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I have a good size bulge on my head like a cyst or something maybe. It's hard and it's been there since I moved to a place that has well-water (if that has anything to do with it). I talked to my family about it and they didn't seem too concerned - they said they have one too. So apparently they think it's normal, but is it really? It doesn't do anything but prevent me from parting my hair certain ways but still, sometimes it concerns me.
My bf had 2 for about 2 years, didn't think much of them. One day he was messing around with a smaller one and it came out, so (DO NOT DO THIS!!) he had my sister and me get the other one. It was a painful process. What I'm about to say is not for the faint of heart. At first, this cottage cheese looking stuff came out, and he made us quit because of the pain. A couple days later he asked us to try again (Again, I do not recommend this) and what came out was one BIG solid, whitish mass. It looked like a fat worm. Then a pearly colored sac after that. It wasn't a bug, it was a cyst. We wore gloves and used sanitized implements and his head is completely fine now, hardly even a scar. But had we known what was going to cone out we would have had him get it surgically removed. I hope this helps.