QuestionHispanic male, age 61, fair health. Diabetic type II, Noticed that I have started getting boils. One on my rectum and one on my forearm, in past few months. Both on right side of body. How do I treat boils? Thanks for your help.
AnswerHi Wil and thanks for writing,
There are many causes of boils. Some boils can be caused by an ingrown hair. Others can form as the result of a splinter or other foreign material that has become lodged in the skin. Others boils, such as those of acne, are caused by plugged sweat glands that become infected.
The skin is an essential part of our immune defense against materials and microbes that are foreign to our body. Any break in the skin, such as a cut or scrape, can develop into an abscess should it then become infected with bacteria.
Anyone can develop a boil. However, people with certain illnesses or medications that impair the the body's immune system (the natural defense system against foreign materials or microbes) are more likely to develop boils. Among the illnesses that can be associated with impaired immune systems are diabetes and kidney failure.
Most simple boils can be treated at home. Ideally, the treatment should begin as soon as a boil is noticed since early treatment may prevent later complications.
The primary treatment for most boils is heat application, usually with hot soaks or hot packs. Heat application increases the circulation to the area and allows the body to better fight off the infection by bringing antibodies and white blood cells to the site of infection.
As long as the boil is small and firm, opening the area and draining the boil is not helpful, even if the area is painful. However, once the boil becomes soft or "forms a head" (that is, a small pustule is noted in the boil), it can be ready to drain. Once drained, pain relief can be dramatic. Most small boils, such as those that form around hairs, drain on their own with soaking. On occasion, and especially with larger boils, the the larger boil will need to be drained or "lanced" by a healthcare practitioner. Frequently, these larger boils contain several pockets of pus that must be opened and drained.
Antibiotics are often used to eliminate the accompanying bacterial infection. Especially if there is an infection of the surrounding skin, the doctor often prescribes antibiotics. However, antibiotics are not needed in every situation. In fact, antibiotics have difficult penetrating the outer wall of an abscess well and often will not cure an abscess without additional surgical drainage.
Obviously as a Diabetic you need to pay extra attention to your skin integrity and infections; you should treat boils asap but do go to your doctor if one seems to worsen or will not clear up.
I hope this helps, all my best
Margot
Excerpts from: www.medicinenet.com/boils
