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21 Jan 2003

Terrible bumps on my bum
Hi there Doc.

I am embarrassed to ask you but I am fed up. I get these really bad pimpple-like bumps on my bum. I haqve tried various creams, I wash it with anti-bacterial soap when I shower, I am healthy, I drink plenty of water, yet they will not go away. I am embarrassed around my fiance although he pretends that they're not there. Please help me with some really good advice.

Julie
Answer 369 views
Expert
CyberDoc
CyberDoc

01 Jan 0001

Julie, boils or furuncles are usually caused by bacteria called Staphylococcus aureus. They occur most frequently on the buttocks, breasts, neck and face. They might occur more frequently on the buttocks because the bacterial load is higher there, but it's not a given. They are usually treated with antibiotics (first ointments and then pills).
Usually that is all that needs to be done, but if the ointments/pills don't work the first thing I would do is to send some of the puss away to try and determine the cause of the boils and what the most suitable antibiotic will be. If the boils return again, we will then know that they are new ones and not just the old ones coming back (as we know that we gave the correct antibiotics).
You can try to prevent them from returning by using chlorhexidine gluconate soap, but usually it's not necessary. We now also need to make sure that there is no problem with your immunity and that there is nothing else wrong with you. We can then start giving preventative antibiotics for up to 6 months. If that doesn’t help, we start all over again because we missed something somewhere. If you have already been through this process, you need to find a good dermatologist. Good luck.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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