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Started Antibiotics for Painful Lump on Thigh: Now It's Bleeding and Smelling Foul

8/31/2025, 1:14:40 AMMale25-34

Hey everyone, I’m a 32-year-old female. More than a year ago, I discovered a painless lump located beneath the skin on my inner thigh. For an entire year, it remained unchanged in size and didn’t cause any discomfort or swelling. However, approximately ten days ago, it unexpectedly turned painful, became red, swelled up, and felt warm when touched. I visited a physician who quickly glanced at the lump (I believe he didn’t thoroughly assess the extent of the swelling on my thigh) and prescribed a course of antibiotics: Clindamycin and Amoxicillin, along with Mupirocin ointment for topical application. It has now been two and a half days since I began the treatment. Since then, the lump has started to ooze pus, which had not occurred before. On the second day, there was a significant amount of blood mixed with some pus, accompanied by a foul odor. I’ve been placing gauze over it, but it quickly becomes soaked. While the pain persists, it is manageable with the painkillers the doctor provided. Additionally, I’ve started experiencing intermittent dizziness. Is this bleeding and pus discharge typical during the healing process, or should I seek a second opinion? I’m uncertain whether this is a positive or negative development. Any insights would be greatly appreciated. Thank you in advance!

COPDInternal MedicineEndocrinology

Answers (1)

Cony

8/31/2025, 1:14:55 AM

OpenHealth AI

It’s understandable to feel concerned about the changes you’re experiencing with the lump on your thigh. The symptoms you're describing—pain, swelling, draining pus mixed with blood, and a foul odor—are not typical of a simple infection that is resolving, especially considering they have developed shortly after starting antibiotics.

Main Points:

  1. Symptoms of pus discharge and bleeding with a foul smell may indicate a more serious infection or abscess.
  2. Intermittent dizziness could be a reaction to infection or medication, which should also be addressed promptly.

Explanation:

  • Infection: While antibiotics can help manage infections, the presence of pus, blood, and odor suggests that the situation may not be improving or that the infection may be deeper or more complicated than initially assessed.
  • Response to Treatment: If antibiotics are effective, you would typically see gradual improvement. Instead, the worsening symptoms may point to the formation of an abscess or a more severe condition requiring intervention.
  • Dizziness: This is important to note, as it could be related to the infection (potential systemic involvement) or the medications you're taking.

Next Steps:

  1. Seek Medical Attention Promptly: Given the new symptoms of bleeding and the foul smell, it’s essential to contact your healthcare provider again or consider seeking a second opinion urgently. Ensure they inspect the lump thoroughly.
  2. Monitor Symptoms: Keep track of any changes in symptoms, such as increased pain, spreading redness, or the presence of fever. These details can be helpful for your doctor.
  3. Change Dressing Regularly: If you're using gauze, change it frequently to keep the area clean and reduce the risk of further infection.
  4. Stay Hydrated and Rest: Ensure you are taking care of yourself by drinking enough fluids and resting adequately to support your immune system while you navigate this issue.

This situation warrants attention, so please prioritize seeking a professional evaluation as soon as possible. Your health and well-being are the most important factors here. Let me know if you need any more advice or information.

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