Skin abcess on nose (1 Viewer)

DaveXA

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So, last Thursday or Friday I noticed a pimple at the entrance of my nose. Went to pop it and it did without too much trouble. A day later it looked a lot different had grown into an infected area. 2 days and it was a clearly infected abcess. Face and neck started feeling burning sensations on and under the skin. Pain was super dull. Never really felt anything like it. Closest thing I can think of was an abcessed tooth I had a little while back.

By the third day I was having wicked nasty headaches and the pain was coming in waves, so I went to clinic. Doc took a look and said it's an abcess and gave me an antibiotic and topical ointment. Said after 3 days, if no improvement to come back. 3 days later, still no signs of improvement and I went to a different clinic to get a second opinion. Doc says same as first except he adds that it isn't mature yet. Gives me a different antibiotic and said I can double up the 2 different meds. I was a bit concerned about taking 2 at the same time.. He assured me it's safe. He also said it probably wouldn't mature for another 3-5 days, which is brutal. After nearly a week of dealing with this, I'm at my wit's end.

The pain I can deal with. But it being at the entrance of my nose, I'm concerned that the infection could spread to my brain. The headaches are what bother me the most. I've tried ibuprofen and Aleve, and results have been mixed. I am not a fan meds and generally only take when absolutely needed. But now doubling up on an antibiotic, I'm not sure whether to take 2 ibuprofen instead of one for the headaches.

If it was anywhere else, I wouldn't be posting this, but the location and ongoing headaches and burning sensation on half my face and neck, even behind my eyes is tough to deal with. And of course the proximity to my brain doesn't make me feel any better.

Anyone have some good suggestions for the headaches and the pain?
 

Madmarsha

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It was 2009-ish. Sadly, not my first dance with cancer. Nor will it be my last. Part of my nose is my ear. Most say you cannot notice the scars unless I take my glasses off.

But I'll be darned if I'm going to let it get me!
So if you can't hear me, I have to talk into your nose?
 

Saint_Ward

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Go with the dermatologist. Mixing antibiotics isn't a usually a worry. In the hospital, when it's a staph infection, they tend to load you up with 2 of the big guys, but I don't like some of those, since I believe one side effect is tendon damage/rupture ( fluoroquinolones ).

However, also note, antibiotics usually take a couple days to see improvement. The first day or two are usually worse.

Also, my experience is that topical antibiotics cause more problems than good. Now, I'm talking about OTC, like neosporin... it usually cause an alergic reaction with your skin with open wounds if you use it for more than a day or so. Dermotologists usually prefer just cleaning the wound area with soap and water, or a saline spray, then cover it with aquaphor.
 

CapitalCitySaint

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I'm making an appointment to see a dermatologist as I type this. Don't know why I didn't think of it sooner.

Yeah, I went to a walk in clinic. Smh at me.
Yeah, go see a dermatologist. Doc in the box can be good for basic level stuff but when it comes to skin things and the best way to treat it, a doc in the box is going to give you the most basic protocol.

That's not to say a dermatologist wouldn't give you the same treatment plan but they are able to identify things beyond the obvious.
 

Maxp

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I guy on my ship had a staff infection in the same spot as you describe. The medic put him on strong antibiotics and we flew him in to see a physician. He came back to work the next day, but he has been dealing with it since.
 

Goatman Saint

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Basically, having had big ones on my legs, the puss and infection is usually isolated to the actual pore. The body does extremely well at walking the infection off, but it’s the massive inflammation that causes the issues.
Warm wet heat. Lots of it. It not only brings more blood flow (more the better) but it also softens the skin above the abcess to help it drain, and either a doctor will lance it or it will break in its own. Keep it as clean as possible. If you don’t already have some get some Hibiclense to clean it well after it drains if it breaks open before you see the dermatologist.
While I understand the worry of it spreading, that is a massively overstated risk. Your body does a very good job through swelling and extra blood flow and such to keep that from happening. Antibiotics also are terrible at crossing the abcess wall which is why they are falling out of favor with dermatologists.
So the more hot showers over your face the better. At this point no topical will work. Then warm wet washcloth. Once it ruptures, push around the edges, don’t squeeze it and then clean with hibiclense.
 
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DaveXA

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Welp, the dermatologist is out, no openings until like the 29th of this month. I'll go see one then, but the damage will be long past done by then.

It's hardened up quite a bit today. About to do a hot compress, then shower before bed.
 

SharonT

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Shingles? :covri: Swab and test. Good luck, Dave!
 

antipop

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That really sucks Dave...i hope you can get it squared away soon...

A lot of weirdness going on with noses lately...my wife just had a basal-cell thingy removed from her nostril...they grafted skin from her ear to fill it in...
 

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