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What Causes A Painful Lump Under The Skin Of The Inner Right Thigh?

Posted on Thu, 6 Jul 2017

Question: Sir I have a Lump under the skin in the inner right thigh with lot of pain since last 4 days.I started taking 500 mg levofloxin since yesterday, pain is increasing and no improvement.This kind of recurrent lumps and abscess is happening every 15 days or 20 days since last 1 year on thigh area,groin area, scrotum etc.My blood sugar levels are normal.Why it is happening recurrently.Mostly I use levofloxin or azithromycin rest of the antibiotics like ampicillin cause diarrhoea problem.I strongly feel it cud be because of wrong antibiotic use or incomplete dosing etc. Kindly advise proper medication,, I mean antibiotic that can prevent recurrence of such problems..I m attaching pics as none of the antibiotics given me relief and also once I got incision done surgically in the scrotum region.regards XXXXXXX

Answered by Dr. Geeta Sundar (11 hours later)

Brief Answer:
This is a very common problem that I successfully treat.

Detailed Answer:
Hi XXXXXXX
Picture not attached.
This is a very common problem that I successfully treat.
Use Azithromycin for seven days along with Omez 20 twice a day, Becozinc, Emanzen-D-1/2 twice a day.
Dress daily with Magsulf powder(Epsom salt) mixed with Soframycin.
Take Inj Neohepatex a liver stimulant once a week for 8 weeks.
Stop sugar and sweets although not a Diabetic.
There will be no recurrence.
You can revert back--regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Geeta Sundar (6 hours later)

Thanks a lot Maa'm for detailed answer n assurance.Can I take any oral medicine in place of neohepatex injection eventhough I don't hv any problem in taking injection, pics are attached

Answered by Dr. Geeta Sundar (5 hours later)

Brief Answer:
my experience is only with the injection and not tablets,

Detailed Answer: XXXXXXX my experience is only with the injection and not tablets, so I cannot say whether they will work.
Picture is not very clear. Never mind. Take the treatment and revert back to me--regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Geeta Sundar (2 hours later)

Maa'm I need few clarifications

1-Use Azithromycin for seven days along with Omez 20 twice a day

You mean 500 mg dosing of azithromycin twice a day i.e total 1000 mg per day and
omez 20 tab twice a day

pls correct me if I am wrong

Becozinc, Emanzen-D-1/2 twice a day.

You mean becozonic 1 tab- twice a day
and Emanzen -D -1/2 tab twice a day

Pls correct me if I am wrong

Reports are attached
please clarify my doubts
Regards XXXXXXX
0000

Answered by Dr. Geeta Sundar (13 hours later)

Brief Answer:
Azithromycin 250 twice a day.

Detailed Answer:
No, XXXXXXX Azithromycin 250 twice a day. I should have clarified.
Rest of the medication is OK--I normally prefer 250 twice a day, since there are fewer side effects.

I saw the picture and had said that the it was not very clear, but based on your description, I had advised medication.
Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Geeta Sundar (5 days later)

Dear Madam
In continuation to my earlier mail I am here by attaching my two days back Test report and current status of the lump/boil/abscess after 6 days of using azithromycin and other medications you have prescribed.Still
Pain is persisting while walking even though quantum of pain reduced but still the lump size not decreased and boil is not healed completely.Shall I continue azithromycin and other medications for some more time or any other modification in medication suggested. Please advise.Todays pics of the abscess or boil are attached for understanding.Regards XXXXXXX

Answered by Dr. Geeta Sundar (1 hour later)

Brief Answer:
Please continue all treatment for 3 more days.

Detailed Answer:
Hi XXXXXXX

I have seen the reports and picture.
Please continue all treatment for 3 more days.
After 3 days continue only with dressings till cleared.
I hope you have started Neo hepatex injections.
Your liver functions were disturbed but now normal
Your lipids are raised.
Your e-GFR is lower than normal and creatinine slightly raised. These are signs of early kidney involvement that can be reversed. Please consult your doctor for this.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Geeta Sundar (45 minutes later)

Ma'am what does it mean low e-GFR n raised creatinine levels.Whom should I consult for the same n does it require treatment? I cud nt attach pics earlier now I m attaching and kindly advise accordingly

Answered by Dr. Geeta Sundar (49 minutes later)

Brief Answer:
Now the picture is very clear. It is a big boil

Detailed Answer:
Now the picture is very clear. It is a big boil and will take time to heal.If not better in 3 days, please show your doctor.
e-GFR and creatinine are tests for kidneys. Please consult your Physician/or a kidney specialist only if your Physician advises.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Geeta Sundar (45 hours later)

Dear Madam

As per my test reports attatched my
1-Diabetes parameters are ok?
2-What could be the major reason for recurring infection and boils? especially in the scrotum region and around ?
3- I am yet to start my neo hepatex injections.Can you tell me what is the dosage of injections ? I mean 2ml or any other dosage?
4-Does Neo Hepatex it help in preventing recurrent boils?
5-Any other regular medications that help in preventing recurrence of such boi

Regards XXXXXXX
0000

Answered by Dr. Geeta Sundar (11 hours later)

Brief Answer:
even if blood sugar is ok, I have come across patients with recurrent boils

Detailed Answer:
Hi XXXXXXX even if blood sugar is ok, I have come across patients with recurrent boils. Some of them have later become Diabetics. I really do not know the answer.
If it is always in the same area, maybe just washing clean and wiping the area at least twice a day may prevent it. Another possibility is it could be due to the hair in that area. Boils develop around a hair follicle. Maybe if you keep the area clean shaven it may help.
I discovered Neo-hepatex as treatment for recurrent boils accidentally. I had a patient with jaundice who had recurrent boils and it cured both. Maybe boils has something to do with liver.
Zinc, vitamin C taken regularly, may also help.
Restrict your sugar intake.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Geeta Sundar (4 hours later)

Thanks a lot for your detailed and kind help.
Incase if I sense any boil in future with potential to become bigger and painful

can I start using Azithromycin and omez before it becomes bigger and painful?

If it can be taken then in that case how many days shall I have to take Azithromycin to avoid become a bigger boil?

Maam can you tell me the dosage of Neo hepatex Injection?

Regards XXXXXXX

Answered by Dr. Geeta Sundar (7 minutes later)

Brief Answer:
it is always better to take antibiotic under medical supervision.

Detailed Answer: XXXXXXX it is always better to take antibiotic under medical supervision.
Inj Neohepatex can be taken once a week intra muscular for 8 weeks.
Regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Remy Koshy