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Real members of myHSteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myHSteam Member asked a question 💭
Chicago, IL

So I have a bad flare that is 3 days old and the size of 2-3 quarters. The top of it is almost like dried blood color. It hasn’t popped And it’s very painful, red and a bit hard.I’m on antibiotics but at what point do I go to the ER? They never help there so I just don’t know what to do..

May 30, 2025
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A myHSteam Member

- The area becomes increasingly painful, warm, or swollen
- You see pus under the skin or coming from an open wound

--- I would dismiss these as they are not a sign of infection. All HS abcesses have pus and rarely contain bacteria unless a secondary infection has occurred.

June 8, 2025
myHSteam

You should go to the ER immediately if you experience any of these warning signs
- A spiking or persistent fever
- The infected area is large and spreading quickly
- You notice discolored streaks traveling away from the affected area
- The area becomes increasingly painful, warm, or swollen
- You see pus under the skin or Show Full Answer

You should go to the ER immediately if you experience any of these warning signs:
- A spiking or persistent fever
- The infected area is large and spreading quickly
- You notice discolored streaks traveling away from the affected area
- The area becomes increasingly painful, warm, or swollen
- You see pus under the skin or coming from an open wound While it's understandable to be hesitant about going to the ER, it's better to be cautious when infection is suspected. If you have a regular dermatologist or primary care provider, try contacting them first - they may be able to see you in their office. However, if you don't have access to a specialist or are unsure about the severity, it's safer to visit the ER rather than risk a serious infection developing. In the meantime, follow these wound care practices:
- Keep the area clean using warm water and gentle soap
- Monitor the wound for any changes
- Watch for signs of increasing pain or inflammation
- Continue taking your prescribed antibiotics as directed

May 30, 2025

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