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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes painful lump in the Intergluteal cleft?

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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3131 Questions

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Posted on Fri, 3 Aug 2018 in Lump
Question: My daughter has a bump on the crack of her buttocks. She says it's painful and swollen?
What could this mean
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Answered by Dr. Bonnie Berger-Durnbaugh 24 minutes later
Brief Answer:
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Detailed Answer:
Hello and welcome,

Without being able to see it I can only speculate, but it may be a pilonidal cyst, which occur in this spot, folliculitis (infection of a hair follicle), or a skin abcess.

If the area around the bump is very red, hot, and tender, then she should be seen by a doctor as there could be a spreading soft tissue infection.

Otherwise, soaking in a hot bath and/or using a wash cloth soaked in very warm/hot water a few times a day can help a local infection resolve. The moist heat increases circulation (and therefore white blood cells) to the area and increasing the skin temperature makes it less favorable for bacteria to grow.

So without seeing it I can't say for sure, but it is most likely trapped sebum or fatty tissue or a boil type of infection.

I hope this information helps. Please let me know if I can provide further information or clarification.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh 12 minutes later
What causes this?
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Answered by Dr. Bonnie Berger-Durnbaugh 5 minutes later
Brief Answer:
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Detailed Answer:
It depends on what is going on, but sometimes a hair follicle can get blocked and then sebum accumulates instead of coming out onto the skin where you don't notice it. In people with pilonidal cysts, it can be due to a structural defect, and then sitting, obesity, other factors can increase the risk of it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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