How to treat an infected piercing

Piercings are open wounds

Body piercings can be a fun way to express your style and make a statement, but don't let the aesthetics distract you from self-care - a fresh piercing is essentially an open wound.

These wounds can take different times to fully heal, depending on where they are on the body. For example:

• Earlobe piercings - usually take 6 - 8 weeks to heal.

• Ear cartilage piercings - take significantly longer, because cartilage tissue is much tougher. There are many types of cartilage piercings, including helix piercings which heal within 3 - 6 months, and daith and tragus piercings, which can take up to 12 months.

• Nose piercings - usually take 2 - 4 months to heal.

• Nipple piercings - usually take 6 weeks to 6 months to heal.

• Tongue piercings - usually take 4 - 6 months to heal.

• Belly button piercings - usually take 9 - 12 months to heal. They are also the most at risk of infection.

Before piercings have completely healed, there are several ways that bacteria can enter and cause infection.

• Piercing the body with unsterile instruments.

• Touching piercings with unwashed hands or unclean materials.

• Handling the piercing too often.

• Jewellery being screwed in too tightly, not allowing enough oxygen to reach the wound so it can heal.

How to know if a piercing is infected

If you've just had a body piercing, signs of mild skin irritation are normal. After all, your skin has essentially been punctured, and recovering from this injury brings its own symptoms.

What normal looks like

In the first few weeks a fresh piercing might:

• Look slightly red on light skin or a little darker than usual on dark skin.

• Feel itchy.

• Be a little sore, especially if touched or knocked.

• Come up in small fluid-filled lumps, called granulomas, especially on cartilage piercings.

• Leak a pale fluid that can form a small crust - but this should clear up within a few days.

What an infected piercing looks like

Your piercing might be infected if any of the above symptoms last longer than a few weeks or become gradually more severe. Infections can also occur at any time during the healing stage - which could be weeks or months after the initial irritation disappears. For example:

• The area around the piercing remains or becomes increasingly swollen, painful, hot, or very red/dark.

• Itching or burning that's too uncomfortable to ignore, interrupting daily life.

• The piercing produces pus or starts to bleed, outside of the first few days.

• You feel shivery, hot, or generally unwell - this requires urgent medical attention.

If you are not sure, it is wise to go back to your piercer as they will know exactly what is needed to make the piercing heal.

How to treat an infected piercing

An infected piercing can develop into something more serious, so it's important to book to see your piercer or GP as soon as possible. In the UK, the NHS also suggests calling 111, the non-emergency helpline if you are sure it is infected.

While you wait for your appointment, following a cleaning routine at home will help manage the infection. If it's a minor infection, this could be enough to clear it up - if not, this routine can still help to contain the infection and limit damage before medication is prescribed.

Patient picks for Other skin problems

Skin, nail and hair health

The best foods to eat for healthy skin

It seems we go from fighting so-called 'teenage' spotty skin with lotions and potions, straight on to battling wrinkles with anti-ageing creams. But could there be another way? Here we take a look at some of the key nutrients for healthy skin and what you should be adding to your weekly shop to get them.

Skin, nail and hair health

Frostbite

Frostbite is an injury that is caused by exposure of parts of the body to the cold. There are different degrees of frostbite. In superficial frostbite, the skin can recover fully with prompt treatment. However, if frostbite is deep, tissue damage can be permanent and tissue loss can occur. The most important way of preventing frostbite is to get out of the cold. If you are exposed to the cold, make sure that you have adequate protective clothing.

by Dr Toni Hazell

Treating infection at home

Don't remove the piercing jewellery before you've seen your piercer or GP. Removing it on your own could spread the bacteria, allow the hole to close, and trap the infection inside. It also may not be necessary - less serious infections can heal without you having to lose your new piercing.

This cleaning routine is recommended for most new piercings. It becomes even more important if you suspect infection - even if the initial timeframe for daily cleaning recommended by your piercer has passed.

An optional step is to apply an over-the-counter antibiotic ointments after cleaning. Bacitracin and mupirocin are effective ingredients used to treat mild to moderate infections¹, and your local pharmacist can advise what's best for your type of piercing.

However, this step may not be needed, as a good cleaning routine is often enough to clear up very minor infections within a few days.

Treatment from your doctor

If the piercing is infected but you feel well with it, your local doctor can help get it better. But if you also feel sick or dizzy, have fever or chills, or notice that swelling and redness is spreading away from the piercing site, this could be a medical emergency.

Your doctor may prescribe you a course of topical or oral antibiotics. They'll also be able to confirm if you need to remove your jewellery or not.

How to prevent an infected piercing

The fight against infection starts with your choice of piercer. Take the time to find a qualified and experienced licensor - this could include reading customer reviews and asking piercers if their tools are sterile and what jewellery metal they use. A safe professional shouldn't use metals that commonly trigger allergic skin reactions, such as nickel sensitivity. All piercers should provide detailed after care information.

If you want to continue avoiding infection, the two main rules are cleanliness and commitment - adopt good hygiene habits and be consistent with your piercing cleaning routine, which can vary depending on the type of piercing you have. This can require you to be patient, as piercings can take months to fully heal.

Further reading

1. Preslar and Borger: Body piercing infections.