Overview
Infected cysts are red, swollen, and drain pus.
They often come back without surgery.
Symptoms
Common signs:
- Painful lump near the tailbone
- Painful lump at the top of the buttock crease
Less common
- Pus
- Swelling
When to get medical care
Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayFever with a red, swollen lump.
See a doctor soonA painful lump at the tailbone.
Causes
Hair in the skin.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Who is more likely to get it
- Young men
- Sitting jobs
- Hairy skin
Possible complications
Diagnosis
A clinician examines.
Treatment
Care for it.
Self-care
- Warm compresses
- Keep the area clean and dry
- Remove hair from the area
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Pain relievers | Pain and swelling | Ask first if you have kidney, stomach, or heart problems. |
| Antibiotics | Spreading infection | Prescription. |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Drainage for abscesses; surgery for repeat cysts.
Prevention
To prevent it:
- Hair removal
- Take breaks from sitting
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to a general surgeon.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Treatable.
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.