Abscess

Medically reviewed by John Sammis, D.O. on October 25, 2023
10 min read

An abscess is a localized collection of pus that is surrounded by inflamed tissue. It is caused by a bacterial infection and can occur in any part of the body. An abscess can be caused by a variety of factors, including trauma, infection, foreign bodies, and blocked ducts. It is important to seek medical attention if an abscess is suspected, as it can lead to serious complications if left untreated.

Causes of Abscesses

Abscesses can be caused by a variety of factors, including:

  • Bacterial infection
  • Trauma
  • Foreign bodies
  • Blocked ducts

Diagnosis of Abscesses

Abscesses can be diagnosed through physical examination and imaging tests, such as X-rays, CT scans, and ultrasounds. A sample of the pus may also be taken for laboratory analysis.

Complications of Abscesses

Abscesses can lead to serious complications if left untreated, including:

  • Spread of infection to other parts of the body
  • Organ damage
  • Sepsis
Take the Abscess Assessment

Symptoms

Common Symptoms of an Abscess

  • Pain in the affected area
  • Redness and swelling
  • Warmth in the affected area
  • Tenderness in the affected area
  • Fever
  • Chills
  • Fatigue
  • Nausea
  • Vomiting

If you experience any of these symptoms, it is important to seek medical attention right away. An abscess can become serious if left untreated, and can lead to further complications.

Causes

Infection

The most common cause of an abscess is an infection. Bacteria, fungi, and viruses can all cause an abscess. Bacterial infections are the most common, and can be caused by a variety of bacteria, including Staphylococcus aureus, Streptococcus pyogenes, and Escherichia coli. Fungal infections are less common, but can be caused by Candida albicans or Aspergillus species. Viral infections are rare, but can be caused by the herpes simplex virus.

Trauma

Trauma to the skin or underlying tissue can also lead to an abscess. This can be caused by a cut, puncture wound, or other injury that breaks the skin. This allows bacteria to enter the tissue and cause an infection.

Foreign Objects

Foreign objects, such as splinters or dirt, can also cause an abscess. These objects can introduce bacteria into the tissue, leading to an infection.

Immune System

A weakened immune system can also lead to an abscess. People with weakened immune systems, such as those with HIV/AIDS or cancer, are more susceptible to infections and abscesses.

Getting a Diagnosis

Physical Examination

A physical examination is the first step in diagnosing an abscess. During the examination, the doctor will look for signs of inflammation, such as redness, swelling, and tenderness. The doctor may also press on the area to check for pain and to determine the size and location of the abscess.

Imaging Tests

Imaging tests, such as X-rays, CT scans, and ultrasounds, can be used to confirm the diagnosis of an abscess. These tests can help the doctor determine the size and location of the abscess, as well as any underlying causes.

Laboratory Tests

In some cases, the doctor may order laboratory tests to help diagnose an abscess. These tests can include a complete blood count (CBC) to check for signs of infection, as well as a culture of the pus to identify the type of bacteria causing the infection.

Treatment

Treatment for an abscess typically involves draining the pus and taking antibiotics to clear the infection. In some cases, surgery may be necessary to remove the abscess.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor. This includes any pain, swelling, redness, warmth, or discharge from the area. Be sure to mention any other symptoms you may be experiencing, such as fever, chills, or fatigue.

Medical History

Your doctor will want to know your medical history, including any recent illnesses or surgeries. They may also ask about any medications you are taking, as well as any allergies you may have.

Diagnosis

Your doctor will likely perform a physical exam and may order tests, such as a blood test or imaging tests, to confirm the diagnosis. They may also take a sample of the pus from the abscess to test for bacteria.

Treatment

Your doctor will discuss treatment options with you. This may include antibiotics, draining the abscess, or surgery. They will also discuss any lifestyle changes you may need to make to help prevent future abscesses.

Follow-up Care

Your doctor will likely want to see you for follow-up care to make sure the abscess is healing properly. They may also want to monitor you for any signs of infection.

Treatment

Antibiotics

Antibiotics are the most common treatment for an abscess. They can be taken orally or applied directly to the affected area. Oral antibiotics are usually prescribed for mild to moderate abscesses, while topical antibiotics are used for more severe cases. Antibiotics help to reduce the inflammation and pain associated with an abscess, as well as reduce the risk of further infection.

Drainage

In some cases, an abscess may need to be drained in order to reduce the pain and discomfort associated with it. This is usually done by a doctor or nurse, who will make a small incision in the affected area and use a suction device to remove the pus. This procedure is usually done under local anaesthetic, and can help to reduce the size of the abscess and the amount of pain it causes.

Pain Relief

Pain relief medications, such as ibuprofen or acetaminophen, can be used to help reduce the pain and discomfort associated with an abscess. These medications can be taken orally or applied directly to the affected area. It is important to follow the instructions on the medication label, as taking too much can be dangerous.

Home Remedies

There are also a variety of home remedies that can be used to help reduce the pain and discomfort associated with an abscess. Applying a warm compress to the affected area can help to reduce the swelling and pain. Applying a mixture of honey and turmeric to the affected area can also help to reduce the inflammation and pain. It is important to speak to a doctor before trying any home remedies, as some may not be suitable for everyone.

Drugs & Medications

Drugs Used to Treat Abscesses

The treatment of an abscess depends on its location and severity. In most cases, antibiotics are prescribed to help fight the infection. Common antibiotics used to treat abscesses include penicillin, amoxicillin, clindamycin, and cephalosporins. In some cases, a doctor may also prescribe a topical antibiotic ointment or cream.

In cases where the abscess is large or deep, a doctor may recommend surgical drainage. This involves making a small incision in the abscess to allow the pus to drain out. The area may then be packed with gauze to help keep the wound clean and promote healing.

In some cases, a doctor may also prescribe pain medications to help relieve discomfort. Common pain medications used to treat abscesses include ibuprofen, acetaminophen, and naproxen.

Conclusion

Abscesses can be painful and can cause serious health complications if left untreated. Treatment typically involves antibiotics and, in some cases, surgical drainage. Pain medications may also be prescribed to help relieve discomfort. It is important to follow your doctor's instructions and take all medications as prescribed.

Diet

What to eat

A healthy diet can help support the body’s natural healing process and reduce the risk of developing an abscess. The following foods may be beneficial:

  • Fruits and vegetables: Eating plenty of fruits and vegetables can help provide the body with essential vitamins and minerals. Aim to eat a variety of colors to ensure a wide range of nutrients.
  • Whole grains: Whole grains are a good source of fiber and other important nutrients. Examples include oats, quinoa, and brown rice.
  • Lean proteins: Lean proteins, such as fish, chicken, and beans, can help support the body’s healing process. Aim to include a source of lean protein in each meal.
  • Healthy fats: Healthy fats, such as olive oil, avocados, and nuts, can help provide the body with essential fatty acids. Aim to include a source of healthy fat in each meal.

What to avoid

The following foods may be best avoided when managing an abscess:

  • Processed foods: Processed foods are often high in sugar, salt, and unhealthy fats. These can increase inflammation and weaken the immune system.
  • Refined carbohydrates: Refined carbohydrates, such as white bread and pasta, can cause blood sugar levels to spike. This can lead to inflammation and weaken the immune system.
  • Sugary drinks: Sugary drinks, such as soda and fruit juice, can cause blood sugar levels to spike. This can lead to inflammation and weaken the immune system.
  • Alcohol: Alcohol can weaken the immune system and increase inflammation. It is best avoided when managing an abscess.

Takeaway

Eating a healthy diet can help support the body’s natural healing process and reduce the risk of developing an abscess. Aim to include plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats in the diet. Avoid processed foods, refined carbohydrates, sugary drinks, and alcohol.

Lifestyle

Maintain Good Hygiene

Good hygiene is essential for preventing abscesses. Wash your hands regularly with soap and water, and keep cuts and scrapes clean and covered with a bandage. If you have a wound that is not healing, see your doctor for treatment.

Eat a Healthy Diet

Eating a healthy diet can help boost your immune system and reduce your risk of developing an abscess. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Avoid processed and sugary foods, as these can weaken your immune system.

Exercise Regularly

Regular exercise can help keep your immune system strong and reduce your risk of developing an abscess. Aim for at least 30 minutes of moderate exercise, such as walking, jogging, or swimming, most days of the week.

Get Enough Sleep

Getting enough sleep is essential for keeping your immune system strong. Aim for 7-9 hours of sleep each night. If you have trouble sleeping, try avoiding caffeine and electronics before bed, and establish a regular bedtime routine.

See Your Doctor Regularly

If you are at risk of developing an abscess, it is important to see your doctor regularly for check-ups. Your doctor can monitor your condition and provide treatment if necessary.

Conclusion

By following these lifestyle tips, you can help prevent and treat abscesses. Remember to maintain good hygiene, eat a healthy diet, exercise regularly, get enough sleep, and see your doctor regularly.