OpenHealth Q&A

Get answered by medical professionals

Advice Needed for Persistent Upper Back Pimples

8/6/2025, 6:30:40 PMMale25-34

Greetings everyone, I'm reaching out for some guidance regarding the acne I've been experiencing on my upper back. I’m a 30-year-old Caucasian male from Europe, and this issue has plagued me since my teenage years, around ages 16 to 18. Over time, I have noticed fluctuations in the severity of this condition; at times it seems to diminish, while at other times it worsens. To clarify, I’m not referring to minor blackheads or small red spots. I’m experiencing these larger, "meaty" bumps that have a bloody appearance. Currently, I have around ten of these on my upper back, particularly in the area around my neck, shoulder blades, and trapezius muscles. Here are a few observations I’ve made: - If I indulge in scratching (which I admit, I enjoy for back relief) with unwashed hands, this can lead to significant bloody bumps that may take 2 to 3 months to heal. Consequently, I have ceased this habit. - I ensure that I change my bed linens every two weeks. - My daily hygiene routine includes taking showers every day. - I utilize an organic body wash that consists of only 6 to 7 natural ingredients, avoiding sulfates and opting for a shower sponge. - I have been screened for sexually transmitted infections and received a clean bill of health. - I replace my towels every 3 to 4 days. Interestingly, I found that spending time at the beach last summer and getting a good tan helped clear my back significantly; I didn't have any breakouts until the winter season arrived. What steps should I take to eliminate these pimples? Would a comprehensive blood test be warranted to check for any toxins that might be escaping through my skin? Could my issues be related to hard water in the shower? Should I consider applying a body lotion, even though my skin doesn’t feel dry and I don’t have any known allergies? Any suggestions would be greatly appreciated! Thank you in advance for your help! P.S. I am particularly concerned about these prominent red, swollen pimples!

Back PainNeck PainAbdominal Pain

Answers (1)

Cony

8/6/2025, 6:31:14 PM

OpenHealth AI

It sounds like you're dealing with persistent and concerning acne on your upper back. Helping you achieve clearer skin is essential, and there are several steps you can take to address this issue. Let’s break it down.

Main Points:

  1. Focus on a consistent skincare routine.
  2. Consider the potential effects of environmental factors like water quality.
  3. Monitor for any signs that may require further evaluation.

Explanation:

The large, bloody bumps you're experiencing on your back may be a form of acne, possibly cystic acne or a similar inflammatory skin condition. It's understandable that they can be frustrating and affect your confidence. From your observations, it seems like there are environmental influences at play, including your hygiene practices, lifestyle habits (like scratching), and exposure to sunlight.

Next Steps:

1. Skincare Routine:

  • Use Non-Comedogenic Products: Choose body washes and lotions labeled "non-comedogenic." This ensures they won't clog your pores. You might also want to switch to a salicylic acid or benzoyl peroxide body wash that can help prevent and treat acne.
  • Moisturize: Incorporating a light, non-greasy moisturizer after showering might help your skin maintain balance, especially if environmental factors (like dry winter air) are impacting your skin.
  • Avoid Scratching: Continue avoiding scratching and ensure your hands are clean if you must touch your back to prevent further irritation.

2. Evaluate Water Quality:

  • If you suspect that hard water may be affecting your skin, consider installing a water softener for your shower or using a special showerhead that filters out minerals. Observing any changes after these adjustments could provide insight.

3. Monitor Symptoms:

  • Keep a symptom diary noting any changes in your back over time, especially after trying new skincare products or adjusting your routine. If the condition worsens or does not improve within a month or two, it's advisable to consider consulting a healthcare provider or dermatologist.

4. Sun Exposure Caution:

  • While some sun exposure helped in the past, be cautious about overexposure to the sun, as it can damage your skin and lead to other issues. Always apply sunscreen if you spend extended time outdoors.

As for a blood test to check for toxins, it’s generally not necessary unless there are additional symptoms present indicating a systemic issue. The skin's condition is usually better evaluated through a physical examination by a professional.

Let me know if you have further questions or if you want to discuss this in more detail!

Related Questions

Managing Early Appendicitis: Antibiotics vs. Surgery

I’m a 21-year-old who recently had a CT scan revealing mild inflammation in my appendix and lymph nodes. My doctor informed me that surgery might not be necessary if the antibiotics effectively alleviate my discomfort by tomorrow. However, I can’t shake my fears about a potential recurrence of the inflammation. The thought of going through a post-surgery recovery terrifies me, so I really want to steer clear of that option. Has anyone opted for antibiotics rather than surgical intervention? What was your experience like?

Joint PainAbdominal PainMuscle Pain
Male25-34
1 hour ago

Severe Abdominal Discomfort

An 18-year-old male, with no history of smoking or current medications, finds himself at home, surrounded by his sleeping family. He stands approximately 5 feet 11 inches tall and weighs around 220 pounds. Lately, he has been experiencing persistent discomfort in the lower left side of his abdomen. This sensation has intensified recently, culminating in a bout of vomiting, which was notably different this time, presenting more solid material rather than the usual liquid with some fragments. The level of pain has escalated significantly, leaving him uncertain about seeking medical assistance at this moment. What steps should he take?

Pain ManagementAbdominal PainMuscle Pain
Male25-34
2 hours ago

Concerns Over My Partner's Persistent Pain and Resistance to Seek Medical Help

I’m facing a worrying situation with my partner, a 40-year-old man who stands 6 feet 1 inch tall and weighs approximately 19 stone. Here's a brief overview of his medical background: Twenty years ago, he experienced two instances of deep vein thrombosis (DVT) in his left shoulder. Following the second incident, doctors discovered an abnormal growth of a rib that was pressing against a vein, which was the cause of those DVTs. More recently, he dealt with a blood clot in his calf last year. Fortunately, that was successfully treated, and he returned to his normal health. Although he was advised to continue taking apixaban for the long term, he has, unfortunately, chosen not to follow through with this guidance. He also has a history of elevated blood pressure. For the past couple of days, he has been experiencing two concerning symptoms that emerged simultaneously: a persistent cough with no accompanying cold or flu signs, and a severe pain located on the right side of his torso. He describes this discomfort as being mostly in his stomach yet extending slightly to his back. I would pinpoint the troubled area as the lower part of his ribs along the side of his body. It's unusual for him to express discomfort or complain about his health, so his recent grievances signal to me that the pain is likely quite significant. Despite my repeated suggestions for him to visit a doctor, he insists that he may have simply pulled a muscle. To manage the pain, he's been applying an ibuprofen cream (voltarol) and taking naproxen, but neither seems to provide relief. What might be the underlying issue here? I hope that some medical professionals who see this post can offer their insights, which might persuade him to consider making a doctor’s appointment. I’m open to providing any additional information you might require for a more informed perspective. Thank you for your help!

Chest PainJoint PainAbdominal Pain
Male25-34
2 hours ago

Normal MRI and EMG Reveal Nerve Slowdown

Greetings, I’m a 23-year-old female seeking guidance about some health issues I’ve been experiencing. Recently, I've noticed weakness in both my hand and arm, particularly in my dominant hand where grip strength has been notably diminished. After undergoing an EMG, the results indicated that my nerves are exhibiting a slowdown. However, my MRI results were unremarkable. To address some swelling I experienced, I was prescribed a course of steroids (4mg for a few months), which alleviated some of the issues, yet I still experience residual swelling in my hand. Often, my hand feels cold, and I notice a popping sensation when I move my fingers. Despite these sensations, I do not have any numbness or tingling, and the swelling appears sporadic. The pain I endure is quite severe, described as a hammering sensation throughout my hand. On occasion, I take ibuprofen (600mg) for relief, but it proves to be somewhat ineffective. My wrist itself seems fine, but my orthopedic specialist is considering a diagnosis of carpal tunnel syndrome (CTS), even though my symptoms don’t align with typical CTS indicators. I would greatly appreciate any advice or insights you may offer!

NeurologyPain ManagementNeck Pain
Male25-34
4 hours ago

Experiencing Unusual Sensitivity to Paracetamol

Hello, Reddit community! I'm a newcomer here, so please bear with me as I navigate this platform as well as the rules. I appreciate your understanding regarding my writing skills. I find myself in a situation that lacks sufficient information online, and I'm reaching out for insights from others. Currently, I have reasons to believe that I might be experiencing a unique sensitivity to paracetamol, and I’d like to share my timeline regarding this matter. Throughout my life, I generally had no issues with paracetamol. I used various brands multiple times and felt fine. However, starting in the fourth grade, I began to experience difficulties with it. My initial problems were respiratory-related, but soon they also affected my gastrointestinal system. I haven't had any formal testing yet, but I can safely use other pain relievers like NSAIDs without any adverse effects. Initially, I tolerated paracetamol relatively well; my early symptoms seemed like common side effects. Unfortunately, it escalated to severe reactions, including vomiting, tightening of the throat, blood in my mucus, and shortness of breath. In my confusion, I thought limiting my dosage could help, which it did temporarily, but eventually even the reduced amounts failed to be effective. I experimented with syrup formulations that contain less paracetamol or where it isn't the primary ingredient, and found those to be more manageable. Recently, however, even those have become problematic, making it necessary for me to seek alternatives to paracetamol, as it has become increasingly intolerable. Through my research, I discovered that such reactions often stem from cross-sensitivity to other medications or from preexisting respiratory conditions. I lack a history of asthma or other respiratory issues, so I’m inclined to dismiss that possibility, although I remain uncertain. Moreover, I have no known allergies, which adds to my confusion since my reactions only occur with this one particular medication while all others seem fine. It is difficult for me to process this change, especially since I used to have no issues with paracetamol. It is widely available and generally considered safe, so I struggle to understand the source of my suffering. Many people insist that these reactions are normal side effects, leading me to question whether I am overreacting. The immediacy of my reactions intensifies my concern; I don’t even need to swallow the medication completely before I notice my throat constricting, increased mucus production, and shortly thereafter, some blood in my mucus along with persistent coughing. This pattern has become consistent, whereas it used to depend on the dosage. Now, regardless of how much I take, the same symptoms occur. I’ve tried to dismiss it, not wanting to worry my parents or seek medical attention for a dosage safety test, fearing I’ve already pushed my body too much. However, I am considering discussing my concerns with my mother since she is increasingly worried about my use of this medication. I’m not seeking a diagnosis or medical advice—I understand I should probably consult a professional. I’m just interested in knowing if anyone else has faced similar experiences, as the confusion grows. What I once assumed were normal side effects now seem to signify something more concerning.

Chest PainJoint PainAbdominal Pain
Male25-34
4 hours ago