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

### input:
About 6 days ago I woke up and my left butt cheek was swolen triple to regular size, very painful and hard as a rock. There are no bite marks as if I was bitten by an insect nor did bring trauma to the area from a fall etc.. I went to the after hours clinic that my family doctor is associated with and the doctor took one look and he was speechless and said I am not even going to charge you, but he was adamant that I go strait to the hospital. All three doctors there were puzzled as to what was going on and even ordered me to have a CT scan to rull out a blood clot and to get some picture as to why this was happening. I am at my witts end and so are the doctors. I am needing to kknow something.

### output:

Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have extreme swelling of the left buttocks. Well there can be many reasons for symptoms you mention in query like infection, hematoma, scar tissue, buttock injury, colonial sinus or sebaceous gland inflammation.  I would suggest you to apply cold compresses, keep the site clean and Chat Doctor.  If condition doesn't get better then consult dermatologist for proper examination. Doctor may order test like blood test to detect septicemia, physical examination to check tenderness and consistency , CT scan and take sample for lab test in severe case. Doctor may prescribe antibiotics like azithromycin at least for a week along with anti-inflammatory and corticosteroid ointment. Doctor may also recommend surgical excision in cases of benign tumor . Hope your concern has been resolved. Get Well Soon. Best Wishes,