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This could be a case of surgical site infection. Usually, this happens after surgery where there is an incision made thereby causing redness as well as swelling around where you were cut. It might help if you keep that place dry after cleaning it every once in a while but try not to touch too much or else there might be more pain. Make sure to visit your doctor so they can figure out what else needs to be done about this.

It sounds like you may indeed be experiencing a pilonidal sinus, which can cause discomfort, swelling, and discharge in the tailbone area. This condition often arises from hair follicles becoming infected, leading to the formation of a cyst. Treatment options vary; initial management may involve proper hygiene and draining the area, but surgical intervention might be needed if symptoms persist. While surgery may sound daunting, it often resolves the issue effectively. I encourage you to consult a healthcare professional for a thorough examination and personalized treatment plan.