Doctor insights on:
Medicine For Pilonidal Disease
Cleft-lift surgery: The most definitive operation for pilonidal disease is the cleft-lift. It has a very low recurrence rate, and a high percentage of primary healing. However, not all surgeons do this procedure - so it is beneficial to find one experienced in performing the cleft-lift. ...Read more
I have pilonidal disease and my cyst has begun to flare up, what can I do too resuce the flare up and pain till surgery? Please help
I have pilonidal disease and the abcyst feels like its going too burst its tender and red? What can I do my surgery till months? Can I drain it?
Pilonidal cyst: We typically don't recommend patients drain abscesses (pus pockets) by themselves. Loculations (side pockets) can remain which need to be opened & drained as well. Of course, abscesses do drain spontaneously on their own but if it's that painful, go see your family doc who can safely perform procedure or refer you to surgeon who can do so. You may need wick/packing left in place to allow healing. ...Read more
I had the surgery already but I have pilonidal disease. No abscess now, but the area hurts bad? Had 1 abscess 6 months ago. Surgery was 4 years ago
See doctor ASAP: There are several possibilities including recurrence of the abscess, slowly progressive infection of the underlying bone, some inflammation or scarring from prior inflammation pressing on a nerve root, etc. You need to be seen by a doctor and re-evaluated and suggest that this be done before whatever this is becomes much worse. Good luck. ...Read more
If someone who had pilonidal sinus 2 months ago & is fine now and free frm any kind of std, disease has anal sex with someone also free from std is ok?
I'm getting my 3rd pilonidal cyst and I can't go to the doctor just yet PERSONA REASONS Is there any over the counter medicine to help me with pain?
Not really: Pain can be controlled with naprosyn (naproxen) or ibuprofen in combination with acetaminophen. The pain however is likely to be a sign of deep infection, and masking it could make it worse. I would recommend seeing a colorectal or general surgeon with experience and interest in treating this troublesome malady. Hope this helps! . ...Read more
None: Patients with pilonidal cysts may not have any symptoms at all. In others the cyst may become infected resulting in inflammation and pain. The infected cyst may grow and rupture into the surrounding tissue, forming an abscess. Infected pilonodal cysts/abscesses can cause severe pain, redness, swelling, and warmth of the skin of the tailbone area. Abscesses may cause fever and drainage of pus. ...Read more
I am dignosed with pilonidal sytus...Not experiencing any pain right now....Is the operation necessary?
Pilonidal cyst: Surgery to remove the cyst at this stage, no symptoms and no infection, is a good option. This is elective. Waiting until you have an infection, abscess, or severe pain is also an option. However, you will be urgent or emergent category and surgery will be necessary. Elective surgery has better outcomes for a reason. Good luck. ...Read more
Hi, I had a surgery for pilonidal sonus second time, 15 days back. The wound is nice and clean because of daily dressing. What should I do to avoid its reccurence?
Clean and Dry:
A complete resection of the pilonidal sinus should result in a cure from this problem. Keep your healing wound clean and dry.
If you have hair in the area, then once you are completely healed, you can use a depilatory cream to remove all hair from the area. ...Read more
Cyst on tailbone: A pilonidal cyst is a cyst that develops in the midline of the tailbone near the cleft of the buttocks. The most accepted theory for the cause of these cysts is the blockage of hair follicles in the skin of the area which creates "pits" in the cleft of the buttocks. As the follicles become clogged with hair and skin debris, cyst formation occurs. ...Read more
Pilonidal cyst: I would still have it checked as pilonidal cysts often recur. Surgical intervention may be warranted. ...Read more
Outpatient or inpati:
Treatment may include antibiotic therapy, hot compresses and application of depilatory creams.
In more severe cases, the cyst may need to be lanced or surgically excised (along with pilonidal sinus tracts). Post-surgical wound packing may be necessary, and packing typically must be replaced twice daily for 4 to 8 weeks. ...Read more
Pilonidal: No, you should be worried when it hurts and you notice any discharge. ...Read more
See a surgeon: Medical treatment with antibiotics & soaking in warm bath water may help temporarily. See a surgeon if you need an infection drained or if a surgical procedure to remove the pilonidal region is indicated for you. ...Read more