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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Buttocks On The Right Side?

Hello doctor My father is 59-year-old. Hypertensive and diabetic. He suddenly experienced an acute pain in his right buttock (in the middle) 2 days ago. At first we thought it is sciatica but there is no low back pain and no radiating pain in the back of thigh or leg. Only burning sharp pain is present in butt *deep as he describes*. He faces difficulties in doing any physical activity such as sleeping, walking, even sitting. It interrupt his sleep as well. He said pain begins 3 days before but was very subtle so he ignored it. What do you think it is?
Wed, 5 Sep 2018
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General Surgeon,  's  Response
Hi,

I had gone through your question and understand your concerns. At this area it may indicate several issues and most common are pilonidal cyst or perianal abscesses. These are inflammatory processes in sacral and perianal area usually manifested with pain, redness, swelling, fever, and pus discharge.

Cellulitis is less common and may be present in sacral area as well. This is mostly caused by beta hemolytic streptoccocus and it necessitates antibiotic treatment with augmentin, or combination of ciprinol+ metronidazole.

You should also, apply cold compresses, take non-steroid painkillers such as Ibuprofen and rest. If there is no improvement within 2 days, you should see doctor and have intravenous antibiotics.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
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What Causes Severe Pain In The Buttocks On The Right Side?

Hi, I had gone through your question and understand your concerns. At this area it may indicate several issues and most common are pilonidal cyst or perianal abscesses. These are inflammatory processes in sacral and perianal area usually manifested with pain, redness, swelling, fever, and pus discharge. Cellulitis is less common and may be present in sacral area as well. This is mostly caused by beta hemolytic streptoccocus and it necessitates antibiotic treatment with augmentin, or combination of ciprinol+ metronidazole. You should also, apply cold compresses, take non-steroid painkillers such as Ibuprofen and rest. If there is no improvement within 2 days, you should see doctor and have intravenous antibiotics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein