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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can keratosis Pilaris Be Treated?

I have a moderate case of Keratosis Pilaris. It seems to have gotten worse after having children and also seems to make me more prone to boils or carbuncles. I have always managed to self treat, but currently have a very large (3 top to bottom and about 1/2 across at widest point) red lump on my lower buttocks. It has been at least a week and it doesn t even look close to draining. I have done baths and compresses with Epsom salts and essential oils tea tree, lavender, helichrysum, and thieves blend, acne wash with salycic acid, and gauze with oils. It is very painful and feels like it is starting to swell in the labia area. Can urgent care treat this? Should I be concerned about a larger issue?
Mon, 10 Dec 2018
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Anesthesiologist 's  Response
Hello,

Its presentation is usually not harmful and causes mainly rough and follicular or toad skin of course carbuncles may occur but not that frequent.

Boil over buttock is so agonising and is to be treated on an urgent basis in order to prevent complications like abscess formation, fistula etc.the recommended guidelines of treatment are as follows :

1) Usually, medical treatment is tried first with a warm sitz bath, antibiotics, pain and inflammation reducing medication.

2) Tab.acetaminophen and tab.trypsin and chymotrypsin twice daily along with antibiotics like tab.amoxicillin with Clavulanic acid thrice daily for 5 days.

3) Topical application of providing iodine cream and Clindamycin cream is recommended.

4) As your symptoms have been for a week now, I feel you need a drainage of the boil.

Please do consult a surgeon as early as possible and get it drained. After drainage, the above-mentioned medications can be used.

It's not good to neglect any more as it may spread to other areas and may even lead to sepsis.hope my answer clears your doubts.any further queries are always welcome and the response would be prompt.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Pallavi.m, Anesthesiologist
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How Can keratosis Pilaris Be Treated?

Hello, Its presentation is usually not harmful and causes mainly rough and follicular or toad skin of course carbuncles may occur but not that frequent. Boil over buttock is so agonising and is to be treated on an urgent basis in order to prevent complications like abscess formation, fistula etc.the recommended guidelines of treatment are as follows : 1) Usually, medical treatment is tried first with a warm sitz bath, antibiotics, pain and inflammation reducing medication. 2) Tab.acetaminophen and tab.trypsin and chymotrypsin twice daily along with antibiotics like tab.amoxicillin with Clavulanic acid thrice daily for 5 days. 3) Topical application of providing iodine cream and Clindamycin cream is recommended. 4) As your symptoms have been for a week now, I feel you need a drainage of the boil. Please do consult a surgeon as early as possible and get it drained. After drainage, the above-mentioned medications can be used. It s not good to neglect any more as it may spread to other areas and may even lead to sepsis.hope my answer clears your doubts.any further queries are always welcome and the response would be prompt. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Pallavi.m, Anesthesiologist