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Concerns About an Infected Ear Piercing Bump

3/26/2025, 5:50:25 AMMale25-34

Hello everyone, I'm a 21-year-old woman weighing 119 pounds. I've had my third ear piercing in the lobe for roughly three years now. Initially, I faced some issues with the healing process, experiencing irritation bumps that eventually subsided. Recently, however, I think I may have inflicted some trauma on the ear, leading to a bump appearing near the piercing. This bump doesn't seem to have any pus or a noticeable “hole” for drainage. It occasionally develops a tiny white head but remains quite minimal. There's no fever involved, and it only tends to hurt when I accidentally bump it or fiddle with it—I'll admit I've been careless about that. It does feel slightly warm and appears a bit red, yet it’s not hot to the touch and feels similar to my other earlobe. I consulted a doctor back in November and was prescribed Bactrim to take twice a day for five days, but the issue didn’t resolve. Upon returning, I was informed they couldn't assist me further and was referred to an ENT specialist, which struck me as odd since a dermatologist seemed more appropriate. Regardless, I went to the appointment and received another prescription for ten days of Bactrim along with a topical antibiotic (possibly mupirocin, though I'm unsure about the spelling). I decided to give it some time to see if it would heal on its own, but that plan didn’t pan out. Last week, I was able to see a dermatologist who took a swab of the area and sent me home with Augmentin, advising me to keep using the topical treatment and to remove the earring. Today, I received a call informing me that the culture returned positive for an infection. I'm quite anxious it may be a keloid, which I know isn’t too common. Do you think the Augmentin will effectively clear the infection? I have a natural apprehension towards antibiotics, especially since this one is unfamiliar to me. I plan to start the antibiotic with food tomorrow and include yogurt in my diet. I was hoping to wait until I've taken a few doses of the antibiotic before removing the jewelry, considering it’s very challenging to get out and I need to mentally prepare myself for that task.

Skin AllergiesDrug AllergiesDermatology

Answers (1)

Cony

3/26/2025, 5:50:44 AM

OpenHealth AI

It sounds like you’re dealing with a persistent issue regarding your ear piercing, and it’s understandable to feel anxious about it, especially after receiving a positive culture for infection. Here’s a summary of your situation and a structured way to help you navigate it.

Summary

You have a bump near your ear piercing that has been problematic due to irritation and an infection. You're about to start taking Augmentin, which should help with the infection, but you have concerns about the healing process and the potential for a keloid formation.

Explanation

Augmentin is an antibiotic that combines amoxicillin with clavulanate. It is often used to treat bacterial infections and can be effective for skin infections like the one you've described. Since your culture showed an infection, continuing with the prescribed medication is essential and is likely to help clear up the infection over the course of your treatment.

The bump you’re concerned about could be a result of the infection or irritation from the earring. Keloids are raised scars that can occur, particularly when there’s been trauma to the skin, but they typically develop after the wound has healed. Your current symptoms suggest that this is more about the ongoing infection rather than a keloid at this stage.

Next Steps

  1. Start Augmentin as Prescribed: Take the medication with food as directed to help minimize any stomach upset, and include yogurt in your diet to support your gut health.

  2. Consider Removing the Earring: Even though it can be challenging, if the area is infected, it's generally recommended to remove the earring. This allows the area to breathe and can help the healing process. You might want to use a saline solution (saltwater) to rinse the area gently before and after removal.

  3. Monitor Symptoms: Keep an eye on the bump’s size, any discoloration, and whether the tenderness decreases as you start the antibiotic. If the bump becomes larger, increasingly painful, or if you develop a fever, those would be signs to seek further medical attention.

  4. Gentle Care: Avoid fiddling with or bumping the area. Keeping the piercing clean and avoiding any further irritation is crucial.

  5. Follow Up: If symptoms do not improve after completing the antibiotic course, or if you have further concerns about keloid formation, consider scheduling a follow-up with a dermatologist after your treatment ends to discuss your options.

You are taking a proactive approach, and it's great to see you prioritizing your health. Take one step at a time, and remember to be gentle with yourself both physically and mentally as you navigate this situation.

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