First pilonidal cyst in middle age???

Mojojojo

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I am kind of freaking out here.
I’m a 52 y/o woman, very little body hair, regular exerciser, etc. While bathing, I discovered a small painless bump in the crack of my butt, above my tailbone a couple of days ago. The bump is small and reddish, like an insect bite.
Is this likely to be a pilonidal cyst? I’ve never had one before.
I might not even know of this condition, but my son had extensive pilonidal disease at age 18. His was bad. He had the cleft lift and it fixed it.
Is it possible to fix this without such a surgery?
 

Jillissa

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Does it hurt at all or has it changed over the last few days? I hope that it is better!
I am 56 and about a month after a fall on the ice, i developed a Pilonidal Cyst, abcess and all. I have none of the normal criteria for someone that is at risk but non the less, here I am. Its been almost 4 mos and i have another one now and the pain is excrutiating. Going to the dr. today. I truly hope and pray for you that this is not a cyst and just an insect bite!
 

Mojojojo

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Does it hurt at all or has it changed over the last few days? I hope that it is better!
I am 56 and about a month after a fall on the ice, i developed a Pilonidal Cyst, abcess and all. I have none of the normal criteria for someone that is at risk but non the less, here I am. Its been almost 4 mos and i have another one now and the pain is excrutiating. Going to the dr. today. I truly hope and pray for you that this is not a cyst and just an insect bite!
The bump isn’t painful at all.
The skin there is kind of dry feeling, but that could be due to the Tee Tree Oil and Witch Hazel I applied to it.
I put some hydrocortisone cream on it yesterday and it’s gotten a bit smaller.
This came about after I started cycling a couple of weeks ago. I thought it might be due to irritation from the bike seat.
I’ve heard of people developing pilonidal disease after a fall, driving a lot, or cycling.
 

Mojojojo

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Update:
The spot started getting a bit irritated again after washing too much with antibacterial soap and using too many drying products such as tea tree oil and Witch Hazel. I switched to Dove and used OTC hydrocortisone cream for a few days and that helped. The bump (when looking through a magnifying glass I see that it actually looks like three small swollen goosebumps next to each other) is tiny now and no longer red.
However, it is still there :(
I saw a dermatologist today. He didn’t know what it was and thought it was too small to need any intervention. I mentioned pilonidal cyst and he said that it could certainly be the beginning of something like that, but he wasn’t sure. He said it may be a little pocket of inflammation from the biking I did.
He said if it swells up or gets painful to come back and he would inject a steroid into it. I’ve never heard of injecting a steroid into a pilonidal cyst. I understand that it might reduce swelling, but the problem would remain unless it was drained and abraded to remove whatever hair or debris is irritating it. Ugh... I feel like I wasted my time and money.
If it swells up or doesn’t completely disappear in the next few weeks, I guess I need to make an appointment with the pilonidal specialist who did my son’s cleft lift surgery. He’s about 5 hours away. He does put picking also and this is so small and limited I’m pretty certain I would be a candidate for that procedure (if it is in fact a pilonidal cyst). I wish someone within driving distance did EPSiT.
I do not want a cleft lift or any other surgery for this if at all possible.
 

Glinda

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I am kind of freaking out here.
I’m a 52 y/o woman, very little body hair, regular exerciser, etc. While bathing, I discovered a small painless bump in the crack of my butt, above my tailbone a couple of days ago. The bump is small and reddish, like an insect bite.
Is this likely to be a pilonidal cyst? I’ve never had one before.
I might not even know of this condition, but my son had extensive pilonidal disease at age 18. His was bad. He had the cleft lift and it fixed it.
Is it possible to fix this without such a surgery?
I got my first pilonidal cyst, which became a massive sinus, when I was 55. I had closed excision surgery at 59. That was seven months ago. It appears my body is currently busy making a new set of tracts. Ugh.
 
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