Skin Bumps During Pregnancy: When to Seek Help

During pregnancy, small bumps or growths may start to appear on the skin?

During the early stages of pregnancy, I developed four to five small bumps near the anus that are similar in color to the skin.
They are neither painful nor itchy.
I consulted a gynecologist who suspected folliculitis and advised me to leave them alone.
However, now that I am in the late stages of pregnancy, the bumps on both sides have not disappeared.
I researched online and found that folliculitis can resolve, but it has been 5-6 months and they are still present.
Is this normal? Recently, I have experienced diarrhea and have been wiping more frequently, and I noticed that one of the bumps has enlarged slightly and is now painful.
What should I do?

kuài yào shēng chǎn de chū chǎn fù, 20~29 year old female. Ask Date: 2021/07/09

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
A diagnosis can only be confirmed through an outpatient examination.
2.
The glands and hair follicles around the anus are prone to infection and inflammation.
A standard topical antibiotic ointment can be applied 2 to 3 times a day, and significant improvement is usually observed after about 3 days.

Reply Date: 2021/07/09

More Info

During pregnancy, women may experience various skin changes, including the development of bumps or lesions. In your case, you have noticed small bumps near the anal area that resemble folliculitis, which is an inflammation of the hair follicles. While your gynecologist advised you not to worry about them, the persistence of these bumps for several months, along with a recent increase in size and pain, warrants further attention.

Firstly, it is essential to understand that skin changes during pregnancy can be attributed to hormonal fluctuations, increased blood flow, and changes in skin elasticity. Folliculitis, which can occur due to bacterial or fungal infections, may resolve on its own; however, if it persists for several months, it may require further evaluation. The fact that one of the bumps has become larger and painful, especially after increased irritation from wiping due to diarrhea, suggests that it may be infected or inflamed.

Here are some steps you can take:
1. Consult a Dermatologist: Since the bumps have not resolved and one has become painful, it is advisable to see a dermatologist. They can provide a more accurate diagnosis and determine whether the bumps are indeed folliculitis or something else, such as a cyst or an abscess.

2. Avoid Irritation: In the meantime, try to minimize irritation in the area. Use gentle, unscented wipes or toilet paper, and avoid any harsh soaps or products that could exacerbate the condition.

3. Warm Compresses: Applying warm compresses to the affected area may help reduce inflammation and promote drainage if there is an infection. This can provide some relief from pain and discomfort.

4. Topical Treatments: Depending on the diagnosis, a dermatologist may recommend topical treatments. If it is indeed folliculitis, topical antibiotics or antifungal creams may be prescribed. However, it is crucial to ensure that any medication used is safe during pregnancy.

5. Monitor Symptoms: Keep an eye on the bumps for any changes. If you notice increased redness, swelling, or pus, or if the pain worsens, seek medical attention promptly.

6. Discuss with Your OB-GYN: Since you are in the later stages of pregnancy, it is also essential to keep your obstetrician informed about any changes in your condition. They may want to coordinate care with a dermatologist or provide additional guidance.

In summary, while some skin changes during pregnancy are normal, persistent bumps that become painful should not be ignored. Seeking a professional evaluation will help ensure that you receive appropriate care and treatment. Remember, your health and comfort are paramount, especially during pregnancy, so do not hesitate to advocate for yourself and seek help when needed.

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