Hard Lump on Buttocks: What to Do After a Week of Pain? - Surgery

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Based on your description, it seems you are experiencing a hard lump on your buttocks that has been painful for about a week. Given your history of a similar issue three years ago, it is understandable to be concerned about the nature of this lump and whether it could be an infection such as cellulitis or another condition.

Firstly, it is important to note that a hard lump in the area you described could be due to several reasons. It might be a recurrence of an abscess (which you referred to as a "疔子"), a sebaceous cyst, or even a lipoma, which is a benign fatty tumor. The fact that the lump is painful and has not developed any pus after a week suggests that it may not be a typical abscess that is ready to drain.
You mentioned that you initially applied a topical ointment that caused a burning sensation, which is not uncommon with certain medications, especially if they contain active ingredients that can irritate the skin. Since you are currently in a rural area of Vietnam, access to specialized medical care may be limited, but there are still steps you can take to manage the situation.

1. Warm Compresses: Applying warm compresses to the area may help reduce pain and promote drainage if there is any underlying infection. The warmth can increase blood flow to the area, which may help the body fight off any infection.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. Be sure to follow the recommended dosages.

3. Avoid Squeezing: It is advisable not to attempt to squeeze or pop the lump, as this can lead to further infection or complications.

4. Monitor Symptoms: Keep an eye on the lump for any changes. If it starts to grow larger, becomes increasingly painful, or if you develop systemic symptoms such as fever, chills, or fatigue, it would be crucial to seek medical attention as these could be signs of a more serious infection like cellulitis.

5. Seek Medical Attention: If the lump does not improve after a few more days of home care, or if you experience worsening symptoms, it is important to seek medical attention. Even in rural areas, there may be clinics or healthcare providers who can evaluate the lump and provide appropriate treatment.

Regarding your concern about cellulitis, it typically presents with redness, swelling, warmth, and pain in the affected area, and can indeed lead to systemic symptoms. Since you are not experiencing these symptoms, it may be less likely, but it is still important to remain vigilant.

In summary, while it is understandable to be worried about the lump on your buttocks, taking the above steps can help manage the situation. If symptoms persist or worsen, seeking medical care is essential for proper diagnosis and treatment.