buttock bump

[indus]

Dear Doctor,

from last 4 days there is a big flat bump in my buttock, this is not like a pointed pimple, rather its a flat almost 2 inches long and i cant see any pointed outlet like normal pimples(ther is a old pimple scar in the area) .the area is reddened and thick now, and pain also is there when i sit etc. i will  i should show to a doctor if this is continues, but is there any medication i can do for now.

[Dr Santos]

Hi,

If this is the case, it is a recurring folliculitis but now involves deeper in the skin surrounding the hair follicle and affects the entire hair follicle. As compared from the previous one which ,may only be superficial. Boils and carbuncles occur when hair follicles become deeply infected with bacteria. A boil usually appears suddenly as a painful pink or red bump and the surrounding skin also may be red and swollen. The bump fills with pus and  grows larger and more painful for five to seven days. It enlarges and  it develops a yellow-white tip that finally ruptures and drains. Boils generally clear completely in about two weeks. Small boils usually heal without scarring, but a large boil may leave a scar. A carbuncle, on the other hand,  is a cluster of boils that often cause a deeper and more severe infection than does a single boil. As a result, they develop and heal more slowly and are likely to leave scars.

Your doctor may drain a large boil or carbuncle which relieves the pain, speeds recovery and helps lessen scarring. Deep infections that can't be completely cleared may be covered with sterile gauze so that pus can continue to drain. Oral antibiotics may also be prescribed  to help heal severe or recurrent infections. To help a boil or carbuncle burst and drain more quickly, apply a soft cloth soaked in warm salt water to the affected area for about 30 minutes several times a day. Prepare the salt water by adding 1 teaspoon of salt to 1 quart of boiling water. Keep the area clean and dry.Avoid manipulating the lesion to prevent secondary infection.

Take care and regards.

[indus]

its actually in the buttock cheeks, right in middle, earlier there was a small pimple there that was around 3 or 4 months back, once pus came from it , but then it cured and left a opening mark. now suddenly i noticed that there is a big flat kind of bump in that are with redness,  like some insect bite or so, but im almost sure it wont be any insect bite .
This bump has certianly come in last 5 days and i noticed it when i was getting pain while sitting etc.it feels thick, but the surrouding areas seems soft,  i am not able to open it as normal pimple will have a point , i think this is a bit deep in skin, should i take any antibiotics like amoxyillin? i wont be showing this to doc in next 2 weeks unless too serious , as im in a country where a visit to doc is sure one month salary out, and im back to my country after 2 weeks. can u please advice.

[Dr Santos]

Hi,

Over-the-counter pain medications and warm compress may help. However, can you elaborate more on the location of this bump? Are there associated signs or symptoms present?  Was there a previous injury to this area?  It is very common to develop little benign growths at the anus called anal polyps or skin tags.  In most cases of anal skin tags, patients are reassured and the anus can be left alone.  if these cause irritation or difficulties with cleaning the area,  it is then possible to excise them surgically.  

However, further evaluation by your doctor is recommended to diagnose any anal lump. An excision biopsy of the lump may be done and analysed under the microscope in the laboratory for a definitive diagnosis.

Take care and keep us posted.