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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Very Painful Lump On My Tailbone?

Hi, two mornings ago I woke up with a very painful lump on my tailbone. It is red and swollen. I cannot tell if it is filled with pus or not due to the level of swelling. I have a job where I sit at a desk all day and I recently got off of a round of corticosteroids for bronchitis. I am currently taking an SSNRI, klonopin, and lithium. I have a history of acne, but this seems to go deeper into the tissue than standard acne. I am concerned it is an abscess and I am using a warm compress with ibuprofin and hydrocortizone in case it is an insect bite. I do not see any whiteness or paleness around the area and the skin seems to be puffy and irregular like a rash. I need to know if I should go to a clinic to get this drained or not, or if it just needs antibiotics and can wait. If you need any more information, please let me know. Thank you.
posted on Fri, 14 Mar 2014
Twitter Fri, 23 May 2014 Answered on
Twitter Sat, 24 May 2014 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
This is cellulitis.
Get an antibiotic cover. and visit a Surgeon.
If he feels this is an abscess he will drain it, if he feels this is a part of the pilonidal sinus, you need a corrective surgery.
As you told about your job, you need a permanent solution.
Continue with antibiotics and Ibuprofen. No role of steroids in such cases ( other than your bronchitis problem).
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Suggest Treatment For Very Painful Lump On My Tailbone?

Hi. Thanks for your query and an elucidate history. This is cellulitis. Get an antibiotic cover. and visit a Surgeon. If he feels this is an abscess he will drain it, if he feels this is a part of the pilonidal sinus, you need a corrective surgery. As you told about your job, you need a permanent solution. Continue with antibiotics and Ibuprofen. No role of steroids in such cases ( other than your bronchitis problem).