<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have a very swollen tailbone- near the bottom of the tailbone there is a lump a swell. It is very uncomfortable and hurts to walklie downsit down and is painful when i put any pressure on it. I have been taking painkillers which do take some of the pain away, but is this something that will go away on its own or should i see a doctor?  <response>: Welcome to Chat Doctor. 1. Suggest you to see a doctor for this issue - the reasons is there are quite a few complications for the lumps on the tail bone perianal region.2. Mostly possible cause will be hair follicular infection infective etiology which is causing pain and tenderness.3. The treatment in this case after examination a course of antibiotic if small one4. If not responding to the treatment or larger then a small incision and Chat Doctor. 5. The complications are colonial sinus, fistulas which needs operative treatments so treat it as soon as you can - take good post procedural care. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. 