It is not possible, unfortunately, for me to provide a specific diagnosis for patients over the Internet. A "bump" in your pubic area could be many things, from a skin lesion of one type or another, to a hernia. Only a direct physical examination by a physcian can allow for a specific diagnosis of this lump.
The lesion that you describe between your butt cheeks is more likely to be an inflammatory lesion, such as a pilonidal cyst or skin sbscess. However, once again, it could be one of several different things, and so I cannot provide you with a specific diagnosis. A visit to a general surgeon or colorectal surgeon might be appropriate for this problem.
As for your multiple other symptoms, if they do not significantly improve within a couple of weeks after starting Protonix, then you should undergo a full GI work-up. Since the various symptoms that you describe are unlikely to all be related to gastroesophageal reflux (GERD), I would also advise you to see your Internist or Family Physician for further evaluation of these multiple health issues that you are experiencing.
Sincerely/ Robert A. Wascher, MD, FACS
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