What should you know about gluteal folliculitis?

Folliculitis is inflammation of hair follicles. On the buttocks it may appear as clusters of red bumps, tiny pus-filled spots, or tender areas where clothing, sitting, shaving, sweating, or occlusive products irritate the skin. Bacteria, yeast, ingrown hairs, and non-infectious irritation can produce similar-looking changes.

The appearance does not identify the cause by itself. Recurrent deep lumps, draining areas, or scarring may need assessment for a different condition. Nearby [Pimples](/symptoms/pimples/), [Skin Bumps](/symptoms/skin-bumps/), or [Ingrown Hairs](/symptoms/ingrown-hairs/) can overlap with folliculitis.

Wash gently, pat dry, change out of sweaty clothing, and choose breathable loose-fitting underwear and trousers. Pause shaving, waxing, scrubbing, and fragranced products on the area until it settles. Do not squeeze or scratch the bumps, because this can worsen inflammation and spread infection.

If symptoms persist or recur, a clinician can examine the pattern and decide whether you need [Topical Antibiotic Therapy](/treatments/medical-dermatology/topical-antibiotic-therapy/) or [Antibiotics For Skin Infection](/treatments/medical-dermatology/antibiotic-therapy-for-skin-infection/). Use antibiotics only as prescribed; the right treatment depends on the cause.

Arrange medical review if bumps spread, keep returning, become deep or painful, drain pus, leave scars, or do not improve with gentle care. Seek urgent help for fever, rapidly spreading redness, severe pain, red streaks, marked swelling, or feeling very unwell.

Ask whether the bumps are folliculitis, ingrown hairs, acne, or another condition; whether a swab is needed; which cleanser or medicine is suitable; and how to prevent flares related to sweat, friction, hair removal, or work clothing.