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Suggest Treatment For Itchy Red Bump On Forearm
Question: Have itchy red bump with black dot at center on forearm. black dot removed by squeezing bt itch remais.
Brief Answer:
Tricky but sounds like, its due to a local cause.
Detailed Answer:
I warmly Welcome you!
Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.
Its single rash which describes its cause is a local one ( may be some specific exposure, insect or bug bite which is more likely with a rash which you defined, due to scratching, hair follicle infection or blocked sebaceous gland).
Its difficult to diagnose skin conditions without actually seeing, but I have a vast experience in successfully treating such cases.
Dont scratch on the area any more. Avoid any allergen your skin may be sensitive to.
I usually recommend applying hydrocortisone cream on the lesion 3 times a day, and Tablet Benadryl 50mg twice daily per oral for 5days.
If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile. You can also attach Lab reports and pictures with direct question.
May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way. Click at 'I Find This Answer Helpful.' Please, write a review about your experience with me.
Regards!
DR. HANIF
XXXXXXX USA
Tricky but sounds like, its due to a local cause.
Detailed Answer:
I warmly Welcome you!
Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.
Its single rash which describes its cause is a local one ( may be some specific exposure, insect or bug bite which is more likely with a rash which you defined, due to scratching, hair follicle infection or blocked sebaceous gland).
Its difficult to diagnose skin conditions without actually seeing, but I have a vast experience in successfully treating such cases.
Dont scratch on the area any more. Avoid any allergen your skin may be sensitive to.
I usually recommend applying hydrocortisone cream on the lesion 3 times a day, and Tablet Benadryl 50mg twice daily per oral for 5days.
If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile. You can also attach Lab reports and pictures with direct question.
May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way. Click at 'I Find This Answer Helpful.' Please, write a review about your experience with me.
Regards!
DR. HANIF
XXXXXXX USA
Above answer was peer-reviewed by :
Dr. Raju A.T
It is not a rash. It is a raised reddish circular area about 15mm diameter with a distinct center which oozes slightly where I squeezed out the black 'core'. Had same 'bite' on other forearm a week ago. Believe it is a bite or sting but by what?
Brief Answer:
It's a bite, and definitely starts with a rash and forms a bump.
Detailed Answer:
I welcome you back and appreciate the cooperation by telling that it's a second episode. So, I suggest you to change the bed mattress and ask for some pesticide spray every week at least 3 times in your home. The Hot and humid environment in rooms causes bed bugs ticks and mites to develop and bite.
Use a humidifier and keep humidity below 55 in room.
Treatment is same as aforementioned. If you see pus coming out of the mouth of this circular lesion, better call it a pustule, showing its infected now, then please use Tablet Augmentin 625mg twice daily per oral for 3days.
Hope it helps today. May you get very well soon and have a wonderful time ahead.
Regards!
DR. HANIF
XXXXXXX USA
It's a bite, and definitely starts with a rash and forms a bump.
Detailed Answer:
I welcome you back and appreciate the cooperation by telling that it's a second episode. So, I suggest you to change the bed mattress and ask for some pesticide spray every week at least 3 times in your home. The Hot and humid environment in rooms causes bed bugs ticks and mites to develop and bite.
Use a humidifier and keep humidity below 55 in room.
Treatment is same as aforementioned. If you see pus coming out of the mouth of this circular lesion, better call it a pustule, showing its infected now, then please use Tablet Augmentin 625mg twice daily per oral for 3days.
Hope it helps today. May you get very well soon and have a wonderful time ahead.
Regards!
DR. HANIF
XXXXXXX USA
Above answer was peer-reviewed by :
Dr. Prasad
Definitely NOT bedbug bites! The two bites were individual incidents and do not resemble bedbug bite photos. The BLACK CORE is the significant feature and does appear in bedbug bites.
Brief Answer:
More supporting information needed.
Detailed Answer:
I welcome you back XXXX!
I am happy to hear from you again. Let me explain it to you regarding your health query.
Skin lesions are difficult to treat without actually seeing them. In the last answer I gave two options to you and suggested separate remedies for both.
Possibility of 1. bedbugs and 2. a pustule that may be formed due to infection of the hair follicles ( folliculitis), sebacious gland blockage ( sebacious cyst) etc etc.
Every patient uses different words in history. We the physicians, listen carefully and regard that. But after physical examination we can reach to a diagnosis.
If you were still in doubt, your concerns are genuine and I will appreciate a little more cooperation if you please attach some high quality pictures of the lesion. It gives very important clinical clues to a physician especially when practicing on a virtual clinic.
There are two ways to attach a picture. 1. You may do it directly from your question window 2. Or email the pictures to YYYY@YYYY with the subject as ATTENTION: Dr. Muhammad Hanif.
It will come to my inbox and I will respond in no time.
I will be more than happy to assist you and take your health issue to resolution after receiving the pictures of the lesion, please.
Thanks for choosing HealthCare Magic. In future, for any health issues, you may also contact me directly from my profile, by clicking on "ask me a question" for a direct and prompt medical support.
Have a nice time ahead.
Regards!
Dr. Hanif XXXXXXX USA
More supporting information needed.
Detailed Answer:
I welcome you back XXXX!
I am happy to hear from you again. Let me explain it to you regarding your health query.
Skin lesions are difficult to treat without actually seeing them. In the last answer I gave two options to you and suggested separate remedies for both.
Possibility of 1. bedbugs and 2. a pustule that may be formed due to infection of the hair follicles ( folliculitis), sebacious gland blockage ( sebacious cyst) etc etc.
Every patient uses different words in history. We the physicians, listen carefully and regard that. But after physical examination we can reach to a diagnosis.
If you were still in doubt, your concerns are genuine and I will appreciate a little more cooperation if you please attach some high quality pictures of the lesion. It gives very important clinical clues to a physician especially when practicing on a virtual clinic.
There are two ways to attach a picture. 1. You may do it directly from your question window 2. Or email the pictures to YYYY@YYYY with the subject as ATTENTION: Dr. Muhammad Hanif.
It will come to my inbox and I will respond in no time.
I will be more than happy to assist you and take your health issue to resolution after receiving the pictures of the lesion, please.
Thanks for choosing HealthCare Magic. In future, for any health issues, you may also contact me directly from my profile, by clicking on "ask me a question" for a direct and prompt medical support.
Have a nice time ahead.
Regards!
Dr. Hanif XXXXXXX USA
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Will send photo before removing black core if/when a new 'bite' occurs.
Brief Answer:
I appreciate the cooperation.
Detailed Answer:
I warmly Welcome you back XXXX!
I appreciate your concerns and encourage you to please attach photos of the lesion before removing the black central core, as per your ease.
If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile.
You can also attach Lab reports and pictures directly from the question window, or by emailing it to YYYY@YYYY with the Subject as, Attention: Dr. Muhammad Hanif, and the lab reports and images will directly reach my inbox for review.
May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way in future too. Please, write a review about your experience with me.
Regards!
DR. HANIF
XXXXXXX USA
I appreciate the cooperation.
Detailed Answer:
I warmly Welcome you back XXXX!
I appreciate your concerns and encourage you to please attach photos of the lesion before removing the black central core, as per your ease.
If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile.
You can also attach Lab reports and pictures directly from the question window, or by emailing it to YYYY@YYYY with the Subject as, Attention: Dr. Muhammad Hanif, and the lab reports and images will directly reach my inbox for review.
May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way in future too. Please, write a review about your experience with me.
Regards!
DR. HANIF
XXXXXXX USA
Above answer was peer-reviewed by :
Dr. Raju A.T
Herewith photo showing black core which I squeeze out.
Brief Answer:
Its a type of urticaria. Needs treatment, and precautions.
Detailed Answer:
Dr. Hanif warmly Welcomes you back Mr.XXXX!
I really appreciate your compliance and support in terms of providing picture of the lesion in a timely manner.
So, its clear from the picture attached, that this is a recurrent 'papule' caused by a hypersensitivity reaction (body responds to the foreign invaders) to the bites of mosquitoes, fleas, bedbugs (you ruled this possibility out in our discussion above) and other Arthropod insects.
The individual papules mostly surround a reddish wheal and display a central punctum (The black dot in the centre and it oozes when you squeeze it). We call it a punctum.
It is a type of skin allergy (Urticaria). Its common in spring and summer seasons.
The patients with this disease when present with these symptoms, I usually prescribe them:-
1) Elocon Lotion to be applied topically twice daily.
2) Tablet Allegra 1 daily by mouth.
I follow up usually in 2 weeks and if there are any signs of secondary infection, antibiotics are added to the prescription.
Cautions:-
Important is to use insect repellent lotion when you go outside.
Please also use flea and tick control on your pets (if you have any indoor pets).
DEET containing insecticides are beneficial. Insects can't bite you then.
Hope I answered all of your questions. In future, If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to YYYY@YYYY with the Subject as, Attention: Dr. XXXXXXX Hanif, and the lab reports and images will directly reach my inbox for review.
May you have a wonderful time ahead. Please don't forget to give your valuable positive feedback and five star rating, to help me assist you in a better way in future too. Please, write a review about your experience with me, after you close this discussion.
Regards!
DR. XXXXXXX HANIF
PHILADELPHIA-PA, USA
Its a type of urticaria. Needs treatment, and precautions.
Detailed Answer:
Dr. Hanif warmly Welcomes you back Mr.XXXX!
I really appreciate your compliance and support in terms of providing picture of the lesion in a timely manner.
So, its clear from the picture attached, that this is a recurrent 'papule' caused by a hypersensitivity reaction (body responds to the foreign invaders) to the bites of mosquitoes, fleas, bedbugs (you ruled this possibility out in our discussion above) and other Arthropod insects.
The individual papules mostly surround a reddish wheal and display a central punctum (The black dot in the centre and it oozes when you squeeze it). We call it a punctum.
It is a type of skin allergy (Urticaria). Its common in spring and summer seasons.
The patients with this disease when present with these symptoms, I usually prescribe them:-
1) Elocon Lotion to be applied topically twice daily.
2) Tablet Allegra 1 daily by mouth.
I follow up usually in 2 weeks and if there are any signs of secondary infection, antibiotics are added to the prescription.
Cautions:-
Important is to use insect repellent lotion when you go outside.
Please also use flea and tick control on your pets (if you have any indoor pets).
DEET containing insecticides are beneficial. Insects can't bite you then.
Hope I answered all of your questions. In future, If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to YYYY@YYYY with the Subject as, Attention: Dr. XXXXXXX Hanif, and the lab reports and images will directly reach my inbox for review.
May you have a wonderful time ahead. Please don't forget to give your valuable positive feedback and five star rating, to help me assist you in a better way in future too. Please, write a review about your experience with me, after you close this discussion.
Regards!
DR. XXXXXXX HANIF
PHILADELPHIA-PA, USA
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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