Painful Cyst in the Buttocks: Causes and Solutions

There is a large pimple inside the buttocks?

A few days ago, when my menstrual period started, I developed a painful bump inside my buttocks that has been growing larger even after my period ended.
It hurts to sit, stand, and walk.
This has happened many times before, but the bumps were small and would resolve on their own.
However, this time, for some reason, it keeps getting bigger, and I feel very uneasy about it.
I want to understand what the cause might be.

Niming, 20~29 year old female. Ask Date: 2016/02/19

Dr. Ke Fangxu reply Surgery

The term "inside the buttocks" could refer to either the anal canal or the inner side of the buttocks.
Based on this description alone, it may not be possible to provide an accurate answer.
It is more likely to be folliculitis or cellulitis; however, it could also be hemorrhoids or an anal abscess.
Endometriosis in specific areas could also present with such symptoms.
It is advisable to consult a physician for a proper examination and diagnosis.

Reply Date: 2016/02/19

More Info

Understanding a painful cyst in the buttocks can be concerning, especially when it causes discomfort during daily activities such as sitting, standing, or walking. Based on your description, it sounds like you may be experiencing a condition known as a pilonidal cyst or possibly a sebaceous cyst. These types of cysts can become inflamed or infected, leading to increased pain and discomfort.

Possible Causes
1. Pilonidal Cyst: This is a common condition that occurs when hair follicles become clogged with hair, dirt, and debris, leading to the formation of a cyst. It often occurs in the sacrococcygeal area (the area at the base of the spine) and can be exacerbated by prolonged sitting or friction. Symptoms may include pain, swelling, and sometimes drainage of pus or blood if the cyst becomes infected.

2. Sebaceous Cyst: These are non-cancerous cysts that form when the sebaceous glands become blocked. They can occur anywhere on the body, including the buttocks. While they are usually painless, they can become inflamed or infected, leading to discomfort.

3. Folliculitis: This is an inflammation of the hair follicles, which can occur in the buttocks area, especially if there is friction or irritation from clothing. It can cause painful bumps that may resemble cysts.

4. Abscess: If the cyst becomes infected, it can form an abscess, which is a collection of pus that can be very painful and may require drainage.

Solutions and Recommendations
1. Observation: If the cyst is not causing significant pain or discomfort, you may choose to monitor it for a few days. Many small cysts can resolve on their own.

2. Warm Compresses: Applying a warm compress to the area can help reduce inflammation and promote drainage if the cyst is infected. This can provide some relief from pain.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation.

4. Avoiding Irritation: Wearing loose-fitting clothing and avoiding prolonged sitting can help reduce irritation to the area.

5. Medical Evaluation: Given that this is not your first experience with a similar issue and that this cyst has grown larger, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies if necessary. They can also determine if the cyst needs to be drained or surgically removed, especially if it is infected or causing significant discomfort.

6. Hygiene: Maintaining good hygiene in the area can help prevent infections. Regularly cleaning the area and avoiding excessive moisture can be beneficial.

7. Follow-Up: If the cyst does not improve or worsens, follow up with a healthcare provider. Persistent or recurrent cysts may require more extensive treatment or evaluation for underlying conditions.

Conclusion
While painful cysts in the buttocks can be uncomfortable and concerning, many cases can be managed effectively with home care and medical intervention when necessary. It is essential to listen to your body and seek professional advice if the situation does not improve or if you have any concerns about the nature of the cyst. Early intervention can help prevent complications and ensure proper treatment.

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