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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Swollen Lump At The Tip Of My Butt?

There's a swollen lump at the tip of my but crack its not on my butt its actually inside of my butt just where the crack starts and its swelling but there's no pus or blood and no boil. It hurts to sit, walk, and lay down on my back. What is it and what are the symptoms and ways to get rid of it?
Mon, 12 May 2014
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Pain Medicine & Palliative Care Specialist,  's  Response
Hi,
These are the symptoms of a pilonidal sinus. This is a small hole or tunnel in the skin. It usually develops in the cleft of the buttocks where the buttocks separate. When it becomes inflamed, it will cause pain. There is a risk it may become infected leading to an abscess.
In your case, it is inflamed. I suggest you keep the area clean and dry. Take daily salt baths. Keep the area free of hair by shaving. If it becomes infected then antibiotics would be the first line of management. If this is unsuccessful then surgical removal of the infected area would be advisable.
Regards,
Dr K A Pottinger
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What Is The Swollen Lump At The Tip Of My Butt?

Hi, These are the symptoms of a pilonidal sinus. This is a small hole or tunnel in the skin. It usually develops in the cleft of the buttocks where the buttocks separate. When it becomes inflamed, it will cause pain. There is a risk it may become infected leading to an abscess. In your case, it is inflamed. I suggest you keep the area clean and dry. Take daily salt baths. Keep the area free of hair by shaving. If it becomes infected then antibiotics would be the first line of management. If this is unsuccessful then surgical removal of the infected area would be advisable. Regards, Dr K A Pottinger