Should You See a Doctor for a Painful Bump Near the Buttocks?

Pimples in the buttock crease?

Hello, doctor.
Yesterday I mentioned that I have a bump resembling a pimple located about 6-7 cm from the anus in the gluteal cleft.
I applied some folliculitis ointment, and it has become less swollen, leaving a small protrusion about 0.5 cm in diameter (similar to a pimple).
It still feels a bit painful when pressed.
Should I seek further evaluation at the hospital, or should I wait and observe for any worsening symptoms before seeing a doctor?

A Jie, 30~39 year old female. Ask Date: 2015/03/04

Dr. Ke Fangxu reply Surgery

It can be observed first; it is likely folliculitis.

Reply Date: 2015/03/04

More Info

When it comes to a painful bump near the buttocks, particularly one that resembles an acne lesion and is located approximately 6-7 cm from the anus, it is essential to approach the situation with caution. While it is encouraging that you have already applied a topical treatment for folliculitis and noticed some improvement, there are several factors to consider before deciding whether to seek further medical attention.

First and foremost, the location of the bump is significant. The perianal area can be prone to various conditions, including folliculitis, abscesses, cysts, or even more serious issues such as pilonidal disease or skin infections. Given that the bump is painful and has not completely resolved, it is advisable to monitor it closely. If the bump continues to decrease in size and pain, you may choose to observe it for a little longer. However, if you notice any of the following symptoms, it would be prudent to see a doctor:
1. Increased Pain or Swelling: If the pain intensifies or if the bump becomes larger, this could indicate an infection or abscess that may require drainage or antibiotics.

2. Fever or Systemic Symptoms: The presence of fever, chills, or other systemic symptoms may suggest that the body is fighting an infection, warranting immediate medical evaluation.

3. Changes in Appearance: If the bump changes in color, becomes redder, or starts to ooze pus, these are signs of infection and should prompt a visit to a healthcare provider.

4. Duration: If the bump does not improve within a week or two, or if it persists beyond that time frame, it would be wise to consult a doctor for further evaluation.

5. Personal Medical History: If you have a history of skin conditions, recurrent infections, or other underlying health issues, it is better to err on the side of caution and seek medical advice sooner rather than later.

In terms of treatment, while topical medications can be effective for mild cases of folliculitis, they may not be sufficient for more complicated conditions. A healthcare provider can perform a physical examination and may recommend further diagnostic tests, such as a culture of any drainage, to determine the best course of action.
In summary, while it is possible to monitor the bump for a short period, it is essential to remain vigilant for any signs of worsening symptoms. If you have any doubts or concerns, it is always better to consult a healthcare professional. They can provide a thorough assessment and ensure that any potential issues are addressed promptly, preventing complications that could arise from untreated infections or other conditions. Remember, your health and peace of mind are paramount, and seeking medical advice is a responsible step in managing your health.

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