<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have what i think may be a cyst near my butt hole for about 3 months. i have had this a few years ago but went away after bursting. this time it burst but came back , now just swells and leaks . any home remedies for this condition? ive read most say doctor should lance.  <response>: 1. Going by your history of recurrence: it could be possible perianal abscess transformed into fistula-in-anoPS. Discharging leaks in your history, in the vicinity of anus is always a fistula in ANO, thus opinion and examination with surgeon is of utmost importance2. Hot hip bath: sit in a tub of warm water for 10 minutes 2 times a day. Wet Chat Doctor. Since leaking is there, thus condition of sinus could be there, so I wont prescribe any alternate remedies, till it has been checked by a surgeon.PS. till next appointment you may use OTC over the counter 