What are boils and carbuncles. How do they develop. What are the common symptoms of boils. When should you seek medical attention for a boil. How are boils typically treated. Can boils be prevented. What complications can arise from untreated boils.

Understanding Boils and Carbuncles: A Comprehensive Overview

Boils and carbuncles are common skin infections that can cause discomfort and concern for many individuals. These conditions occur when hair follicles become infected, leading to the formation of painful, pus-filled bumps on the skin. While often benign, they can sometimes lead to more serious complications if left untreated.

What exactly is a boil?

A boil, also known as a furuncle, is an infection that affects groups of hair follicles and the surrounding skin tissue. It typically starts as a small, tender, reddish bump and gradually increases in size as it fills with pus. Boils can appear anywhere on the body but are most common in areas with hair and increased sweating, such as the face, neck, armpits, buttocks, and thighs.

How does a carbuncle differ from a boil?

A carbuncle is essentially a cluster of boils that have formed a single, interconnected infection. These are typically larger, deeper, and more severe than individual boils. Carbuncles often require more aggressive treatment and can leave scars after healing.

The Science Behind Boil Formation: Causes and Risk Factors

Understanding the underlying causes of boils can help in prevention and early treatment. Let’s delve into the primary factors contributing to their development.

What causes boils to form?

Boils are most commonly caused by the bacterium Staphylococcus aureus, which is often found on the skin’s surface. When this bacteria enters the body through a hair follicle or small cut in the skin, it can cause an infection that leads to a boil. Other types of bacteria or fungi can also be responsible, albeit less frequently.

Are certain individuals more prone to developing boils?

While anyone can develop a boil, certain factors may increase the risk:

• Poor hygiene
• Weakened immune system
• Diabetes
• Obesity
• Exposure to harsh chemicals that irritate the skin
• Close contact with someone who has a staph infection
• Certain skin conditions like acne or eczema

Recognizing the Symptoms: From Early Signs to Full-Blown Infection

Identifying a boil in its early stages can lead to quicker treatment and resolution. Here are the key symptoms to watch for:

What are the initial signs of a developing boil?

In its early stages, a boil may appear as:

• A small, tender, pinkish-red area on the skin
• A firm, swollen spot about the size of a pea
• Mild itching or discomfort in the affected area

How does a boil progress over time?

As the infection develops, you may notice:

1. The affected area growing larger, sometimes reaching the size of a golf ball
2. Increased pain and tenderness
3. The center of the boil becoming filled with pus, appearing white or yellow
4. The skin around the boil becoming red and swollen
5. In some cases, fever and general fatigue

When to Seek Medical Attention: Recognizing Serious Symptoms

While many boils can be managed at home, certain situations require professional medical intervention. It’s crucial to know when to consult a healthcare provider.

Under what circumstances should you see a doctor for a boil?

Seek medical attention if:

• The boil is on your face, spine, or in the middle of your body
• The boil is larger than 2 inches in diameter
• You have multiple boils or they keep recurring
• The boil is accompanied by a fever over 101°F (38.3°C)
• The skin around the boil turns red or develops red streaks
• The pain is severe or the boil doesn’t improve after a week of home treatment
• You have a weakened immune system or diabetes

Treatment Options: From Home Remedies to Medical Interventions

The appropriate treatment for a boil depends on its severity and location. Let’s explore the range of options available.

What are effective home remedies for treating boils?

For minor boils, these home treatments can be effective:

• Apply warm, moist compresses to the area several times a day to promote drainage
• Keep the area clean and dry between compress applications
• Avoid squeezing or attempting to drain the boil yourself
• Cover the area with a loose, breathable bandage
• Take over-the-counter pain relievers if needed

How do medical professionals treat severe or recurring boils?

For more serious cases, a healthcare provider may:

1. Perform an incision and drainage procedure to remove the pus
2. Prescribe oral antibiotics if the infection is severe or spreading
3. Conduct tests to identify the specific bacteria causing the infection
4. Recommend special washes or ointments to prevent recurrence
5. Investigate underlying conditions that may be contributing to frequent boils

Prevention Strategies: Minimizing the Risk of Boils

While it’s not always possible to prevent boils entirely, certain practices can significantly reduce your risk of developing them.

How can you lower your chances of getting boils?

Consider implementing these preventive measures:

• Practice good hygiene, including regular handwashing and showering
• Avoid sharing personal items like towels, washcloths, or razors
• Wash clothes, bedding, and towels in hot water, especially if you’ve had a boil
• Keep cuts, scrapes, and other wounds clean and covered
• Boost your immune system through a healthy diet, regular exercise, and stress management
• If you have diabetes, maintain good blood sugar control
• Avoid tight clothing that can irritate your skin

Potential Complications: Understanding the Risks of Untreated Boils

While most boils heal without incident, untreated or improperly managed boils can lead to more serious health issues.

What complications can arise from untreated boils?

Potential complications include:

1. Spreading of the infection to deeper layers of skin or nearby areas
2. Development of a larger, more severe carbuncle
3. Scarring of the skin
4. Sepsis, a potentially life-threatening bloodstream infection
5. Endocarditis, an infection of the heart valves
6. Osteomyelitis, an infection of the bone
7. Spread of infection to other people through skin-to-skin contact

Special Considerations: Boils in High-Risk Populations

Certain groups of people may be at higher risk for developing boils or experiencing complications from them. Understanding these special considerations is crucial for proper management and prevention.

How do boils affect people with diabetes?

People with diabetes are more susceptible to skin infections, including boils, due to:

• Impaired immune function, making it harder to fight off bacteria
• Poor circulation, which can slow healing
• Higher blood sugar levels, creating an environment where bacteria thrive

For diabetic individuals, prompt treatment of boils is crucial to prevent complications. Regular skin checks and meticulous wound care are essential preventive measures.

Are there special concerns for individuals with weakened immune systems?

People with compromised immune systems, such as those undergoing chemotherapy or living with HIV/AIDS, face unique challenges when it comes to boils:

1. Increased susceptibility to developing boils
2. Higher risk of the infection spreading or becoming severe
3. Potential for atypical presentations of boils, making diagnosis challenging
4. Need for more aggressive treatment approaches
5. Importance of preventive measures and early intervention

These individuals should work closely with their healthcare providers to develop a personalized approach to preventing and managing skin infections.

Understanding boils and carbuncles is crucial for effective management and prevention of these common skin infections. By recognizing early symptoms, implementing proper hygiene practices, and seeking timely medical attention when necessary, most cases can be successfully treated with minimal complications. Remember, while boils are often benign, they should never be ignored, especially in high-risk populations. Always consult with a healthcare professional if you have concerns about a skin infection or if home remedies prove ineffective.

Boils Information | Mount Sinai

Furuncle

A boil is an infection that affects groups of hair follicles and nearby skin tissue.

Related conditions include folliculitis, an inflammation of one or more hair follicles, and carbunculosis, a skin infection that often involves a group of hair follicles. 

At the base of the hair follicle are sensory nerve fibers that wrap around each hair bulb. Bending the hair stimulates the nerve endings allowing a person to feel that the hair has been moved. One of the main functions of hair is to act as a sensitive touch receptor. Sebaceous glands are also associated with each hair follicle that produce an oily secretion to help condition the hair and surrounding skin.

Causes

Boils are very common. They are most often caused by the bacteria Staphylococcus aureus. They can also be caused by other types of bacteria or fungi found on the skin’s surface. Damage to the hair follicle allows the infection to grow deeper into the follicle and the tissues under it.

Boils may occur in the hair follicles anywhere on the body. They are most common on the face, neck, armpit, buttocks, and thighs. You may have one or many boils. The condition may occur only once or it can be a long-lasting (chronic) or recurring problem.

Symptoms

A boil may begin as tender, pinkish-red, and swollen, on a firm area of the skin. Over time, it will feel like a water-filled balloon or cyst.

Pain gets worse as it fills with pus and dead tissue. Pain lessens when the boil drains. A boil may drain on its own. More often, the boil needs to be opened to drain.

The main symptoms of a boil include:

• A bump about the size of a pea, but may be as large as a golf ball
• White or yellow center (pustules)
• Spread to other skin areas or joining with other boils
• Quick growth
• Weeping, oozing, or crusting

Other symptoms may include:

• Fatigue
• Fever
• General ill-feeling
• Itching before the boil develops
• Skin redness around the boil

Exams and Tests

The health care provider can usually diagnose a boil based on how it looks. A sample of cells from the boil may be sent to the lab for a culture to look for staphylococcus or other bacteria.

Treatment

Boils may heal on their own after a period of itching and mild pain. More often, they become more painful as pus builds up.

Boils usually need to open and drain in order to heal. This most often happens within 2 weeks. You should:

• Put warm, moist, compresses on the boil several times a day to speed draining and healing.
• Never squeeze a boil or try to cut it open at home. This can spread the infection.
• Continue to put warm, wet, compresses on the area after the boil opens.

You may need to have surgery to drain deep or large boils. Get treatment from your provider if:

• You have a fever or other symptoms with the boil.
• The boil causes pain or discomfort. 
• You have a boil on your spine or the middle of your face.
• A boil lasts longer than 1 week.
• A boil comes back.

It is important to keep a boil clean. To do this:

• Clean boils and change their dressing often.
• Wash your hands well before and after touching a boil.
• Do not reuse or share washcloths or towels. Wash clothing, washcloths, towels, and sheets or other items that have touched infected areas in hot water.
• Throw out used dressings in a sealed bag so that fluid from the boil does not touch anything else.

Your provider may give you antibiotics to take by mouth or a shot, if the boil is very bad or comes back.

Antibacterial soaps and creams cannot help much once a boil has formed.

Outlook (Prognosis)

Some people have repeated boil infections and are unable to prevent them.

Boils in areas such as the ear canal or nose can be very painful.

Boils that form close together may expand and join, causing a condition called carbunculosis.

Possible Complications

These complications may occur:

• Abscess of the skin, spinal cord, brain, kidneys, or other organ
• Brain infection
• Heart infection
• Bone infection
• Infection of the blood or tissues (sepsis)
• Spinal cord infection
• Spread of infection to other parts of the body or skin surfaces
• Permanent scarring

When to Contact a Medical Professional

Contact your provider if boils:

• Appear on your face or spine
• Occur along with a fever, red streaks coming out from the sore, a large build-up of fluid in the area, or other symptoms of infection
• Cause pain or discomfort
• Do not heal with home treatment within 1 week
• Come back after treatment

Prevention

The following may help prevent the spread of infection:

• Antibacterial soaps

• Antiseptic (germ-killing) washes

• Keeping clean (such as thorough hand washing)

Dinulos JGH. Bacterial infections. In: Dinulos JGH, ed. Habif’s Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 9.

Pulia M, May LS. Skin and soft tissue infections. In: Walls RM, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 126.

Last reviewed on: 11/30/2022

Reviewed by: Ramin Fathi, MD, FAAD, Director, Phoenix Surgical Dermatology Group, Phoenix, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

How To Treat & When To Seek Help For Boils

How To Treat & When To Seek Help For Boils

A boil is a tender red lump on the skin – an infection caused by bacteria. Boils are not usually a serious problem and you can treat most boils at home, especially if you notice them early. Sometimes, boils need treatment from your doctor. 

Key points to remember about boils

• a boil is a tender red lump on the skin
• a boil is an infection caused by bacteria
• most children with boils are otherwise healthy
• boils are not usually a serious problem
• there is a small chance of your child becoming sicker if the infection spreads – if this happens you should take your child to your family doctor
• signs of a worsening infection include a fever and redness that is spreading and increasing pain

What are boils?

• a boil (also called a furuncle) is a tender, red lump on the skin
• a boil is caused by a bacterial infection (usually Staphylococcus aureus) of the hair root or sweat pore 
• boils are not usually a serious problem – the body’s defences are usually able to get rid of the bacteria
• sometimes the boils may spread to other parts of the body – a group of boils close together is called a carbuncle
• large boils are sometimes called abscesses
• the most common places for boils to appear are on the face, neck, armpits, shoulders, and buttocks (bottom)

What puts my child at risk of getting boils?

Anyone can develop a boil.

Most children with boils are otherwise healthy.

Some of the following problems can increase the risk of your child getting boils:

• diabetes
• broken skin (which allows bacteria to enter)
• eczema
• weakened defence system (immune deficiency)
• anaemia or iron deficiency

Some medicines can reduce the body’s defence system against germs (bacteria). For this reason, it is important for you to be aware of the side effects of any medicine that your child is taking.

What are the signs and symptoms of boils?

• a hard, red and sore lump on your child’s skin
• increasing size and soreness of the lump
• development of a white or yellow centre in the lump, filled with pus, which may or may not burst

When should I seek help for my child’s boil?

Sometimes, a boil can turn into an abscess. This is a large, deep boil. If you think your child’s boil has become an abscess, take them to see your family doctor.  

You should see your family doctor if:

• the boil does not form a head or point or does not get better within 2 days
• your child is complaining of lots of pain or discomfort
• your child develops a temperature
• the skin around the boil has redness that is spreading
• the boil is the size of a 10 cent coin or larger
• the boil keeps getting bigger
• there are several boils
• your child has diabetes or an immune problem

You should see your family doctor urgently if:

• there is a sore or any redness near your child’s eye

How can I care for my child with a boil at home?

You can treat most boils at home, especially if you notice them early.

Make a compress

To help the boil open up and drain, try applying a warm compress. You can make a compress by wetting a facecloth with warm (not hot) water and putting it on the boil for several minutes. Do this a few times a day. Always wash your hands before and after touching the boil.

Practice good hygiene to stop the boil spreading

Boils can spread very easily. If the boil opens on its own and drains, wipe away the pus or blood with a clean cotton ball soaked in antiseptic solution. Wash and dry the area well and then cover it with a plaster. This stops it from spreading and stops your child from scratching it. Wash your hands with soap and dry thoroughly before and after touching the boil.

Wash your child all over with warm soapy water or use an antiseptic solution such as Savlon or Dettol (follow the directions on the bottle for making the solution). Your child will need their own towel and facecloth. Wash these frequently in hot water along with any clothing worn close to the skin.

Don’t squeeze the boil

Squeezing the boil into the surrounding skin can cause a much more serious infection and will be painful.

Keep an eye on the boil

If other boils appear or the boil gets bigger or more painful, you need to take your child to your doctor.

Give pain relief if necessary

Give your child paracetamol, if needed, to help with the soreness. You must follow the dosage instructions on the bottle. It is dangerous to give more than the recommended dose.

What treatments are available if my child’s boil gets worse?

Antibiotics

• if there are several boils, or they are large and painful, your doctor will usually prescribe antibiotic medicine
• if your child needs to take antibiotics, follow your doctor’s instructions and take them until they are finished, even if the boils have gone

Surgery – incision and drainage

If your child’s boil has become an abscess, it may need a small operation. 

• sometimes the antibiotics may not completely work, and the pus needs to be surgically drained from the boil – this is called incision and drainage
• your child may need to see a surgeon at the hospital for this procedure – a general anaesthetic is usually necessary because it is painful
• the surgeon will cut (incise) the abscess, remove the pus and put a sterile dressing over the cut to absorb any draining pus
• your child may need antibiotics through an intravenous drip (into a vein)
• after the operation, your child will not usually need to stay in hospital
• changing your child’s dressings – an outreach or homecare nurse, or your family doctor’s nurse may do this
• remember to keep the dressing dry

Are there likely to be any complications of boils?

Normally, there are no problems.

Check out how to stop skin infections.

There is a small chance of your child becoming sicker if the infection spreads. Signs include:

• a fever
• spreading redness around the boil and increasing pain

If this happens, seek advice from your family doctor.

What if my child keeps getting boils (recurrent boils)?

Sometimes children can suffer from recurrent boils, which can spread to other household members. This is usually because a child carries a strain of bacteria that easily causes infection of any broken skin (minor cuts and scrapes). It is important to treat all household members with skin infection to stop the infection spreading.

Your family doctor may take a swab of the boil and may need to consider whether your child has an underlying medical condition.

Treatments to get rid of bacteria on the skin

This may include strategies like:

• having dilute bleach baths twice a week – see When and how to use bleach baths for your child with eczema (this can help prevent recurrent boils)
• washing all your child’s towels and bedding in hot water
• using an antiseptic wash in the shower when your child has cuts or scrapes

Your doctor may also suggest:

• using an alternative antibiotic for a longer course
• using an antiseptic wash for a week
• applying an antibiotic cream to the nose (where the bacteria are often carried)

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Boils – More Detail

This page last reviewed 19 October 2020.

Treatment of boils in St. Petersburg – 41 doctors

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Furuncle treatment in Tyumen – 10 doctors 900 01

Furuncle treatment in Tyumen: 10 doctors,
171 reviews,
admission record. Choose a good boil specialist in Tyumen and make an appointment.

A furuncle is a purulent-necrotic inflammation of the hair follicle, as well as the connective tissue and fatty tissue around it. Furuncles most often develop in areas where there is a lot of hair: in the mustache, beard, head, back of the neck, forearm, hands, inner thighs, on the lower back and buttocks.

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Check the price with the administrator of the clinic.

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The cost of a doctor’s visit to your home is determined by the distance from the clinic.
Check the price with the administrator of the clinic.

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