and Preventing Boils: Causes, Treatment, and Care Tips - Dermatology

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At the end of winter and the beginning of spring, it is common to develop boils?


Hello Dr.
Lee: I often develop boils at the end of winter and the beginning of spring, and this has been happening for three consecutive years.
They occur on my feet and buttocks, starting as red rashes, then progressing to pus formation, and eventually ulceration, becoming quite severe.
My mother says that draining the pus and blood from the boils is necessary for healing, but the hospital doctors and nurses do not drain them properly.
The last time, my mother helped drain the pus, and the hospital prescribed an ointment, which finally helped.
I would like to ask Dr.
Lee if boils can be completely cured, as this has been ongoing for three years.
Is there a problem with my liver detoxification or my kidneys? A doctor mentioned that I have Staphylococcus aureus in my body.
Could this be caused by an unclean living environment or dietary issues? How can I prevent this from happening again? I sincerely seek your advice, thank you very much.

rios, 40~49 year old female. Ask Date: 2022/12/15

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to furuncles, you can refer to the article on Care Online: https://www.careonline.com.tw/2018/10/furuncle.html
1.
If you are concerned about liver and kidney function issues, you can have a blood test for a health check-up.

2.
Staphylococcus aureus is a common skin bacterium.
If the immune system is weakened and in a humid and warm environment, it can lead to bacterial overgrowth, resulting in folliculitis or furuncles.

3.
Towels, bath towels, bed sheets, and pillowcases should be cleaned and changed weekly.

4.
Limit the intake of fried, spicy, and irritating foods, and reduce alcohol consumption.
If the skin condition does not improve or worsens, it is advisable to consult a dermatologist for diagnosis and treatment: http://www.derma.org.tw/user_finddoctor.php
Thank you!

Reply Date: 2022/12/15

More Info


Boils, also known as furuncles, are painful, pus-filled bumps that typically occur on the skin due to bacterial infection, most commonly caused by Staphylococcus aureus. Understanding the causes, treatment options, and preventive measures can help manage and reduce the frequency of these skin infections.


Causes of Boils
Boils often develop when hair follicles become infected. Factors that can contribute to the formation of boils include:
1. Bacterial Infection: The primary cause is usually a bacterial infection, particularly from Staphylococcus aureus. This bacterium can enter the body through small cuts or abrasions on the skin.

2. Skin Conditions: Conditions such as acne or eczema can increase the risk of developing boils.

3. Poor Hygiene: Inadequate personal hygiene can lead to an accumulation of bacteria on the skin, increasing the likelihood of infection.

4. Weakened Immune System: Individuals with weakened immune systems, whether due to chronic illnesses, medications, or other factors, are more susceptible to infections, including boils.

5. Friction and Irritation: Areas of the skin that experience friction, such as the thighs or buttocks, can be more prone to developing boils.

6. Underlying Health Issues: Conditions such as diabetes or other metabolic disorders can also increase the risk of developing boils.


Treatment Options
When it comes to treating boils, several approaches can be taken:
1. Warm Compresses: Applying a warm compress to the boil can help reduce pain and promote drainage. The heat increases blood circulation to the area, which can help the body fight the infection.

2. Incision and Drainage: If a boil is large or does not drain on its own, a healthcare provider may need to perform a minor surgical procedure to drain the pus. This should only be done by a qualified professional to avoid complications.

3. Antibiotics: If the infection is severe or recurrent, a doctor may prescribe antibiotics to help clear the infection. It’s important to complete the entire course of antibiotics as prescribed.

4. Topical Treatments: Over-the-counter antibiotic ointments may be recommended to apply to the area once the boil has drained.

5. Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate discomfort associated with boils.


Prevention Strategies
To prevent the recurrence of boils, consider the following strategies:
1. Maintain Good Hygiene: Regularly wash your skin with soap and water, especially in areas prone to boils. Keeping your skin clean can help reduce the risk of bacterial infections.

2. Avoid Sharing Personal Items: Do not share towels, razors, or other personal items that can harbor bacteria.

3. Keep Skin Moisturized: Dry skin can lead to cracks and openings where bacteria can enter. Use moisturizers to keep your skin hydrated.

4. Wear Loose Clothing: Tight clothing can cause friction and irritation, which may lead to the development of boils. Opt for loose-fitting clothes, especially in areas prone to friction.

5. Healthy Diet: A balanced diet can support a healthy immune system. Ensure you consume plenty of fruits, vegetables, whole grains, and lean proteins.

6. Manage Underlying Conditions: If you have diabetes or other health issues, work with your healthcare provider to manage these conditions effectively.

7. Environmental Cleanliness: Ensure that your living environment is clean. Regularly wash bed linens and towels, and keep your living space free of clutter.


Conclusion
While boils can be painful and inconvenient, understanding their causes and implementing preventive measures can significantly reduce their occurrence. If you find that boils persist despite these efforts, it may be beneficial to consult a healthcare provider for further evaluation. They can help determine if there are underlying health issues contributing to the problem and recommend appropriate treatment options.

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