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Doctor insights on: Pilonidal Cyst

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Dr. Allen Kamrava
217 Doctors shared insights

Pilonidal Cyst (Overview)

A pus-filled abscess or sore that develops in the skin over the tail bone. Treatment is draining out the cyst.


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How does pilonidal cyst drainage and surgery work?

How does pilonidal cyst drainage and surgery work?

It depends: All pilonidal cysts are infected to a degree. When there is redness and pus drainage is done. Whe the infection is controlled wide excision is done. Either method carry a 30% recurrence rate. ...Read more

Dr. Allen Kamrava
217 Doctors shared insights

Pilonidal Cyst (Overview)

A pus-filled abscess or sore that develops in the skin over the tail bone. Treatment is draining out the cyst.


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Treating Ganglion Cysts (Checklist)

Use over-the-counter pain relievers like ibuprofen or naproxen
Daily
Try not to pop or squeeze the cyst
Once
If the cyst gets more painful, ask your doctor about possible drainage
Once
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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

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Can you surgically remove a pilonidal cyst?

Can you surgically remove a pilonidal cyst?

Yes.: There are several surgical approaches to pilonidal cyst removal. The classic approach left a large open wound which healed in over time; recurrence was lower, but wound care was a problem. Newer approaches focus on smaller wounds and primarily closed wounds. More extensive procedures with flaps are generally reserved in the us for more extensive or recurrent disease. ...Read more

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Mri to diagnose pilonidal cyst, how is this done?

Mri to diagnose pilonidal cyst, how is this done?

Surgically excised: A pilonidal cyst, also referred to as a pilonidal abscess, pilonidal sinus or sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. Sometimes, cyst is asymptomatic.
Treatment may include antibiotic therapy, hot compresses and application of depilatory creams.
In more severe cases, the cyst may need to be surgically excised. ...Read more

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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

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How do I know when my pilonidal cyst is infected?

How do I know when my pilonidal cyst is infected?

Pain: Pain, redness, are the main symptoms of infected pilonidal cyst. They might open up spontaneously with draining pus. ...Read more

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Best antibiotics for pilonidal cyst? What is the name of a sinus infection in the groin region caused by pilonidal cyst?

Best antibiotics for pilonidal cyst? What is the name of a sinus infection in the groin region caused by pilonidal cyst?

No one best: The best antibiotic depends on the organism. Often it is a skin related staph or strep. Consider I&D to get sample of pus with culture. Some would treat with Cephalexin or Trimethoprim-Sulfamethoxazole.
Cyst in groin, not pilonidal (only at base of spine).Groin cyst maybe ingrown hair, maybe hydradenitis suppurativa, requiring further eval and rx. ...Read more

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After researching I've found that I may have a pilonidal cyst but I have a white lump, not red, at the top of anus area. What's that mean?

After researching I've found that I may have a pilonidal cyst but I have a white lump, not red, at the top of anus area. What's that mean?

Is it draining: Drainage from the area is more a telltale sign than skin color. Pilonidal cysts generally hurt alot and drain foul smelling fluid when infected. Some can sit dormant and just hurt. They usually requiring surgery to get rid of them. ...Read more

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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

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What is the treatment for a pilonidal cyst?

What is the treatment for a pilonidal cyst?

Often surgery: Cysts with few symptoms may be treated conservatively, with shaving the area free of hair, and perhaps oral antibiotics for minor swelling. However, more symptomatic cysts usually require resection. Newer approaches favor smaller incisions, often off the midline, with closure of the wound for more rapid healing. Flap closure is usually reserved for complex or recurrent disease in the U.S. ...Read more

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Pilonidal cyst treatments?

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

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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

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Help! Need to know if there's a less painful way to get rid of pilonidal cyst?

Help! Need to know if there's a less painful way to get rid of 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

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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

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What is the risk of not having a pilonidal cyst removed? I've had one for 12 years and it does not provide much, if any, discomfort.

What is the risk of not having a pilonidal cyst removed? I've had one for 12 years and it does not provide much, if any, discomfort.

No risk: There is no risk of leaving a pilonidal cyst. However, they can gradually enlarge. Assuming it is not changing in size, the only reason to have these removed is from a purely cosmetic standpoint. ...Read more

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What should I do to prevent the pilonidal cyst come back after the surgery?

Good hygiene.: Keep the area clean, lose weight if needed, and avoid prolonged sitting. You might also want to shave the area regularly (or use hair removal products). Sometimes they recur anyway, no matter what you do; but the above will decrease the chances. ...Read more

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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

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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

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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

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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

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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

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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

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What are the tests for pilonidal cyst?

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

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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

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What should I do about pilonidal cyst?

See doctor: Pilonidal cyst can often be managed with local care- shaving hair in the area, occasional antibiotics if redness and swelling occur. Cysts with relatively few symptoms can "burn out" by age 40 or so; it is rare to see folks over 40 with pilonidal cyst symptoms! However, your doctor can help you determine what treatment is most appropriate for your situation. ...Read more

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What can I do about an pilonidal cyst?

What can I do about an pilonidal cyst?

Shave; have surgery: Uncomplicated cysts can often be managed with shaving the area. Dislodged hairs that work into the cyst cause the infection. Of course, some folks who aren't hairy have pilonidal cysts. If local swelling and pain occurs, infection is likely. Antibiotics can often treat the acute symptoms unless there is a frank abscess- that needs drainage. Recurrent symptoms usually require resection of the cyst. ...Read more

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What if a pilonidal cyst pops on it own?

That would be a: Fairly normal course of events for it to relieve the buildup of pressure from the infected material creating an exit pathway or sinus. Without treatment this scenario may often recur. ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more