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How does an abscess feel? A comprehensive guide to understanding abscess symptoms

4 min read

According to medical experts, abscesses can be incredibly painful, often described as a throbbing sensation that worsens over time. Understanding how does an abscess feel is crucial for early detection and proper treatment, as this localized collection of pus can develop on or inside the body due to an infection.

Quick Summary

An abscess typically feels like a painful, tender, swollen lump that is warm to the touch, and the pain often intensifies as the collection of pus grows. Additional symptoms can include redness, swelling, and a fever, especially with more severe or internal abscesses.

Key Points

  • Intense Throbbing Pain: A hallmark sign of many abscesses, particularly skin and dental abscesses, is a persistent, throbbing pain that often worsens with pressure.

  • Warmth and Swelling: The affected area will feel warm to the touch and appear red and swollen, indicative of the body's inflammatory response to the infection.

  • Tender to the Touch: The lump or area of the abscess is typically very sensitive and tender, and pressure on it can increase the pain.

  • Visible Pus (for skin abscesses): A mature skin abscess may show a visible buildup of white or yellow pus just under the surface of the skin.

  • Fever and General Malaise: For more severe or internal abscesses, you may experience systemic symptoms like fever, chills, and a general feeling of being unwell.

  • Never Self-Drain: Attempting to squeeze or drain an abscess at home can push the infection deeper into the tissue, potentially leading to serious complications.

In This Article

Understanding the sensations of an abscess

An abscess is a painful, inflamed pocket of pus that can form in any part of the body. The specific sensations you feel will depend on its location and size, but a few common characteristics define the experience. For a skin abscess, you may feel a painful, firm lump beneath the skin's surface, which grows and becomes increasingly tender over time. The pain is often described as throbbing or constant, and may worsen with pressure or movement. For internal abscesses, the symptoms can be less obvious and more general, though still include pain and tenderness in the affected region.

The feeling of a skin abscess

A skin abscess, or a cutaneous abscess, is often the most recognizable due to its external signs. The sensations associated with it are quite distinct and progressive.

  • Throbbing pain: Initially, the area might feel tender, but as the abscess matures and fills with pus, the pain intensifies and can become a constant, deep throbbing. This throbbing sensation is caused by the pressure building up within the inflamed tissue.
  • Tenderness and warmth: The infected area will feel tender and warm to the touch due to the body's inflammatory response. The skin over the abscess may also appear red or discolored.
  • Firmness and swelling: You will likely feel a hard or firm, swollen lump under the skin. As the abscess points, the skin over the center may thin, becoming yellow or white as the pus becomes visible just below the surface.

The feeling of an internal abscess

Internal abscesses are pockets of pus that form inside organs or spaces between organs, making them more challenging to identify. The symptoms are often vaguer and can sometimes be mistaken for other conditions.

  • Localized pain or discomfort: Depending on the location, you may experience pain or a general feeling of discomfort in a specific area. For example, an abdominal abscess can cause abdominal pain and swelling, while a brain abscess might cause a headache.
  • Generalized illness: Systemic symptoms often accompany an internal abscess. These can include fever, chills, fatigue, and a general feeling of being unwell (malaise).
  • Loss of appetite and weight loss: Persistent infection can lead to a decrease in appetite and unintentional weight loss over time.

Dental abscess sensations

An abscess in the mouth, particularly a dental abscess, can cause severe and distinctive pain. This is a medical emergency that requires prompt dental care.

  1. Intense, throbbing toothache: The pain is often severe, continuous, and throbbing, radiating to the jawbone, ear, or neck.
  2. Sensitivity to temperature: The affected tooth and surrounding area can become extremely sensitive to hot and cold foods or drinks.
  3. Pressure and pain when chewing: Biting down or applying pressure to the tooth will likely cause significant pain.
  4. Bad taste in the mouth: If the abscess ruptures, you might experience a sudden rush of foul-smelling and foul-tasting, salty fluid.

Comparison of abscesses: Skin vs. internal

To better understand how an abscess feels, here is a comparison of symptoms between common types.

Feature Skin Abscess Internal Abscess Dental Abscess
Location Anywhere on the skin, often in armpits, groin, or face. Inside organs like the liver, brain, or lungs. In or around a tooth or gums.
Appearance Visible, red, swollen, and raised lump; may have a white or yellow center. Not visible externally; requires imaging for diagnosis. Swollen gums or a pimple-like bump on the gums.
Pain Localized, tender, throbbing pain that worsens over time. Pain and discomfort localized to the affected organ. Severe, constant, throbbing toothache.
Other Symptoms Localized warmth, possible fever. Fever, chills, fatigue, nausea, appetite loss. Fever, sensitivity, difficulty swallowing.

When to seek medical help

It is crucial to understand that an untreated abscess can lead to serious complications, including the spread of infection to other parts of the body or even sepsis. For a small skin abscess (less than half an inch), warm compresses may help, but it's vital to never squeeze or try to drain it yourself. Medical intervention is often necessary for larger, more painful, or persistent abscesses.

Contact a medical professional immediately if you experience:

  • A fever of 102°F or higher.
  • An abscess larger than half an inch.
  • Red streaks radiating from the abscess, indicating the infection is spreading.
  • An abscess located near the rectal or groin area, or on the face.
  • Signs of an internal abscess, such as unexplained fever, fatigue, or localized organ pain.

For a general overview of symptoms and when to see a doctor, the Mayo Clinic provides useful resources on abscesses that can help you understand the risks and next steps. Always consult a healthcare professional for diagnosis and treatment.

Conclusion

The way an abscess feels is a direct result of the body's immune response to infection, causing a localized buildup of pus, inflammation, and pain. From the sharp, throbbing ache of a skin abscess to the vague, systemic discomfort of an internal one, the sensations vary by location but point toward the same underlying problem. Recognizing these distinct feelings and knowing when to seek professional medical advice is vital for effective treatment and preventing complications.

Frequently Asked Questions

The primary symptom of an abscess is a painful, swollen, and tender lump or area. The pain is often described as a constant, deep ache or a throbbing sensation that increases over time.

Yes, an abscess can cause a fever and chills, especially if the infection is severe or begins to spread from the localized site.

A skin abscess is a visible, tender, and warm lump with a characteristically throbbing pain. An internal abscess is not visible and may present with vague symptoms like persistent fever, fatigue, and pain specific to the affected organ.

The pain from an abscess is typically constant and tends to increase as the abscess grows and fills with pus. While it may fluctuate, it usually does not disappear on its own without treatment.

If you suspect a dental abscess, you should see a dentist immediately. A dental abscess can spread and cause serious health problems. It will likely present with severe, throbbing tooth pain, and is considered a medical emergency.

An abscess typically starts as a firm or hard lump. As the pus builds up and the abscess matures, the center may become softer and feel more compressible.

For skin abscesses, yes, you can often feel the tender, swollen mass by touching the affected area. For internal abscesses, however, you cannot feel them externally, and they are detected using imaging tests like ultrasounds or CT scans.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.