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Old 10-10-2009, 03:49 PM   #1
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Question Pls help - cyst on back and VERY painful :(

Hi there. I thought I had a painful pimple on my back so I squeezed it - very little pus came out, but then the next day it was huge and hard under the skin and now 2 days later it is VERY VERY painful. I know it has turned into a cyst.

I've read numerous googles on applying heat about 4 times a day for 20 min. until I can get to a dermatologist on Monday and am thinking they'll shoot it with corticosteroids??

Luckily I have some pain killers, but OMG does it hurt. It's very red, swollen and hard under the skin now with no signs of coming to a head or whatever.

Any suggestions? It's Saturday so I have 2 more days. I don't want to do anything wrong and don't feel urgent care would do much good at this point so I don't want to waste my money or time or have them turn it into something much worse.

Any help is greatly appreciated.

Laurie

 
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Old 10-10-2009, 04:31 PM   #2
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Re: Pls help - cyst on back and VERY painful :(

I've had only 1 and it was like yours............until it went postal on me. Believe it or not, it can get worse. Mine distended to the point the skin never quite went back to normal. There is a spot about the size of a quarter where the skin is sort of like silly putty.

Anyway, have you had them before? I went to urgent care when I couldn't stand it anymore and they lanced it. It hurt like heck when they did it but that was like for 15 seconds. Then immediate, wonderful relief. But talk about a nasty experience. It was full of infection and it poured out down my body. They actually opened the window of the room (it was the last week of NOVEMBER) because the smell was so awful.

Anyway, they did nothing else. I was to put warm packs on for a few days to drawl any more ick out of it but the guy did a great job. My insurance wouldn't pay because I went to the wrong urgent care place but it was the best $200 I ever spent. If you are taking anything stronger than over the counter type pain meds, and especially if you have insurance that will cover urgent care, don't wait. At least I wouldn't.

...Oh, if you decide to go to urgent care, take some extra clothes just in case. Especially pants. You'll have your shirt off but if it's like mine, the ick might run onto the pants a bit and the smell is without rival. ....

Last edited by resolution09; 10-10-2009 at 04:34 PM.

 
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Old 10-10-2009, 05:32 PM   #3
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Re: Pls help - cyst on back and VERY painful :(

Wow! I'm so afraid to go to urgent care because I don't want another scar in my back. I did just have one two months ago around my upper back. It looked like a black head or maybe it was the piece of hair I was seeing so away we went picking and then of course it blew up.

So I went to this new dermatologist and he did a HORRIBLE job. The stitches were not tight enough so by the time it was time to take them out - they fell out. So now instead of this tiny little scar (1/4" or less he promised), I now have a circular scar because it opened up or started to spread, etc. So I will NOT be going back to him.

I've read that sometimes they can inject it with steroids that will either shrink it or makes it drain, etc. so I don't want someone cutting on me again unnecessarily. I'm afraid to go to urgent care (regular dr.) in case he/she doesn't specialize in that and winds up making it worse.

Right now it's very red, swollen and hurts like I don't know what. I'm afraid if anyone touched it my automatic reflex would be to knock them out.

So I'm at a loss right now - just not sure if it'll get bigger or worse or ? It's only been 2 days and you're thinking it will smell that bad already? Yuk!

Please reply when you get the chance. Thx

 
Old 10-10-2009, 07:29 PM   #4
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Re: Pls help - cyst on back and VERY painful :(

Lancing it is the most effective method of removing it. you could always try a plastic surgeon if you are worried about a scar...

 
Old 10-10-2009, 08:26 PM   #5
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Re: Pls help - cyst on back and VERY painful :(

Update: I did go to urgent care and they gave me levaquin (antibiotic) for 7 days and some pain killers. They also told me to either take a hot bath and soak it for as long as I could to try to get it to drain on its own or to keep a wet wash cloth w/ heating pad on it. I asked for how long and basically - as long as it takes. So where I read 4x a day, etc.. for 30 min.. no - keep doing it until it responds. Their whole point was to getting it to drain or go away.

They gave me the card of a surgeon to see on Monday if it doesn't drain on its own or go away to my approval.

Yes the last dermatologist was a joke and when I told him I shouldn't have been picking he said "Oh no keep picking - we need the business." Pretty sad huh? Can't trust anyone hardly these days. I'm becoming a cynic.

 
Old 10-10-2009, 08:38 PM   #6
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Re: Pls help - cyst on back and VERY painful :(

Quote:
Originally Posted by LL29 View Post
Update: I did go to urgent care and they gave me levaquin (antibiotic) for 7 days and some pain killers. They also told me to either take a hot bath and soak it for as long as I could to try to get it to drain on its own or to keep a wet wash cloth w/ heating pad on it. I asked for how long and basically - as long as it takes. So where I read 4x a day, etc.. for 30 min.. no - keep doing it until it responds. Their whole point was to getting it to drain or go away.

They gave me the card of a surgeon to see on Monday if it doesn't drain on its own or go away to my approval.

Yes the last dermatologist was a joke and when I told him I shouldn't have been picking he said "Oh no keep picking - we need the business." Pretty sad huh? Can't trust anyone hardly these days. I'm becoming a cynic.
Nothing like a smart mouthed doctor. You know what's amazing? Mine was horrible. My Mom had open heart and was recovering at my home just days out of the hospital which is why I kept putting it off. By the time I got there it was huge...maybe that's why they lanced with no attempt at antibiotics. So he lanced it with a surgical knife. It was a slice about 3 inches long to get into the heart of the cyst and, once it was healed, I had zero scar. If it wasn't for that odd pudding type piece of skin you'd have no idea it ever happened. Of course I kept it very clean and covered for 10 days. But I almost wonder if stitching might create more damage than it helps if the cyst is caught just right. I understand it is sort of an art to go just deep enough to drain it all but not too deep. Considering the doctor, maybe he had no choice but to stitch! Still, I'm glad you went. If the antibiotics help, the pain should be much better tomorrow.

 
Old 10-10-2009, 08:49 PM   #7
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Re: Pls help - cyst on back and VERY painful :(

I think either they were afraid of leaving a scar (not knowing 100% they would be doing it right for a picky person like me) or because mine wasn't ready. One doctor (2 looked at me) said it wasn't ready to be cut?? Maybe because it was so hard or ? I have no idea. It was only 2 days for this to develop so it's not like it was there for years.

Yes you were very fortunate and if it was that big and had come to a head then that's prob. why they did it and to also give you relief. I will keep you posted to let you know how it goes. I'm praying it just goes down on its own.

I have read numerous websites, journals, etc. and it really all depends when you catch it, how you treat it, etc. Certain people interact with antibiotics better than others so sometimes that can get it and other times there is no choice but to drain or cut. They say there's a 50/50 shot of it coming back if it's not fully cut out. If mine drains, then I'm not getting it cut out unless it keeps on coming back.

Yes that dermatologist was a total sham and just looking for business. By not stitching it tight enough - that means another appt. and another billing to my insurance company for something he would've made up as if I had more serious problems or whatever. When I checked his background - he had moved ALL over the place.... so.... I'm thinking it's because he's a shady character and doing botch jobs so he has to keep moving. There won't be a next time for me before I ever let someone else cut on me. I will def. be doing my own research first and google the doctor to see if I can find any reviews. When I'm done with this mess I'll be putting a review out on him to warn others. What he promised vs. what he delivered - no where near.

Glad yours is ok though

 
Old 10-11-2009, 01:07 PM   #8
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Re: Pls help - cyst on back and VERY painful :(

I think I understand better now. You actually wanted the cyst removed, I just wanted it drained. The antibiotics make sense now.

When I went in they told me that if I wanted the "core" removed (the actual cyst) I would have to wait until it was completely healed (it had to be lanced at that time, no choice) and free of infection. Then I could go get it removed but that they could not do anything with that core until it was empty and healed. My primary care said to wait and see what happened before I had it removed, that it might never bother me again and it hasn't. So I understand now that we had different goals in terms of treatment.

It's been years since mine happened so I'm glad I listened to my primary but if you've already have others you might need a more aggressive solution. This was the only one I've ever had.

 
Old 10-11-2009, 03:17 PM   #9
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Re: Pls help - cyst on back and VERY painful :(

Nooooooo I don't want it removed if I don't have to. Do you know that I have been to urgent care twice and they have yet to lance it and gave me a surgeon's card???? I won't be using it esp. after they referred me to the derma. that screwed me up to begin with. Now they say I may have MRSA and that could be causing the cysts. I'm like UHHHHHHHHHHHHHHHHHHHHHHHHHHHH. Does anyone know anything??? Now I'm debating on going elsewhere to get someone else to look at it.

The Levaquin was horrible for me. Didn't get to sleep until 6am and even then it was horrible. I soaked in the tub for 30 min. but to no avail. I really don't think this thing is coming open until it's lanced. All I know is that it is sooooooooooo painful. The Levaquin gave me leg pains all night so I told her there was no way I was taking it anymore as it is known for tendonitis.

I'm about ready to call my Dad's best friend that's a physician in PA. Lord forbid.

Say a prayer for me please.

 
Old 10-11-2009, 04:28 PM   #10
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Re: Pls help - cyst on back and VERY painful :(

UPDATE: Wow - I call an emergency dermatologist referred by a friend and he tells me that she (dr at urgent care) should have never given me any antibiotics that the cyst was just ruptured not per se infected and just needs to be drained. Too many dr's are quick to prescribe antibiotics when it's really not needed, which is not good because you can become immune to them so when you really need them to work - might not.

So he told me to continue w/ the hot compresses/baths, etc. and hopefully it will begin to drain at some point to give me some relief. He said don't take pain killers if you don't have to and also get it lanced tomorrow if I can find someone open. He said chances are I may not get all of the stuff out, but if I would then I may be ok.

SOoooooooooooooooo glad I trusted myself and thank goodness for everyone on the internet (including yourself) that posts out here and elsewhere. I read somewhere that I shouldn't be taking antibiotics for the cyst and sure enough - they were right. Not the urgent care dr. GO FIGURE!

Have a great day

 
Old 10-11-2009, 08:54 PM   #11
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Re: Pls help - cyst on back and VERY painful :(

MRSA....good grief.

My Aunt contracted MRSA while having open heart and she does have cysts now but I'm talking groups of cysts, 4-5 at a time. If you are otherwise healthy, and have only had a couple of cysts, I can't imagine the doctor jumping from a cyst (something as common as the cold) to MRSA. However, that certainly explains why she didn't want to lance it. Wimp. So much for the patients needs coming first. Definitely not anywhere you want to go again!

One thing. MRSA is easy to be tested for, just a swab inside the nose. But if you are healthy I'm not sure if you want that "official" on your records in the UNLIKEY event it comes back positive. Just something to think about before they ask.

 
Old 10-11-2009, 09:01 PM   #12
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Re: Pls help - cyst on back and VERY painful :(

Thx for the heads up resol. I don't know a great deal about MRSA or why it would reflect so much negativity, but I don't think I'll risk it. I believe they test your fluid from the cyst for it anyway??

Yeah unfortunately she was just all messed up. It's really hard to know if they are just lacking knowledge or if they just want to bill your ins. co. $247 for the shot. I believe the latter sadly. There's just too much greed going on in the medical field right now so as I type I'm researching surgeons/dermatologists that could possibly take care of me tomorrow. Trying to read reviews, etc.. there has to be a better way to find this info. Any suggestions or go straight to the med board or ?

Thx

 
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