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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lump At The Tailbone?

Hi, A few days ago after sitting on coach (?!) I started to feel discomfort at the bottom of my tailbone, ever so slightly into my bum. It s gotten progressively worse, I can t sit properly or lay on my back as it almost feels like there is a ball. Although I can t feel a lump, it is slightly swollen. The pain is constant and gets worse as soon as i move. The most comfortable for me is to stand, but very still as when I move it hurts again. Thanks
Wed, 12 Oct 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
What problem you are having appears that you could have developed a 'pilonidal cyst'.
Pilonidal cyst occurs at the bottom of the tailbone (coccyx) and can become infected and filled with pus. It causes swelling, redness and burning sensation when it becomes infected.
A doctor can diagnose a pilonidal cyst by taking a history and performing a physical examination of the region.
It can be managed conservatively when it is diagnosed early on, wherein, if you aren’t experiencing severe pain and there’s no sign of inflammation. It is likely that your doctor will prescribe a broad-spectrum antibiotic and pay particular attention to hygiene.
If you have a recurring symptoms or if you have more than one sinus tract, your doctor will recommend a surgical procedure. In this, the surgeon will open the lesions, removing all of the pus and debris. Subsequent follow-up would be necessary.
Kindly consult Surgeon in this regard for proper assessment and management.
Hope the information provided would be helpful.
All the best.
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What Causes Swollen Lump At The Tailbone?

Hi, Thanks for posting in HCM. I understand your concern. What problem you are having appears that you could have developed a pilonidal cyst . Pilonidal cyst occurs at the bottom of the tailbone (coccyx) and can become infected and filled with pus. It causes swelling, redness and burning sensation when it becomes infected. A doctor can diagnose a pilonidal cyst by taking a history and performing a physical examination of the region. It can be managed conservatively when it is diagnosed early on, wherein, if you aren’t experiencing severe pain and there’s no sign of inflammation. It is likely that your doctor will prescribe a broad-spectrum antibiotic and pay particular attention to hygiene. If you have a recurring symptoms or if you have more than one sinus tract, your doctor will recommend a surgical procedure. In this, the surgeon will open the lesions, removing all of the pus and debris. Subsequent follow-up would be necessary. Kindly consult Surgeon in this regard for proper assessment and management. Hope the information provided would be helpful. All the best.