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Boil Tips

Boil or furuncle is a skin disease caused by the inflammation ofhair follicles, thus resulting inthelocalized accumulation of pus and dead tissues. A boil is a red,swollen, painful bump under the skin similar to an overgrown pimple.Boils are often caused by infected hair follicles. Individual boilscan cluster together and form an interconnected network of boils calledcarbuncles. In severe cases, boils may develop to form abscesses.

The abscess can become larger than a ping-pong ball and may be extremelypainful. They occur most often in areas where there is hair and chafing.The face, neck, armpits, breast, groin and buttocks are common sites.

Last Updated -21st December 2005

Symptoms

• The symptoms of boils are red, pus-filled lumpsthat are tender, warm, and/or painful. A yellow or white point atthe center of the lump can be seen when the boil is ready to drainor discharge pus. In a severe infection, multiple boils may developand the patient may experience fever and swollen lymph nodes.
• In some people, itching may develop before the lumpsbegin to develop. Boils are most often found on the back, underarms,shoulders, face and buttocks.

Causes

• Boils are generally caused by an infection of thehair follicles by Staphylococcus aureus or staph, a strain of bacteriathat normally live on the skin surface. It is thought that a tinycut of the skin allows this bacteria to enter the follicles andcause an infection. This can happen during bathing while using arazor.
• People with immune system disorders, diabetes, poorhygiene and malnutrition are particularly susceptible to gettingboils. However they may also occur in healthy, hygienic individuals.
• Hidradenitis suppurativa causes frequent boils.

Treatments

• Most boils run their course within 4 to 10 days.For most people, self-care by applying a warm compress or soakingthe boil in warm water can help alleviate the pain and hasten drainingof the pus (colloquially called "bringing the boil to a head").Once the boil drains, the area should be washed with antibacterialsoap and bandaged well.
• For serious cases, prescription oral and topicalantibiotics may be required.

Prevention

• Wash boil-prone areas with soapy water. An antifacterialsoap may help. dry thoroughly.
• Avoid tight clothing.

Home Treatment

• Do not squeeze a boil as it can push the infectiondeeper into the skin.
• Do not scratch a boil as scratching can spread thebacteria to other parts of the body.
• Do not drain or lance a boil.
• Wash yourself well with an antibacterial soap tokeep the infection from spreading.
• Apply hot, wet washcloths to the boil for 20 to30 minutes, 3 to 4 times per day.
• Apply a hot water bottle or a waterproof heatingpad over a damp towel to the boil.
• Continue using warm compresses for 3 days afterthe boil opens.
• Apply a bandage to a boil that is draining to keepthe drainage from spreading - change bandage daily.

When to Call a Physician

• If the boil is on your face.
• If the boil is near your spine.
• If the boil is in the anal area.
• If signs of worsening infection develop.
• If any other lumps, particularly painful ones, developnear the infected area.
• If the pain limits your normal activities.
• If you have diabetes.
• If the boil is as large as a ping-pong ball.
• If the boil has not improved after 5 days of hometreatment.
• If many boils develop over several months.
  

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