Q. Painful boil occurred at the site of pilonidal surgery. Is this recurrence of the same?
Hello doctor,
I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well.
Hello,
Welcome to icliniq.com.
Do not worry. I will help you with your problem.
As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine.
Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies.
Treatment plan:
Sitz bath in luke water with Betadine twice a day,
tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days.
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