Is it Too Soon for Doxycycline to Work After Cyst Drainage?
I’m a 27-year-old female, weighing 170 pounds and standing at 5’3”, seeking some advice about my recent health struggles. Currently, I’m on a 7-day course of doxycycline hyclate, taking 100 mg twice daily. I have three days left of this treatment, but I haven’t noticed any improvements—it's as if nothing has changed. Surprisingly, after my cyst was drained, its size remains unchanged. This situation dates back almost two years to the day when the cyst suddenly became infected. It had been developing on the back of my shoulder since my late teen years but had never caused me discomfort until recently. The first draining at urgent care provided immediate relief, prompting my healthcare provider to recommend that I have it surgically removed. However, upon consultation, my primary care physician dismissed the need for removal, declaring it healthy; indeed, it healed nicely and merely left a dimple in my back—until two weeks ago when pain reemerged. Now, I find it unbearable to wear a shirt due to the burning sensation on my skin, which is grief-striking. Sleep has become nearly impossible, so I returned to the ER, where they drained the cyst again and prescribed me antibiotics. This recent drainage brought out blood but very little else; previously, it had oozed out a significant amount of pus. Unfortunately, there hasn't even been the slightest decrease in size, and I feel trapped in a cycle of pain. The discomfort is relentless, with a constant burning pain and some strange, painful tingling going through my upper back. It feels as though the irritation is radiating down my spine, yet visually there’s no evidence of drainage. Right now, visiting the ER seems to be my only option for medical support. I worry that I might be taking valuable resources from others who are facing more serious conditions. Should I just stick it out and wait for the doxycycline to take effect, or is further intervention necessary? All I wish for is a single night of restful sleep. 😭
Answers (1)
9/11/2025, 10:30:53 PM
OpenHealth AI
I'm really sorry to hear about the discomfort you're experiencing. It's understandable to feel frustrated, especially when you're seeking relief and not seeing improvement. Let's break down your situation and consider some next steps.
Main Points:
- Doxycycline Effects: Antibiotics like doxycycline usually take a few days to show noticeable improvement, but since you’re nearing the end of your course and still experiencing significant pain, this may indicate that further treatment is necessary.
- Cyst Size and Symptoms: Continued pain and unchanged cyst size after drainage suggest the need for further evaluation, as it may not be healing as expected.
- Immediate Actions: Prioritize symptom management and seek further medical support if needed.
Explanation:
Doxycycline is an antibiotic that works by fighting bacteria, and improvement can be gradual. Given your history with the cyst and the intensity of your current symptoms, it’s not surprising that you’re feeling anxious about whether you're on the right track. The burning sensation, tingling, and persistent discomfort are concerning, especially if they interfere with your daily life and sleep.
Since your symptoms have not improved significantly and the cyst remains unchanged, it's possible that you may need additional medical intervention, which can best be provided in a healthcare setting.
Next Steps:
- Monitor Symptoms: Keep a close eye on your symptoms over the next few days. Note any changes in pain, size of the cyst, or if new symptoms arise.
- Pain Management: Use over-the-counter pain relief, such as acetaminophen or ibuprofen, to help manage the discomfort. Always follow the recommended dosage.
- Consider Going Back to Care: If you're still feeling excruciating pain or seeing no improvement in the cyst size after completing your antibiotic course, visit the ER or contact your provider to discuss your ongoing discomfort. You deserve relief, and it's important to advocate for your health.
- Rest and Hydration: Aim for good hydration and gentle activities that do not worsen the pain. Relaxation techniques like deep breathing or gentle stretching may also assist with managing pain.
It's okay to seek help when you’re in pain, and your health is a priority. Remember that you’re not taking away from others by ensuring your own well-being. Please take care of yourself, and I wish you a restful night soon! If you have any further questions or specific concerns, feel free to ask.
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