Couldn't find what you looking for?

TRY OUR SEARCH!

There are several conditions which may cause a lump to develop in between the butt cheeks. It is always better to see a doctor as an innocuous looking boil in this region may turn into a big abscess. Some of the conditions which lead to the development of a lump in between the butt cheeks include:

  • Pilonidal cyst: A pilonidal cyst is an abnormal pocket formed in the skin. It contains skin debris, hair and other abnormal tissues. A pilonidal cyst in the butt is usually found near the tailbone at the top of the cleft between the two buttocks. Though the exact reason behind the development of a pilonidal cyst is not known, it is believed that the cyst may arise due to a combination of the following reasons:
  1. Change in the level of hormones as witnessed during puberty
  2. Growth of hair
  3. Friction between the two butt cheeks due to clothes or because of spending long hours in the sitting position
  4. Infection

The cyst usually originates as a small dimple in the skin but once infected, it may become filled with fluid. It may later turn into an abscess containing blood and pus and emitting a foul smell. At this stage, it becomes very painful. Surgical removal is the treatment of choice.

  • Thrombosed external hemorrhoid: External hemorrhoids develop at the distal end of the butt cleft due to swelling and distension of the veins in that area. When the blood collected in these engorged veins clots, it may lead to a thrombosed external hemorrhoid. This appears as a bluish-purplish lump which is extremely painful. Thrombosed external hemorrhoids are precipitated due to severe constipation or traumatic vaginal delivery. Stool softeners, increased dietary uptake of fibers, sitting in warm water or taking analgesics may provide temporary relief but surgery remains the treatment of choice.
  • Boil on buttocks: Boil may develop on the buttocks or in between the butt cheeks. The main reason behind the development of a boil in this region is plugged sweat glands which may subsequently get infected or an ingrown hair. If the boil is small, it clears off on its own. However, if it is painful, applying topical antibiotics like neomycin and warm compresses may help. Wearing loose fitting clothes is also beneficial. However, if the boil doesn't clear on its own, one may have to take oral antibiotics or meet a surgeon for incision-drainage of pus.
  • Abscesses in the buttock region: The most commonly seen abscesses in this region include:
  1. The perianal abscess: This is generally seen as a painful lump just close to the anal opening.
  2. The ischio-rectal abscess: It is a type of Anorectal abscess and accounts for 23% of all Anorectal abscesses. The patient usually complains of a constant pain, usually throbbing in nature, in the butt cheeks. There is a swelling which can be felt and the patient may also complain of constipation or diarrhea. As the abscess grows in size, the patient suffers from fever and chills. If the abscess is small, antibiotics like metronidazole when given along with some anti-inflammatory medicine may provide relief. However, ischiorectal abscesses tend to be large in size and are often recurrent. Prompt surgical drainage under general anesthesia is the treatment of choice for this abscess.

Still have something to ask?

Get help from other members!

Post Your Question On The Forums