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Bump on the inner buttocks due to folliculitis or a cystic collection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   I have a bump on my inner buttocks, for about 3 weeks now.
Doctor :   Hi
User :   hello
Doctor :   Where exactly are these bumps located?
Doctor :   Are you active sexually?
Doctor :   Do you have pain, redness, itching, burning sensation, discharge associated with these bumps?
User :   it's on my inner bottocks cheak... kind of where the cheak meets the inner thi between not sexually active
User :   no pain or itching, burning etc...
User :   i have been putting polysporin on it... and it started to get smaller... but it's not going away
Doctor :   How big are these bumps?
Doctor :   Do you have any problem while passing stool?
User :   just one bump... it's smaller than a pea.... no problem passing stool
User :   bump is not on anus
Doctor :   Ok
Doctor :   Can you confirm if there is not redness around the bump?
User :   there is not any redness
Doctor :   Ok
Doctor :   May I know your age?
User :   I am 36
Doctor :   Do you have history of diabetes?
User :   no
Doctor :   Have you had similar symptoms in the past?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Based on your description, the bump could be secondary to an inflammatory condition - folliculitis (hair follicle inflammation) or a cystic collection (pilonidal cyst)
Doctor :   Since i cannot physically examine the lump, I am unable to pinpoint the exact cause.
Doctor :   Both the condition are expected to resolve if no secondary infection occurs.
Doctor :   And here lies the importance of use of topical antibiotics.
Doctor :   Polysporin is one such topical antibiotic.
Doctor :   Continue using them.
Doctor :   Along with this cream, keeping the area clean and dry is necessary
Doctor :   Do not handle the lump with your bare hand and do not attempt to squeeze the bump out.
Doctor :   You can apply local heat through fomentation over the affected area.
Doctor :   With these measures, I expect the lump to come down in a few days to a weeks time.
User :   what is fomentation?
Doctor :   I mean hot water bag application.
Doctor :   If the symptoms persists or if you find other symptoms appearing - increase in the size of the lump, develop severe pain, redness, notice pus pointing,
Doctor :   then you will need incision and drainage as well as oral antibiotics.
User :   i was worring about cancer
Doctor :   So if such symptoms occur, then you will need to see your doctor who will guide you with the next steps(as I mentioned)
Doctor :   Your symptoms are too short and too small to consider cancer as the cause.
Doctor :   See a doctor, if the measures that I suggested doesn't help you.
Doctor :   Have you followed what I have suggested?
User :   I have... thank you very much... I feel a lot better
Doctor :   Do you have any other query
User :   no... thank you !!
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Wish you good health.
Question is related to
Diseases and Conditions
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