### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have a hard round something in between my butt cheeks near the top, not next to the anus. Sometimes it is so bad it pains no matter what I do. I assumed it is a boil because it is not next to the anus and doesn t look or sound like a hemorrhoid according to my research. It itches something terrible. I cannot afford a dr visit and am hoping you can help me figure out what it is. I have been putting Hemorrhoid Cream on it, which helps it get smaller, but then it grows again. It is under the skin and sometimes has a dark color. It is very hard. Thanks for any suggestions or help you can provide.

### output:

Hi, Good Morning. I am Chat Doctor. S.CUTS -super-specialist- From India-attending your health query to Chat Doctor virtual-online Clinic--I studied your query in-depth and Understood your concerns.-In my opinion -Treatment would be-a-Consult a Surgeon ideally.It's mostly an -acute on Chronic Boil/fur uncle -of hair follicle or ? Pilonidal cyst by its position.b- I would advise -Mayflower spine-sacro-coccyxial area/USG /?if need be MRI to fix the cause of the lump?codon put Hemorrhoid cream -as it may complicate further.d-Excision biopsy of the Colonial cyst / or Chronic boil after antibiotic cover will resolve your issue.Don't worry at all.In the meanwhile I would advise-a- Tb NSADb-Antibiotics, which would receive the pain and discomfort you have.-Wish you early recovery. Wellcome for any question if it worries you still.