Lump that appears at the bottom of tailbone, usually, is suspected for pilonidal cyst. This cyst can become infected and filled with pus. When this happens the cyst is known as pilonidal abscess. You can experience its presence as swollen red lump that's causing pain. Do you feel progressive
tenderness after physical activity or a period of prolonged sitting? Have you noticed a pus drainage from the lump? Do you have fever? Do you find this lump and the surrounding area tender and warm to palpation?
Waiting for your post!
Best wishes!
Marija

My lump does not show any color at all. There is no drainage at all either. It feels tender though when i push on it or if i slouch in my seat and sit on it. I dont feel anything after any physical activity, only when the lump is being pushed on.

As I mentioned in a previous post, pilonidal cyst are lumps that usually form just to the side of the top crease in the buttocks and can be as small as a pea or large than a golf ball. It's an abscess that is created from an infected follicle. Usually, it hurts when you press on it and if it becomes infected the pain will be worse. Pilonidal cyst can take one of several courses. Some people with pilonidal cyst will experience excruciating pain in the tailbone area and will have obvious signs of inflamed lump(redness, swelling, pain) Other people will have abscess that's draining and don't cause sever pain. The third group of people are the ones that can feel the lump, but cause very little pain.
Do you feel itchy in that area and perianal area too? You could have minimal drainage with no odor and you can feel itchy caused from the drainage.
Do you have family history of pilonidal cyst? Are you experiencing lower back pain? Did you suffer traumatic injury to the tailbone? Do you have tendency towards forming acne, boils or cysts?

Best wishes!
Marija

I have had lower back pain for almost 2 years now. But i havent always had that lump.

I dont feel itchy at all.

I do have a doctor appt. on Wed to find something out.

if it is that kind of cyst what do i have to do to get it taken care of? does it cause any serious problems?

Thank you so much for all your help lately!

Hi!
Because you're not experiencing other symptoms than tenderness in that area only when you push on it or sit on it, I guess treatment will not be required. You just need to keep the area clean and dry well after washing, to avoid infection of the sinus. You can ,also, try to soak the area in warm water if the lump start to cause more pain.
Please, inform me about you doctor's appointment!
Best wishes!
Marija

How did the doctor's appointment on Wednesday went?
Do you have something to share with us?
Was the doctor familiar with your problem?
Did he suggest some tests for your conditions?

hello patient,
did you ever get feedback from your doctor? My symptoms sound identical to yours and I am very curious of your outcome.

Many thanks,

Hi!

I was doing research on this problem because I have a similar issue. The bump formed at the top of my crack about a year and a half ago and slowly got larger until it was about the size of a quarter. I didn't think too much about it because it only hurt when I sat directly on it, but eventually it began to hurt when I moved around. I cannot describe the amount of pain it caused me. I was completely miserable for about a week when it finally opened up and drained a good amount of blood and this weird clear liquid. At this point (I'm stubborn) I decided to see my doctor. He tried to clean it out and put in a wick, but the wick came out the next day. It healed up nicely, but it has come back and I would say it is twice as large as it was before and EXTREMELY painful. I'm not messing around with it this time, I have surgery scheduled Tuesday to have it properly cleaned out.

Here's a follow up of my status. It turns out my appointment was to have the abscess cut open (about 1 inch), drained, cleaned and packed. What they didn't tell me until the process was finished was that I would need to pack the opening twice a day for 4-8 weeks THEN they would perform surgery to permanently remove the abscess. If you decide to take this route, let me warn you. The first two days of packing the abscess are horribly painful. Pulling out the bandage and replacing it probably isn't something you will be able to do for the first 3 days, after that the pain will be mild and the wound should be healing up and getting smaller on the inside.

The surgeon that worked on me stressed that if I didn't get follow up surgery, the abscess would come back in a year. Despite how much of a pain in the ass all of this is (literally) I'm going to tough it out and do what he says. I will update again when my surgery is over. Hopefully this is helping somebody out there.

omfg, i dont want that to happen to me, i dont want to be emaberassed, i guess i got all the advise i could get by reading other peoples answers and help, i am so screwed

As the mother of a son who had a pilonidal cyst that was healed, I have some advice. For him, having it cleaned out and stitched up ("closed" heal") and then having to maintain it periodically (sometimes with nitro glycerine) waiting for it to heal was a long process of doctor visits. We then found a colorectal doctor (Atlanta) who did an "open heal" surgery and it healed well and it's gone. So, we recommend getting the open heal first and get it over with. It's not fun but it will be done and behind you.

hey all I have a similar problem in which I have a lump just above my butt crack below the skin above my tailbone. I'm able to easily move it around under the skin, it doesn't hurt ever, it doesn't ooze, doesn't itch and is entirely unnoticeable unless touching it. it doesn't seem like it's grown at all. does this sound like the same thing? if so what's the best course of action to take?

ya i think i might have that too. that's not cool. but mine is really small. like you just said in the same condition. anyways if you have any more info. do tell

I had a pilonidal cyst, they cut it open and it healed up within 1 week...yes it was very painful, but i have another lumo under my skin and hurts like a bruise. Im praying it isn;t the same thing again. But I also hope it's not something more serious. Has anyone had any other results? Not for the pilonidal cyst, but for the lump under the skin that feels like a bruise??? I need some positive feedback!

Back in december 2008 i fell and broke my tailbone i never did anything the er told me just to walk to keep it in place and it would heal the beginning of jan 09 i started forming a lump on the left side right on the top of my butt crack it was painful but i left it alone and it popped about the middle of feb it appeared again once again i just dealt with the pain it popped and went away last monday it came back for the 3rd time this time it grew in size in a matter of hours and was so painful i couldnt sit stand or even lay on my back. the most comfortable i felt was crawling around everywhere it was horrible!! anyway i got fed up and on tuesday went to the doc she said from not taking care of my tail bone the infection had no where else to leave the body so it formed a pocket which is my cyst she called it a traumatic cyst i had it cut out(painful!!!!!)and she packed it full of gauze that looks like shoe string i pull it out an inch every other day so it heal from the inside out and pushes any infection left out while it heals its pretty gross changing the bandages but ive been on antibiotics and vicodin...yumm lol and feeling alot better i go to the doc again today not sure what theyll do but ill keep ya updated

about 2 weeks ago i recently found a small lump just below my butt crack on the left side, it isnt visable and when i felt it, i feel a type of worm like structure underneath the lump, im really worried hat it could be http://ehealthforum.com/health/topic109348 .html#quick_reply_input

Hello i have a small lump right below tailbone and its on the ride side of crease. Its sometimes painful and itchy and i dont have a clue as of what it is. I do get boils couple times a year between my legs and it makes it painful to walk. Im using Ichthammol Ointment 20% but only reason i have that is because of boils but i decided to try it on the small lump i mentioned. I cant see anything visible but i do feel a hard itchy light pain from it. Thanks for any advice.

About two months ago the very top of my butt crack would itch like crazy and now it is starting to get very sore. Even though I am keeping it clean and dry there has been a slight odor. When I was about 8 I feel on my tailbone from about 10 feet up and never really thought much of it. Guess I'll be making a Dr appt for this very soon.
I have also had to have boils/cysts drained and packed and it it VERY VERY painful.

Thanks everyone!! This really helped me. I have a lump that has no itchyness, no redness, no drainage, and no hole(that I know of). It hurts only when I put pressure on it and it began after I excersised to lose weight. It's not swelling, but it IS on the inside of the skin. Like, it looks completely normal on the outside.
I had a previous one that was at the top of my crack that drained odor smelling stuff, but went away by itself because I used Cayanne Pepper. If anyone can't go to the doctor (money or time problems) put Cayanne Pepper on it. It's like a miracle herb. Mine went away in a few days. Later!