Pimples won't come out and hurt when touched

Feb 01, 2024 Source: Cainiu Health
Dr. Wang Xiaoyan
Introduction
In general, painful acne that fails to come to a head upon touch may be caused by over-stimulation, cystic acne, allergies, folliculitis, or sebaceous cysts. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a healthcare professional. In daily life, maintain good habits, keep the skin clean and hygienic, and avoid infections that could worsen discomfort.

In general, pain upon touching a pimple that fails to come to a head may be caused by excessive irritation, cystic acne, allergic reactions, folliculitis, or sebaceous cysts. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Excessive Irritation

If the skin surrounding a pimple is excessively irritated—such as from squeezing, friction, or using irritating cosmetics—pain may occur. Applying a warm compress with a towel for 5–10 minutes can help improve blood circulation and alleviate symptoms.

2. Cystic Acne

If the pimple is cystic, meaning it forms deep within the skin rather than on the surface layer, it may be more difficult to resolve and more likely to cause pain. It is advisable to seek medical care promptly. Under a doctor’s guidance, treatments such as professional extraction may be performed. Maintain proper skin cleansing in daily routines.

3. Allergic Reaction

Exposure to allergens such as pollen or dust mites may trigger an allergic reaction, leading to redness, swelling, and itching, which could worsen the pain associated with pimples. Under medical supervision, medications such as loratadine tablets, cetirizine hydrochloride oral solution, or chlorpheniramine maleate tablets may be used for treatment.

4. Folliculitis

Poor personal hygiene may lead to bacterial infection of hair follicles, causing folliculitis. This condition may exacerbate pimple symptoms and be accompanied by itching, papules, and other discomforts. As directed by a physician, topical treatments such as mupirocin ointment, fusidic acid cream, or compound polymyxin B ointment may be used to relieve symptoms.

5. Sebaceous Cyst

A sebaceous cyst develops due to blockage of the sebaceous gland duct and gradual proliferation of the cystic epithelium. Patients may experience symptoms such as redness, swelling, and pain. It is recommended to seek timely medical evaluation. Under a doctor's guidance, surgical excision of the sebaceous cyst may be performed, which aids in recovery.

Maintain healthy lifestyle habits, ensure proper skin cleansing and hygiene, and avoid infections that may worsen symptoms.


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