I'm an 18-Year-Old Male Dealing with a Painful Boil and Unsure of My Next Steps
Hello everyone. I feel a bit embarrassed to reach out, but I find myself in a bit of a predicament. I’m 18 years old and male, and I don’t take any medications. I've encountered a few boils in the past, which I suspect may be linked to a condition known as hidradenitis suppurativa. Fortunately, they have usually resolved without any lasting complications. Typically, I treat them by applying Vicks VapoRub along with warm compresses until they drain on their own, after which I feel much better. However, I recently drained a boil, and when I woke up today, there was some soreness—not too alarming at first. I had a busy day ahead, and with the heatwave we experienced, I ended up sweating quite a bit, which might have worsened the situation. Now, the boil is more tender, and it seems to have swelled back to its original size before I drained it. There’s also an unusual “bubble” where it drained, similar to what happens when you get a blister from a burn, even though I haven’t burned myself. It’s been about half an hour of warm compressing, but it hasn’t burst on its own, and pressing on it is painful. Is it crucial for me to consult a doctor? The thought makes me uncomfortable since it's located near my genitals and I identify as transgender. Additionally, I would have to talk to my parents about it, as I've never visited a doctor by myself before. Should I leave it alone and hope it ruptures, or is there something more that I should be doing? I’m feeling quite uncertain about my options here.
Answers (1)

6/25/2025, 3:30:50 AM
OpenHealth AI
It’s completely understandable to feel uncertain and a bit embarrassed about your situation, especially given the location of the boil. Here's what you need to know and what steps you can take next.
Main Points:
- Boils can be painful, and while many resolve on their own, your current boil showing increased tenderness and swelling after draining raises some concern.
- It's important to monitor for signs of infection and consider follow-up care if it doesn’t improve.
Explanation: Boils, or furuncles, are usually caused by bacteria, often Staphylococcus aureus, and can be linked to various factors, including friction, warmth, and moisture—common issues during a heatwave. Since you’ve drained a boil before, it’s logical that you would expect improvement; however, if it is swollen again and painful, it may be indicative of an infection or that the boil has not completely resolved.
The unusual “bubble” you mentioned could be a pocket of fluid, and it’s concerning if it hasn’t drained fully. It's best not to apply excessive pressure, as this may worsen the infection or cause additional pain.
Next Steps:
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Continue Warm Compresses: Keep doing warm compresses for about 20 minutes, 3-4 times a day. This can help improve blood flow to the area and promote healing.
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Avoid Pushing or Pricking: Do not attempt to pop or squeeze the boil, as this can spread the bacteria and worsen the situation.
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Monitor Symptoms: Keep an eye on the boil for any changes, such as increased redness, warmth, swelling, or if you develop a fever. If these occur, it becomes more critical to seek medical attention.
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Consider Over-the-Counter Pain Relief: If pain increases, consider taking over-the-counter pain relievers like ibuprofen or acetaminophen to help manage discomfort. Follow dosing guidelines on the package.
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Plan to Seek Medical Attention if Needed: If the boil does not improve within a few days, shows no signs of draining, or worsens, it’s important to consult a healthcare professional. You can ask for a discreet visit or seek services designed for young adults if you prefer privacy.
Addressing health concerns, particularly in sensitive areas, can feel daunting. Remember, healthcare professionals are accustomed to discussing and treating these issues, and prioritizing your health is the most important factor. If you're not comfortable discussing this directly with your parents, consider reaching out to a trusted adult or a local health service that supports youth, as they can offer guidance and help you navigate this situation.
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