Painful Bumps on the Buttocks: Causes and Treatment Options

Q: Painful Bumps on the Buttocks: Causes and Treatment Options

Hello, in response to your questions： 1. <br>The swelling in the arm can generally be classified into two types： lipoma and sebaceous cyst. <br>Typically, sebaceous cysts are located more superficially, while lipomas are found deeper. <br>Therefore, Miss N's lesion is likely a se

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Hello doctor...
I have a symptom where there is a red lump on my buttocks, about the size of a marble, which sometimes hurts and becomes painful if I sit on a chair for too long.
It's uncomfortable...
1.
What could be the cause of this? 2.
Which department should I visit at the hospital? 3.
Will it need to be surgically removed? If surgery is required, can I usually resume normal activities afterward without being hospitalized? What should I pay attention to? Thank you.

N, 20~29 year old female. Ask Date: 2002/09/08

Dr. Ke Fangxu reply Surgery

Hello, in response to your questions: 1.
The swelling in the arm can generally be classified into two types: lipoma and sebaceous cyst.
Typically, sebaceous cysts are located more superficially, while lipomas are found deeper.
Therefore, Miss N's lesion is likely a sebaceous cyst.
2.
For consultation, please see a general surgeon or a plastic surgeon.
3.
Whether to excise or not is subjective; unless there is a bacterial infection causing inflammation, excision is not necessarily recommended.
The excision procedure only requires local anesthesia and does not require hospitalization.
The surgery takes about 30 minutes, and postoperatively, it is advised to avoid vigorous exercise and getting the area wet.

Reply Date: 2002/09/08

More Info

Hello,
Thank you for reaching out with your concerns regarding the painful bump on your buttocks. Based on your description, it sounds like you may be experiencing a condition known as a sebaceous cyst, which is a common type of bump that can occur on the skin. These cysts are typically filled with a substance called sebum, which is produced by sebaceous glands. They can vary in size and may become inflamed or infected, leading to pain and discomfort, especially when sitting for prolonged periods.

1. Possible Causes
The painful bump you are experiencing could be due to several factors:
- Sebaceous Cyst: As mentioned, these are benign lumps that can develop when a hair follicle becomes blocked. They are usually painless unless infected.

- Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can lead to red, painful bumps that may resemble acne.

- Abscess: If the bump is painful and red, it could be an abscess, which is a collection of pus that forms due to infection. This would require medical attention.

- Lipoma: A lipoma is a benign tumor made of fat tissue. While they are usually painless, they can cause discomfort if they press on surrounding tissues.

2. Medical Consultation
If you decide to seek medical attention, you should visit a dermatologist, as they specialize in skin conditions. A dermatologist can perform a physical examination and may order imaging tests if necessary to determine the nature of the bump. If the bump is infected or inflamed, they may also perform a drainage procedure or prescribe antibiotics.

3. Treatment Options
Regarding treatment, the approach will depend on the diagnosis:
- Observation: If the bump is a sebaceous cyst and not causing significant discomfort, your doctor may recommend simply monitoring it.

- Drainage: If the cyst is infected or causing pain, your doctor may perform an incision and drainage procedure to relieve pressure and remove the contents.

- Surgical Removal: If the cyst is recurrent or bothersome, surgical removal may be recommended. This procedure is typically done on an outpatient basis, meaning you would not need to stay overnight in the hospital. Recovery is usually quick, and most patients can return to normal activities shortly after the procedure. However, you should avoid strenuous activities for a few days to allow for proper healing.

Post-Operative Care
If surgery is performed, here are some important considerations:
- Wound Care: Keep the area clean and dry. Follow your doctor's instructions regarding dressing changes.

- Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort.

- Signs of Infection: Watch for signs of infection, such as increased redness, swelling, or discharge from the surgical site. If you notice these symptoms, contact your healthcare provider.

In conclusion, while the bump on your buttocks may be a benign condition, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a swift recovery. Please take care, and I hope you find relief soon!

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