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Suggestions on how to care for an opened sebaceous cyst/abscess?

Asked by MissAnthrope (21511points) December 1st, 2009

Obviously, this is a potentially really gross question, so you may not want to read on if you’re easily affected by that sort of thing. :)

I have pretty sensitive skin and every now and then will get a sebaceous cyst that turns into an abscess. I have one right now that’s in a really bad spot, in the crease between my buttock and thigh. Lucky me, right?

What happens is the cyst is there for a while, it turns into a painful abscess, will have a lengthy period of no head or access to drain it (other than going to the doctor), and then all of a sudden, somehow it comes near the surface and completely opens up. It’s like having a totally open wound, it’s pretty gross. :(

I had one a few years ago underneath my breast, but found that really easy to clean and take care of regularly (I could just lean over the sink and wash), so it healed up in a matter of days. My regimen was to wash and change the bandage 2–3 times a day, applying antibiotic ointment on the area each time.

The one I have right now is way more difficult. Basically, I have to sit on it every day, I have to walk, etc. The fact that it’s behind me makes it more difficult to clean, more difficult to bandage, plus I can’t really look at it and see how the healing is coming. It’s been 2 days since it opened and it is still bleeding.. last night, I removed the bandage and had a shocking amount of blood come out. I was stunned when I realized I had blood running down my leg. I stopped the bleeding, bandaged it, and today it is not bleeding like that, just a tiny amount so far. I should add that it seems to be blood only at this point (as opposed to blood and pus, yummy).

I’m wondering if anyone has suggestions on how to care for this, both in general and the fact that I have it in such an awkward place. Could I use alcohol to help dry it out? Or should I just stick with soap and water, antibiotic ointment, and bandages?

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