Bumps Near the Buttocks: Causes and Treatment Options

There is a growth next to the buttocks?

I'm sorry, doctor.
I would like to ask a question.
About two days ago, I developed a pimple on my buttocks.
After that, I started to scratch it, and it became swollen.
The next day, I noticed that it hurt whenever I sat down and pressed on it.
I ended up squeezing it myself and discovered it was oozing pus, so I went to a nearby dermatology clinic.
The doctor didn't examine my buttocks directly, but after I explained what happened, she said it was a bacterial infection.
I mentioned that I had squeezed it myself, and the doctor advised me to continue to express the pus.
She prescribed medication and ointment for three days and told me to return for a follow-up on Saturday.
Just now, a family member helped me squeeze it, and they said it was quite swollen.
They managed to express some pus, but then they noticed a black spot on the wound and mentioned there was a hole about the size of a cotton swab tip, with a lot of pus stuck inside that couldn't be expressed.
I'm worried that it might be a hemorrhoid or a severe form of acne.
I'm really scared.
If surgery is needed, how long would it take? Would I need to be hospitalized? If surgery involves sutures, how long until the stitches can be removed?

Xiao, 20~29 year old female. Ask Date: 2013/03/21

Dr. Ke Fangxu reply Surgery

Based on your description, it seems to be an infection of the skin tissue, but it is necessary to conduct a physical examination to determine the exact type.
However, it is confirmed that cellulitis has already developed.
I recommend that you visit a surgical department at a hospital.
A simple incision and drainage procedure along with oral antibiotics should be sufficient.
If you delay seeking medical attention, the infection may spread, and hospitalization could become necessary.

Reply Date: 2013/03/21

More Info

Understanding bumps near the buttocks, particularly those that resemble acne or cysts, can be concerning, especially when they become painful or infected. Based on your description, it sounds like you may be dealing with a skin infection, possibly a pilonidal cyst or an abscess, which can occur in that area due to various reasons, including blocked hair follicles, friction, or bacterial infection.

Causes of Bumps Near the Buttocks
1. Folliculitis: This is an infection of the hair follicles that can occur anywhere on the body, including the buttocks. It often presents as small red bumps that can be itchy or painful.

2. Acne: Just like on the face, acne can develop on the buttocks, especially in areas where there is friction or sweating.

3. Pilonidal Cyst: This is a common condition where a cyst forms near the tailbone, often containing hair and skin debris. It can become infected and painful, leading to swelling and pus formation.

4. Abscess: An abscess is a collection of pus that can form due to bacterial infection. It can be very painful and may require drainage.

5. Hemorrhoids: While typically associated with the rectal area, they can sometimes cause discomfort and swelling near the buttocks.

Treatment Options
1. Antibiotics: If your doctor has prescribed antibiotics, it is essential to complete the full course to help clear the infection.

2. Drainage: If there is a significant amount of pus, your doctor may need to drain the area. This is often done in the office and can provide immediate relief.

3. Topical Treatments: Your doctor may have prescribed a topical antibiotic ointment to apply to the affected area to help with healing.

4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.

5. Surgical Intervention: In cases of recurrent pilonidal cysts or large abscesses, surgical removal may be necessary. This typically involves making an incision to drain the cyst or abscess and may require stitches.

Recovery and Follow-Up
- Post-Drainage Care: After drainage, it’s crucial to keep the area clean and dry. Follow your doctor’s instructions regarding wound care.

- Stitches: If stitches are placed, they usually need to be removed within 5 to 14 days, depending on the location and the type of closure used.

- Follow-Up Appointments: It’s essential to attend your follow-up appointment to ensure proper healing and to address any concerns.

When to Seek Immediate Care
If you experience any of the following, seek medical attention promptly:
- Increased redness, swelling, or warmth around the area.

- Fever or chills.

- Severe pain that is not relieved by over-the-counter medications.

- Any signs of spreading infection, such as red streaks leading away from the site.

Conclusion
While it can be alarming to discover a painful bump near the buttocks, many conditions are treatable with proper medical care. It’s good that you have already consulted a dermatologist and are following their advice. Make sure to keep the area clean, follow your treatment plan, and don’t hesitate to reach out to your healthcare provider if you have any concerns or if your symptoms worsen.

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