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Previously a small sebaceous cyst (had been under the skin

 

Customer Question

Previously a small sebaceous cyst (had been under the skin for about 6 months), has now become inflamed (but not particularly large, perhaps the size of a large pea) and over the last 24 hours has come to a head.

Open and drain carefully as you would with a normal boil at home? Shower, cover with gauze, keep clean, etc?

Or is this an extremely different situation?

Thanks!

 

Optional Information:
Person's Age: 29

Submitted: 236 days and 1 hours ago.
Category: Dermatology
Value: £19
Status: CLOSED

Accepted Answer

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Expert:  Dermadoc replied 236 days ago.


Dermadoc : Hello
Dermadoc : Thanks for posting your query
Customer :

Hello there

Customer :

Thanks for getting back to me

Dermadoc : This is a different situation
Customer :

oh

Customer :

How should it be treated

Dermadoc : You will need to get it treated by your doctor.
Customer :

Oh, I see. Why? What will happen if I attempt to drain it?

Dermadoc : Complete drainage may not be possible at home.
Dermadoc : And also the cyst walls need to be excised.
Customer :

Ah, so I have to be cut?

Dermadoc : Otherwise it will keep forming again n again.
Dermadoc : Yes that's right
Customer :

It has come to a head and is ready to drain any time by itself. What to do if it does?

Customer :

Is it also possible that if that happens, it could drain completely on its own and heal?

Dermadoc : Whatever drains by itself you could let it drain.
Customer :

Ok, no squeezing or?

Customer :

Once it's open I mean. I won't open it.

Dermadoc : You can follow the procedure for the boil for that.
Customer :

Okay great. And if that does happen, and it does drain what looks like completely, I can delay the excision of the cyst walls for a little while?

Dermadoc : However it needs to be seen by your local doctor. This is important to prevent recurrence.
Customer :

Yes I do understand. How long would it take to recur? Thanks so far!

Dermadoc : You can delay the excision only briefly maybe a day or two.
Dermadoc : It would start refilling otherwise.
Customer :

The infection would resolve, or no? Would it refill with pus, or with keratin fluid etc?

Dermadoc : Please don't squeeze it ire it would get inflamed and cause pain.
Customer :

I assume the actual infection would resolve if it did drain. No I will not squeeze it unless it opens.

Customer :

I'm mostly curious of the infection would resolve if it drained on its own at home. If the cyst refills but the infection is no longer present, that's okay, I'll get it excised this week. If the infection would NOT resolve, that's quite different.

Dermadoc : Sebaceous cyst has no infection.
Customer :

Well it's a cyst that has become infected, it's red and has a large white head

Dermadoc : Sebaceous cyst has sebum, keratin but no infection.
Customer :

but they can become infected yes

Customer :

this one seems to have :)

Dermadoc : Coming to head would not indicate infection. Pain n redness would indicate infection.
Customer :

It is painful and red. ;)

Customer :

So will the infection resolve once it drains like a boil would?

Dermadoc : In case it has become infected which it can, draining if the fluid will relieve it but in case a cyst is infected a course of antibiotics for 5 days is preferably taken.
Customer :

But antibiotics isn't totally necessary and draining should do the trick in most cases right?

Customer :

Thanks for your patience :)

Dermadoc : In case of a boil it does. But sebaceous cyst is different. Hence antibiotics are advisable.
Customer :

So draining the infected cyst would NOT relieve the infection like a boil?

Dermadoc : Or else there is a chance if abscess formation.
Customer :

I see.. is that rare, or likely?

Dermadoc : Its quite likely
Customer :

oh okay

Customer :

So draining it at home like a boil will not work.

Dermadoc :

yes

Dermadoc :

it wont work, hence i would recommend visiting your doctor.

Dermadoc :

please feel free to ask if you have any queries.

Customer :

ok thank you

Expert TypeBoard Certified Dermatologist
Category: Dermatology
Pos. Feedback: 96.7 %
Accepts: 2068
Answered: 8/21/2012

Experience: MBBS, DNB DERMATOLOGY

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