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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Some Pimples For Long Time. Popped It. A Black Dry Solid Puss Came Out Which Smells Nasty. Treatment?

Hello . I have had 2 or 3 big pimple look a like for years now but never hurted me . Since it looks bad I decided to try to pop it out . Just like a pimple but a big one , a black dry solid puss came out which smells nasty. Now the size went smaller , but is still there . I tried popping it more but it hurts a lot. What can I do? Thank you
Mon, 27 May 2013
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Dermatologist,  's  Response
Hi
Thanks for your query

You seem to have developed cystic acne.
Before coming to the exact treatment, I would like you to follow certain precautions:
1. Avoid using any oily creams or lotions over face as much as possible. You can however use oil free moisturisers .
2. Wash your face frequently inorder to keep it dry.
3. Drink plenty of water .
4. Try to avoid eating dry fruits .
5.Avoid touching or squeezing of pimples .
6. Avoid Hair oil .
7. Always use a sunscreen (SPF> 26) when going out in the sun.

Now as far as your condition is concerned, I would advise you might need to apply some antiacne medications like Clindamycin gel over the affected area in the morning along with benzoyl peroxide 2.5% gel at night.
You might need a systemic agent also to control acne ,so if the above medicines dont help you much, then see a dermatologist for the same.
For acne cysts also , there are various treatment options available like intralesional steroids,cryotherapy etc which your dermatologist can decide upon.

Hope it helps

Dr Geetika Paul
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Had Some Pimples For Long Time. Popped It. A Black Dry Solid Puss Came Out Which Smells Nasty. Treatment?

Hi Thanks for your query You seem to have developed cystic acne. Before coming to the exact treatment, I would like you to follow certain precautions: 1. Avoid using any oily creams or lotions over face as much as possible. You can however use oil free moisturisers . 2. Wash your face frequently inorder to keep it dry. 3. Drink plenty of water . 4. Try to avoid eating dry fruits . 5.Avoid touching or squeezing of pimples . 6. Avoid Hair oil . 7. Always use a sunscreen (SPF 26) when going out in the sun. Now as far as your condition is concerned, I would advise you might need to apply some antiacne medications like Clindamycin gel over the affected area in the morning along with benzoyl peroxide 2.5% gel at night. You might need a systemic agent also to control acne ,so if the above medicines dont help you much, then see a dermatologist for the same. For acne cysts also , there are various treatment options available like intralesional steroids,cryotherapy etc which your dermatologist can decide upon. Hope it helps Dr Geetika Paul