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What Causes Thinning Of Skin Followed By Discharge And Bleeding?

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Posted on Mon, 21 Apr 2014
Question: For several weeks I've had an area in the inside of my backside, where the skin Is thinner, that swells and bleeds and hurts when I squeeze it. It's about the size if a dime. I've had it before on the other side. I clean it and use neosporin and gets better but I'm worried. You should know I'm sedentary for a number of yrs due to. Health issues but since I retired I'm in a recliner most of the day. Needless to say I'm too embarrassed to see a dr but it's also hard for me to go. This has happened about 3-4 times. In the past yr and a half. Any suggestions ?
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Answered by Dr. T Shobha Deepak (1 hour later)
Brief Answer: Possibility of pressure sore Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms From the description given by you, I would consider the following two conditions as the possible cause 1. Pressure sore: Continuous pressure by being in sitting position in recliner will predispose to reduced blood supply to skin, this along with softening of skin by constant moisture exposure from sweating could lead to thinning of skin followed by discharge and bleeding 2. Pilonidal sinus: especially if it's are of buttocks. Constant pressure also causes Pilonidal sinus and repeated swelling and discharge. Exact diagnosis will depend on clinical examination. It would be very helpful if you could provide the clinical photograph. In the meantime I would suggest you the following which will definitely help 1. Frequent change of position every 2 hours 2. Keep the area clean and dry 3. Local application of dusting powder will keep the area clean. 4. Rule out associated Diabetes and anemia which may delay healing. Keeping the area clean shaved and dry is main key to management. In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr T Shobha Deepak MBBS, MD
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

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What Causes Thinning Of Skin Followed By Discharge And Bleeding?

Brief Answer: Possibility of pressure sore Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms From the description given by you, I would consider the following two conditions as the possible cause 1. Pressure sore: Continuous pressure by being in sitting position in recliner will predispose to reduced blood supply to skin, this along with softening of skin by constant moisture exposure from sweating could lead to thinning of skin followed by discharge and bleeding 2. Pilonidal sinus: especially if it's are of buttocks. Constant pressure also causes Pilonidal sinus and repeated swelling and discharge. Exact diagnosis will depend on clinical examination. It would be very helpful if you could provide the clinical photograph. In the meantime I would suggest you the following which will definitely help 1. Frequent change of position every 2 hours 2. Keep the area clean and dry 3. Local application of dusting powder will keep the area clean. 4. Rule out associated Diabetes and anemia which may delay healing. Keeping the area clean shaved and dry is main key to management. In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr T Shobha Deepak MBBS, MD