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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have A Pimple On The Butt, When Popped Hurts, Applied Cream. Recurs And Bursts Blood Or Pus Comes Out. Pilonidal Cyst? Harmful?

Hi I'm 16 years old and I noticed when I was 15 I had gotten this pimple looking thing around my butt crack at first I didn't pay it no mind because I thought it was a pimple like I said and I popped it it hurt so much so much pain and I thought it would go away it did cause I kept it clean and put some cream my mother recommended then I noticed I started coming back and that's when i was worried didn't know what it was, i had pain every time i get one and it busts because i can feel it its a bad pain and blood or pus comes Out of it and its nasty I searched on the internet what it could be and i found pilonidal cyst But I'm scared. Is it harmful? Do i need medical attention quick? What can happen if untreated ? I need help. I don't want surgurey either :(
Tue, 18 Jun 2013
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Pain Medicine & Palliative Care Specialist 's  Response
Hi,
From the information you have given,this does appear to be a pilonidal sinus that is periodically becoming infected. As it has happened a number of times and is causing you pain it may be that you could need surgery to remove it completely. This will cure your problem.
I would suggest you see your doctor so it can be examined and for advice about further treatment. It is a relatively minor operation and a young, fir person should recover quickly from this type of procedure.
Best regards.
Dr K A Pottinger
MBChB FRCA
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Have A Pimple On The Butt, When Popped Hurts, Applied Cream. Recurs And Bursts Blood Or Pus Comes Out. Pilonidal Cyst? Harmful?

Hi, From the information you have given,this does appear to be a pilonidal sinus that is periodically becoming infected. As it has happened a number of times and is causing you pain it may be that you could need surgery to remove it completely. This will cure your problem. I would suggest you see your doctor so it can be examined and for advice about further treatment. It is a relatively minor operation and a young, fir person should recover quickly from this type of procedure. Best regards. Dr K A Pottinger MBChB FRCA