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What is the cause for sore lumps under skin by tailbone?

Apr 2013
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General Surgeon
Practicing since : 2009
Answered : 5614 Questions
I have two lumps under my skin by my tailbone on both sides, they have been really sore, what are they? What should I do?
Posted Tue, 24 Dec 2013 in Abdominal Pain
Answered by Dr. Ivan R. Rommstein 23 minutes later
Brief Answer: Hi and welcome to XXXXXXX Detailed Answer: If this is painful on touch then this is probably inflammation process which is very common in this area. There are several possible causes: it can be simple folliculitis due to hair follicle infection or it can be more severe abscess such as perianal abscess or pylonidal cyst. Folliculitis may pass spontaneously or with antibiotics,but other 2 should be treated surgically since it may progress and usually it comes back even after it heals. Surgical drainage is most efficient treatment and pain is immidiately gone after procedure. So I suggest to visit doctor who will examine these bumps and then it can be managed under local or short general anasthesia or antibiotics can be prescribed. Meanwhile,you should keep this area clean and dry and avoid scratching. Other possible causes are benign subcutaneous lesions such as lipoma,fibroma or cysts but it would not be painful. Wish you good health. Feel free to ask. Regards
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Follow-up: What is the cause for sore lumps under skin by tailbone? 6 minutes later
Is there any way to stop the bleeding?
Answered by Dr. Ivan R. Rommstein 11 minutes later
Brief Answer: Hi Detailed Answer: you can apply pressure on it by sterile gauze and hold it for 5 minutes or put some ice on it for 10-15 minutes. But if it bleeds then you should visit doctor definitely. it doesnt indicate anything serious,but it probably wont pass spontaneously and some intervention is necessary.
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