inflammation. The inflammatory process also begins there - thrombophlebitis. With current venous blood the infection enters the venous sinuses (extensions) of the dura mater. Sinus thrombosis occurs, purulent meningitis- inflammation meninges.

This complication is accompanied by rapidly increasing swelling of the face, in which compacted painful veins can be felt, fever, deterioration general condition. Subsequently, vision and consciousness are impaired, and stiffness of the neck muscles appears. If at this time you do not provide medical care, the patient may die.

Abscess boil

A condition in which purulent inflammation spreads to the surrounding skin with its necrosis and the formation of extensive ulcers - abscesses. The process is accompanied by a deterioration in general condition, fever, thinning of the skin, and the appearance of foci of fluctuation under the skin. Such inflammation is also fraught with the development of complications.

Why is a boil dangerous? In severe cases of the process, usually found in patients with diabetes mellitus, the following complications may develop:

• (multiple ulcers);
• lymphangitis and lymphadenitis (inflammation lymphatic vessels and nodes);
• thrombophlebitis (blockage and inflammation of the veins);
• phlegmon and soft tissue abscess (extensive purulent melting);
• sepsis and metastatic abscesses (microbes enter the blood and form purulent foci in other organs).

Similar diseases without medical intervention can lead to sepsis (blood poisoning) and unfavorable outcome.

Diagnostics

Recognizing a boil is usually easy. The doctor must distinguish it from hidradenitis (inflammation sweat glands), folliculitis (superficial pustules on the skin), erythema nodosum(painful nodes under the skin), lesions due to tuberculosis, actinomycosis, deep trichophytosis, anthrax.

For recurring boils, it is necessary to inoculate the contents on a nutrient medium and find out which microbe causes the disease and which antibiotic it is sensitive to. They are trying to identify the focus of the patient chronic infection- source of bacteria. It could be chronic tonsillitis, sinusitis, dental caries. Be sure to check your blood sugar levels.

If complications develop, it is carried out additional diagnostics– blood and urine culture for sterility, ultrasound, magnetic resonance imaging of the liver, kidneys, brain and other organs to determine the location of metastatic purulent foci.

How to get rid of a boil

Which doctor should I contact? If the boil is at the stage of infiltration, that is, the abscess has not yet opened, you can contact a dermatologist who will prescribe a local and systemic treatment. If the boil is already mature, its stem is visible, or it has already come out with pus, you need to contact a surgeon to treat the wound. If you are not sure about choosing a doctor, the right thing to do would be to contact a surgeon at the clinic at your place of residence. He will advise how to treat a boil at any stage.

If the abscess is on a limb, it should be kept at rest. For this purpose, a plaster cast or plastic splint is sometimes applied.

Local therapy

Local treatment of a boil involves, first of all, thorough antimicrobial treatment of the surrounding skin. It is wiped 70% ethyl alcohol or 2% salicylic alcohol. If the process has just begun, you can try to stop it by lubricating the site of infiltration with tincture of iodine or an alcohol solution of brilliant green. At this stage you can still use dry heat. Good effect gives wiping the surface of the skin with a solution of Dimexide. There is no need to use compresses with it, like any other wet dressings, which only impair blood supply and cause additional damage (maceration) to the skin.

At the same time, physiotherapeutic procedures can be prescribed to cause regression of the boil. It must be remembered that the time during which the developing infiltrate can be warmed up is very short (2-3 days), so such procedures should be carried out only as prescribed by a doctor and under his daily supervision. If this is not possible, it is better to refrain from thermal procedures until the wound is cleansed of pus.

Pure ichthyol or Ichthyol ointment is applied directly to the infiltrated area. This medicine has an anti-inflammatory effect, relieves pain, has a local irritant effect. Ichthyol drawing ointment is a popular remedy for boils, in some cases helping to get rid of them before an abscess forms. Pure ichthyol can also be used, but it is almost impossible to find on sale. However, many medical institutions have this remedy, and surgeons perform dressings with it.

There are methods according to which the developing boil is injected with a solution of novocaine mixed with antibiotics or electrophoresis of antibacterial drugs is performed. These medications are prescribed by your doctor. Below we will mention which antibiotics to take for boils.

If a purulent-necrotic core has already begun to form, but the boil does not mature, to accelerate its formation, salicylic sodium or salicylic acid and fixed with a dry sterile bandage. Nowadays these means are practically not used. Instead, ointment with ichthyol is used. Dressings with ichthyol or Ichthyol ointment should be done 2 times a day until the abscess opens.

Opening a boil

The opening of the abscess occurs independently. Once formed purulent rod separated from the surrounding inflammatory infiltrate, it can be carefully removed with tweezers. It is better to entrust this manipulation to a surgeon who will carry it out under sterile conditions and show how to apply a bandage.

After removing the rod, the wound is washed with solutions disinfectants, for example, hydrogen peroxide or Furacilin. In order to prepare a solution of Furacilin, you need to dissolve two tablets of the drug in a glass of water. For quick and complete dissolution, water with added tablets can be boiled and then cooled.

Apply a bandage moistened to the wound hypertonic solution sodium chloride. To prepare such a solution at home, you need to dissolve a tablespoon of salt in 100 ml of water, boil, and cool. Needs to be wetted gauze wipes in such a solution and apply them to the wound 3-4 times a day for 30-40 minutes, and then cover the damage with a dry bandage, securing it with an adhesive plaster if necessary.

When the wound is completely cleared of pus, there will be no white or gray plaque, blood and other secretions, you can apply ointment dressings, changing them daily or every other day. Most often, Levomekol is used for this purpose. This is an ointment produced in tubes of 40 grams and jars of 100 grams. It contains the antibiotic chloramphenicol (chloramphenicol) and an agent that improves wound healing - methyluracil. Levomekol is used to soak gauze napkins and cover the healing boil with them, covering the top with a dry bandage and fixing it with an adhesive plaster if necessary. You can also use other products containing antibiotics: Baneocin, Bactroban. To prevent a scar from forming, a healing wound can be treated with Panthenol.

Healing

During healing, physiotherapy is prescribed: Sollux, ultraviolet irradiation, UHF therapy. Is it possible to heat a boil when treating it at home? Yes, it is possible if the cavity is cleared of pus, the wound is healing, the redness is decreasing, and there is no pain around the injury. Use dry heat, for example, heating with bags of salt. Thermal procedures, their type and duration must be agreed upon with the attending physician in order to prevent an exacerbation of the infection.

If a lump remains after the boil, you need to consult a doctor - perhaps an encapsulated source of infection remains under the skin - the so-called internal boil. This term itself medical point the vision is not entirely correct, since sooner or later any abscess must burst, and the abscess has no other way out than on the surface of the skin. However, if this does not happen for a long time, the boil is removed using a small skin incision with a scalpel.

Is it possible to squeeze out a boil? No, you can't do this. In case of damage to the smallest blood vessels, which is inevitable with mechanical impact on the abscess, will definitely get into the blood dangerous germs. This may lead to severe complications: blood poisoning, formation of ulcers in the kidneys, brain, other organs and even death.

Home treatment and antibiotic therapy

Home therapy is carried out in most uncomplicated cases. Usually the patient goes to the clinic to see the surgeon only for dressings and for a follow-up examination after recovery. Only patients with facial boils are hospitalized. They are assigned bed rest, it is forbidden to talk or chew solid food.

For facial boils, systemic treatment is prescribed. antibacterial therapy. The most commonly prescribed are protected aminopenicillins (Amoxiclav) or cephalosporins (Cefalexin and others). If they are intolerant, macrolides (Clarithromycin, Azithromycin), tetracyclines (Doxycycline), fluoroquinolones (Ofloxacin) and other stronger antibiotics can be used.

However, the higher the activity of the antibiotic, the more likely it is unwanted effects, and also a higher likelihood of the patient developing drug resistance of microorganisms in the future. Therefore, the choice of antibacterial drug should be made by a doctor. You can use both tablets and preparations in the form of an injection solution. This depends on the pharmaceutical characteristics of each antibiotic - some act faster and more effectively after absorption in the gastrointestinal tract.

At the same time, anti-inflammatory drugs are prescribed, which also have an analgesic effect. They can also be taken when treating a boil at home to relieve pain (Nurofen, Paracetamol).

Vaccination, vitamins and immunostimulants

For treatment staphylococcal infection in children from 6 months and in adults, a therapeutic staphylococcal vaccine (staphylococcal antiphagin) is prescribed. In addition to curing boils, this medicine causes the formation of immunity against infection caused by staphylococcus. It is especially indicated for recurrent boils and widespread furunculosis. The staphylococcal vaccine has quite a few contraindications, mainly diseases of the liver, kidneys, and glands internal secretion And allergic diseases, as well as pregnancy and lactation.

Multivitamins are prescribed, especially C, E, A, which have a beneficial effect on immunity and protective properties skin. Immunostimulants are used, in particular Lykopid. It can be prescribed to children over 1 year of age. Lykopid is contraindicated during pregnancy, lactation, severe autoimmune thyroiditis and other allergic diseases.

Complex is applied locally liquid pyobacteriophage- a product that destroys bacteria. It is used in the form of lotions and irrigations after opening the boil. This medicine not only speeds up healing and fights infection, but also prevents the development of complications.

Surgical removal of a boil

Carried out when there is a threat of infection spreading and the formation purulent complications– abscess or phlegmon of the skin. Under local anesthesia the skin over the lesion is incised, the affected tissue is removed, and the cavity is thoroughly cleaned. If the wound is small, it can heal on its own, with more extensive damage stitches are placed. In the postoperative period, antibiotics, pyobacteriophage, anti-inflammatory drugs, vitamins, and immunostimulants are prescribed.

Prevention

Preventive measures for boils can be divided into two groups: primary (prevention of the appearance of ulcers) and secondary (prevention of complications).

To prevent a person from developing boils, he must follow simple rules:

• observe the rules of personal hygiene - wash your hands, body, hair on time;
• do not use soap with antibacterial components (triclosan), which kill beneficial microflora that inhibits the development of pathogenic bacteria;
• when working in dusty rooms, use products personal protection, avoid rubbing the skin with a collar, belt and other parts of clothing;
• limit skin contact with petroleum products and machine oils;
• use antiperspirants and wash more often if you sweat excessively;
• for patients with diabetes, keep blood sugar levels under control;
• avoid fasting, hypovitaminosis, constant stress and overwork, normalize sleep;
• eliminate foci of chronic infection in the body, get rid of the carriage of bacteria in the nasopharynx;
• In case of wounds or damage to the skin, treat them as quickly as possible antiseptics, wipe the skin around the wound with tincture of iodine or brilliant green, apply Baneocin ointment and a dry bandage.

If a boil has already appeared, you must:

• touch it with your hands as little as possible;
• keep surrounding skin clean;
• ensure limb rest;
• consult a doctor.

Furuncle at the stage of inflammation - dangerous disease which requires surgical treatment. The peculiarity of its course is speed, so you cannot hesitate, otherwise you will need surgical intervention. The difficulty of removal will depend on the degree of advanced disease.

Pre-registration for an appointment

After filling out the form, Dr. Igor Vitalievich Elshansky will contact you and confirm your appointment.

A furuncle is an inflammation of the hair follicle. On early stage it must be treated with antibiotics. A highly qualified specialist can determine the degree of development of furunculosis. If you suspect you have this disease, you should see a doctor immediately. You can check with:

• surgeon;
• dermatologist;
• immunologist;
• endocrinologist.

The examination will reveal the reasons purulent formation, as well as the need to cut it out (remove) in the clinic. When an abscess forms around the redness and grows over time, you will most likely need professional removal.

Features of surgical intervention

Only a highly qualified surgeon who has experience in this field can cut out a boil in Moscow as carefully and safely as possible. We recommend contacting clinics with a good reputation. Unlike public medical institutions, the price of surgical treatment is higher, but the level of service is also different. A private clinic awaits you individual approach, the ability to remove a boil in Moscow at home, as well as prompt operation using the best equipment.

The treatment process itself includes several stages. Cutting out the formation means emptying the cavity with pus; for this, the inflamed formation must be cut. The operation is performed under local anesthesia. Boil removal price surgically depends on the selected institution in Moscow.

A boil is an acute inflammatory-purulent formation on the skin, starting with inflammation hair follicle followed by involvement of subcutaneous tissues in the process, which is caused by Staphylococcus aureus or white Staphylococcus. How to quickly cure a boil at home and prevent complications?

In everyday life, the pathology is called an abscess or boil. Boils can form on any part of the body, except the palms and soles, where there are no hair follicles, but more often develops on the face, back of the head, back, buttocks, thighs, and in the ear canal.

When the process spreads (formation of multiple abscesses), or their frequent occurrence, the disease is diagnosed as furunculosis.

Causes of boils

The main causes of this pathology include:

• excessive sweating, excessive secretion sebum, acne;
• rare washing and frequent skin contamination;
• hormonal instability;
• consumption of foods poor in vitamins, excess trans fats, fast carbohydrates in the diet;
• low immune defense(local and general);
• disturbances in metabolic processes;
• endocrine, neurological disorders, diseases of the blood, blood vessels;
• intestinal dysbiosis, hepatitis;
• foci of recurrent chronic diseases in the body;
• chronic poisoning, including intoxication with alcohol and industrial substances;
• long-term stressful conditions.

The degree of danger of an abscess is related to its location.

The greatest threat of complications comes from abscesses that occur on the head (especially in the area of ​​the lips and nose), on the back of the head and neck, in the groin, in the folds of the buttocks, in the hollow of the armpit, and in the depths of the ear canal.

These areas are saturated with a large number of blood and lymphatic vessels located close to the surface, so pyogenic organisms easily enter the bloodstream, causing:

• abscess of the meninges, meningitis, septic phlebitis of cerebral vessels;
• inflammation and thrombosis of the lymphatic and venous tracts, phlebitis of the facial veins;
• lymphadenitis (inflammation of the lymph nodes);
• multiple lesions by purulent metastases of the liver, kidneys, heart, joints;
• blood poisoning.

Symptoms of a boil

Painful symptoms are associated with the stage of development of the abscess.

1. Infiltration stage.

There is tingling and itching in the area of ​​the skin, and after 1 – 2 days a painful thickening and redness appears.

2. Maturation stage.

On days 3–4, an inflamed cone-shaped node ranging in size from 2 to 50 mm is formed in the center of the infiltrate, rising above the skin level. The skin becomes purple in color, becomes hot, and tissue swelling progresses. The patient suffers from severe “jerking” pain.

On days 5-7, the abscess swells even more, turns red, and at its top a pustule forms in the form of a yellow-white head - a bubble with pus. Inside, in the center of the node, a rod consisting of dead (necrotic) tissue and pus is formed and compacted.

On days 7–9, the abscess opens with a large volume of purulent discharge. The internal rod is rejected within 1 – 2 days. After opening, the pain immediately subsides, inflammation decreases.

3. Healing stage.

The ulcer at the site of the opened abscess is cleared of residual contents and gradually heals through scarring, acquiring a reddish-bluish color.

General signs of the disease manifest themselves in different ways, depending on the location of the boil, its size, and the age of the patient.

If the inflamed node is large, located in the head area, or there are multiple formations on the skin, the following occurs: fever, chills, headache, nausea, in the blood - increased ESR, increased number of leukocytes.

The duration of the pathological process, subject to timely treatment, is from 10 to 12 days.

It is necessary to distinguish a boil from ostiofolliculitis - superficial inflammation at the outlet of the hair follicle, acne– acne, in which pimples appear due to a violation of the outflow of sebum, and inflammation of the sweat gland ducts in infants.

Important! Do not miss the development of more severe pathologies, the symptoms of which are similar to the symptoms of a boil. They demand intensive care antibiotics, surgical treatment only in a hospital. These include: carbuncle, abscess, hidradenitis (“ bitch udder"), phlegmon.

Treatment of boils at home

How to get rid of a boil at home, taking into account what phase of maturation it is in.

Treatment at home is possible only if the boil is small (up to 5 mm), no elevated temperature and signs of poisoning by bacterial toxins (nausea, weakness, headache).

Immediate consultation with a doctor is required in the following abnormal conditions:

• temperature rises (from 37.5 C);
• symptoms of inflammation and infection of adjacent tissues appear - the area of ​​redness around the abscess increases;
• the “head” does not mature for a long time (more than 7 days);
• a large inflamed nodule has formed in a child under 10 years of age;
• an abscess appeared on the face, neck or in the ear canal;
• the pathology occurred in a patient with heart disease, immunodeficiency, rheumatoid arthritis, diabetes mellitus, cancer, while taking antitumor drugs, hormonal drugs, drugs that suppress the immune system.

What not to do:

1. Squeeze, pierce and cut boils. Such manipulations very often lead to widespread infection, the development of an abscess, thrombophlebitis of the facial veins, infection of brain tissue and general infection blood from high risk death of the patient.
2. Use warming procedures in the first phase - when only skin redness, thickening and soreness are observed, but a clearly defined cone-shaped bulge has not yet formed. This also contributes to the deepening and expansion of the infectious process.
3. With a different diagnosis, some medical and folk remedies capable of causing harm. Thus, Vishnevsky ointment is not used for lymphadenitis, festering lipoma, and is not used on the face.

Ointments and agents that accelerate the breakthrough of an abscess

Local treatment of an abscess is aimed at accelerating the process of maturation and opening of the abscess, reducing swelling, pain, preventing spread inflammatory phenomena to adjacent tissues.

Before applying ointments, it is necessary to treat the skin around the abscess with hydrogen peroxide 3%, salicylic, boric, camphor alcohol from the edges of the inflammation zone to the center to prevent dissemination (spread) of the purulent process.

You should not spend money on expensive drugs, since ancient but effective remedies are much more effective.

External remedies that help to mature the “head”, soften the epithelium and reduce pain:

• Salicylic acid in the form of 10% ointment or powder;
• Levosin, Vishnevsky ointment, Ichthyol, Bactroban, Yoddicerin.

Dressings with Vishnevsky, Ichthyol, Levosin ointment, which activate blood circulation in the area of ​​suppuration, lead to accelerated maturation of the boil. Twice a day, use the so-called “ichthyol cake”, applying pure ichthyol to the abscess and covering it with a small loose layer of natural cotton wool. When dry it looks like a cake and is easily washed off boiled water. The procedures are done 2 times a day, until the pus drains.

Sintomycin's liniment draws out pus even in prolonged pathological processes.

• If the exit to the outside of the central purulent-necrotic core is delayed, special enzymes are used, both in the form of a solution and in the form of powder: immobilized trypsin 0.5 - 1%, chymotrypsin, chymopsin. They promote the rejection of dead tissue, facilitate the release of pus, diluting it, and accelerate healing.

Important! Many surgeons actively object to the use of wet warming compresses and poultices, explaining this by maceration (moist swelling) of the skin around the abscess, which facilitates the spread of infection.

Therefore, to speed up the maturation of the abscess head, it is better to use dry compresses, which are applied up to 10 times a day for 15 minutes.

Either a natural heated cloth or a bag of fine salt is used, which actively disinfects the inflamed area, accelerates maturation and limits the inflammatory process, preventing it from expanding.

Important! Remember that no thermal procedures are allowed at elevated temperatures.

It is good to irradiate the inflamed area with ultraviolet light (if you have a UV lamp at home) or allow sun rays warm it up and disinfect it. As prescribed by a doctor, UHF currents are used at the maturation stage.

For severe “jerking” pain, it is advisable to take painkillers and anti-inflammatory drugs:

• Ketanol, Analgin in combination with Paracetamol (half a tablet);
• externally, to reduce pain, apply a bandage with silver nitrate (1% solution).

Removing a boil

Doctors insist that independence in removing a festering formation is dangerous, but if the boil has already “ripened” and is not in the head area, you can help it open with extreme caution.

How do you know that an abscess can be opened?

You should wait until the stage at which the boil is “ready” to burst on its own. This stage is characterized by the following features:

1. Suppuration continues for at least 7 days.
2. At the top inflamed node a protruding white-yellow lesion has formed.
3. The area of ​​redness around the cone of the abscess has decreased and become more clearly defined, delimiting it from healthy skin.

Remember! By opening an immature abscess, you will only “help” the infection spread deeper and to neighboring tissues.

Operation to open the abscess and remove the rod

• It is advisable to wear glasses to prevent purulent discharge from getting into the mucous membrane of the eyes.
• Treat the entire area of ​​inflammation with alcohol. Carefully pierce the purulent tip with a sterile syringe needle (preferably a little from the side). It is not painful because there are no nerve receptors in this area.
• Collect the leaking pus with sterile wipes, changing them constantly. Do not use cotton wool - its fibers clog the pus drainage channel.
• If a dense rod appears along with the pus, gently pull it out with forceps. The core of dead cells and pus is removed only when it is fully formed and separated from the adjacent tissue.
• You can very lightly press on the boil from below to remove all its contents until ichor (liquid with blood) appears from the wound.

If you have made a mistake with the stage of maturation and see that the pus is not completely removed, do not continue to press on the lump.

• Treat the wound with hydrogen peroxide (3%) and apply a gauze bandage with Levosin or Levomekol ointment.

If the pus accumulates again, or the rod has not yet been rejected, you will have to repeat the procedure for removing the contents within 2–3 days.

Attention! Contact your surgeon immediately:

• if the temperature has risen, the general condition has worsened;
• if the abscess is opened, but the rod does not come out, or the purulent contents come out for more than 3 days;
• if the area of ​​redness has increased, swollen, thickened, or become brighter;
• if the tugging or dull pain intensifies or spreads to the adjacent area.

Care of abscess lesions after opening

How to treat a boil after it has “broken”?

After opening, the lesion is treated daily with hydrogen peroxide before applying the medicinal ointment and gauze bandages soaked in NaCl solution during the period until the wound is cleared of secretions.

Since the wound bed after opening is purulent wound, it is necessary to use antibiotic local drugs that destroy all pathological flora.

Use: Stellanin-PEG, Levomekol and Levosin, Lincomycin 2% ointment, Bactroban, Mupirocin, Tomicide, Dimexide, Gentamicin, Bactrian, Yoddicerin, Polcortolon, Iruksol, Oflocain, Fuzidin-sodium gel.

Keep in mind that after opening, Vishnevsky and Ichthyol ointment are applied not to the wound itself, but to the area around it. The drugs are absorbed stagnant processes, thus accelerating the outflow of contents, prevents infection of healthy surfaces.

If everything is done correctly and the pathological process subsides, then on the 2nd - 3rd day the elevation on the skin and the redness around it decreases and acquires a clear boundary, the swelling subsides.

When the wound begins to heal and become covered with a crust, do not remove it, as it protects the entrance hole and covers the delicate, re-appearing tissue. If the crust is not touched, the likelihood of severe scarring is minimal. At this stage, you can gradually cancel everything antibacterial ointments, lubricating the healing area with brilliant green.

Fundamentally, surgical procedures in a hospital differ little from home procedures. But the surgeon has more options when treating.

So, if the formation cannot be completely freed from pathological contents, the doctor installs a drainage - a special tube or turundum through which the secretions come out.

In addition, the doctor often injects the diseased area with antibiotics and an anesthetic solution (blockade), which very quickly resolves the process and prevents its spread.

When to start taking antibiotics?

Antibiotic therapy for boils is only necessary in certain conditions.

Antibiotics, taken in tablets or administered intramuscularly, are prescribed for 5 to 10 days in the following cases:

• if the focus of suppuration is more than 5 mm;
• if many abscesses appear;
• if the temperature rises and signs of intoxication appear;
• if the abscess is in the groin, armpit, on the back of the head, near the nose or lips, inside the nostrils, in the ear;
• a complication occurs in the form of lymphangitis and lymphadenitis;
• the process deepens until the development of a carbuncle, abscess, hidradenitis, phlegmon;
• in patients with diabetes mellitus, severe pathologies of the kidneys and heart.

Most often prescribed:

• Macrolides - Erythromycin, Spiramycin or cephalosporins (Ceftriaxone, Cephalexin);
• Cloxacillin (for adults 4 times a day 500 mg), Rifampin 600 mg once a day, Clindamycin in daily dose 150 mg;
• Lincomycin (Mitsivin, Lyocin), Fuzidin;
• Trimethoprim, Rimactan, Sulfamethoxazole, Rifampicin, Doxycycline, Vibramycin, Minocycline;
• sometimes - Dicloxacillin.

Staphylococcus is able to quickly acquire resistance to antimicrobials, so you shouldn’t prescribe them yourself. In many cases, it is necessary to conduct a bacterial “seeding” - a study on the sensitivity of the pathogen to antibiotics.

In cases of skin lesions with methicellin-resistant strain Staphylococcus aureus Your doctor may prescribe Vancomycin.

In addition, antibiotic therapy is often combined with the prescription of sulfonamide and antihistamines, such as Pipolfen, Diphenhydramine, Suprastin, calcium chloride, which reduce the sensitivity of cells to bacterial poisons and toxins of decaying tissues.

Traditional methods of treating boils

Folk remedies are effective as an auxiliary remedy.

Doctors have not reached a consensus on the correctness of using warming wet compresses.

Many experts fear that this only leads to aggravation of the process. Therefore, all folk remedies using lotions, compresses, and wet procedures should either be agreed with a doctor, or carefully monitor the “behavior” of the abscess during the use of such remedies. If there is the slightest deterioration, increased compaction or redness, you should immediately consult a doctor.

Among the home recipes that help speed up the process of drawing out pus and the formation of the head of the boil, the following are considered the most effective:

1. Mixed cakes rye flour, warm water and honey. A thick mass is applied to the site of inflammation, changing after 3 to 4 hours. This procedure gives results at an early stage, when the boil has not yet formed. It often stops its development.
2. After opening the abscess, salt lotions with regular and iodized salt can be used every 4 hours. To obtain a therapeutic saline solution of the required concentration for adults, mix 3 tablespoons of salt (no more) with 1 liter of water. To treat a child, take 2 teaspoons per glass of boiled water.
3. Drawing out pus with an onion. The onion is cut, baked in the oven for 30 minutes at 180 °C, then the pulp is thickly distributed over the area of ​​suppuration, fixed with a soft bandage. Change after 5 - 6 hours.
4. Treatment raw potatoes. The vegetable is rubbed, squeezed, sometimes a teaspoon of honey is added, and bandages are made with the medicinal mass up to 3-4 times a day.
5. Drawing out pus with aloe or agave. The young tender leaf is cut, the spines are removed and kneaded. Apply a bandage to the boil, which is changed 5-6 times a day. With a ripening boil, all processes accelerate, and the abscess opens faster. Apply at any stage. If the boil does not break out in the early stage, the inflammatory phenomena may completely subside.
6. At the stage of expiration of the contents from the opened abscess, aloe juice is mixed with olive oil V equal parts, moisten the gauze in the composition and apply it, securing it with parchment and a bandage. Keep this compress for 12 hours, then make a new one.
7. Buckwheat porridge on water. Boiled buckwheat is also used to treat boils. Spread a spoonful of very thick porridge on gauze and apply it to the inflamed area, replacing it with a fresh mixture after 4 hours.

Treatment of furunculosis in children

Furunculosis is an abnormal infectious condition in which a large number of skin abscesses appear on the skin. different stages development. Furunculosis can be limited, manifesting itself in individual areas or general (widespread, disseminated), in acute and chronic form.

The development of multiple foci occurs after the spread of infection from primary focus. This often happens in the absence of antiseptic treatment and improper opening of boils.

Childhood and adolescence is a period during which furunculosis often occurs for reasons such as:

• underdevelopment of the immune system and skin structure (especially in children under 5 years old);
• hormonal instability;
• activity of sebaceous and sweat glands;
• illnesses digestive tract, dysbacteriosis, dermatitis;
• frequent microtraumas, contact with contaminated objects during games;
• poor hygiene, poor nutrition.

Furunculosis in infancy is treated only inpatiently.

In pediatrics, when treating furunculosis, they also resort to surgical treatment, and to prescribing the same drugs as for adults, but in age-specific dosages.

Apply:

1. Antibiotics, including Cephalexin powder for suspension and Fusidine sodium, which can be used in the treatment of infants.
2. IN mandatory the child is given B vitamins, Nicotinic acid, vitamin A and C. B severe cases vitamins are prescribed in ampoules.
3. A simple way to saturate the body with vitamin B is to take brewer's yeast in tablets, which is very often used for furunculosis.
4. In order to strengthen local and general immunity in an age-related dose and taking into account possible allergic reactions Shilajit, tincture of Eleutherococcus, aralia, and pantocrine are used.
5. Pharmacy preparations for stimulation protective forces used only after permission from the pediatrician. These include Seramil, Derinat, Myelopid, Lykopid, Polyoxidonium, Octagam, Intraglobin.

Nutrition for furunculosis

The diet involves limiting carbohydrate and fatty foods, hot spices. The diet includes more products such as seafood and River fish, black bread, yeast, cereals with high content vitamin B (buckwheat, oatmeal), vegetables (especially carrots), berries, fruits. Products with fiber cleanse the intestines, preventing intoxication of the body with poisons and decay products. You need boiled meat, liver, and an abundance of fermented milk dishes that inhibit putrefactive processes.

Don't forget about small quantity natural butter(without processing) and any types of vegetable oils.

If you find a large lump on your face or body that is red and painful, it is most likely a boil. Unlike a regular pimple, it takes much longer to mature; sometimes the bump does not go away for several weeks. To eliminate inflammation, it is necessary for it to mature and the pus to completely come out of the boil. But how to achieve this and how to speed up its maturation?

What is a boil and how is it formed?

It is formed as a result inflammatory processes V sebaceous gland. After a few days, pus begins to form under the skin. The size of the boil depends on the degree of inflammation and the amount of pus. The smallest one resembles a pea, sometimes it grows to the size of a walnut. Unlike ordinary acne, it causes great discomfort, as it is accompanied severe pain and swelling.

The appearance of a boil is caused by staphylococcal bacteria entering the body. They are activated under certain conditions, resulting in purulent neoplasms appearing on the skin. The danger of boils is that when the infection spreads, the entire body can suffer.

The main causes of boils- decreased immunity, presence bad habits, unbalanced diet, chronic diseases, metabolic disorders, diabetes, colds.

How to remove a boil at home? Home treatment is allowed if initial stages development of inflammation. If he has large sizes and severe swelling, we advise you to consult a doctor. Pus can be removed only if the boil is already mature.

Is it possible to pierce the skin with anything to speed up ripening? No, do not under any circumstances attempt to pierce the skin with a needle, scissors, forceps or any other instrument. The same applies to warming up - do not apply hot compresses to the inflammation, heat only accelerates the spread of infection.

Step 1: treatment with an antiseptic. This is necessary to prevent bacterial growth and infection. Regular medical alcohol can be used as an antiseptic.

Step 2: lubricate the affected area with a thick layer of Levomekolev ointment, fix it on top with a plaster. Instead of Levomekolev ointment, you can use Vishnevsky ointment, ichthyol. Leave for 6-8 hours. We wash the affected area and repeat the procedure. We continue to use the ointment until pus appears on the surface.

Step 3: squeeze out the pus. Is it possible to squeeze out boils? Doctors do not recommend doing this yourself, but if the inflammation is minor, you can cope with the task at home. Pus can be removed only when it appears on the surface of the inflammation. Treat your hands and skin area with alcohol or other antiseptic, press the skin on both sides with your fingers, the pus should come out easily. We again treat the wound with an antiseptic to prevent infection.

If you squeeze out all the pus, after a few days the wound will heal and the swelling will go away. If in the following days the swelling does not decrease and the tubercle festers again, consult a doctor. Perhaps the wound has become infected or the boil has not matured completely.

Onions and boils

If you do not have the opportunity to use pharmaceutical drugs, you can use traditional methods. One of the most effective ways provoke the ripening of a boil - baked onion. Bake it in the oven for 10-15 minutes, then apply a piece to the inflammation, secure with a band-aid and leave for 2-3 hours. Repeat the procedure several times a day.

Honey cake for quick ripening

Mix 1 tbsp. Natural honey and a little flour, stir. As a result, you should get a fairly thick mixture, similar to porridge. Place it on the swollen area, secure it with a cotton pad and band-aid, and leave it for 3-4 hours.

Fresh aloe leaf

We cut an aloe leaf, apply it to the boil and secure it with a band-aid, leaving it for 2-3 hours.

When should you see a doctor?

You should not wait several weeks for the pus to mature, as the boil may eventually turn into a lump. If after 3-4 days home treatment if you were unable to remove the pus, consult a doctor. The same applies to cases where the patient experiences an increase in body temperature and an increase in the size of the boil.

If you find new boils on your face or body, you cannot do without the help of a specialist. He will appoint vitamin complex and antibiotics to help eliminate the infection and speed up recovery.

How to remove and squeeze out a boil at home? If the formation is large and there is no pus on its surface, you should not remove it at home. In such cases, the help of a doctor is necessary.