Abscess

Skin abscesses

If you have a skin abscess, your GP 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 GP 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.

Internal abscesses

Abscesses that develop inside your body are more difficult to diagnose than skin abscesses because they can't be seen.

Your GP will ask you about your symptoms and any other health conditions you may have. If necessary, they'll refer you to a specialist in hospital.

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 GP

See your GP 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.

Read about diagnosing an abscess.

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.

Read about the causes of abscesses.

Treating an abscess

A small skin abscess may drain naturally, or simply shrink, dry up and disappear without any treatment.

However, larger abscesses may need to be treated with antibiotics to clear the infection, and the pus may need to be drained. This will usually be done either by inserting a needle through your skin or by making a small incision in the skin over the abscess.

Read more about treating an abscess.

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 GP 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
• stopping smoking

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