Brief Answer:
Kindly upload the picture of raised skin mass....

Detailed Answer:
Hi,

Before running into final conclusions, I need to have a picture of the supposed cyst/lipoma/insect bit on your back.

Next, I need to know if you are having the following symptoms:
- fever or feeling feverish
- night sweating
- weakness or
- flu like symptoms
- have you had generalized rash during this period? Or only this mass?
- joint pains?
- or any other symptom?

Looking forward to have the requested photograph and additional data in!
Thank you!
Dr.Albana

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Brief Answer:
Attach the picture at the following e-mail address

Detailed Answer:
Hi back,

Thank you for following up. You can attach the picture at the following e-mail address:

YYYY@YYYY


Yes, you are right, usually, insect bites won't last for this long (1 month). At this point, you should have had other symptoms if Lyme disease.

According to your description, it might be a possible:
- skin infection (abscess)
- infected lipoma
- insect bite

However, I need to have a look at the skin mass first before running final conclusions.

Looking forward to have the picture in!
Dr.Albana

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Brief Answer:
Probable infected lipoma need surgical removal

Detailed Answer:
Hi back,

Thank you for sending in the pictures although not very clear.

Judging from what I have seen, it seems to be an infected lipoma. The treatment is surgical removal. Oral antibiotics can be used as prophylaxis, however, they cannot get into the capsule of lipoma to fight infection.

You might need drainage of pus if it is present. I advise to get your blood sugar levels checked and do not squeeze or scratch the mass until you see your doctor.

You can discuss with your doctor if you need to take a material to run biopsy. To my opinion, it is not necessary unless anything unusual is seen during surgical removal of it.

Please do not try any remedy on your own; let is do to the surgeon. Once again, do not get scared as the it is the simplest intervention, but need regular follow up.

Hope it answered to your queries! All the best!
Dr.Albana
If you have further questions, I'll welcome them! Otherwise, if it answered to your satisfaction, kindly close this thread and rate it! Thank you!

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Brief Answer:
Following answers to your queries...

Detailed Answer:
Hi back,

It's my pleasure to assist you and provide a second opinion.

Now, from what I have seen, the skin at your back is covered with black dots, most probably due to pigmentation. So, my judgement was that yours is not related to insect bite although the picture was not clear.

It is not a stupid thing to consult with a surgeon even if not a case of lipoma (although it has the signs of infected lipoma). At least, you will exclude surgical problems.

Next, usually skin infections are associated with impaired glucose levels. That's why I have asked to run diabetes testing, which include:
- fasting blood glucose
- oral glucose tolerance test
- HbA1C testing
- complete blood work (to exclude anemia)

With regards to shakiness you have experienced, you are right, it might be related to :
- thyroid problems
- low blood sugar levels (especially if you skip meals)
- hypotension sometimes caused by
- dehydration (if it is hot at the place you live and you sweat a lot).

If I was your caring doctor would ask to run these tests for further evaluation of your health status and to determine the right diagnosis for proper treatment. They are not serious problems, but need their proper medical attention.

My opinion is based only on information provided by you without a proper physical examination. That's why I am asking to discuss them with your doctor and run proper examinations.

Thank you for your rating! You will be able to rate my answer after closing this thread. However, if you want to keep asking, do not close it.

Dr.Albana

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