Ear Piercing Complications: When to Seek Medical Advice - Dermatology

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Ear piercing


Hello, doctor^^ I accidentally pierced an additional hole behind my earlobe next to my original earring hole, and it has been about six months.
The wound has healed, but there is still a bit of pus inside, and there is a small bump.
I’m not sure if you have encountered a similar situation.
My brother is a neurologist; would it be a good idea to ask him to use a clean needle to puncture it?

yu, 20~29 year old female. Ask Date: 2006/02/17

Dr. Hong Zhengsheng reply Dermatology


Hello, based on your written description, it is currently difficult to determine your specific condition.
The main characteristic of skin diseases is that "seeing is believing and touching reveals texture." It is indeed challenging to convey a complete picture through text alone.
Therefore, I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county under the Department of Health and consult with a dermatologist.
Our physicians are always happy to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/02/17

More Info


When it comes to ear piercing complications, it’s essential to approach the situation with caution and proper medical guidance. Based on your description, it sounds like you may be experiencing a condition known as a keloid or possibly an infection at the site of your piercing. The presence of a small bump and some discharge could indicate that the area is not entirely healed or that there is an underlying issue that needs to be addressed.

Firstly, it’s important to understand that while minor complications from ear piercings are common, persistent issues should not be ignored. The fact that you have had a bump for six months suggests that this is not a typical healing process. Keloids, which are overgrowths of scar tissue that develop at the site of a skin injury, can occur after piercings. They are more common in individuals with darker skin tones but can affect anyone. If the bump is firm, raised, and possibly itchy or painful, it could be a keloid.

On the other hand, if the bump is soft and there is a discharge, it could indicate an infection. Infections can occur if the piercing was not done in a sterile environment or if proper aftercare was not followed. Symptoms of an infection may include redness, warmth, swelling, and pus or other discharge from the piercing site.

Regarding your question about using a clean needle to puncture the bump, I would advise against this. Self-treatment can lead to further complications, including worsening an infection or causing additional scarring. It’s crucial to avoid any actions that could introduce bacteria into the area or exacerbate the problem. Instead, here are some steps you should consider:
1. Consult a Healthcare Professional: Since your brother is a neurologist, he may not have the expertise required for this specific issue. It would be best to see a dermatologist or an ear, nose, and throat (ENT) specialist who can evaluate the bump properly. They can determine whether it is a keloid, an infection, or another issue entirely.

2. Avoid Self-Intervention: As tempting as it may be to try to resolve the issue yourself, using a needle or any other tool can lead to more harm than good. A healthcare professional can provide a safe and sterile environment for any necessary procedures.

3. Follow Proper Aftercare: If you are advised to keep the piercing, ensure you follow proper aftercare instructions. This typically includes cleaning the area with saline solution or a mild antiseptic and avoiding touching the piercing with dirty hands.

4. Consider Treatment Options: If it is determined that you have a keloid, treatment options may include corticosteroid injections, silicone gel sheets, or in some cases, surgical removal. If it is an infection, antibiotics may be necessary.

5. Monitor for Changes: Keep an eye on the bump for any changes in size, color, or discharge. If you notice any worsening symptoms, seek medical attention promptly.

In summary, while it may be frustrating to deal with complications from an ear piercing, it is crucial to seek professional medical advice rather than attempting to treat it yourself. A qualified healthcare provider can offer the best guidance and treatment options tailored to your specific situation. Remember, your health and safety should always come first.

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