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What Causes Boil Right Below Tail Bone?

Posted on Wed, 8 Oct 2014

Question: Okay, I have a little bump or boil under my skin, right below my tail bone. Not in my butt crack, but above it. And it's sore sometimes and bruised looking and discolored (just redness) not a rash though, with a skin cavity under it. I'm almost positive it's a pilonidal cyst. Should I see a doctor? I have done my research and some say it's bad, and to get it surgically removed, and some say it's fine and I can live with it. What do I do? Why do I have it? I'm a 19 year old female, 5'2 127 lbs, and active, as I have to be seeing as how I'm a waitress. I just don't know what to do.

Answered by Dr. Deepak Kishore Kaltari (27 minutes later)

Brief Answer:
Likely to be Pilonidal sinus

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms,

rom the description given it could be one of the following possibilities

1. Pilonidal Sinus
2. Gluteal abscess/ Furuncle

Exact diagnosis will depend on clinical examination. I would suggest you to send me clinical photograph of the lesion for further evaluation. Also kindly provide me following additional information

1. Since how long has it been present?
2. Any previous history of similar swelling?
3. Are you hairy down there?

Awaiting your response

Take Care

Best Regards
Dr Deepak Kishore
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (18 minutes later)

I've had it for like two years, XXXXXXX It's never given me a problem until now, that's why I never worried about it. And no, I'm not exactly hairy down there. I guess you could say at most, I have the common "peach fuzz"

Answered by Dr. Deepak Kishore Kaltari (2 minutes later)

Brief Answer:
Likely to be Pilonidal sinus

Detailed Answer:
Dear Ms,

Such long standing swelling near tail bone is likely to be Pilonidal Sinus. As it is infected now, it is causing you pain. Do send me clinical photograph for confirmation.

Awaiting your response

Take Care

Best Regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (8 minutes later)

Okay, I uploaded a photo where it said "update reports" I really hope it sent to you, because if not, that would be bad.

Answered by Dr. Deepak Kishore Kaltari (5 minutes later)

Brief Answer:
It is definitely Pilonidal Sinus

Detailed Answer:
Dear Ms

Thanks for providing me the clinical photograph. It is surely Pilonidal Sinus. There is a small opening seen too. The surrounding looks inflamed likely to be abscess formation.

I would suggest you to consult Surgeon for further management.
In the meantime I would advise you the following which will decrease your symptoms

1. Hot Seitz Bath: To a tub of lukewarm water add 2 spoons of antiseptic solution like Dettol/Savlon. Sit in it immersing your bottom for 15-2o minutes each session twice a day. Let the water be as hot as much as you can tolerate it.
It will reduce the congestion and discomfort

2. Analgesic Like Ibuprofen will be helpful

3. Antibiotics: Augmentin taken for 5 days all be helpful

Do keep me updated.
Wishing you great health

Best Regards'
Deepak

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar