Treatment and Home Care for Boils
Most small boils can be treated at home with basic hygiene and warm compresses, but larger or more severe infections may need medical attention, incision and drainage, or antibiotics. Read more about the treatment and home care for boils below.
1. Home care for small boils:
- Warm compresses: Apply a clean, warm cloth to the area for 15–20 minutes, 3–4 times a day, to soften the skin and promote drainage.
- Keep the area clean: Wash gently with soap and water. Avoid squeezing or popping the boil, as this can spread the infection.
- Cover with a clean dressing: Use gauze or a breathable plaster to protect the area once the boil opens and starts draining.
2. Do NOT:
- Squeeze the boil
- Use sharp instruments to lance it yourself
- Share towels or bedding during infection
3. Medical treatments:
A. Incision and drainage (I&D)
- If the boil is large or painful, a doctor may perform a sterile procedure to drain the pus.
- Performed under local anaesthesia in a clinic or hospital.
B. Antibiotics
- Prescribed if the infection:
- Is spreading
- Accompanied by fever
- Recurs frequently
- Common antibiotics include flucloxacillin, clindamycin, or cefalexin.
- Complete the full course, even if symptoms improve early.
C. Pain management
- Use paracetamol or ibuprofen to ease discomfort and inflammation.
4. Treating recurrent boils:
- Daily washing with antibacterial soap (chlorhexidine)
- Topical mupirocin for nasal carriers of Staphylococcus aureus
- Screening close contacts
- Blood sugar control (especially in diabetic patients)
In the South African context:
- Basic treatment is available at public clinics.
- Pharmacies offer over-the-counter antiseptics and dressings.
- Patients with repeated boils should be assessed for immune compromise or hygiene-related issues.
Treatment and Home Care for Boils
Prompt treatment reduces scarring and stops spread to others.
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