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arbagel,
Category: Dermatology
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I have bumps on my buttocks, at the bottom. What is it?

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Hi.... I recently noticed a cluster of bumps on my left butt cheek, at the bottom of the cheek. At first I thought it was an std, but then today I noticed that when I changed the wrap on it, it had a little puss. Also, I felt over it with my finger (I wore a glove) and the area was hard as well....What could this be?

Submitted: 6 years ago.
Category: Dermatology
Expert:  arbagel replied 6 years ago.

Hello,
Are the bumps painful?
How many do you have?
Is there any redness? Do they appear blister like or can you see white pus bumps when you look at them?
What is your age?

Customer: replied 6 years ago.

The bumps were itchy at first and now they are slightly tender. I mean slightly, like barely....It is about 5 or 6 of them. They aren't blisters, they are like white bumps...Didn't notice puss till I changed to bandage before I got in the shower...I am 24 years old, female.

Expert:  arbagel replied 6 years ago.

Thank you for clarifying,

If they are white bumps (pustules) then it sounds like you have boils. These are small abscesses that can occur on the the buttocks (and other areas of the body) and can occur due to infected hair follicles or breaks in the skin and in areas of friction.

The treatment for small boils is to apply warm compresses to the area along with antibiotic ointment. If they do not seem to be improving, however, you need to see your doctor for an exam. In some cases, they need to be opened and drained (especially if they appear to be getting larger and more firm).

Other possibility is that, these are herpes bumps...However these do not typically cause pus drainage. Herpes typically has the appearance of a blister that eventually becomes a sore/ulcer.

If you would like to read more about boils, here is a link for you:
http://www.medicinenet.com/boils/article.htm#2whydo

Feel free to ask any follow up questions you may have.

Customer: replied 6 years ago.

Are boils tender. And how would I know they are herpes sores?

Expert:  arbagel replied 6 years ago.

Boils can be itchy at first and then they become sore/tender.
Herpes sores are usually painful.
Here are a couple pictures of herpes on the buttocks. They are blisters. The fluid inside of them can appear cloudy...Which can be confused with pus at times.
http://dherbs.com/store-images/Herpes1.gif
http://www.consultantlive.com/image/image_gallery?img_id=1418926&t=1244039436248

Compared to these pictures of boils:
http://www.boilsbegonenow.com/PictureOfBoil.jpg
http://1.bp.blogspot.com/_N-yfJ-5x7pU/TJdFiGAjrcI/AAAAAAAAATU/otYLH4-IELs/s1600/boils-home-remedy.jpg

Customer: replied 6 years ago.

I definitely think it is herpes now after looking at the pictures....How do I control them? I've never had an outbreak before and when I went to the doc last June, they said that it wasn't herpes and that I could have infected hair follicles because I had recently shaved my vaginal area....A few years ago I had hpv as well... Could this be it?

Expert:  arbagel replied 6 years ago.

I am sorry that this appears to be herpes.
It is not HPV if it appears like the pictures of herpes. HPV does not cause drainage. It causes flesh colored bumps on the genital area.
What I recommend is that you see your doctor tomorrow, so you can be accurately diagnosed. If this is herpes, then you can be started on antiviral medication (such as Valtrex).
This will help lessen the length of time of this outbreak.
You can also take Valtrex on a daily basis to suppress the virus (prevent recurrent outbreaks). This will also significantly lessen the chance of passing the virus to a sexual partner. Using condoms plus Valtrex along with not having sex during an outbreak will lessen the chance of passing the virus even more.
There is no way to lessen the chance to zero, but condoms plus Valtrex are very effective.

Customer: replied 6 years ago.

Well I am currently not in the states... I wont be back home until the first week of April.... Should I see a doctor here in Spain?

Expert:  arbagel replied 6 years ago.

You don't have to take Valtrex for the outbreak. It is up to you.
The one benefit to going would be to confirm that it is herpes.

If you have another outbreak while you are there, I would consider seeing a doctor while you are there just so that you can start on suppressive therapy.

For now, just keep the area clean. If it seems to become suddenly worse (more red and warm, with increasing drainage) then see a doctor. This would signal that it is becoming infected with bacteria. Any time we have breaks in our skin, bacteria can get in and cause infection.

Customer: replied 6 years ago.
How long do outbreaks normally last?
Expert:  arbagel replied 6 years ago.

If this is the first episode of herpes, it can last about 2 weeks.
A recurrent episode lasts about 10 days.

Customer: replied 6 years ago.

And how often do outbreaks occur?

Expert:  arbagel replied 6 years ago.

It is variable.
Some people never have another outbreak.
Some people have one a year and others have several outbreaks a year. Some have one outbreak every 10 years...
We do not know why some people have more frequent outbreaks than others.
Hopefully, you will not have another outbreak.

Customer: replied 6 years ago.

How do I tell my current boyfriend? We haven't slept together, but I want to tell him because I love him....

Expert:  arbagel replied 6 years ago.

I think that first you should confirm that you have it. You can have a blood test when you get home if you do not have an active outbreak.

Then, you need to be completely honest with him. I know it is very hard to do that.
But, if you take valtrex, use condoms and do not have sex when you have an outbreak. These are very effective ways to help prevent spreading the virus to him.

Customer: replied 6 years ago.

What about pregnancy in the future?

Expert:  arbagel replied 6 years ago.

You can have children :)
If you truly have herpes, then often Valtrex will be given close to the end of pregnancy to prevent an outbreak. If you have an active outbreak during labor, you will have a C-section.

Customer: replied 6 years ago.

Thank you for your help...I am a little upset right now.

Expert:  arbagel replied 6 years ago.

I understand.
I wish I could make you feel better...
I think the most important first step is confirming the diagnosis. It may help to see a doctor in Spain just to confirm or rule it out.

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