Spots on Bum: Painful, Red, White, Itchy, Treatment

Pimples that form on buttocks can be painful and sometimes make it hard to sit. They are usually small or large, itchy or hard bumps on buttocks that don’t itch. The causes of butt acne pimples include folliculitis, sweating, tight clothing, friction, sitting too long or even herpes. The bumps can erupt on buttock cheeks, butt crack or crease and even back of thighs.
Butt spots, like any other body pimples, often appear as raised bumps on the skin. Depending on their causes, these pimples may have heads that will appear as boils, zits, whiteheads, blackheads or other spots on bum such as papules and pustules.

Spots on Bum Causes

People who are prone to acne may get acne zits on the butt area and inner thighs more easily. But according to research, technically, people do not get acne on the buttocks. Pimples erupt as a result of plugged pores on the skin. Sweat and excess oil trapped under the skin leads to the formation of pimples. Shaving, waxing, ingrown hair and even herpes simplex can cause pimples on the butt, inner thighs and pubic area.


This is the infection of hair follicles in the skin. It is not a very serious problem, but it results in the formation of small pus-filled pimples or pustules on the skin. Folliculitis disorder may appear as pinpoint red bumps, each one involving a hair follicle, occasionally with a small dot of pus at the top.
The inflammation of hair follicles can lead to small red bumps or whiteheads on buttocks, back, face, chest, scalp and legs. Infections around the hair follicles on the skin are mainly caused by clogged pores and accumulation of sweat. Folliculitis pimples on the buttocks are often described as shallow little pus-filled pimples on the buttocks or skin.

Sweat spots on bum

Sweating can also cause pimples and acne on buttocks. According to Dr. Cynthia Bailey, a dermatologist based in Sebastopol, California, Sweating from a hot and humid climate or from exercising and working your body hard can cause a type of acne called pityrosporum folliculitis.
Working out or exercise causes you to sweat. Sweat, dirt and grime accumulate on your moist skin after exercise. This irritates the skin and clog pores, leaving you with bum pimples. This explains why some people will get pimples on the bottom after exercise. The acne breakouts may extend on other areas. You may get pimples on the inner parts of the thighs from sweating as well.

Pimple bumps on buttocks from shaving, waxing

Raised spots on bum may also be caused by shaving. Shaving the buttocks can easily cause ingrown hair and razor bumps. Razor bumps or shave bumps are small raised bumps on the skin that form due to irritation from shaving. If you shave your bum or wax them, you are likely to get razor bumps. These may appear as areas of raised red bumps that later turn into white pimples on the buttocks.
Ingrown hairs can also erupt into pimple-like bumps on the buttocks and pubic area. These are hairs that curl back into the skin instead of growing out. They cause irritation from within the skin, and can cause small swellings that look like pimples on the skin.

Spots on bum from STDs, herpes

Are pimples on buttocks a sign of herpes, HIV or other STDs? The “classic” symptoms that most people associate with genital herpes are sores, vesicles, or ulcers. These can simply be described as lesions or eruptions on the skin.
Genital herpes is caused by the herpes simplex 1 or 2 (HSV-1 and HSV-2) virus. HSV symptoms may resemble white bumps or white pimples on the skin. The pimples, small boils or blisters on buttocks then crust over and form scabs. It is easy to confuse them with pimple scabs on the butt or genital area.

Large pimples or boils on buttocks

Boils are an infection on the skin characterized by pus-filled lesions. Boils usually form around a hair follicle. They may appear as red, swollen cysts on your buttocks. Boils commonly affect the inner thighs and buttocks.
The skin around and above the deep pus-filled pimple that is a carbuncle gets easily inflamed. Warm compresses can help in healing the boils faster.

Diabetes and spots on bum

Diabetics are prone to many skin ailments. These happen as part of the complications of the disease. Pimples on the bottom, legs, face and inner thighs could be a consequence of diabetes. If you have diabetes, you’re likely to develop certain skin problems like diabetic rash, sores & blisters.

  • People with diabetes are more prone to bacterial skin infections. Some of the skin problems associated with these infections include boils and spots on bum, bumps on the eyelid, nail infections etc.

Candida red spots on bum

Red bumps on the buttocks and pubic area may be a result of candida infections. These are common in people with diabetes. The high blood glucose provides an environment for candida and tinea infections. Some signs of these may include small red pimples on buttocks, pubic area, legs etc.

  • Candida overgrowth on the skin can also cause acne.
  • Acne on buttocks may be a result of skin irritation, usually in people with jock itchor other types of fungal infections.

Bum spots from sitting, cycling

Sedentary lifestyles have resulted in sitting too long. This can cause pimples on the buttocks. Biking or cycling too, as well as weight gain are all associated with bum pimples. Too much pressure on the butt cheeks reduces the circulation of air on the skin.
Dirt and clogged pores encourage anaerobic bacteria as well as yeast infections. This is how pressure from sitting and cycling leads to bum pimples. If sweating is also involved, the skin can get irritated. It will form rashes on the buttock cheeks.

White bumps on buttocks from MRSA bacterial infections

Infected pimples normally appear as pus-filled sores and lesions on the buttocks. They appear as white pimples or white bumps on the butt. Clusters of pimples and sores on the buttocks could be a sign of MRSA or bacterial infections. If you have large pimples that ooze pus and won’t heal fast, see a doctor. MRSA is a type of staph infection that does not respond to antibiotic treatments. It can eat away the skin and leave you with serious scars and depressions.

Hormonal pimples before period and during pregnancy

In women, pimples and acne on the bum may be caused by hormonal changes in the body. These changes and imbalances often happed after giving birth, during pregnancy and before period.
When a woman’s androgen receptors are particularly sensitive, these hormones can trigger excess oil production and cause skin cells to become sticky, leading to clogged pores and breakouts.

Itchy spots on bum from allergic reactions to gluten, creams

Small itchy pimples on the buttocks could be a sign of allergic reactions. Allergies or contact dermatitis can cause a lot of pain and itching and discomfort in the butt area.
Allergies may be due to irritants such as clothing, reaction to body creams and lotions etc. Some foods containing gluten can also cause itching and bumps or rash all over the body. It is important to identify the irritant in order to stop, prevent and get rid of the itchy bumps on your buttocks.

  • Allergies can occur in adults, toddlers and young babies. It is important to take your child to the pediatrician in case you see symptoms and signs of allergies.

Red Spots on Buttocks

The red spots on the bum sounds like you might have a simple skin condition that happens in people with sensitive skin, called keratosis pilaris. This most common locations are the thighs, butt, and/or back of arms. You can go to the store and get a lotion called Am-Lactin or U-Lactin, used daily on the area to help smooth out these bumps.
The lotions do not smell the greatest, but they work really well. Otherwise, you may have folliculitis of the area, meaning inflammation of the hair follicles, in which a simple prescription antibiotic lotion would help. It is best to see a dermatologist, so they can see the rash and better determine what is going on.

White Spots on Buttocks

Infected pimples normally appear as pus-filled sores and lesions on the buttocks. They appear as white pimples or white spots on bum. Clusters of pimples and sores on the buttocks could be a sign of MRSA or bacterial infections.
If you have large pimples that ooze pus and won’t heal fast, see a doctor. MRSA is a type of staph infection that does not respond to antibiotic treatments. It can eat away the skin and leave you with serious scars and depressions.

Painful Spots on Bum

Painful bumps on buttocks can make sitting a hurtful ordeal. A painful pimple is a sign of inflammation on your skin. Inflammation is most likely caused by bacterial activity in the pore where the pimple is forming. As white blood cells fight off the infection, the skin becomes inflamed. It results in painful pimples.

Bumps on Buttocks

Bacteria and the fungi feed on the dead skin cells and the debris and thus infect a clogged pore. They may also infect the follicle through an abrasion after you scratch the itchy, inflamed bump on buttocks. Organisms similarly infect irritated or traumatized skin outside the hair follicle.
The more common infecting organisms are, Staphylococcus aureus is the most common skin bacteria, is also a frequent reason of folliculitis. These bacteria live in the nose, so you can infect the skin if you pick your nose and scratch the bum.
Pseudomonas aeruginosa on the other hand is a less common infecting bacterium. It is usually picked up in a contaminated, under-chlorinated swimming pools and spas. With this type of infection, there are normally multiple red bumps on buttocks, back and other areas that darken as they heal.

Pimples on Buttocks

It normally looks like small red spots on bum camped around the hair follicle. It comes when dead skin cells and other bacteria enter and gets trapped in the follicle, leading to bumps to form. Often this can be brought about by shaving, clogged pores due to heavy lotions or creams, or wearing clothes that rub or irritate the skin.
Most often pimples occur on this part of body due to dry skin that can be a cause of folliculitis. This is crucial as in this case, regular acne treatment that decreases activity of the sebaceous glands won’t help.
The skin on the butt is very sensitive to lack of moisturizing, and pores on dry skin easily clog. Since your bum is in constant contact with clothing, it is easily prone to irritation.  As with pimples on other body parts, spots on bum can also indicate a health concern, such as problems with the digestive system or hormonal imbalances. It could also be the result of a sedentary lifestyle.

Spots on Buttocks Home Remedies

The best at home treatments involved in the control or removal of spots on bum may involve the following:
Aloe Vera
It is the nature’s soothing agent. If a person don’t present any complications that may require a trip to the doctor, the pimples on buttocks may simply heal by itself and all you have to do, aside from waiting for that to occur, is to make yourself as much comfortable as possible. Aloe Vera can help you do that. Buy the natural Aloe Vera gel and use it on the pimples on buttocks, after you’ve fully disinfected the skin area. The gel can help the spots on bum to cool down and make it much less inflamed.
Sometimes, all you have to do is simply keeping of the skin very clean and also disinfected. This can help the skin and even immune system to fight the infection. Make sure that you apply antiseptic on the pimples on buttocks every night after the bath and before you go to sleep. Also, clean the buttocks in the morning and a couple more times during the day.
Neem Oil
This is known Indian oil that is much powerful antiseptic and also antifungal. Apply it about 4-5 times a day on clean skin on the spots on bum and you may notice a real improvement. Neem oil can also be found in almost all the health stores across the country.
Tea Tree Oil
It performs in the same exact way like the neem oil does. Tea Tree oil has the importance of being much more available, so if you can’t find neem oil, you’re going to experience the same results using tea tree oil.
A compress performs wonders on boils and pimples on buttocks. Soak the piece of clean cloth in warm water and put it on the pimples on buttocks. When it starts cooling down, then you may warm it in the microwave, for just very few seconds, or heat it up again using warm water. The warmth of the heat compress can bring a pimple to the head and it also assists reduce inflammation by increasing of the circulation.
Garlic is an amazing antibacterial and an antimicrobial product. It also contains an anti-inflammatory property that makes it a perfect home remedy for the butt boils. Make a paste from the five fresh garlic cloves and use it directly onto the boil. Aside from the pungent smell that you may experience, you won’t feel any other discomfort.
Turmeric isn’t just good in the food; it’s also good on the buttocks. It also contains powerful anti-inflammatory properties that may help in the treatment of boils and pimples on buttocks. Make a very thick paste from the turmeric powder and a bit of water and apply it on and around your boil. It should help it heal better and faster.
Coconut Oil
When you’ve got pimples on buttocks, the skin around them may turn scaly and cracked. This will just add more to the discomfort, so you are required to hydrate it so well so as to stop it from doing that. Coconut oil is a natural alternative to the store-bought cream and it also contains disinfectant properties.
Ice Cubes
An ice cube will assist soothe the area around the pimples and it will also help decrease the inflammation of the pimples on buttocks. Add a couple of ice cubes inside the clean plastic bag and put it on the boil. Make sure the bag is very clean; you don’t want to make matters worse.

Spots on Buttocks Treatment

Find an ointment that has benzoyl peroxide, salicylic acid or alpha hydroxyl acid. Most of these are found over the counter from brands such as Proactive. You may want to try a lotion that was scientifically made for this purpose of getting rid of spots on bum, Butt Acne Clearing Lotion by Green Heart Labs.
Take antibiotics.
Some types of pimples might require antibiotic treatment that is in pill form. Ask the doctor about which antibiotic prescription is good for the condition.

  • If prescribed antibiotics, make sure that you complete the pills for the number of days that are prescribed, even if the pimples clears up before the end of the cycle. Failure to do so may lead to the pimples to return.

Get a steroid injection.
If you have very large cystic pimples that are extremely painful, you can resort to a steroid injection. These may reduce the size and pain of a pimple in less than one day
Get sun on your buttocks when possible.
If you have a private backyard or a nude beach nearby, let your buns soak up a little sun on a warm day. The sun naturally assists to dry up any excess oil.

  • Make sure to apply a non-comedogenic sunscreen beforehand to avoid any sunburn.
  • Only use this particular method once in a while. Too much sun is very damaging to the skin.

Get sun on your buttocks when possible.
If you have a private backyard or a nude beach nearby, let your buns soak up a little sun on a warm day. The sun naturally helps dry up excess oil.

  • Make sure to apply a non-comedogenic sunscreen beforehand to avoid sunburn.
  • Only use this method once in a while. Too much sun is damaging to the skin.

Exfoliate the skin on the buttocks for at least once per week.
Use a non-comedogenic (that won’t clog your pores) exfoliating cream and a loofah. The exfoliation will get rid of dead skin cells that might be clogging the pores.

  • Use soap with at least three percent benzoyl peroxide. This will clean out excess oil and help to clear your pimples

Treatment of Bumps on Buttocks

Common pimples that resolve easily are of very minor concern. A history of similar breakouts, exposure, trauma, infections on other parts of your body, or a chronic illness can frequently pinpoint an underlying cause.
For harder-to-diagnose or treat situations you may need an exam by a doctor. If there is infection, a culture of the pus can sometimes identify the bacteria. He can also examine hair follicles under a microscope to identify a fungus.
In most cases dark pimples on the buttocks can heal without any treatment. If they don’t, you can easily treat them using home remedies and over-the-counter medicines. Sometimes you may require a combination of treatments or to be treated by the doctor.
Over-the-Counter Medicines
You can use any of these medicines in addition to home remedies to treat bumps on buttocks. Use until bumps heal which may take only very few days. Apply the products to a clean, dry skin. Massage in gently and thoroughly.
More references

  1. Why you get pimples on your butt and what it means:
  2. Red bumps on bum:
  3. Bumps on the bumps at the bottom: