Swellings, Lumps & Bumps

At Motherhood hospitals, you can have swellings, lumps and puss collection diagnosed and treated. Often lumps occur in the body and cause some pain or aesthetic discomfort. If you have a lump on your body that causes pain or discomfort or grows over a period of time, it’s wise to get it checked.
These lumps or swellings could be of many types and an investigation will help understand of the lump pr swelling is harmful or malignant or if it’s just a fat lumps

Sebaceous Cysts

A sebaceous cyst is a small lump or bump under the skin most often found on the face, neck and torso but can occur in other parts of the body as well. This type of cyst is not cancerous.

The sebaceous gland is an oil-producing gland that appears as cyst or a lump when infected. Usually a sebaceous cyst grows very slowly and doesn’t cause pain. It can become inflamed or infected, becoming red, tender and sore.

Causes:

* Sometimes, they occur on a site that experiences constant friction, like a cyst on your neck that rubs against your collar.
* They may be caused by blocked glands or swollen hair follicles in the skin.
*Trauma to skin such as a small wound caused by acne or a scratch
*Cysts are sometimes genetic

Treatment

Treatment is recommended to reduce discomfort because sebaceous cysts can be irritating or look bad.  Also when a foul-smelling material drains from the cyst.

Sebaceous cysts can be treated by draining the substance in them or by removing it surgically.

Surgery

Without surgical intervention a sebaceous cyst is likely to recur. There are several surgical options with include:
* A conventional wide excision: which completely removes the cyst but can leave a scar.
* Minimal excision: while it causes minimal scarring there is a high chance for recurrence.
Laser punch biopsy excision: here small hole is made with the help of a laser, so as to drain the cyst.  The outer walls of the cyst are removed a month later.

Surgery is usually a day-care out-patient procedure.

  1. Pilonidal Sinuses

    A pilonidal sinus is a small hole or tunnel in the skin that develops into a small cyst or abscess usually at the cleft  at the top the buttocks.
    It usually contains hair, dirt, and debris. It can cause severe pain and can often become infected. If it becomes infected, it may ooze pus and blood accompanied by a foul odour. It mostly affects men and is also common among young adults. Most common with people who sit a lot.

Causes

While the specific causes are unknown it may be a combination of:
* Changing hormones
* Hair growth -. the body identifies the hair as a foreign object and launches and immune response against it. The immune response forms then causes a cyst around the hair.
* Activities that cause friction, like sitting, friction from clothes or belts,
* By spending a lot of time sitting.

Symptoms

At first is may appear as a small, dimple-like depression on the skin’s surface. Once the depression becomes infected, it quickly develops into a cyst – a closed sac filled with fluid or an abscess – tissue that becomes swollen and inflamed tissue where pus collects.
The signs of an infection include:
* Swelling of the cyst
* Pain when you sit or stand
* Redness and sore skin around the area
* Blood or pus, draining from the cyst causing a foul odour
* Hair protruding from the lesion
* The formation of more than one sinus tract or holes in the skin
* Though uncommon, you may experience a low fever.

Treatment

* Antibiotics: are recommended if there is pus but no abscess.
*Surgical treatment is recommended when there is an abscess.

Incision and drainage

After administering a general anaesthetic, the surgeon makes an incision in the abscess to drain out pus. The area is then dressed and you’ll be instructed about how to take care of the wound, and advised on when to get the dressing changed. This is usually a day-care out-patient procedure, although it will require a follow-up check.

Excision

This involves removing the skin around the pilonidal sinus. The gap may be left open until it heals over naturally or it will be closed with stitches and in some cases it may be sealed with special fibrin glue.

The doctor or surgeon will advice you about the risks and benefits of the procedure, keeping you informed about the recovery time, the risk of infection, how to care for the wound and the chances of a recurrence.

Post-surgery, seek medical advice if there’s more pain, pus, fever or other concerns when you return home. Surgery will mean a 2-day hospital stay.

  1. Corns

    Calluses and corns are caused by repeated pressure or friction on an area of skin causing the sin to die and form a hard, surface. They most often develop on the feet and toes or hands and fingers.Tight or ill-fitting shoes tend to cause corns on the top of the toes and side of the little toe. Too much walking or running tends to cause calluses on the sole of the feet. Sports persons or those who perform activities that involve repeated pressure on the feet have higher chances of developing a callus. feet then this will increase your risk of developing a callus.Cornsare smaller than calluses and have a hard center surrounded by inflamed skin. Corns can be painful when pressed.

    Soft corns form in between the toes, and are softer because the sweat between the toes keeps them moist. Soft corns can sometimes become infected.

Calluses are rarely painful. They usually develop on the soles especially under the heels or balls of your feet, on your palms, or on your knees. Calluses vary in size and shape and are often larger than corns.

Symptoms

* A thick, rough area of skin

* A hardened, raised bump

* Tenderness or pain under your skin

* Flaky, dry or waxy skin

When to see a doctor

* If a corn or callus becomes very painful or inflamed, see your doctor.
* Occasionally corns or calluses can become infected. The skin around the corn or callus will become red and sore. Your doctor will be able to prescribe medicines called antibiotics if this happens.
* If you are diabetic or suffer from conditions that causes poor blood flow to your feet, you’re at greater risk of complications and should consult a doctor. Call your doctor before self-treating a corn or callus because even a minor injury to your foot can lead to an infected open sore or ulcer.

Treatment

*Chemical treatment

Medicated products work by chemically paring down the thickened, dead skin on corns and calluses. These products are gentle and safe for most people.

All these treatments will turn the top of your skin white and then you will be able trim or peel away the dead tissue. This results in the corn sticking out less, which will make it less painful.

* Surgery

If you have a recurring corn or callus on the foot or toe surgery may be advised.
A patient can usually return to normal footwear after toe and corn surgery, once the stitches have been removed, at 2 weeks.

* Trimming

The thickened skin of a corn or callus is pared down by a surgeon, using a scalpel blade.
Sometimes, regular trimming sessions are needed. Once a corn or callus has been pared down, it may not return if you use good footwear.
The treatment of corns is usually a day-care, out-patient procedure.