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Pilonidal disease is a type of skin infection which typically occurs as a cyst between the cheeks of the buttocks and often at the upper end. Risk factors include obesity, family history, prolonged sitting, greater amounts of hair, and not enough exercise. An anal abscess is a painful condition in which a collection of pus develops near the anus. Most anal abscesses are a result of infection from small anal glands. this patient presented acutely, to the clinic where i work, with rapidly accelerating rectal pain over the last 24 hours. Pilonidal cysts usually appears at the very top of the cleft of your buttocks and makes you feel sore at top of butt crack. You experience this situation when your hair punctures your skin and enters it. Sometimes, the cyst becomes infected, which leads to abscess. If the anal lumps are hemorrhoids, you will need a treatment for hemorrhoids. Pilonidal cysts are sacs filled with hair and skin debris that form at the top of the crease of the buttocks above the sacrum. A painful abscess can form if the cyst and the overlying skin become infected. Pilonidal cysts are caused by groups of hairs and debris trapped in the pores of the skin in the upper cleft of the buttock, forming an abscess. Branchial cleft cysts are a type of birth defect that forms a lump on an infants neck or below the collarbone. A fissure or longitudinal opening, especially one occurring during embryonic development. One of the slitlike openings in the gills of fish between the branchial arches. Any of the clefts between the embryonic prominences that normally unite to form the.