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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lumps In Lower Part Of The Back?

Hi my mum has developed lumps in the lower part of the back. She is suffering a lot of pain and doesn t know what to do. She has had it a few times before but the pain always seems to go after a couple of days. However this time the pain does not seem to be easing and it has been persistent for around eight or nine days. Have you got any idea of what this could be or what we should do? Thank you.
Tue, 12 Jan 2016
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General & Family Physician,  's  Response
Hello and welcome to hcm.
I have read your question and I can understand your concerns.

What is her age..?
Does she run fever.?
Is she diabetic or immunocompromised.?

If i were her treating physician HERPES infection would have been on my top list.in this condition vesicles appear in dermatomal area of skin ie along the nerves.i would have tzanck test to confirm it.treatment is done with antiviral such as acyclovir 400mg.

2nd on my list would have been boil which is the infection of hair follicles and causes lumps with pain and pus inside.i would have prescribed antibiotics such as combination of ampicillin and flucloxicillin 500mg 4 times a day.

I would have looked for pilonidal abscess which is usually present in the cleft of buttocks.usually it is given a trial of antibiotics but definitive treatment is surgical excision ie karydakis procedure.

I would have looked for any abscesses .

I would suggest you to meet a general surgeon or a medical specialist.

Thanks.
Hope the answer is helpful.
Feel free to ask further questions.
Regards.Dr Asad sami
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What Causes Lumps In Lower Part Of The Back?

Hello and welcome to hcm. I have read your question and I can understand your concerns. What is her age..? Does she run fever.? Is she diabetic or immunocompromised.? If i were her treating physician HERPES infection would have been on my top list.in this condition vesicles appear in dermatomal area of skin ie along the nerves.i would have tzanck test to confirm it.treatment is done with antiviral such as acyclovir 400mg. 2nd on my list would have been boil which is the infection of hair follicles and causes lumps with pain and pus inside.i would have prescribed antibiotics such as combination of ampicillin and flucloxicillin 500mg 4 times a day. I would have looked for pilonidal abscess which is usually present in the cleft of buttocks.usually it is given a trial of antibiotics but definitive treatment is surgical excision ie karydakis procedure. I would have looked for any abscesses . I would suggest you to meet a general surgeon or a medical specialist. Thanks. Hope the answer is helpful. Feel free to ask further questions. Regards.Dr Asad sami