Advice Needed for Persistent Upper Back Pimples
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!
Answers (1)

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:
- Focus on a consistent skincare routine.
- Consider the potential effects of environmental factors like water quality.
- 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!
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