[31F] With painful bump near buttocks

Patient Description

A 31-year-old female reports noticing a small to medium-sized painful bump near the buttocks area, which she discovered while in the bath. The bump is painful to touch and when wiping, but there is no burning sensation during urination. The patient has not experienced any fever, chills, unusual discharge from the bump, swelling, or spreading redness. There are no other lumps or bumps in the genital area, and she has no history of similar bumps or infections. The patient does report some itching in the area. Recent changes include new sexual activity and the use of a new body wash. The patient has not traveled recently and is not currently taking any medications or has any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for the painful bump near your buttocks:

  • Folliculitis: This is an infection of the hair follicles, often caused by bacteria. It can result in red, swollen, and painful bumps. Folliculitis can be triggered by friction, shaving, or the use of new personal care products.

    • Treatment: Mild cases often resolve on their own. Warm compresses can help alleviate discomfort. If it persists, a doctor may prescribe topical or oral antibiotics.
  • Bartholin's Cyst: These are fluid-filled cysts that can form near the vaginal opening. If they become infected, they can turn into painful abscesses.

    • Treatment: Warm sitz baths can help. If the cyst becomes infected, a doctor may need to drain it and prescribe antibiotics.
  • Hidradenitis Suppurativa: A chronic skin condition that causes small, painful lumps under the skin, often in areas where skin rubs together.

    • Treatment: This condition requires medical management, including antibiotics, anti-inflammatory medications, and sometimes surgical intervention.
  • Contact Dermatitis: An allergic reaction to a new body wash or other personal care product could cause localized skin irritation and itching.

    • Treatment: Discontinue use of the new product. Over-the-counter hydrocortisone cream can help reduce inflammation and itching.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Warm Compresses: Apply a warm compress to the affected area for 10-15 minutes several times a day to help reduce pain and swelling.
  2. Avoid Irritants: Stop using the new body wash and any other new personal care products that might be causing irritation.
  3. Maintain Hygiene: Keep the area clean and dry. Avoid tight clothing that can cause friction.
  4. Over-the-Counter Relief: Consider using over-the-counter pain relievers like ibuprofen to manage pain and inflammation.
  5. Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This information can be very helpful for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased Pain or Swelling: If the bump becomes more painful or swollen, it could indicate an infection that needs medical treatment.
  • Fever or Chills: These could be signs of a more serious infection.
  • Spreading Redness: If the redness spreads beyond the bump, it could indicate a spreading infection.
  • Unusual Discharge: Any pus or unusual discharge from the bump should be evaluated by a healthcare professional.

Remember, while this advice can help you manage your symptoms, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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7 mo ago

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People Also Ask


What is folliculitis and how can it be treated?

Folliculitis is an infection of the hair follicles, often caused by bacteria, resulting in red, swollen, and painful bumps. Mild cases often resolve on their own, but warm compresses can help alleviate discomfort. If it persists, a doctor may prescribe topical or oral antibiotics.


What are the symptoms and treatment options for a Bartholin's cyst?

A Bartholin's cyst is a fluid-filled cyst that can form near the vaginal opening. If it becomes infected, it can turn into a painful abscess. Treatment includes warm sitz baths, and if the cyst is infected, a doctor may need to drain it and prescribe antibiotics.


How can contact dermatitis be identified and managed?

Contact dermatitis is an allergic reaction to a substance, such as a new body wash, causing localized skin irritation and itching. Management includes discontinuing the use of the irritant and applying over-the-counter hydrocortisone cream to reduce inflammation and itching.


What should I do if the bump near my buttocks becomes more painful or swollen?

If the bump becomes more painful or swollen, it could indicate an infection that needs medical treatment. It's important to seek medical attention to prevent complications and receive appropriate care.


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