I have had severe cystic acne for at least 4 years now. I've gotten used to dealing with it. It is beneath the surface of my skin and will form large pockets of blood and oil that get bigger and bigger and more painful until they are addressed. I know I shouldn't pop them, but I do just because they go away faster and hurt less when I can get the blood/oil out of them. I find it odd that there is almost never that much pus, save for a few here and there. It is mostly blood and a lot of oil. (little graphic) Most of the time the blood is rather dark. Usually a dark red, but sometimes a dark purple that can be seen through the skin. The dark purple hurts the worst. After the blood is done draining, there is tons of oil that seemingly never stops draining.

I had my acne under control for a while by eating very healthy and drinking plenty of water, but today it seems like I've gotten a pretty large break out. Every doctor I've gone to has immediately tried to get me on Accutane, which i am very much opposed to. When I was having "normal" acne as a pre teen I would take medicine and/or use a topical treatment and I ended up with cystic acne instead, so I have been extremely wary of medicines. Some side notes: it is controlled well with a coconut lotion variation that I found at trader joe's (neosporin does the trick sometimes), I eat tons of fruits and vegetables and little meat, I exercise everyday, and I drink almond milk over regular cow milk. I get it mostly on my face, neck, back, and chest. Basically wherever hair grows, but certain they aren't ingrown hair.
Any help would be great. My self esteem isn't great and every time I have a break out, I lose more of it. Thank you.