A member asked:

Hi i have 13 sabacious cysts on my head which are being removed 2. at a time 1 has burst near one that was removed had 3 courses of antibiotics but pus is still draining out any advice would be good. thank you?

7 doctors weighed in across 3 answers

Needs to be removed : In general, of an infected scalp cyst has a persistent infection unresponsive to antibiotic therapy, the lining will need to be removed and the wound may need to be left open. It generally takes a few weeks for the open wound to heal from "the bottom up", and it needs to be packed with gauze which is changed 1-3 times per day.

Answered 9/13/2012

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Tincture of time: Typically, antibiotic treatment is the best option to settle inflammation or drainage from an inflamed or infected sebaceous cyst. Once the inflammation has settled the best option is surgical excision of the lesion.

Answered 3/26/2013

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2 at a time.: Frankly this is dumb. The reason for two at a time relates to insurance payment. Each "lesion" is reduced in pay by half. That means you have to go through more surgical events. Better to just pay for the treatment. All at once. One day. One recovery. These are usually not sebaceous chats but rather pilar cysts that are easy to remove. Antibiotics over prescribed. Surgery is the answer.

Answered 5/31/2015

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