hello, i have a slightly purple swollen lump at the top of my butt crack that makes it difficult to walk, sit, bend,stand and, lay down. (pain is minimized when laying on my stomach) i am 22 years old about 175lbs, around 5'10 and have not experienced it this bad in the past. i have been looking online and i do not see any "little holes" as described with having a fistula. I am really hoping that is is not a pilonidal Cyst which i have read about people experiencing for years requiring multiple surgeries. What could this be and what options do i have in resolving this issue? Also read about a procedure called kshar sutra but it appears to only appears to be available in india, is this true?