Abscesses can be found in people of all genders and ages. It can occur in every part of the body. both external and internal organs But most often we can find abscesses on the outside of the skin. These abscesses are usually small and can be treated easily. Whether it's taking medicine, cutting an abscess , or tapping to drain pus.
But for abscesses that occur with internal organs Patients need to see a doctor for further diagnosis and appropriate treatment.
Things you should know about abscesses
Does an abscess surgery need to be injected with anesthesia? 
Cutting the pus, cutting the abscess, how many days does it take to heal?
Abscesses are caused by a bacterial infection called Staphylococcus Aureus and other bacteria. Makes the sebaceous glands or hair follicles on the skin inflamed. Swelling and redness when touched will feel painful and burning. There may also be a high fever. The abscess will look like a lump, round in shape, and the size will vary depending on the inflammation in that area. Inside is pus.
Risk groups that may detect more abscesses than other groups of people include people with diabetes. or those who continuously take steroid medicine, those with a weakened immune system There will be a higher risk of detecting an abscess than other groups of people.
Skin abscess
It is a bump, swollen, red, painful, tender, with hair or fur in the middle. When newly formed it becomes hard. This bump will expand and become very painful. Later it will gradually soften and form pus. When the abscess is very swollen, it may burst on its own (a few days or 1-2 weeks after the abscess appears) and the pain will subside.
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Abscess around internal organs
Often there is an illness resulting in an abscess. Abscesses form and occur in organs or spaces between organs within the body. Locations where this type of abscess occurs include tonsil abscesses in the mouth and walls of the throat. Caused by purulent infections in the gums and teeth, lung abscesses, brain abscesses, liver abscesses, which are considered dangerous spots, etc.
Symptoms of the abscess It depends on the type of abscess and its location. which most of the symptoms found Divided by position as follows:
An abscess that occurs on the skin is characterized by a swollen, red bump and tightness or hardness under the skin. You will feel pain when touched. There is a burning sensation in the surrounding skin. where the abscess is swollen and red There may also be a white or yellow pus spot in the middle and a foul odor. When the abscess breaks, the pus flows out clear. Some people may also experience chills and high fever.
Abscesses develop around internal organs. Difficult to notice symptoms The symptoms vary depending on where they occur. Symptoms that may be encountered include discomfort in the area where the abscess occurred, fever, body aches, chills, loss of appetite, and excessive sweating. Nausea, vomiting, stomach pain, fatigue, weakness, lack of energy, diarrhea or constipation, etc.
Initially, the abscess was small, less than 1 centimeter, and not severely painful. The abscess can heal on its own. and can take basic care of themselves at home By using a warm compress on the abscess area for 30 minutes at a time, 3-4 times a day to help reduce swelling. It also stimulates the abscess to drain the pus naturally.
Do not squeeze, press, or use a needle to puncture the abscess yourself. This may cause bacteria to spread to other areas.
In cases where the abscess is larger than 1 centimeter, there is a severe illness, high fever, the size of the abscess is enlarged, swollen, and more painful when touched. You should immediately see a doctor. The doctor will treat the abscess according to the steps and characteristics as follows:
The doctor will prescribe antibiotics to limit the infection and prevent it from spreading to other tissues. The patient will be given tablets to take. and injectable medicine in cases of severe illness, such as a high fever, and if the abscess turns into pus, it must be cut open.
Initially, the doctor will give the patient an anesthetic to sedate the area around the abscess. Then cut out the pus and dead tissue. Later, the doctor will still open the wound to allow the pus to drain out. This may require inserting gauze soaked in saline to drain all the pus out.
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Treatment will be determined based on the location of the internal abscess found. Which is obtained by detecting the location by sending a test. Do additional ultrasound or computerized tomography to clearly identify the location of the abscess and look at surrounding organs to see if there is inflammation or not.
The treatment may involve using a needle to drain the pus and inserting a tube to drain the pus until the pus is gone. Sometimes it may be necessary to surgically remove the organ that is inflamed and infected. To reduce the spread into the bloodstream and reduce severe symptoms. This depends on the severity of the disease and the location of the abscess.
After cutting the abscess and tapping out the pus, the patient may still have slight pain in the area of the incision. You can take painkillers or medicines to reduce swelling prescribed by your doctor.
When the abscess is cut, an anesthetic will be injected. The doctor will use local anesthesia. To provide anesthesia and reduce pain around the abscess before undergoing surgery to drain the pus.
You should refrain from drinking alcohol and smoking during treatment. Because it will cause the body to recover slowly.
You should avoid fermented and raw foods, such as fermented fish, shrimp paste, various pickled fruits, pickled bamboo shoots, etc., because they increase the risk of infection with other diseases.
After incision of an abscess, the wound usually heals completely within 2 - 4 weeks, depending on the size of the abscess and how well the wound is cleaned.
If the abscess is small, less than 1 centimeter, there is no severe pain. Can take basic care of yourself at home. Can heal on its own But if the symptoms do not improve Treatment will change to surgical incision to drain out the pus. After that surgery
The wound must be cleaned daily. Do not allow the wound to get wet or come into contact with dirt.
Take antibiotics according to the treatment plan recommended by your doctor.
If the wound is wet or has fluid. There is a lot of blood seeping out until it is damp. The wound should be cleaned and the rash covered with new gauze.
If the wound hurts more There is a lot of swelling and redness around the wound. Come back to see the doctor for further examination.
Eat protein foods from eggs nuts or grains To help build tissue for the wound to heal faster and help reduce the risk of infection.
Once formed, an abscess often brings pain. Some people are able to heal on their own if the abscess is small. But in some people with severe symptoms, they need proper treatment from a doctor to prevent further infection.
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Composer : SUPITCHA BUENGJAN, MD.
Last edited : 2/04/2024
