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I have an abscess on my leg - antibiotics not working - what to do?

90 replies

skinissue · 08/06/2025 22:40

I am at my wits end and would be very grateful for any help or advice.

I have a skin abscess at the top of my inner thigh measuring about 2.5 inches and it is very red, hot, angry, and most of all - painful.

Had this about 8 days and I am on a 7 day course of Flucloxaxillin - 1,000mg (4 tablets per day) so strong dose.

In short, it has not cleared up at all and is still pretty much the same size, redness, and swelling. It is perhaps around 10% less painful, but there is no 'head' or any part of it that looks as though pus will emerge, but a small part of the top of it looks as though it might be starting to yellow slightly and perhaps scab over.

It is so so painful as every time I walk it rubs against my other leg and sitting / standing / turning over in bed / bending / using the loo are all agony.

Questions:

  • Do I need an incision and drainage?
  • Are these procedures typically successful and what is the approximate recovery period?
  • Should I go to my local A&E to get this done? Want to avoid my GP for personal reasons that I don't have the post length to get into right now.

Thank you in advance!

OP posts:
skinissue · 08/06/2025 22:57

nomas · 08/06/2025 22:56

Is it a giant commodone? I’ve had surgery to remove one before in Harley Street. The next time I had one I went via NHS and didn’t fancy the clinic so didn’t get it removed, nothing really happened to it, it’s just there.

No, I really don't think it is.

OP posts:
skinissue · 08/06/2025 22:56

RuthW · 08/06/2025 22:51

You need to return to the gp as you may need a longer course of antibiotics. The dose you are on is the lowest dose of fluclox. It is not for A and E at this point.

It is not the lowest does is it? Two separate doctors have said that it is the highest dose! And online is says that typical doses are 250mg or 500mg, so I am on double that - how can it be low?

OP posts:
nomas · 08/06/2025 22:56

Is it a giant commodone? I’ve had surgery to remove one before in Harley Street. The next time I had one I went via NHS and didn’t fancy the clinic so didn’t get it removed, nothing really happened to it, it’s just there.

ninjahamster · 08/06/2025 22:54

Who prescribed the antibiotics? I would contact them in the first instance…

Thelnebriati · 08/06/2025 22:54

Where I live if its close to your spine or in a place where it rubs, they're more likely to drain it than tell you to have a second course.

dollymixedup · 08/06/2025 22:53

You need a swab doing, so they can identify the infection and prescribe specific antibiotics.

The GP is the most appropriate place to go. I know that's not you want to hear

FixTheBone · 08/06/2025 22:52

It sounds like it needs draining.

Annoyingly they probably wont do it in ED, and there'll inevitably be an 8 hour argument about whether it needs an orthopaedic surgeon, vascular surgeon or general surgeon depending on what edge of the femoral triangle it lies on.

Then probably 24-48 hours waiting for a slot on an emergency theatre list....

That's if it's anything like the last 5 hospitals i worked in....

RuthW · 08/06/2025 22:51

You need to return to the gp as you may need a longer course of antibiotics. The dose you are on is the lowest dose of fluclox. It is not for A and E at this point.

skinissue · 08/06/2025 22:50

HeartandSeoul · 08/06/2025 22:44

Sorry if I’ve not understood your post properly, but when did you start taking the antibiotics?

I started them 5 days ago, so today I have completed 5 full days and virtually no improvement.

I have 2 days of the medication to go, tomorrow and Tuesday.

OP posts:
NotMe1981 · 08/06/2025 22:49

Definitely go back and see the doctor, I don’t want to alarm you but I know of a lady who died due to an abscess on her leg which didn’t heal and she got sepsis. She was in her 80s though. But regardless, it can be serious so don’t just leave it.

Thelnebriati · 08/06/2025 22:48

My GP wouldn't drain something that big so I'd phone the local walk in centre or A&E and ask them if they would do it. I'd rather have it drained than keep taking different antibiotics.

ungratefulcat · 08/06/2025 22:47

Do you have a minor injuries near you?

Anyway, wherever you go, you need to get it seen

HeartandSeoul · 08/06/2025 22:44

Sorry if I’ve not understood your post properly, but when did you start taking the antibiotics?

ThinWomansBrain · 08/06/2025 22:44

when you were prescribed the antibiotics, how long did GP indicate it would take before seeing an improvement?
Given you don't want to go back to GP, try 111 for advice?
If not wanting to see GP is long term, look into changing your GP.

GoodVibesHere · 08/06/2025 22:44

Who prescribed the antibiotics? I'm not medical but can't you speak with them and tell them it's not working, and try an alternative antibiotic?

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