Recurring Boils: Causes and Treatment Options - Surgery

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The issue of recurrent furuncles?


Hello, Director Ke.
I would like to ask a question.
I developed a boil around December, and as of February 6th, it keeps recurring just when it seems to be healing.
This has happened four times in total (all in roughly the same location).
I have never experienced this before.
For all four occurrences, I have sought outpatient treatment, which has involved injections and antibiotics.
While these treatments are effective, they do not prevent new boils from forming.
What could be causing this situation?

JUNS, 30~39 year old female. Ask Date: 2020/02/06

Dr. Ke Fangxu reply Surgery


The term "dengzi" is a colloquial expression that generally refers to soft tissue infections; however, various diseases can cause soft tissue infections, ranging from mild folliculitis to Kaposi's sarcoma.
It is advisable to visit a larger hospital for a physician's evaluation and treatment.
If there are recurrent infections in the same area, surgical intervention may be necessary.

Reply Date: 2020/02/06

More Info


Recurring boils, or furuncles, can be a frustrating and painful condition. They are typically caused by bacterial infections, most commonly by Staphylococcus aureus, which can enter the skin through small cuts or abrasions. Understanding the underlying causes and treatment options is essential for managing this condition effectively.


Causes of Recurring Boils
1. Bacterial Infection: The primary cause of boils is an infection of the hair follicles by bacteria. If the bacteria are not completely eradicated during treatment, they can lead to recurrent infections.

2. Skin Conditions: Certain skin conditions, such as acne or eczema, can predispose individuals to developing boils. These conditions can create an environment conducive to bacterial growth.

3. Weakened Immune System: Individuals with compromised immune systems, whether due to chronic illnesses, medications, or other factors, may be more susceptible to infections, including boils.

4. Poor Hygiene: Inadequate hygiene can contribute to the development of boils. Regular washing and care of the skin can help reduce the risk.

5. Underlying Health Issues: Conditions such as diabetes can impair the body's ability to fight infections, making it easier for boils to develop and recur.

6. Friction and Irritation: Areas of the skin that experience friction or irritation, such as from tight clothing or repetitive movements, can be more prone to developing boils.


Treatment Options
1. Antibiotics: As you mentioned, antibiotics are often prescribed to treat boils. However, if the bacteria are resistant or if the infection is not fully cleared, boils may recur. It’s crucial to complete the entire course of antibiotics as prescribed.

2. Drainage: If a boil is large or painful, a healthcare provider may need to drain it. This procedure can help relieve pain and speed up healing. Proper drainage can also reduce the chance of recurrence.

3. Warm Compresses: Applying warm compresses to the affected area can help promote drainage and relieve pain. This can be done several times a day.

4. Good Hygiene Practices: Keeping the affected area clean and dry is essential. Regular washing with antibacterial soap can help reduce the risk of infection.

5. Avoiding Squeezing: It’s important not to squeeze or pop boils, as this can spread the infection and lead to more boils.

6. Managing Underlying Conditions: If you have an underlying health issue, such as diabetes, managing that condition effectively can help reduce the frequency of boils.

7. Consulting a Specialist: If boils continue to recur despite treatment, it may be beneficial to consult a dermatologist or an infectious disease specialist. They can perform further evaluations to determine if there are any underlying issues contributing to the problem.


When to Seek Further Medical Attention
If you experience any of the following, it’s important to seek medical attention:
- Boils that are extremely painful or do not improve with treatment.

- Fever or other systemic symptoms accompanying the boils.

- Boils that recur frequently in the same location.

- Signs of a more serious infection, such as spreading redness, swelling, or pus.

In summary, recurring boils can be a sign of an underlying issue that needs to be addressed. By understanding the causes and exploring various treatment options, you can work towards reducing the frequency of these painful infections. Always consult with your healthcare provider for personalized advice and treatment plans tailored to your specific situation.

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