An abscess is a painful collection of pus, usually caused by a bacterial infection. Abscesses can develop anywhere in the body.
skin abscesses – which develop under the skin
internal abscesses – which develop inside the body, in an organ or in the spaces between organs
Symptoms of an abscess
A skin abscess often appears as a swollen, pus-filled lump under the surface of the skin. You may also have other symptoms of an infection, such as a high temperature (fever) and chills.
It’s more difficult to identify an abscess inside the body, but signs include:
pain in the affected area
a high temperature
generally feeling unwell
Read more about the symptoms of an abscess.
When to see your doctor
See your doctor if you think you may have an abscess. They can examine a skin abscess or refer you to hospital if you may have an internal abscess.
There are several tests available to help diagnose an abscess, depending on where it’s located.
Causes of abscesses
Most abscesses are caused by a bacterial infection.
When bacteria enter your body, your immune system sends infection-fighting white blood cells to the affected area.
As the white blood cells attack the bacteria, some nearby tissue dies, creating a hole which then fills with pus to form an abscess. The pus contains a mixture of dead tissue, white blood cells and bacteria.
Internal abscesses often develop as a complication of an existing condition, such as an infection elsewhere in your body. For example, if your appendix bursts as a result of appendicitis , bacteria can spread inside your tummy (abdomen) and cause an abscess to form.
Preventing a skin abscess
Most skin abscesses are caused by bacteria getting into a minor wound, the root of a hair or a blocked oil or sweat gland.
Ensuring that your skin is clean, healthy and largely free of bacteria can help reduce the risk of skin abscesses developing.
You can reduce the risk of bacteria spreading by:
washing your hands regularly
encouraging people in your family to wash their hands regularly
using separate towels and not sharing baths
waiting until your skin abscess is fully treated and healed before using any communal equipment, such as gym equipment, saunas or swimming pools
Don’t squeeze the pus out of the abscess yourself, because this can easily spread the bacteria to other areas of your skin. If you use tissues to wipe any pus away from your abscess, dispose of them straight away to avoid germs spreading. Wash your hands after you’ve disposed of the tissues.
Take care when shaving your face, legs, underarm areas or bikini area to avoid nicking your skin. Clean any wounds immediately and visit your doctor or local NHS walk-in centre if you think there may be something trapped in your skin. Don’t share razors or toothbrushes.
Read more about looking after your skin.
It may also help to reduce your risk of skin abscesses by:
maintaining a healthy, balanced diet
losing weight if you’re overweight or obese
It’s difficult to prevent internal abscesses, as they’re often complications of other conditions.
Other types of abscess
There are many other types of abscess not fully covered here, including:
an anorectal abscess – a build-up of pus in the rectum and anus
a Bartholin’s abscess – a build-up of pus inside one of the Bartholin’s glands, which are found on each side of the opening of the vagina
a brain abscess – a rare but potentially life-threatening build-up of pus inside the skull
a dental abscess – a build-up of pus under a tooth or in the supporting gum and bone
a quinsy (peritonsillar abscess) – a build-up of pus between one of your tonsils and the wall of your throat
a pilonidal abscess – a build-up of pus in the skin of the cleft of the buttocks (where the buttocks separate)
a spinal cord abscess – a build-up of pus around the spinal cord
What are the symptoms of an abscess?
The symptoms of an abscess depend on where it develops in your body.
Signs of a skin abscess can include:
a smooth swelling under your skin that can feel hard or firm
pain and tenderness in the affected area
warmth and redness in the affected area
a visible build-up of white or yellow pus under the skin in the affected area
a high temperature (fever)
A boil is a common example of a skin abscess.
Abscesses that develop inside an organ or in the spaces between organs can be more difficult to identify than skin abscesses. The symptoms can be vague and there may be no obvious external signs of a problem.
The symptoms of an internal abscess can also vary depending on exactly where in the body the abscess develops. For example, a liver abscess may cause jaundice , whereas an abscess in or near the lungs may cause a cough or shortness of breath .
General symptoms of an internal abscess can include:
discomfort in the area of the abscess
pain or swelling in your tummy (abdomen)
loss of appetite and weight loss
extreme tiredness (fatigue)
diarrhoea or constipation
What causes abscesses?
Most abscesses are caused by an infection with staphylococcal bacteria.
When bacteria enter the body, the immune system sends white blood cells to fight the infection. This causes swelling (inflammation) at the site of infection and the death of nearby tissue. A cavity is created, which fills with pus to form an abscess.
The pus contains a mixture of dead tissue, white blood cells and bacteria. The abscess may get larger and more painful as the infection continues and more pus is produced.
Some types of staphylococcal bacteria produce a toxin called Panton-Valentine leukocidin (PVL) which kills white blood cells. This causes the body to make more cells to keep fighting the infection, and can lead to repeated skin infections.
In rare cases, an abscess may be caused by a virus, fungi or parasites.
When bacteria gets under the surface of your skin, an abscess can form. This can occur anywhere on the body, although skin abscesses tend to be more common in the:
hands and feet
Bacteria can get into your skin and cause an abscess if you have a minor skin wound, such as a small cut or graze, or if a sebaceous gland (oil gland) or sweat gland in your skin becomes blocked.
Abscesses that develop inside the tummy (abdomen) are caused by an infection reaching tissue deeper within the body. This can occur as a result of:
an infection spreading from a nearby area
There are many ways an infection can spread into the abdomen and cause an abscess to develop.
For example, a lung abscess can form after a bacterial infection in your lungs, such as pneumonia , and a burst appendix can spread bacteria within your abdomen.
In addition to the specific causes mentioned above, things that increase the likelihood of an abscess developing can include:
having a weakened immune system – this could be because of a medical condition such as HIV , or a treatment such as chemotherapy
having an underlying inflammatory condition, such as hidradenitis suppurativa
being a carrier of staphylococcal bacteria
However, many abscesses develop in people who are otherwise generally healthy.
How are abscesses diagnosed?
See your doctor if you think you may have an abscess. There are several tests used to diagnose an abscess, depending on where it’s located.
If you have a skin abscess, your doctor will first examine the affected area and ask you:
how long you’ve had the abscess
whether you’ve injured that area
whether you have any other symptoms
A sample of pus may be taken from your abscess and sent for testing. This allows the specific bacteria causing the abscess to be identified, which can help determine the best way of treating it.
If you’ve had more than one skin abscess, you may be asked to give a urine sample. This will be tested for glucose, which is a sign of diabetes . People with diabetes have an increased risk of developing skin abscesses.
If you have recurring boils and abscesses, your doctor may ask the laboratory to test the bacteria further to see if it’s producing Panton-Valentine leukocidin (PVL) toxin. Additional treatments may be recommended, such as a body wash or an antibiotic cream, to stop these bacteria living on the body.
Abscesses that develop inside your body are more difficult to diagnose than skin abscesses because they can’t be seen.
Abscesses can be treated in a number of different ways, depending on the type of abscess and how large it is.
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