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Symptoms

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You can normally diagnose a boil yourself. A boil starts as a hard, red, painful lump usually less than an inch in size. Over the next few days, the lump becomes softer, larger, and more painful. Soon a pocket of pus forms on the top of the boil.

It may either continue to swell until the point bursts open and allows the pus to drain, or it may be gradually reabsorbed into the skin. It takes between one and two weeks for a boil to heal completely after it comes to a head and discharges pus. Small boils usually heal without scarring, but a large boil may leave a mark.

The bacteria that cause the boil can spread into other areas of the skin or even into the bloodstream if the skin around the boil is injured by squeezing. If the infection spreads, the patient will usually develop chills and fever, swollen lymph nodes (lymphadenitis), and red lines in the skin running outward from the boil.

These are the signs of a severe infection:

The skin around the boil becomes infected.
It turns red, painful, warm, and swollen.
More boils may appear around the original one.
A fever develops.
Lymph nodes become swollen.

Small boils usually heal without scarring, but a large boil may leave a mark.


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