What causes recurring painful lumps on the buttocks?
Patient: Hi, I m a 23yr old man, and I m having this soft, dark red coloured lump on my lower buttocks (the cheeck itself). I have no known allergies, nor a history of severe acne or other related conditions. It is rather painful and annoying, and especially painful when pressure is applied. This makes it very hard to sit on as well. It feels very soft like it is filled with pus, it has no hard part like a cyst would have a pea-like head. This lump comes for a few days to a week then goes away for a while, only to return at a given point. It can occur on both the left and the right cheeck. I doubt it be some hygiëne problem, as I ve always paid attention to it, especially now since these lumps have been appearing. Could this be something like an ingrown hair? Most likely not a pimple that has gone crazy, as I would have noticed the pimple itself. Would you suggest to just wait until it disappears again as it has done before? Thanks Doctor: Hi! Good morning. i am Dr Shareef answering your query.As you get pain in the lump when it appears, it seems to be an inflammatory/infective origin. I would advise you to take appointment with a general surgeon in your area, and get it assessed clinically with related investigations to rule out a recurrent perianal abscess which could lead to a fistula in ano. Another possibility of a pilonidal cyst would have to be ruled out which could also result in a pilonidal sinus. All these could be diagnosed by a clinical examination and so you would have to see your doctor for an appropriate management. Till then, you could go for some anti inflammatory along with a proton pump inhibitor for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.