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Pilonidal cysts are caused by a skin infection in the crease of a person's buttocks, from the bottom of the spine to the anus It can cause discharge and is usually treated with surgery. Though common, cysts can rapidly get worse.

A bump at the top of the butt crack is commonly caused by pilonidal cysts, folliculitis, or acne mechanica A pilonidal cyst is a painful lump that occurs at the base of the spine, at the top of the buttocks These conditions result from irritation, infection, or trapped hair in the sacrococcygeal region, which is prone to friction, moisture, and bacterial growth.

Following are four signs that you might be

You have a bump or irritation on your butt crease pilonidal disease forms at the base of your spine, near or at the top of your butt crack Usually, the disease begins as an area of irritation, which may be itchy or painful As the disease progresses, it may form a cyst over the entrapped hair. Bumps on the buttocks may be unsightly but they are generally not harmful

Most often, bumps on the buttocks (sometimes referred to as “butt acne”) are usually not acne but folliculitis, which is infected hair follicles A staphylococcus aureus (“staph”) bacterial infection is the most common cause of folliculitis Other causes of bumps on the buttocks include carbuncles, keratosis. If the cyst isn’t painful, you can try treating it yourself.

Initially, a pilonidal cyst will probably just feel like a lump at the top of your bum crack.

The cyst is almost always near the tailbone at the top of the buttocks Pilonidal cysts usually occur when hair punctures the skin and then becomes embedded If a pilonidal cyst becomes infected, it can be very painful The cyst can be drained through a small cut in the skin

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