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Butt Acne - Causes, Symptoms, Diagnosis, and Management

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Acne can be annoying no matter where it forms on the body. And unfortunately, the butt is not immune to those troublesome bumps.

Medically reviewed by

Dr. Dhepe Snehal Madhav

Published At February 8, 2023
Reviewed AtSeptember 16, 2023

What Is Butt Acne?

Butt acne is a common problem and can occur at any age. While almost everyone gets acne once in a while, most people associate butt acne with the transitional teenage years, where the body chemistry changes. As a result, people may develop a few butt acne or multiple rough, red bumps across the buttock. In addition, they may itch or hurt. Pimples on the buttocks can have various causes, including skin conditions. While generally, butt acne is not life-threatening and not a cause of concern as long as they are extremely painful and itchy. Thus, it is important to know these lesions' symptoms, diagnosis, and treatment so one can get help if they become infected, do not heal, or keep coming back.

What Causes Butt Acne?

The common causes of butt acne causes include:

Blocked Pores:

  • Like most of the body's skin, the butt has pores. Clocked pores can cause acne anywhere, including on the bottom.

  • People with acne in other body areas can also get breakouts on the butt.

Non-Acne Causes

There are other common reasons for butt pimples that are not due to clogged pores, including:

1. Folliculitis:

  • Folliculitis causes red, inflamed pimples on the butt. It usually occurs when the bacteria Staphylococcus aureus or Pseudomonas aeruginosa infects a hair follicle. As a result, it becomes red and swollen.

  • These bumps often develop a white head and may appear like acne pimples. In addition, these bumps can sometimes be painful or itchy.

  • Folliculitis can also happen about anywhere on the skin due to the following:

    • Sweating and chafing by tight-fitting clothing irritate hair follicles.

    • Undergarments made of non-breathable material, such as nylon or polyester, can hold moisture against the skin, irritating hair follicles.

    • Hot tub folliculitis can also occur by spending time in a hot tub or pool, especially if it is not well maintained.

    • Folliculitis can also develop by shaving.

2. Keratosis Pilaris:

  • Keratosis pilaris is a harmless skin condition that causes fine, rough bumps across the butt can occur.

  • They may appear as tiny skin-colored or red bumps or goosebumps across the skin's surface.

  • These bumps develop when a protein called keratin, which forms a protective layer on the skin's surface, builds up around the pore opening.

  • In keratosis pilaris, without any specific cause, the keratin builds up and forms a hard plug, resulting in the formation of bumps.

  • Keratosis pilaris commonly develops on the buttocks, upper arms, and thighs.

  • The condition worsens during childhood and teen years and fades over time.

3. Boils and Carbuncles:

  • A boil is a pus-filled infection of the hair follicle in the deep skin layers that tend to be swollen and tender.

  • Staphylococcus bacteria are the most common cause of boils. However, other bacteria like Streptococcus or Pseudomonas can also be the culprits.

  • Boils can develop anywhere on the body, and the buttocks are a common location.

  • Clusters of boils can cause carbuncles that may cause more serious infections. They can also cause fever and chills.

4. Contact Dermatitis:

  • Contact dermatitis is characterized by a red, itchy rash caused by skin contact with a substance or an allergic reaction.

  • It often causes redness, itchiness, or blisters. Substances that can cause contact dermatitis on the butt are:

  • Soaps and gels.

  • Creams or lotions.

  • Shampoos and detergents.

  • Certain fabrics.

How Are Butt Acne Diagnosed?

Generally, one can easily self-diagnose butt pimples. Small, painful red bumps that sometimes have pus in the center are generally butt acne. During a visit, the doctor can physically examine the area. They may also check if there are other medical conditions like diabetes or any condition that weaken the immune system to fight infections and increase the risk for folliculitis. The doctor can also determine whether the butt pimple may be a boil or cyst.

How Are Butt Acne Treated?

A few steps can help clear up butt acne, no matter the cause.

  • Benzoyl Peroxide: Although not all butt acne is technically true, it can still be treated with over-the-counter acne medications. Benzoyl peroxide body washes or bars of soap is the best option. Benzoyl peroxide works well for inflamed bumps, such as folliculitis.

  • Exfoliating Skin Creams: Keeping hair follicles from getting helps skin stay smooth. A regular exfoliation is an excellent option for achieving clean and acne-free skin. Various exfoliating creams are available to speed up cell turnover while keeping the skin moisturized.

  • Topical or Oral Antibiotics: For severe infection, topical or oral antibiotics may benefit.

  • Lancing and Draining: One can often heal boils with good home-based treatments. They may lance the boil by making a small incision to drain the infection or recommend another treatment option. Warm compresses can also help them faster and heal quickly. But if the boil is not improving after a few days with this conservative approach, see a medical professional.

  • Over-the-counter creams containing glycolic acid, lactic acid, or salicylic acid can also be used. In addition, prescription creams containing tretinoin (a synthetic vitamin A) may be helpful in more severe cases.

How Are Butt Acne Pimples Prevented?

It is not possible to completely prevent butt acne, but there are some things one can do to minimize butt pimples.

  • Bathe regularly. One of the best ways to prevent butt acne is to bathe regularly with an antibacterial soap. Washing skin in the morning and the evening can help reduce acne by clearing away dirt and bacteria buildup from sweat.

  • Shower after sweating profusely. Sweat may irritate the hair follicles and make the skin more vulnerable to breakouts.

  • Choose cotton underwear because cotton breathes better than synthetic materials like nylon or polyester.

  • Scrubbing can irritate already inflamed follicles and make pimples more inflamed and bigger. Avoid overdoing it, as it can cause abrasions on the skin. Instead, exfoliate the skin with loofah and body washes or creams containing skin-soothing ingredients like alpha-hydroxy acids.

  • Avoid popping or picking at pimples, as this can worsen the breakouts and increase the risk of infection. In addition, popping pimples can cause scarring. It can also let bacteria enter the wound, increasing the infection risk.

  • Avoid wearing tight-fitting clothes. The tight-fitting clothes cause friction, irritating the skin and triggering a breakout on the butts.

  • Sitting on a warm washcloth can be soothing. It helps open pores and drain out some of the bacteria and pus.

When To See a Medical Professional?

Most people can get relief from home-based treatments. But seeing a doctor may be necessary if folliculitis gets worse, spreads, or turns into a boil or if the immune system is weak. Now-a days online prescription are also available. When it comes to finding the best online acne prescription, it is important to prioritize reputable platforms that offer telemedicine services. These platforms combine the convenience of online access with the expertise of healthcare professionals.

Conclusion

An occasional breakout on the butt is not a big deal. For multiple reasons, one can develop acne on the bottom, but fortunately, butt acne is treatable. A good skincare regime and a few things can make a big difference and help a person stay comfortable. For severe cases, have a medical professional check them out.

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Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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