Top
30
Doctor insights on: Medicine For Pilonidal Disease

Share
1

1
How do I treat my pilonidal disease?

How do I treat my 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

Dr. Paul Harper
26 Doctors shared insights

Pilonidal Disease (Definition)

A chronic infection of the skin located in the buttock crease. It results from a reaction to hairs embedded in the skin. More common in men than women. Typically occurs between puberty and 40 years of age. Common in obese people and those ...Read more


2

2
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 my cyst has begun to flare up, what can I do too resuce the flare up and pain till surgery? Please help

Pilonidal cyst: The solution is surgery. Untill you have it. Keep area clean. Shower multiple times a day. Bacteriacidal soap. Also for pain control you can use NSAIDs. And -/+ antibiotics per your surgeon. ...Read more

3

3
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

4

4
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

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

5

5
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?

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?

Not related: Pilonidal disease is not an ano rectal problem. It is a congenital defect of the skin. The status of the pilonidal is irrelevant regarding STDs or anal intercourse ...Read more

6

6
Hello can pilonidal cysts become hard? Can pilonidal cysts cures with drugs?

Hello can pilonidal cysts become hard? Can pilonidal cysts cures with drugs?

Infection: chronic infection can cause these cysts to become scarred and hardened; however, although antibiotic therapy will calm down an infection, surgery is the definitive cure. ...Read more

7

7
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?

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

8

8
Who gets pilonidal cysts?

Who gets pilonidal cysts?

Young adults: Pilonidal cysts occurs most commonly in young adults, mainly between the ages of 15-24. It is very rare for anyone to develop pilonidal disease after the age of 40. Males are more likely to develop these cysts than females. ...Read more

9

9
What are the symptoms of pilonidal cysts?

What are the symptoms of pilonidal cysts?

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

10

10
I am dignosed with pilonidal sytus...Not experiencing any pain right now....Is the operation necessary?

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

11

11
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?

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

12

12
What is a pilonidal cyst?

What is a pilonidal cyst?

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

13

13
What treats pilonidal cyst?

What treats pilonidal cyst?

Surgery: The only treatment for pilonidal disease is surgery. There are numerous surgeries offered for this. Ultimately, it will be what your surgeon is most comfortable with and has done most often. ...Read more

14

14
Can u die from a pilonidal cyst?

Can u die from a pilonidal cyst?

Not likely: But if the infection is caused by invasive bacteria such as mrsa, it is possible. Seemingly trivial infections can turn into a life-threatening condition if not treated properly. See a surgeon for an opinion. ...Read more

15

15
What are the tests for pilonidal cyst?

What are the tests for pilonidal cyst?

None needed: It is a clinical diagnosis and does not need any lab tests. ...Read more

16

16
How do I get rid of a pilonidal dimple?

How do I get rid of a pilonidal dimple?

Surgery: There are numerous surgeries available. See a surgeon to discuss options. ...Read more

17

17
What should I do if my pilonidal cyst popped itself?

Pilonidal cyst: I would still have it checked as pilonidal cysts often recur. Surgical intervention may be warranted. ...Read more

18

18
How to treat a pilonidal cyst?

How to treat a pilonidal cyst?

Infected?: Abx will NOT cure a pilonidal cyst. They can help clear the infection and surrounding cellulitis that can occur when the cyst becomes infected.. ... but not the cyst itself. The cyst needs to be removed if bothering you. If not bothering you can be safely watched. ...Read more

20

20
Is removing a pilonidal cyst outpatient?

Is removing a pilonidal cyst outpatient?

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

22

22
Pilonidal cyst treatments?

Surgery: The only treatment for pilonidal disease is surgery. There are numerous surgeries offered for this. Ultimately, it will be what your surgeon is most comfortable with and has done most often. ...Read more

24

24
Might it be that a a pilonidal cyst bleed from withing the rectum?

Might it be that a a pilonidal cyst bleed from withing the rectum?

No: A pilonidal cyst is an ingrown hair of the skin over the midline at the coccyx bone. There is no relation to the rectum at all. If this is happening, the diagnosis is not a pilonidal cyst. ...Read more

25

25
Pilonidal dimple is getting deeper and has a discolouration. Should I be worried?

Pilonidal dimple is getting deeper and has a discolouration. Should I be worried?

Pilonidal: No, you should be worried when it hurts and you notice any discharge. ...Read more

26

26
What is pilonidal sinus?

Rectal infection: A blindcutaneus sac arising from rectal glands often tender and infected resolves with drainage or excision. ...Read more

27

27
Could pilonidal cyst hit nerve?

Could pilonidal cyst hit nerve?

No: Pilonidal cysts occur between the buttocks below the coccyx near the anus. They can cause intense pain and burning but only local small nerves are in that area not big nerves. ...Read more

28

28
Could I live with pilonidal cyst?

Could I live with pilonidal cyst?

Yes: Pilonidal cysts can be painful, become infected, drain purulent fluid or blood. Thay can be treated with antibiotics when infected. They can be removed with surgery. Should you so choose, you can keep your pilonidal cyst and deal with any problems they cause you. ...Read more

29

29
Can you pop your own pilonidal cyst?

Can you pop your own pilonidal cyst?

Yes; not recommended: You can. It increases the chance of getting a worse infection and worse scarring after healing. See your doctor and let them help in your care. ...Read more

30

30
What can I do about my pilonidal cyst?

What can I do about my pilonidal cyst?

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