Abscess vs. Pimple vs. Cyst: How to Tell the Difference
Dr. Curtis Grote, MD, specializes in diagnosing and treating these conditions to prevent infection and complications. For more information, please contact us or make an appointment online. We have convenient locations to serve you in Bulverde Rd San Antonio TX, Bastrop TX, Alamo Ranch San Antonio TX, La Grange TX, Leon Springs TX, New Braunfels TX, Potranco Road San Antonio TX, Dripping Springs TX, Lemon Creek Boerne TX, Potranco (Hunt Lane) San Antonio TX, and Belle Chasse, LA.


Table of Contents:
What is the difference between an abscess, a pimple, and a cyst?
How can I tell if I have an abscess instead of a pimple?
Which one is more painful — abscess, pimple or cyst?
Can a cyst turn into an abscess?
At Fast Aid Urgent Care, we often help patients who are concerned about lumps or bumps on their skin. It’s important to know the difference between an abscess, a pimple, and a cyst—and when to seek medical attention.
● Abscess:
An abscess is a painful, swollen lump caused by a bacterial infection that leads to a collection of pus. Abscesses are often red, warm, and tender—and can become quite serious if left untreated. If you notice a rapidly growing, painful bump or see redness and swelling spreading, it’s important to visit us promptly. Our experienced providers can evaluate the abscess, perform necessary drainage procedures, and prescribe antibiotics to help you heal safely and quickly.
● Pimple:
Pimples are common, small bumps that develop when pores get clogged with oil, skin cells, and bacteria. They’re usually found on the face, chest, or back and often resolve on their own or with over-the-counter treatments. However, if a pimple becomes unusually large, painful, or appears infected, our team can assess the situation and provide appropriate care to prevent complications.
● Cyst:
Cysts are closed sacs under the skin that can be filled with fluid or other material. Most cysts are harmless, but they can become uncomfortable or infected. If you notice a cyst that is growing, painful, or showing signs of infection (such as redness or warmth), visit us. We can evaluate the cyst and recommend treatment, which may include drainage or removal if necessary.
● When in Doubt, Get Checked Out:
While many skin bumps are harmless, some—especially abscesses—can lead to serious infections if not treated promptly. If you’re unsure about a lump or bump, or if it’s painful, growing, or looks infected, don’t hesitate to visit Fast Aid Urgent Care. Our team is here to provide fast, expert care so you can get back to feeling your best.
Knowing the difference between a pimple and an abscess is important for your health and safety. While they can look similar at first—both appearing as red, swollen bumps—abscesses are much more serious and often require prompt medical attention.
A pimple is usually small (less than a centimeter wide) and may have a white or yellow tip if it comes to a head. Pimples are caused by clogged pores and are typically only mildly tender. Most clear up on their own with basic skincare and don’t require medical treatment.
An abscess, however, is a deeper skin infection. Abscesses are usually larger, more swollen, and much more painful than pimples. The skin over an abscess may feel warm or even hot, and the swelling can be firm or feel like it’s filled with fluid. Unlike pimples, abscesses often become more painful over time and can be associated with other symptoms such as fever, chills, or feeling generally unwell.
If you’re experiencing a painful lump or swelling on your skin, you may wonder whether it’s an abscess, a pimple, or a cyst—and how serious it might be. At Fast Aid Urgent Care, we frequently help patients manage these common skin concerns and relieve their discomfort quickly and safely.
● Abscess: An abscess is usually the most painful of the three. It’s a pocket of pus caused by a bacterial infection. Abscesses lead to swelling, redness, warmth, and significant pressure in the area. The pain is often intense and throbbing and gets worse until the abscess is properly drained and treated. If you suspect you have an abscess, it’s important to seek prompt medical care—abscesses rarely improve on their own and can lead to more serious infections without treatment.
● Pimple: Pimples are a milder form of skin inflammation, often due to clogged pores. While they can be uncomfortable—especially if they’re large or deep (like cystic acne)—the pain is usually mild to moderate. Most pimples resolve on their own, but we can help if you have severe or persistent acne.
● Cyst: Cysts are closed sacs under the skin that contain fluid or other material. Most cysts are painless unless they become infected or irritated. If a cyst becomes swollen, red, or tender, it’s important to get it checked out, as it may need medical attention—especially if there is increasing pain or drainage.
When to Seek Medical Help
● Significant pain, swelling, or redness
● Fever or chills (possible sign of spreading infection)
● Rapidly growing or draining lumps
● Any lump that is not improving or is causing concern
Our skilled providers can diagnose your skin issue, drain abscesses safely, prescribe antibiotics if needed, and offer relief from discomfort. Don’t try to squeeze or drain any lumps at home—this can make infections worse.
A cyst is a closed, sac-like structure that can form under the skin or inside the body. These sacs are usually filled with fluid, pus, or other material and are typically non-infectious and painless unless they become inflamed or infected. In contrast, an abscess is a collection of pus caused by a bacterial infection and usually presents with redness, swelling, pain, and warmth over the affected area.
At Fast Aid Urgent Care, we frequently see patients with both cysts and abscesses. It’s important to know that a cyst can sometimes turn into an abscess if bacteria enter the cyst, leading to infection. When this happens, the immune system responds by sending white blood cells to the area, forming pus and causing the cyst to become swollen, red, and painful—now classified as an abscess. This is especially common with sebaceous cysts, which can become infected if their lining is damaged or if bacteria gain entry through a break in the skin.
If you notice that a cyst is becoming increasingly painful, red, or warm to the touch, or if pus begins to drain from it, these are signs that the cyst may have become infected and turned into an abscess. It’s important to seek prompt medical evaluation in these situations. If you’re experiencing any of these symptoms or are concerned about a lump or swelling under your skin, visit Fast Aid Urgent Care for a thorough evaluation and expert treatment. For more information, please contact us or make an appointment online. We have convenient locations to serve you in Bulverde Rd San Antonio TX, Windcrest TX, Selma TX, Bastrop TX, Paige TX, Smithville TX, Alamo Ranch San Antonio TX, Leon Valley TX, Helotes TX, La Grange TX, Rabbs Prairie TX, Halsted TX, Leon Springs TX, Fair Oaks Ranch TX, Cross Mountain TX, New Braunfels TX, Hunter TX, Zorn TX, Potranco Road San Antonio TX, Rio Medina TX, Rolling Oaks Estates TX, Dripping Springs, TX, Saddletree Ranch TX, Belterra TX, Lemon Creek Boerne TX, Scenic Oaks TX, Potranco (Hunt Lane) San Antonio TX, Fair Oaks Ranch TX, Belle Chasse LA, Timberlane LA, Woodmere LA, and surrounding areas.

Additional Services You May Need
▸ Urgent Care
▸ Walk-in Family Care
▸ Children’s Health
▸ Sports Physicals
▸ DOT Physicals
▸ Pediatric Urgent Care
▸ Immunization

Additional Services You May Need
▸ Urgent Care
▸ Walk-in Family Care
▸ Children’s Health
▸ Sports Physicals
▸ DOT Physicals
▸ Pediatric Urgent Care
▸ Immunization