Seeking Guidance on Skin Infection Treatment
Hello everyone, I could really use some advice regarding a concerning skin condition I’m grappling with. Should I consider visiting the hospital for treatment? The infection is situated in the crease of my abdomen just above my pubic region. It originated from a cyst linked to Hidradenitis Suppurativa, which was approximately the size of a nickel. — — — — — — — — — — Details about my condition: Age: 30 Gender: Female Current Prescription Medications: - Atorvastatin 20MG - Cymbalta 20MG - Bupropion HCL XL 300MG - Vitamin D 1000 IU - TERBINAFINE HYDROCHLORIDE CREAM (1%) - Antifungal treatment for a nearly healed spot on my ankle, applied twice daily as indicated by my healthcare provider. About 3 to 4 weeks ago, I underwent two courses of oral steroids for a fungal issue; however, I completed my last course on August 30th. — — — — — — — — — — Currently, it has been three days since I began taking the antibiotic Cephalexin (500 MG) twice daily and using Clindamycin Phosphate External Solution (1%) once each day. I took my morning dose and applied the external solution about an hour ago. Initially, I felt quite unwell, exhibiting symptoms like fever, muscle aches, and soreness. Additionally, the lymph nodes close to the affected area were painful, and the region itself felt very tender. Since starting the antibiotics, the only remaining issues are persistent redness, mild stinging, and significant itchiness. However, I’m worried because the redness appears to be gradually expanding. Although not rapidly, it has noticeably increased in size compared to a day and a half ago. So far, I haven’t observed any streaks extending from it, but I traced the outline of the redness to monitor any further changes. I don’t want to act too hastily, yet I’m anxious about the possibility of the situation worsening if I delay seeking help. Any insights or suggestions would be greatly appreciated! Thank you!
Answers (1)
9/13/2025, 4:01:53 PM
OpenHealth AI
It’s understandable that you’re feeling anxious about your skin infection, especially given the complex background of Hidradenitis Suppurativa and your recent symptoms. Here’s a structured overview to help guide your next steps:
Key Points:
- You are experiencing persistent redness and itchiness in the area of your skin infection, which is growing gradually.
- You’ve been on antibiotics for a few days, but the expanding redness is concerning.
- Monitoring symptoms closely is essential, given the context of your medical history and current treatment.
Explanation:
Skin infections, especially in areas affected by conditions like Hidradenitis Suppurativa, can evolve rapidly. The use of Kephalexin (antibiotic) and Clindamycin is appropriate for managing bacterial infections, but if you're noticing increased redness, it may indicate that the infection isn’t responding as desired or may be spreading.
You mentioned feeling initially unwell with fever and pain – this suggests that the infection might have been significant. Even though it is reassuring that you do not see streaks of redness extending from the area, the increased size of the redness should be taken seriously.
Next Steps:
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Monitor the Redness: Keep tracking the size of the redness you have outlined and note any changes, such as increased pain, formation of pus, or new symptoms like fever returning.
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Continue Current Treatments: Keep taking Cephalexin and applying Clindamycin as prescribed, unless directed otherwise by a healthcare professional.
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Seek Prompt Help: Given the increasing redness and history of feeling unwell, it would be wise to contact your healthcare provider today to discuss your observations. They might recommend a physical examination or adjust your treatment based on how the infection is responding.
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Self-Care: Keep the area clean and avoid any potential irritants (like harsh soaps or tight clothing). If you are itching a lot, consider cool compresses to help with discomfort, but do not scratch the area as it could lead to further irritation or infection.
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Watch for Severe Symptoms: If you notice any new symptoms such as fever rising again, significant swelling, or if the pain becomes unbearable, seek immediate medical attention.
Your vigilance in monitoring your condition is important and can help you and your healthcare provider make informed decisions moving forward. Take care, and don’t hesitate to reach out for help when needed.
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