What causes a hard lump under the skin near the coccyx?

Aug 22, 2024 Source: Cainiu Health
Disease description:

I noticed a hard lump under the skin near the coccyx while taking a shower. What could this be?

Doctor's answer (1)
Dr. Chen Jian

A hard lump under the skin near the coccyx (tailbone) may be caused by various factors. Below are some possible causes:

1. Fat accumulation: Accumulation of fat tissue around the coccyx may form a hard lump. Generally, maintaining a balanced diet and engaging in appropriate exercise can help reduce fat accumulation and cause the lump to dissipate.

2. Coccygeal nodule prominence: Some individuals may naturally have a larger or more prominent coccygeal nodule, which is a normal anatomical variation and does not require special treatment.

3. Folliculitis: When hair follicles become infected or irritated, increased secretion and accumulation of material within the follicle may form a hard lump.

4. Sebaceous cyst: When the opening of a hair follicle's sebaceous gland becomes blocked, sebum may accumulate and form a cyst, presenting as a hard lump under the skin.

5. Lipoma: A lipoma is a benign tumor composed of mature fat cells that may cause the appearance of a hard nodule under the skin.

6. Scar tissue: The lump could be scar tissue remaining from a previous injury or surgical procedure.

If the hard lump is accompanied by symptoms such as pain, redness, swelling, or fever, prompt medical evaluation at a hospital is necessary.