HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes A Red Spot On The Intergluteal Cleft?

default
Posted on Fri, 8 Jul 2016
Question: so in between my buttocks, I have a small pinky/reddy spot which occasionally bleeds. This is not rectal bleeding - when I pass stools I don't bleed, it's just a boil-type spot which bleeds occasionally. It's quite small and has been around for 3-4 weeks now, I was just wondering what could this be? I looked into the possibility of abscess, cyst, boil etc, and nothing really matches the symptoms. I have literally no other symptoms at all, I feel absolutely fine, just this spot which, if I apply tissue paper directly to the spot, it bleeds. Not sure what this is? Can provide picture if needed.
doctor
Answered by Dr. Nishad BN (3 hours later)
Brief Answer:
Pilonidal sinus most likely.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query. Your problem can be most likely inflammation of pilonidal sinus. If you send a picture then it will be more helpful.
You can do sits bath or hot fomentation (warm compress). You can also apply betadine (povidone iodine) ointment for local application. If swelling is more then oral antibiotic will be needed.
Avoid sitting for long periods. Use mild soaps for washing/cleaning. Use doughnut pillows while sitting for support under buttocks.
If there is no improvement and condition is recurring then excision of pilonidal sinus can be performed under local anaesthesia. For this you can approach a General surgeon.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Nishad BN (3 minutes later)
Thank you doctor. I have uploaded a picture in my reports (there didn't seem to be anywhere else to upload).
doctor
Answered by Dr. Nishad BN (26 minutes later)
Brief Answer:
Looks like Pilonidal sinus.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

I have gone through your picture. It looks like Pilonidal sinus. Excess friction by clothing or due to sitting for long time , burrowing of hair back under skin , hormonal action etc are blamed as cause for this.
Make the area hair free. Shaving with non irritating blades or shaver is good. You can do warm compress. Apply Povidone iodine on the spot. Avoid sitting for long time. Use doughnut pillows for buttock support.
You can also apply tea tree oil , sage oil locally , take more garlic , turmeric and citrus fruits in diet, drinking honey in a glass of XXXXXXX warm water , taking vitamin C supplements are helpful home remedies.
If there is no improvement then antibiotics will be needed. If condition recurring or there is no improvement then surgical option (excision of pilonidal sinus under local anaesthesia) can be considered after consulting a General surgeon.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Nishad BN (14 minutes later)
Ok thank you doctor.

Does it look like a mild pilondial sinus? Or more severe?
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
It looks mild.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

It looks mild. In case of severe one there will be more redness, swelling and pain. There will be more difficulty in sitting also.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes A Red Spot On The Intergluteal Cleft?

Brief Answer: Pilonidal sinus most likely. Detailed Answer: Hi Thank you for asking HCM I have gone through your query. Your problem can be most likely inflammation of pilonidal sinus. If you send a picture then it will be more helpful. You can do sits bath or hot fomentation (warm compress). You can also apply betadine (povidone iodine) ointment for local application. If swelling is more then oral antibiotic will be needed. Avoid sitting for long periods. Use mild soaps for washing/cleaning. Use doughnut pillows while sitting for support under buttocks. If there is no improvement and condition is recurring then excision of pilonidal sinus can be performed under local anaesthesia. For this you can approach a General surgeon. Let me know if anything not clear. I am happy to help you. Thanks.