Having Bump On Butt, Getting Big And Bleeding. Feeling Itchy And Painful. What To Do?

Posted on Fri, 31 May 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 31 May 2013 Answered on

Thu, 20 Jun 2013 Last reviewed on

Question : Hi
I have had a raised bump in my upper butt crack it doesn't seem to be a pimple because it has been there for about a year now and it sometimes gets really big and bleeds and also is itchy and painful I'm not sure what this is and what to do.

Answered by Dr. Chakravarthy Mazumdar (1 hour later)

Hi XXXXXX,

The description and picture seems to be typical of pilonidal sinus with cyst. It needs to be excised by the surgeon. You should XXXXXXX a surgeon. It is simple procedure and take 10 minutes under local anesthesia. Medications are unfortunately not helpful in such cases.

If there is no cyst conservative therapy with good local hygiene and site shaving every 1-3 weeks have been shown to be as effective in preventing recurrence.

There could be dimple in that area which connects to a cavity filled with debris and tissue that get infected and blocked. Thus this cyst develops. The surgeon would excavate this cavity and remove the debris to close it under sterile conditions.

Let me know if you have further enquiry.

Above answer was peer-reviewed by : Dr. Aparna Kohli