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Abscess

WHAT YOU SHOULD KNOW

An abscess (AB-ses) is an infected pocket of pus. You can develop an abscess anywhere on your body. Common sites include the armpit, rectum, vaginal lips, face, and area around the tonsils in the throat. Nursing mothers sometimes develop an abscess on the breast.

Causes

A bacterial infection.

Signs/Symptoms

You're likely to experience pain, soreness, redness, swelling, or fever. The abscess may feel like a soft, moveable lump under your skin.

Care

The usual treatment is to cut open the abscess and allow the pus to drain. You will need to take an antibiotic to treat the infection.

Risks

Following treatment, the area around the abscess could become infected. You also might have more bleeding than normal.

IF YOU'RE HEADING FOR THE DOCTOR...

What to Expect While You're There

You may encounter the following procedures and equipment while you're there.
  • Taking Your Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • Incision and Drainage of Abscess:
    • You may be asked to lie on a table, depending on where the abscess is located. You will be given numbing medicine to prevent pain, and, perhaps, medication to relax you during the procedure.
    • After cleaning the area, the doctor will cut a small hole in or around the abscess to let the pus drain out.
    • Sometimes it is necessary to cut the abscess open and to remove unhealthy skin. To keep the pus and other liquid draining out of the abscess, the doctor may insert a gauze wick or a tube. The drain may be left in for 1 or more days.
    • To determine the type of bacteria causing the infection, the doctor may send a sample of the pus to a laboratory.
    • It is important for the abscess to heal from the inside out. If the skin covering the abscess heals first, a pocket may be left under the skin, inviting development of another infection. Carefully follow your doctor's treatment plan.
  • Medicine:
    • Antibiotics may be given by IV, in a shot, or by mouth to fight infection.
    • Fever medicine such as acetaminophen or ibuprofen may be given by mouth or in your rectum to lower your temperature.
    • Pain medicine may be given as a shot or by mouth. If the pain does not subside or comes back, call your doctor.

After You Leave

  • If you are drowsy from your medicine, do not drive.
  • Apply heat to help relieve the pain. Use warm, wet compresses or a warm heating pad 3 or 4 times a day for 20 minutes.
  • When you bathe, cover the dressing with plastic. After the drain is removed, you may wash the wound gently with mild unscented soap.

Call Your Doctor If...

  • You develop increased swelling, redness, drainage, or bleeding.
  • You have severe pain in the area of the abscess that lasts for 24 hours.

Seek Care Immediately If...

  • You have a high temperature.
  • You have signs of infection such as muscle aches, dizziness, or a generally ill feeling.

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