Painful Bumps on the Buttocks: Causes and Solutions

Blisters-like lesions on the buttocks?

This has been a problem that has troubled me for several years.
It started with small lumps appearing on my buttocks, and initially, I asked my mother, who thought it was acne.
However, it has now become increasingly severe.
Currently, my buttocks are covered with healing purpura, but new lumps keep emerging, even in areas that get pressure when sitting down.
Unlike acne, which appears as small spots, these lumps resemble large swellings that occur after being bitten by insects.
These lumps do not cause any issues unless pressure is applied, at which point they become extremely painful.
Additionally, when pressed, they feel like cysts (though sometimes they become severe enough to form blisters; if accidentally ruptured, they ooze a clear fluid mixed with blood, similar to a blister).
I appreciate your help (I am planning to see a doctor, but I don't even know which specialty to consult).

Wang, 10~19 year old female. Ask Date: 2011/12/20

Dr. Yang Zhiya reply Dermatology

Based on your symptoms, it could be folliculitis, herpes, a sebaceous cyst, or various types of blistering or inflammatory conditions.
Therefore, it is recommended that you visit a dermatology clinic, where a physician can personally examine the lesions for a more accurate diagnosis and appropriate treatment.

Reply Date: 2011/12/20

More Info

Understanding painful bumps on the buttocks can be quite perplexing, especially when they persist and worsen over time. Based on your description, it sounds like you may be dealing with a condition known as folliculitis, cysts, or possibly even hidradenitis suppurativa, which can manifest as painful lumps in the areas where hair follicles are present, particularly in regions that experience friction or moisture, such as the buttocks.

Possible Causes:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can lead to red, swollen bumps that may resemble acne. If the follicles become infected, they can fill with pus and become painful.

2. Cysts: Sebaceous cysts can develop when the sebaceous glands become blocked. These cysts can be painful, especially if they become inflamed or infected. They often feel like lumps under the skin and can sometimes rupture, leading to the discharge of fluid.

3. Hidradenitis Suppurativa: This is a chronic skin condition that causes painful lumps under the skin, typically in areas where skin rubs together, such as the buttocks. It can lead to the formation of abscesses and scarring.

4. Allergic Reactions or Insect Bites: Sometimes, what appears to be a painful bump can be the result of an allergic reaction or insect bites. These can cause localized swelling and pain, especially if there is a secondary infection.

5. Pressure Ulcers: If you are sitting for prolonged periods, especially on hard surfaces, you may develop pressure ulcers, which can become painful and lead to skin breakdown.

Recommended Actions:
1. Consult a Healthcare Provider: Given the persistence and severity of your symptoms, it is crucial to see a healthcare provider. A dermatologist would be the most appropriate specialist to evaluate your condition, as they can provide a thorough examination and diagnosis.

2. Avoid Squeezing or Popping: While it may be tempting to pop the bumps, doing so can lead to further infection and complications. It’s best to leave them alone until you can see a doctor.

3. Keep the Area Clean: Maintain good hygiene in the affected area. Use mild soap and water to clean the skin, and avoid using harsh chemicals or scrubs that could irritate the skin further.

4. Warm Compresses: Applying a warm compress to the area may help reduce pain and promote drainage if there is an abscess. This can also help soothe inflammation.

5. Monitor Symptoms: Keep track of any changes in the bumps, such as increased pain, redness, swelling, or discharge. This information will be helpful for your healthcare provider.

6. Lifestyle Modifications: If friction or moisture is a contributing factor, consider wearing loose-fitting clothing and using moisture-wicking fabrics to reduce irritation.

In conclusion, while painful bumps on the buttocks can arise from various causes, it is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and improve your quality of life. Remember to be proactive about your health and don’t hesitate to reach out to a healthcare professional for assistance.

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