Occasionally, cysts can rupture, or break open, causing heavy bleeding or severe pain. If you have any of the following symptoms of a ruptured cyst, head to the ER right away: Pain with vomiting and fever. Severe abdominal pain that comes on suddenly.
Also known as Boils or Cysts, Abscesses can develop in many areas of the body but are often found on the skin or in the mouth. Abscesses can cause pain, swelling and inflamed or red skin. Although most abscesses do not result in complications, if they are left untreated they could result in an emergency situation.
Although they are typically harmless, cysts need to be checked out if they begin causing severe pain or won't go away because there is a slim possibility that they may be a sign of ovarian cancer.
In some cases, a ruptured cyst can cause more severe symptoms. These can include severe pain in the lower belly and bleeding. Symptoms like these need treatment right away. You may need care in the hospital if you have severe symptoms from a ruptured cyst.
Symptoms of an ovarian cyst
An ovarian cyst usually only causes symptoms if it splits (ruptures), is very large or blocks the blood supply to the ovaries. In these cases, you may have: pelvic pain – this can range from a dull, heavy sensation to a sudden, severe and sharp pain.
If a small cyst becomes inflamed, your healthcare provider may inject it with a steroid drug to reduce swelling. A healthcare provider may drain a cyst that is large, tender, or inflamed. Larger cysts may need to be removed if they cause hair loss on the scalp, or interfere with clothing.
In general, a cyst that is not sore or painful isn't a medical problem. Many people live with cysts and some may even resolve on their own. Using moist heat compresses on the area multiple times per day can help the body heal a cyst. However, leaving a cyst untreated can also carry some risks.
A cyst may need further treatment if it becomes: Inflamed and swollen -- the provider may inject the cyst with steroid medicine. Swollen, tender, or large -- the provider may drain the cyst or do surgery to remove it. Infected -- you may be prescribed antibiotics to take by mouth.
If the abscess does not heal on its own, a health care provider might need to lance and drain it for it to heal. Other abscesses will require surgical drainage procedures performed in the emergency room. If the abscess is left without care and proper incision and drainage, it will worsen.
Cysts that become large can cause the ovary to move. This increases the chance of painful twisting of the ovary (ovarian torsion). If this happens, you might have sudden, severe pelvic pain and nausea and vomiting. Ovarian torsion can also reduce or stop blood flow to the ovary.
“Some ovarian cysts cause pain in your lower abdomen and other symptoms,” says Dr. King. “But there's no specific warning sign that a cyst is about to rupture.”
Cysts can develop in response to a pelvic infection (called an abscess). If an infected cyst ruptures, it can trigger sepsis, a life-threatening immune response to harmful bacteria. Women with infected cysts are treated with antibiotics and sometimes require hospitalization for surgical drainage of the cyst.
At times, they can become infected and need treatment due to pain and swelling. Cysts can be drained or removed with surgery, depending on their type and location. Sometimes, a cyst looks like a skin cancer and may need to be removed to be tested.
In most cases, a physician will need to drain the abscess. People should seek urgent care treatment for an abscess if the sore is larger than 1 cm across, it continues to become enlarged or more painful, or it's accompanied by a fever.
Size is also one of several factors that can help determine whether a cyst needs to be surgically removed. Generally speaking, surgery isn't recommended for ovarian cysts unless they're larger than 50 to 60 millimeters (mm) (about 2 to 2.4 inches) in size.
Most of the time, cysts do not need to be removed because they usually aren't harmful to your health. However, sometimes, cysts can grow and cause discomfort and pain. Depending on where the cyst is located, it can also cause embarrassment as well.
Most cysts are benign (non-cancerous), but some are cancerous or precancerous and must be removed. In addition, if a cyst is filled with pus, that means it's infected and could form an abscess, so you should see a doctor if you feel pain when you touch a cyst.
A cyst will not heal until it is lanced and drained or surgically excised. Without treatment, cysts will eventually rupture and partially drain. It may take months (or years) for these to progress. Once they rupture, the painful sebaceous cyst will likely return if the pocket lining is not removed entirely.
Bumps that are cancerous are typically large, hard, painless to the touch and appear spontaneously. The mass will grow in size steadily over the weeks and months. Cancerous lumps that can be felt from the outside of your body can appear in the breast, testicle, or neck, but also in the arms and legs.
Sudden, severe abdominal pain, especially on one side. Abdominal pain with feelings of weakness, dizziness, or fainting. Abdominal pain with unexpected, significant bleeding. Abdominal pain with rapid breathing or breathlessness.
However, you should definitely see a doctor if your cyst displays any of these symptoms: Yellow discharge, which could indicate an infection. Pain, tenderness, or redness. A rapid change in size, color, or shape.