What causes pimples that are not painful, have no pus, but are raised? What should be done?

Nov 08, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Acne, commonly referred to as pimples, is generally painless and non-suppurative but may present with skin elevations. Possible causes include endocrine disorders, folliculitis, sebaceous cysts, milia, and flat warts. Treatments may involve avoiding late-night activities, medication, carbon dioxide laser therapy, liquid nitrogen cryotherapy, and other methods. In daily life, it is advisable not to touch or squeeze the acne lesions with hands to prevent bacterial infection.

Acne, commonly referred to as pimples, generally doesn't cause pain or produce pus but may present with skin protrusions. This could be caused by factors such as hormonal imbalances, folliculitis, sebaceous cysts, milia, or flat warts. Treatments include avoiding late-night activities, medication, carbon dioxide laser therapy, cryotherapy with liquid nitrogen, and others. Detailed explanations are as follows:

1. Hormonal Imbalances

Long-term late nights and excessive work pressure can lead to hormonal imbalances in the body, causing excessive oil secretion and clogged pores that result in acne. It is recommended to develop good living habits, ensure adequate sleep, and avoid staying up late for long periods.

2. Folliculitis

Folliculitis may be caused by infection with Staphylococcus aureus. Skin scratching, poor hygiene, or excessive sweating can also lead to folliculitis. Under a doctor's guidance, topical medications such as mupirocin ointment or erythromycin ointment can be used to reduce inflammation and fight infection.

3. Sebaceous Cyst

Sebaceous cysts are usually caused by blocked sebaceous glands, leading to gradual accumulation of contents and formation of a bump. It is recommended to follow medical advice and use medications such as fusidic acid cream or tretinoin cream to alleviate symptoms.

4. Milia

Milia may be related to genetic factors or damage to sweat ducts and skin. Under a doctor's guidance, treatments such as carbon dioxide laser therapy or cryotherapy with liquid nitrogen can be used.

5. Flat Warts

Flat warts are mainly caused by human papillomavirus (HPV) infection. Direct contact with contaminated objects from an infected person can also lead to transmission. Treatments such as pulsed dye laser therapy or photodynamic therapy can be administered under medical guidance.

In daily life, avoid touching or squeezing acne lesions with your hands to prevent bacterial infection. Maintain cleanliness and hygiene of the affected skin area, and choose suitable facial cleansers to promote skin health.

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