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Dermatologists Explain How To Get Rid Of Butt Acne For Good

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Acne is a bummer—especially when it pops up in sensitive places. If you've ever had butt acne then you know it might just be one of the most annoying (and painful) places for a breakout. And while pimples know no boundaries (i.E. Chin acne and scalp acne), it turns out pimples on your behind might not actually be considered butt acne in the first place.

"More commonly, when people talk about butt acne, it's often folliculitis and that is because there are hair follicles there," explains Karan Lal, D.O., M.S., F.A.A.D., double board-certified dermatologist with Affiliated Dermatology in Scottsdale, AZ. "This area is prone to friction, heat, and sweat, all of which can irritate the hair follicles and cause folliculitis—very rarely is it truly acne."

Meet the experts: Karan Lal, D.O., M.S., F.A.A.D., double board-certified dermatologist with Affiliated Dermatology in Scottsdale, AZ; and Marisa Garshick, M.D., a leading board-certified dermatologist at Manhattan Dermatology and Cosmetic Surgery in NYC

However, in addition to butt acne and folliculitis, there are a number of other conditions that can cause butt rashes, bumps, pimples, and boils. If the breakouts on the butt are like the acne that occurs on the face, or something else altogether, "Some of the triggers for breakouts on the face can also contribute to butt breakouts," explains Marisa Garshick, M.D., a leading board-certified dermatologist at Manhattan Dermatology and Cosmetic Surgery in NYC. "For some individuals, there can also be a hormonal component to breakouts on the butt."

If you see bumps of any kind on your behind, getting rid of butt acne is likely top of mind. Ahead, learn what's causing your breakouts, how to treat butt acne, and how to prevent those pesky pimples from returning.

Butt acne causes

There are many potential causes for "butt acne," but dermatologists agree that these are the most common conditions for bumps and breakouts on your behind:

Excess oil and dead skin cells

"While butt acne may not appear exactly the same as acne on the face, there are overlapping features," explains Dr. Garshick. "In general, we think of acne as being caused by excess oil and dead skin cells that clog the pores, acne-causing bacteria known as Cutibacterium acnes, and inflammation." A sign that you are experiencing true butt acne would be having pus-filled bumps, inflamed bumps, and/or nodules in the area.

Folliculitis

According to Dr. Lal and Dr. Garshick, folliculitis is the most common condition that mimics butt acne. "It tends to appear as red bumps and pus bumps and often occurs as a result of inflammation of the hair follicle and can be associated with bacteria," says Dr. Garshick. "While not the same as traditional acne, some of the treatment options are the same including benzoyl peroxide and clindamycin."

Rash associated with a yeast infection

Yeast infections can occur in a few places, including the skin. If you have a yeast infection on the skin of your buttocks, the area will likely be red and irritated, and be accompanied by red bumps or papules that can be mistaken for acne, says Dr. Lal. You may also notice a sour odor.

Hidradenitis suppurativa

Hidradenitis suppurativa is a chronic condition that usually occurs on the buttocks area, groin, genital area, and underarms, and causes painful bumps, cysts, and nodules that can be confused for acne, explains Dr. Lal.

Keratosis pilaris

If you experience "rough, bumpy skin on the buttocks that is not actually related to acne," then you may have keratosis pilaris, a relatively harmless skin condition that causes dry patches and tiny bumps on areas like the upper arms, thighs, and buttocks, says Dr. Garshick. This condition is best treated with gentle exfoliation and hydrating products.

Molluscum

Molluscum contagiosum is a viral skin infection that causes small, raised bumps and spreads easily. Molluscum usually occurs in children, but in adults, is often spread sexually, says Dr. Lal

Psoriasis

Psoriasis is a common disease in which the immune system becomes overactive, causing skin cells to multiply too quickly, per the National Institute of Health. As with skin on the rest of the body, psoriasis can also occur on the buttocks, Dr. Lal notes. However, while psoriasis generally presents as a scaly rash, when it appears on the buttocks it can cause red bumps since the area is more prone to sweat and occlusion.

Butt acne treatments

There are several at-home treatments for butt acne and breakouts on the butt. Experts recommend the following options:

Try a cleanser

First, be sure to use a good cleanser. Dr. Garshick recommends using a cleanser with ingredients like benzoyl peroxide or salicylic acid to help unclog the pores. In the cases of folliculitis or a bacterial infection, using an antibacterial wash such as Hibiclens can be helpful.

Use a specific kind of moisturizer

It's also helpful to use a moisturizer with ingredients like lactic acid, glycolic acid, or salicylic acid, says Dr. Lal. "These are products that are going to exfoliate and moisturize the area," leading to fewer bumps.

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AmLactin Reconsider shaving the area

Dr. Lal also advises those who shave the area to be extremely careful and suggests trying laser hair removal instead (which he says is one of the best treatments for folliculitis). If you do decide to shave, "make sure that you are using a razor with multiple blades and change your razor often to avoid irritation and introducing bacteria to the area."

Topical or oral prescription

If none of the above treatment options offer improvement, it's best to visit your doctor. In some cases, especially those that are inflamed or bacterial, "a topical or oral prescription may be needed, so it is always good to check with a board-certified dermatologist," says Dr. Garshick.

How to prevent butt acne
  • Gently exfoliate. Using the same kind of exfoliating cleansers and moisturizers that you would use to clear up a bout of face acne are also helpful in preventing butt acne and other bumps, according to our experts.

  • Shower after sweating. "It is common for people to notice more acne on their buttocks if they are exercising and sweating more," explains Dr. Garshick. "When sweat sits on the skin for an extended period of time, it can lead to clogged pores. To help this, it is best to shower or wipe down after a workout and remove sweaty clothing."

  • Wear breathable clothing. Dr. Garshick also explains that wearing clothes that fit too tightly, whether working out or not, can trap sweat and moisture, leading to increased breakouts.

  • Avoid prolonged sitting. Due to increased pressure and friction, sitting for long periods of time can increase breakouts by irritating the hair follicles, says Dr. Garshick.

  • Be mindful of the products you use. "It is important to avoid any heavy oils or products that may be pore-clogging," explains Dr. Garshick. Instead stick to lightweight, non-comedogenic lotions or products that offer antibacterial or exfoliating benefits.

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    Everything You Need To Know About Rashes

    A rash is any area of irritated or swollen skin on your body. Rashes are often itchy and painful and can appear differently on different skin tones. While they are often described as red, on darker skin tones, they may be purple, gray, or white.

    Rashes have a variety of causes, from bites to chickenpox to serious conditions like drug allergies. Seek medical attention if home remedies do not help or if you also have symptoms such as fever or dizziness.

    There are many different causes of rashes. Here's a list of 22 potential causes with pictures.

    Fleabites
  • usually located in clusters on the lower legs and feet
  • itchy, small red bumps on lighter skin tones and more plum-like in color on darker skin tones
  • symptoms begin immediately after being bitten
  • Read the full article on fleabites.

    Fifth disease
  • symptoms include headache, fatigue, low fever, sore throat, runny nose, diarrhea, and nausea
  • children are more likely than adults to experience a rash
  • round, bright red rash on the cheeks, but it may be less noticeable on darker skin tones
  • usually after the face rash, a lacy-patterned rash may appear on the arms, legs, and upper body and might be more visible after a hot shower or bath
  • Read the full article on fifth disease.

    Rosacea
  • chronic (long-term) skin disease that goes through cycles of fading and relapse
  • relapses may be triggered by spicy foods, alcoholic beverages, sunlight, stress, and the intestinal bacteria Helicobacter pylori
  • the four subtypes of rosacea encompass a wide variety of symptoms
  • common symptoms include facial flushing, raised red bumps, facial redness, skin dryness, and skin sensitivity
  • on darker skin tones, brown or yellowish-brown bumps may appear, and the rash can have a dusky coloration
  • Read the full article on rosacea.

    Impetigo
  • most common in children 2-5 years old, but can happen at any age
  • often located in the area around the mouth, chin, and nose
  • irritating rash and fluid-filled blisters that pop easily and form a honey-colored crust
  • can also appear brown, purple, or gray on darker skin tones
  • Read the full article on impetigo.

    Ringworm
  • itchy, circular scaly patches with raised borders
  • on lighter skin tones, the patches can appear pink or red
  • on darker skin tones, the patches can appear gray or brown
  • skin in the middle of the ring appears clearer, and the edges of the ring may spread outward
  • Read the full article on ringworm.

    Contact dermatitis
  • appears hours to days after contact with an allergen
  • has visible borders and typically appears where your skin touched the irritating substance
  • on lighter skin tones, it can appear red
  • on darker skin tones, it may be less noticeable
  • may have blisters that weep, ooze, or become crusty
  • typically itchy, scaly, or raw
  • Read the full article on contact dermatitis.

    Allergic eczema
  • may resemble a burn
  • often found on hands and forearms
  • skin is itchy, scaly, or raw
  • may have blisters that weep, ooze, or become crusty
  • on lighter skin tones, it can appear red
  • on darker skin tones, it can cause darker brown, purple, or gray patches
  • Read the full article on allergic eczema.

    Hand, foot, and mouth disease
  • usually affects children under age 5
  • painful, red blisters in the mouth and on the tongue and gums
  • flat or raised red spots located on the palms of the hands and soles of the feet
  • on darker skin tones, it can be skin-colored or grayish-brown
  • spots may also appear on the buttocks or genital area
  • Read the full article on hand, foot, and mouth disease.

    Diaper rash
  • located on areas that have contact with a diaper
  • skin looks red, wet, and slightly lighter or darker than typical skin color
  • may be warm to the touch
  • Read the full article on diaper rash.

    Eczema
  • dry, rough, flaky, inflamed, and irritated skin
  • affected areas may be red and itchy
  • hair loss may occur in the area with the rash
  • on darker skin tones, it can appear as darker brown or gray patches
  • Read the full article on eczema.

    Psoriasis
  • scaly, silvery, sharply defined skin patches
  • on darker skin tones, it may look darker than the surrounding skin or it might appear purple
  • commonly located on the scalp, elbows, knees, and lower back
  • may be itchy or asymptomatic
  • Read the full article on psoriasis.

    Chickenpox
  • clusters of itchy, red, fluid-filled blisters in various stages of healing all over the body
  • on darker skin tones, it can be red, the same as the natural skin tone, or a little darker; scabs can appear gray
  • rash is accompanied by fever, body aches, sore throat, and loss of appetite
  • remains contagious until all blisters have crusted over
  • Read the full article on chickenpox.

    Systemic lupus erythematosus (SLE)
  • an autoimmune disease that displays a wide variety of symptoms and affects many body systems and organs
  • a wide array of skin and mucous membrane symptoms that range from rashes to ulcers
  • classic butterfly-shaped face rash that crosses from cheek to cheek over the nose
  • can appear bright red on lighter skin tones
  • on darker skin tones, it may appear red, brown, or darker than the original skin color
  • rashes may appear or get worse with sun exposure
  • Read the full article on systemic lupus erythematosus (SLE).

  • painful rash that may burn, tingle, or itch, even if there are no blisters present
  • clusters of fluid-filled blisters that break easily and weep fluid
  • rash emerges in a band-like pattern that appears most commonly on the torso, but may occur on other parts of the body, including the face
  • may be accompanied by low fever, chills, headache, or fatigue
  • Read the full article on shingles.

    Cellulitis

    This condition is considered a medical emergency. Urgent care is required.

  • caused by bacteria or fungi entering through a crack or cut in the skin
  • tends to be red or pink
  • it may appear less obvious on darker skin tones and can also look brown, gray, or purple
  • painful, swollen skin with or without oozing that spreads quickly
  • hot and tender to the touch
  • might be a sign of serious infection requiring medical attention
  • Read the full article on cellulitis.

    Drug allergy

    This condition is considered a medical emergency. Urgent care is required.

  • mild to severe itchy, red rash may occur days to weeks after taking a drug
  • severe drug allergies can be life threatening, and symptoms include rash, blisters, hives, racing heart, swelling, itching, and difficulty breathing
  • other symptoms include fever, stomach upset, and tiny purple or red dots on the skin
  • Read the full article on drug allergies.

    Scabies Share on PinterestScabies is an itchy skin infestation with mites. Public domain, via Wikimedia Commons
  • symptoms may take 2-5 weeks to appear
  • extremely itchy rash with small bumps that may be scaly
  • raised, white, or flesh-toned lines
  • Read the full article on scabies.

    Measles
  • symptoms include fever, sore throat, red watery eyes, loss of appetite, cough, and runny nose
  • depending on skin tone, the rash may be red, skin-colored, or darker than the natural skin color
  • the rash spreads from the face down the body 3 to 5 days after first symptoms appear
  • tiny white spots with bluish-white centers on a red background can appear inside the mouth
  • Read the full article on measles.

    Tick bite
  • painless and causes only minor signs and symptoms, such as a change in skin color, swelling, or a sore on the skin
  • rash, burning sensation, or blisters
  • difficulty breathing, which requires immediate medical attention
  • the tick often remains attached to the skin for a long time
  • bites rarely appear in groups
  • may look like a target, circular, expanding — 70-80% of people with Lyme disease will have this rash
  • Read the full article on tick bites.

    Seborrheic eczema
  • yellow or white scaly patches that flake off
  • affected areas may be red — though they may appear faint on darker skin tones —, itchy, greasy, yellowish or white patches
  • hair loss may occur in the rash area
  • Read the full article on seborrheic eczema.

    Scarlet fever Share on PinterestChild with scarlet fever rash and rosy cheeks badobadop, CC BY-SA 3.0, via Wikimedia Commons
  • occurs at the same time as or right after a strep throat infection
  • rash is made up of tiny bumps that make it feel like "sandpaper"
  • bright red tongue
  • people with lighter skin tones can have a bright red rash all over the body (but not on the palms of your hands and soles of your feet)
  • on people with darker skin tones, it may be more difficult to see the rash, but their skin will have a sandpaper-like texture
  • Read the full article on scarlet fever.

    Kawasaki disease

    This condition is considered a medical emergency. Urgent care is required.

  • usually affects children under age 5
  • red cracked lips, swollen tongue (strawberry tongue), high fever, swollen red palms and soles of the feet, swollen lymph nodes, bloodshot eyes
  • can be harder to recognize on darker skin tones
  • may cause severe heart problems
  • Read the full article on Kawasaki disease.

    Contact dermatitis

    Contact dermatitis is one of the most common causes of rashes. This type of rash occurs when the skin comes into direct contact with a foreign substance that causes an adverse reaction, leading to a rash. The resulting rash may be itchy, red, or inflamed.

    Possible causes of contact dermatitis include:

    Medications

    Taking medications may also cause rashes. They can form as a result of:

    Other causes

    Other possible causes of rashes include the following:

  • A rash can sometimes develop in the area of a bug bite, such as a fleabite. Tick bites are of particular concern because they can transmit disease.
  • Atopic dermatitis, the most common form of eczema, is a rash that may be more common in people with asthma or allergies. The rash is often reddish, though it can be skin-colored or darker on people with darker skin tones. It can be itchy with a scaly texture.
  • Psoriasis is a common skin condition that can cause a scaly, itchy, red, or purplish rash to form along the scalp, elbows, and joints.
  • Seborrheic eczema is a type of eczema that most often affects the scalp and causes redness, scaly patches, and dandruff. It can also occur on the ears, brows, or nose. When babies have it, it's known as cradle cap.
  • Systemic lupus erythematosus is an autoimmune disease that can trigger a rash on the cheeks and nose. This rash is known as a "butterfly," or malar, rash.
  • Rosacea is a chronic skin condition of unknown cause. There are several types of rosacea, but all are characterized by redness and rash on the face.
  • Ringworm is a fungal infection that causes a distinctive ring-shaped rash. The same fungus that causes ringworm on the body and the scalp also causes jock itch and athlete's foot.
  • Diaper rash is a common skin irritation in infants and toddlers. It can be associated with prolonged exposure to a wet diaper.
  • Scabies is an infestation by tiny mites that live on and burrow into your skin. It causes a bumpy, itchy rash.
  • Cellulitis is a bacterial infection of the skin. It usually appears as a red, swollen area that is painful and tender to the touch. If left untreated, the infection causing the cellulitis can spread and become life threatening.
  • Causes of rashes in children

    Children are particularly prone to rashes that develop as a result of illnesses:

  • Chickenpox is caused by a virus, and the rash is characterized by small itchy bumps and blisters that form all over the body.
  • Measles is a viral respiratory infection that causes a widespread rash consisting of itchy, red bumps.
  • Scarlet fever is an infection due to group A Streptococcus bacteria that produces a toxin, causing a bright red or skin-tone-colored, sandpaper-like rash.
  • Hand, foot, and mouth disease is a viral infection that can cause red lesions on the mouth and a rash on the hands and feet.
  • Fifth disease is a viral infection that causes a red, flat rash on the torso, arms, and legs.
  • Kawasaki disease is a rare but serious illness that triggers a rash and fever in the early stages and can lead to heart complications.
  • Impetigo is a contagious bacterial infection that causes an itchy, crusty rash and yellow, fluid-filled sores on the affected area, such as the face, neck, or hands.
  • You can treat most contact rashes, but it depends on the cause. Follow these guidelines to help ease discomfort and speed up the healing process:

  • Use mild, gentle cleansers instead of scented bar soaps.
  • Use warm water instead of hot water for washing your skin and hair.
  • Pat the rash dry instead of rubbing it.
  • Let the rash breathe. If it's possible, avoid covering it with clothing.
  • Stop using new cosmetics or lotions that may have triggered the rash.
  • Apply unscented moisturizing lotion to areas affected by eczema.
  • Avoid scratching the rash because doing so can make it worse and could lead to infection.
  • Apply an over-the-counter (OTC) hydrocortisone cream to the affected area if the rash is very itchy and causing discomfort. Calamine lotion can also help relieve rashes from chickenpox, poison ivy, or poison oak.
  • Take an oatmeal bath. This can soothe the itchiness associated with rashes from eczema or psoriasis. Here's how to make an oatmeal bath.
  • Wash your hair and scalp regularly with dandruff shampoo if you have dandruff along with a rash. Medicated dandruff shampoo is commonly available at drugstores, but your doctor can prescribe stronger types if you need them.
  • Over-the-counter (OTC) medications

    Talk with a healthcare professional, who may recommend OTC medication like ibuprofen or acetaminophen to treat mild pain associated with the rash.

    Avoid taking these medications for an extended period because they can have side effects. Ask a healthcare professional how long it's safe for you to take them. You may not be able to take them if you have liver or kidney disease or a history of stomach ulcers.

    Call a healthcare professional if the rash doesn't go away with home remedies. You should also contact them if you're experiencing other symptoms in addition to your rash and you suspect you have an illness.

    If you don't already have a physician, you can use the Healthline FindCare tool to find a professional near you.

    Go to the hospital immediately if you experience a rash along with any of the following symptoms:

  • increasing pain or discoloration in the rash area
  • tightness or itchiness in the throat
  • difficulty breathing
  • swelling of the face or limbs
  • fever of 100.4°F (38°C) or higher
  • confusion
  • dizziness
  • severe head or neck pain
  • repeated vomiting or diarrhea
  • Contact a healthcare professional if you have a rash as well as other systemic symptoms, including:

  • joint pain
  • a sore throat
  • red streaks or tender areas near the rash
  • a recent tick bite or animal bite
  • Your healthcare professional will perform a physical exam and inspect your rash. Expect to answer questions about your:

  • rash
  • medical history
  • diet
  • recent use of products or medications
  • hygiene
  • Your healthcare professional may also:

  • take your temperature
  • order tests, such as an allergy test or complete blood count
  • perform a skin biopsy, which involves taking a small sample of skin tissue for analysis
  • refer you to a specialist, such as a dermatologist, for further evaluation
  • Your healthcare professional may also prescribe medication or medicated lotion to relieve your rash. Most people can treat their rashes effectively with medical treatments and home care.

    Follow these tips if you have a rash:

  • Use home remedies to soothe mild contact rashes.
  • Identify potential triggers for the rash and avoid them as much as possible.
  • Call a healthcare professional if the rash doesn't go away with home treatments. You should also contact them if you're experiencing other symptoms in addition to your rash and you suspect you have an illness.
  • Carefully follow any treatments your doctor prescribes. Speak with a healthcare professional if your rash persists or worsens despite treatment.
  • How can I identify my rash?

    It's not so easy to identify a rash. Rashes can present as splotches, bumps, or blisters. They can be itchy, scaly, and red, and some may look different on different skin tones. They may develop in one specific area of the skin or all over the body. They may disappear and reappear randomly, or stay indefinitely. A board-certified dermatologist can help you identify your rash and recommend the right treatment.

    What are the 5 types of rashes?

    There are many types of rashes, many of which have sub-types. Broadly speaking, rashes can be split into those caused by infection, allergic reactions, environmental irritation, irritation from plants, and those caused by autoimmune conditions.

    What is the fastest way to get rid of a rash?

    There are several home remedies you can try that might help you relieve discomfort from a rash. That said, the treatment and timing of healing depends on the cause. Consult with a dermatologist to determine what rash you have and what treatment you need.

    Rashes are areas of irritated or swollen skin. These areas may become itchy, painful, or dry out.

    Skin discoloration is a common rash symptom, which can present differently on different skin tones. Rashes may appear red or pink on lighter skin tones, while on darker skin tones they may be purple, gray, or white.

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