a Painless Growth Near the Tailbone: What You Need to Know - Dermatology

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When it comes to a painless growth near the tailbone, often referred to as the coccyx, it's important to approach the situation with a clear understanding of what it could be and the necessary steps to take. Given your description of the growth being present for several years without pain or discomfort, it is likely benign. However, the recent discovery that it can expel white pus raises some concerns that warrant further investigation.


Possible Causes of the Growth
1. Pilonidal Cyst: One of the most common causes of a lump near the tailbone is a pilonidal cyst. This type of cyst often contains hair and skin debris and can become infected, leading to the formation of pus. While they can be painless initially, they may become painful if they become inflamed or infected.

2. Sebaceous Cyst: Another possibility is a sebaceous cyst, which is a non-cancerous growth that can occur when a sebaceous gland becomes blocked. These cysts are usually painless and can sometimes drain pus.

3. Lipoma: A lipoma is a benign tumor made of fat tissue. They are typically soft, movable, and painless. However, they do not usually produce pus.

4. Abscess: If the growth is indeed producing pus, it could indicate an abscess, which is a collection of pus that can occur due to infection. Abscesses can be painful and may require drainage and antibiotic treatment.


Recommended Actions
1. Consult a Healthcare Provider: Given that you have noticed pus coming from the growth, it is crucial to consult a healthcare provider, preferably a dermatologist or a general surgeon. They can perform a physical examination and may recommend imaging studies if necessary.

2. Avoid Squeezing or Manipulating the Growth: While it might be tempting to squeeze the growth to expel pus, this can lead to further irritation or infection. It’s best to leave it alone until you have seen a medical professional.

3. Monitor for Changes: Keep an eye on the growth for any changes in size, color, or if it becomes painful. If you notice any of these changes, seek medical attention promptly.

4. Maintain Hygiene: Ensure that the area is kept clean and dry to prevent any potential infections. If you notice any signs of infection, such as increased redness, swelling, or warmth around the growth, seek medical attention.


Conclusion
While the growth near your tailbone may not currently be causing any significant issues, the ability to expel pus is a sign that it should be evaluated by a healthcare professional. Early diagnosis and treatment can prevent complications and ensure that any underlying issues are addressed. Remember, it’s always better to err on the side of caution when it comes to changes in your body, especially when they involve unusual growths or symptoms.