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I had this problem and it was quite difficult to clear up but I did eventually find a solution.
The treatment I used was 2-part:
1) A combined anti-bacterial/anti-fungal powder, dusted over the wound.
2) Medicinal clay (also called bentonite clay - available from health food shops), mixed into a paste and layered on top.
The clay was allowed to dry on and left in place, applied morning and evening.
I tried a lot of different things and it was finally only these two together that did the job. With this treatment, the awful fissure cleared up in a week or two and has not reoccurred (1 year ago).
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You should never use an anti"bacterial" soap for a yeast infection. Antibacterials kill bacteria. Yeast infections are caused by Candida which is a fungus, not a bacteria. Using an antibacterial can actually worsen your problems because it will kill your natural flora in the area making less competition for the yeast and thereby causing them to grow more readily.
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It may well be a fungal infection. Over the counter should work. Lotrimin is a good one. If there is a bump, it may be a cyst, Pilodinal, that should be seen by a Dr. If it is that, go to pilodinal.org.
There is an amazing Dr named Dr Matt Rosengart who is very knows alot about that area ;-). Also a kind and caring Dr...Good luck!
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Sounds like a pilonidal cyst. Try taking warm baths in Epson Salt and keeping it clean. It is mostly predominant in males, but females get it as well. It is actaully caused by what started as an ingrown hair at the base of your spine and may have been there since birth. The hairs continue to grow inside which causes a cyst and abcess that periodically drains and may bleed. There may be months that go by where there is no pain or uncomfort and than it will flair up again. This is because it gets irritated and started to fill with fluid. Inside is a large ball of hair/hairs and the need to be removed surgically. It's an easy procedure done under local anesthisia and it's done in the office and you go home right away
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