Pilonidal Sinus

The pilonidal sinus is a small opening or tunnel located in the crest at the top of the buttocks. If it gets infected, it causes pain and discomfort near the tailbone, with some people requiring abscess drainage or sinus removal.

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Should pus and bloody discharge after pilonidal surgery be of concern?

Query: Hi doctor, I got pilonidal sinus surgery one month ago, and they stitched the surgical wound with internal stitches as well. Everything was going smooth until today when I noticed a bloody trace on my underwear. When I checked, I saw a hole close to the incision and some pus and blood discharge. I d...  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. I have seen both attached images (attachments removed to protect the patient’s identity). Unfortunately, this hole has reappeared. It means, despite all measures, some infections did occur and led to skin breakdown. This cannot always be prevented despite best efforts....  Read Full »

Had pilonidal sinus surgery before two months. Why is it bleeding now?

Query: Hi doctor,I am suffering from pilonidal sinus. I have been operated thrice in the last two years and the third operation has been successful. In the other two operations, the doctors left some of the sinus in. My main concern is that, it had been operated and healing well. It was stitched and the do...  Read Full »

Dr. Erioli Braholli

Answer: Hi, Welcome to icliniq.com. As a matter of fact, the worst thing of pilonidal sinus is that it can be repeated after treatment including surgery. Since you have been operated lately, I would recommend you to go through a cure of antibiotics as a first try. Because, it may be an infection of the wou...  Read Full »

What to do if pilonidal cyst surgery site has started bleeding?

Query: Hello doctor, I had a pilonidal cyst surgery done almost two months ago. I rubbed the area and it has started bleeding. What do I do?  Read Full »

Dr. Subhadeep Tripathy

Answer: Hi, Welcome to icliniq.com. Pilonidal cystectomy is the surgical removal of the pilonidal cyst. Some surgeons while operating on the pilonidal sinus, keep the surgical area open in order to heal with granulation tissue. Some surgeons decide to close the wound. In your case, it seems like the wound h...  Read Full »

Does a pilonidal sinus, when accidentally stabbed, get infected?

Query: Hi doctor, I am 26 years old. I have pilonidal sinus in the tailbone or top of the buttocks ever since I was a teenager. Me, my wife, and her dog went camping. Accidentally the dog stabbed the hole at the top of my buttocks, and the pilonidal sinus started bleeding. It has been a few hours, the blee...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from pilonidal sinus in the tailbone or top of your buttock and bleeding after being poked by the dog. A pilonidal sinus is a hole in the skin at the top of the buttock. It does not ne...  Read Full »

How can pilonidal cyst be treated?

Query: Hi doctor, I think I am having pilonidal sinus at my lower back just above the butt crack. It appeared a month ago and is a pea-sized bump oozing out pus-like substance. Please suggest medication to treat it early.  Read Full »

Dr. Srikanth Marla Chinthamani

Answer: Hello, Welcome to icliniq.com. Based on your history and the picture (attachment removed to protect the patient's identity), it appears you have pilonidal sinus with a granuloma. Can you give me a few more details? Do you have any fever or pain at the site? Because I would like to rule out any ab...  Read Full »

Why do I have two red spots at the site of pilonidal surgery?

Query: Hi doctor, Before a year, I did a pilonidal surgery with a cleft lift procedure. Before a week, I got a slight pain in the same region in my lower back and it was a pimple. It was just a small one filled with pus. I used some home remedies by making a paste with baking soda, aloe vera, turmeric, an...  Read Full »

Dr. Lalit Kumar Bansal

Answer: Hi,Welcome to icliniq.com.You have undergone surgery for pilonidal sinus before a year. Now you have some pimples on the same site. It can occur due to infection. Maintain local hygiene. Shave your hair present in that area. I suggest you take some medicines to have some relief.   Read Full »

What could be a painful pulp outside the ass crack?

Query: Hello doctor, I have a pulp just outside the ass crack which just originated today and it is painful.  Read Full »

Dr. Aditya Jalan

Answer: Hello, Welcome to icliniq.com. I went through your question. It seems from the picture that you should be having severe pain (attachment removed to protect identity). This can be the result of thrombosed hemorrhoids, perianal fistula, or a pilonidal sinus. Still, to guide you better I need a few...  Read Full »

Do white pus at the end of tail bone suggest infection?

Query: Hi doctor, I am a 20-year-old male. A few months ago I noticed a small lump on my skin directly on my tailbone. I picked it and it formed into a small dent. I did not think anything of it but for the past one week the same dent has become inflamed on the outer edge and extremely painful to touch. I...  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. From your description, you could be suffering from a pilonidal sinus or cyst. Color of pus, yellow or white is not of great concern. What can be concerning is a large amount of pus. Kindly try to quantify it, may be in drops or teaspoon measures. It is a disease of young ...  Read Full »

Is it mandatory to get surgery immediately for pilonidal sinus?

Query: Hello doctor, I have a pilonidal sinus, that is 20 mm long. I consulted the surgeon and he suggested surgery. Is it mandatory to get the surgery done now itself or can I wait for three to four months?  Read Full »

Dr. Madhav Tiwari

Answer: Hello, Welcome to icliniq.com. A pilonidal sinus is more common among men who: 1. Have more hard body hair. 2. Have long working hours (sitting down). 3. Obese. Unfortunately, surgery is the best option for you in going forward. However, as the recovery period can be a lengthy one, you may hol...  Read Full »

Is surgery the only option to cure pilonidal sinus?

Query: Hello doctor,I am a 26-year-old male. I have a sitting job (mostly eight to 10 hours a day with no exercise). I was diagnosed with pilonidal sinus a few months ago and was suggested a surgery. As it comes with a long recovery time, I never opted for it. One of the doctors suggested that I just live ...  Read Full »

Dr. Datta Ram. U

Answer: Hello, Welcome to icliniq.com. I have gone through the clinical images (attachment removed to protect patient identity). The reason why this occurs is elusive, although many hypothetical explanations are given. Surgery is the best and only curative option. The wound can be closed without any pr...  Read Full »

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