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It may be caused by a pilonidal cyst, an infection/cyst near the tailbone that fills with purulent material (pus).

Or, if no signs of redness, drainage, or swelling, sometimes people have broken their tailbones from a fall without realizing it until there is pain in that area.

Also a condition called Sacroiliac Joint Dysfunction causes pain in that area.

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āˆ™ 12y ago
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Misstee Harvey

Lvl 1
āˆ™ 2y ago
It is a moisture. So Iā€™m thinking using some powder in the butt crack.
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āˆ™ 9y ago

I don't know either, I have the same thing for a couple years and haven't thought much into it, but it's grown so I'm concerned, and I'm a 21 year old woman..so far what I've read it's not normal for my age/sex to have it... So when you find out let me know!

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Misstee Harvey

Lvl 2
āˆ™ 2y ago

Moisture in the butt crack is why the pain persists. So mayb some powder.

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āˆ™ 12y ago

Most commonly a pilonidal cyst.

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āˆ™ 14y ago

Sounds like a boil.

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Q: What could a lump at the top of your butt crack be?
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Related questions

What is the top of the butt crack called?

Sacroiliac area, sacrum, coccyx or coccygeal area, or it can be referred to as the top of the natal cleft (butt crack).


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At the top of the crack.


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Genetic remnants of a tail. While most humans aren't born with a tail, some actually have a small tail when they're born and it is usually removed before the baby is taken home.AnswerThe coccyx is the scientific name for the tail bone. The tail bone sits right at the top of the "butt crack." The coccyx is made up of a few small segments. Through an early injury or a malformation, the coccyx can present as a lump. AnswerIt could be a pilonidal cyst.


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