Pilonidal Cyst What The Heck Is That

A Pilonidal Cyst is something I had never heard of. Not until my 18 year old son developed one. I don't believe I have ever seen anything quite like it.

A Pilonidal Cyst is a cyst that forms most commonly on the tailbone area at the top or near the top of the cleft of the buttocks, or the " butt crack". Most doctors believe that the Pilonidal Cyst is caused by an ingrown hair and then becomes infected. Some doctors think a Pilonidal Cyst is a direct result of the human tail that is seen during fetal development in conjunction with the development of the spine. This "tail" is supposed to detach and disappear once the spine is done developing. Sometimes this "tail" doesn't do these things and can develop into a Pilonidal Cyst. Another theory is that some sort of injury of the sacrococcygeal area, the area that includes the sacrum or the lower vertebrae and the coccyx or the tailbone can cause these cysts to occur. Some babies are born with a Pilonidal Dimple which is not the same thing as a Pilonidal Cyst and rarely turn into a cyst. The causes of this cyst are still being looked at.

Pilonidal Cysts are more often seen in men than in women. Usually they show up between the ages of 15 and 24 with very rare occurrences after the age of 40.

Symptoms of Pilonidal Cysts

My son started to complain about his butt hurting and I told him he probably had a pimple or something and it would go away. I hadn't looked because I don't regularly look at my 18 year old sons butt. Haven't seen it since he was 6 or so. After a week went by he woke up on Tuesday morning of this week with blood and pus everywhere, I had to take a look. What I saw stunned me. I don't think I can explain my thoughts any other way as to what I was looking at. After I got it cleaned up I was met with the most shocking thing I do believe I have ever seen, and I don't mean in pictures. This was real life.

My son had two small holes in his skin. There was no flesh of any kind within the holes. And they were deep. My mouth dropped open and I think I muttered, " Oh my God". Albeit I was looking into darkness, I later learned I was looking into a cavity within my son's body. I need to say it again, " Oh my God". The 2nd thing that ran through my mind was, " flesh eating virus". Now my heart was pounding and my stomach was jumping.

The symptoms of Pilonidal Cysts are:

  • Pain
  • Localized swelling
  • Reddening of the skin
  • Drainage of pus and blood from an opening of the skin which is called a Pilonidal Sinus
  • Hair protruding from the Pilonidal Sinus
  • Fever ( although it's rare)
  • Foul Smell from the draining pus

The Pilonidal Sinus looks like a channel or tunnel below the surface of the skin that connects the cyst to the opening on the surface of the skin.

Causes and Risks

The cause of Pilonidal Cysts are varying and still being looked into. Some doctors think it is due to inactivity or sitting improperly and others think it's an ingrown hair that the body attacks and forms a cyst around. Others think the human tail that forms with spinal formation during gestation and fails to absorb or disappear once the spine is formed is the cause.

Mayo Clinic gives these risk factors:

  • Obesity
  • Inactive lifestyle
  • Occupation or sports that require sitting
  • Excess body hair
  • Stiff or coarse hair
  • Poor hygiene
  • Excess sweating

My son has a few of these such as excessive sitting, excess body hair ( he is a hairy guy), and stiff or coarse hair. So do I think his human tail didn't absorb during gestation, or do I think he plays to many video games sitting on his butt? Well he does play and sit on his butt to much like most teenagers these days. Do I think that's the cause? I just don't know. What I do know is that it must be fixed. My son is having pain and I don't care for that.


Treatments

The first thing to know is that antibiotics will not heal a Pilonidal Cyst, it will only treat the infection. Once a cavity is opened it will not close again without some type of medical intervention. At least that is how I interpret the information I have been pouring over since my son saw the doctor.

One treatment is incision and drainage.The area around the cyst is numbed with a local anesthetic and the doctor makes an incision to drain and clean the cyst. The wound is then packed with dressing so it can heal from the inside out.

Another treatment is surgery. This procedure is necessary if you have recurring infection of the cyst or have one or more of the sinus passages open.

All your options should be discussed with your doctor to find out which treatment is the right one for you. Postoperative care is extremely important and you will have detailed instructions from you doctor on that care.

Preventions

Mayo Clinic offers these tips on helping prevent the reinfection of you Pilonidal Cyst.

  • Remove any hair from this area on a regular basis. Shaving or depilatory creams work well in this area. Laser treatments for hair growth also seem to help.
  • Clean the area daily with glycerin soap because it's less irritating to the skin. Rinse all soap residue off the area. Once the area is healed and no longer sore, washing the area briskly with a washcloth also helps keep the area free of hair.
  • Keep the area clean and dry. Don't use powders, oils, or herbal remedies in this area.
  • Avoid sitting for long periods of time.

I will certainly be hounding my kid to get up off his butt a bit more often. Although with the pain he is in I do believe he will do anything to prevent this from happening again.

We Go See The Surgeon

My son has been on his antibiotic for a day and a half and already his infection looks like it's healing. He is on some strong antibiotic, taking 875 mg twice a day. When he gets close to done with his medicine we will be going to the surgeons to see what he has to say about getting this deal fixed. Hopefully we will be fixing my son right up very soon. I hate seeing him in pain like this.

I hope this has helped others who are experience something going on in the " behind " region. I had never heard of Pilonidal Cysts before and found it most interesting and wanted to pass it along.

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Comments 219 comments

Jen's Solitude profile image

Jen's Solitude 6 years ago from Delaware

Wow fishtiger that is enough to scare a person to death! Sorry your son is in so much pain but glad you were able to get the medication he needs. Keep us posted I am interested in the outcome. Thanks for providing this info. I had no idea this could occur.


Sandyspider profile image

Sandyspider 6 years ago from Wisconsin, USA

Oh that must have been real painful.


Hello, hello, profile image

Hello, hello, 6 years ago from London, UK

What all can happened to us? I have never heard of it. Thank you for the information.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Jen; I will certainly add to this hub as I get more information on my son. He will be ok I'm just glad we know what it is. Thanks for viewing my hub.

Sandyspider: Ya he is hurting a bit but if he stays off his butt the pain subsides. Thanks for viewing my hub.

Hello,Hello: I know what you mean I had never heard of it either. It's a stunning sight. Thanks so much for reading my hub.


Madison22 profile image

Madison22 6 years ago from NYC

Fishtiger, I could imagine how scared and concerned you were at first, especially as a parent. So glad your son is better now. And thank you for such an informative hub, I never knew of such a cyst till now.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Hi Madison I didn't either, I am somewhat relieved it's not life threatening but it still needs surgery which makes me nervous but we will get through it. Thanks so much for viewing my hub.


Nell Rose profile image

Nell Rose 6 years ago from England

Hiya, thanks for this I have never heard of it before. But the funny thing is that I have had a friend for years who always said she was born with ' a hole at the bottom of her spine that caused her trouble sometimes' maybe it was this. she never said. I don't think she really knew as she was very young, at the time. thanks nell


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Ya she should get it checked out. Apparently after the age of 40 they won't bother you anymore, but if there are open holes they need to be fixed. Thanks for viewing Nell.


wrenfrost56 profile image

wrenfrost56 6 years ago from U.K.

Thank-you for covering such an important issue, it was one I had never heard of before but thanks to this informative hub, I am much more aware.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

You are so welcome wrenfrost I have never heard of it either, thanks so much for reading.


Lady_E profile image

Lady_E 6 years ago from London, UK

I've never heard of it before. Thanks for raising awareness. I hope your son's treatment works quickly and he has a complete recovery. Best Wishes.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks Lady E I hope so too we will see the surgeon probably next week. Thanks so much for reading my hub.


mhuze profile image

mhuze 6 years ago from USA

Ouch! Looks painful!

I'm glad your son is better!


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks so much mhuze for reading my hub. He has an appointment next week with the surgeon I hope everything goes well.


mulberry1 profile image

mulberry1 6 years ago

Wow, I had never heard of this. I had an ingrown hair once and a cyst due to that. (It was on my tummy acutally, and no, I don't have coarse hair on my tummy) But it was quite small and certainly there was no pus or a hole allowing you to stare into my body cavities. Yikes, I would have freaked out! Good info. to share. Hope your son is feeling better.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks so much mulberry he is much better but still waiting to see the surgeon to see what he has to say. The Pilonidal cyst is only in that one area of the buttocks. Thanks so much for reading my hub.


habee profile image

habee 6 years ago from Georgia

Great info! My hubby one as a teen.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks habee and yes they mostly show up between the ages of 15 and 24 my son is having surgery on his Friday April 30, my poor baby.


Miss Nasreen profile image

Miss Nasreen 6 years ago

Great I think I have no words


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

LOL thanks Miss Nasreen


Siddharth 6 years ago

Ohh, it is so painfull


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks Siddharth he is so much better know that he has surgery.


adrienne2 profile image

adrienne2 6 years ago from Atlanta

Hi Fishtiger I found you over on RedGage. I never even heard of this type of Cyst. Thanks for sharing your experience with your son. Great hub!


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks adrienne2 for reading my hub, and my son is doing quite well after his surgery thankfully.


Ellie 6 years ago

I'm a 17 year old female. I am pretty sire I have a pilonidal cyst about the size of a large marble. It only hurts and leaks every several month and I think I have had it for about 3 years. Do you know if these cysts ever get worse or larger? Do you think I should see a doctor if I can handle the very slight pain just fine?


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

My son's doc said it will just continue to reinfect if not fixed. But you need to talk to your parents and have them take you to a doctor as I am neither your doctor or parent. Good luck.


edguider profile image

edguider 6 years ago

Yea, that looks very painful :(


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

It was for him but thankfully much better now thanks edguider, the only thing he is not happy about is keeping the area clear of hair. LOL.


Hemant Dua 6 years ago

I had my surgery Last year May 29th, 2009

I had it for 6 months before I got it diagnosed and excised.

The only difficult part is post operative care and regular depilation. Painkillers do the job in killing pain well for the first 4 weeks after surgery. Antibiotics also cleared my pimples(An added plus point).

Goodluck to your son :)

Regards from India.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks Hemant


Manchester, UK 6 years ago

Hi,

I had this myself approximately 8 years ago when I was 21ish - it literally is a pain in the arse!

I had the symptoms(which were severe itching and discomfort!) for about 12 months before I could be operated on (due to the then hospital waiting lists). The operation was a success, but the healing process is a lenghty one - it took about 4 months to heal. This is because the surgeon had to dick 4 inches in my back to remove everything - with hindsight I should have booked to go private since that 4 inches would have been considerably less had I been operated on earlier. My advice to anyone would be to have the operation ASAP!

I've been fine since, no real issues - I have one friend though who hasn't made a full recovery and can no longer do sports or anything like that - even working is difficult for him due to the discomfort he has for sitting too long.

Good article this.

Cheers from Manchester - England - UK


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thankfully my son recovered in about a week, but he had his surgery within weeks of his diagnosis.


Cecilia 6 years ago

Hi, I am 32 and had 3 ops already the last one only half a year ago, I am less thank 2 weeks away from my wedding and guess what? It came back again. My wedding is aborad, my flight is in 2 days away and I can not sit on my bum... started antibiotics a day and a half ago but no good only bad development. Can you let me know, what the antibiotics is called, what you used for your son?

Thank you


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

He was given amoxicillan which is a type of penicillin. It worked wonders for him. Maybe you can get a donut type cushion to sit on while on your flight. Hope this helps Cecilia.


eater 6 years ago

i have one of those,it hurts really bad! my doctor says that if I got surgery it doesn't not garanty that


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Yes eater my son's surgeon said he could get it fixed but it could still come back. Thanks and hope you feel better soon.


Jonathon V 6 years ago

Hi,

In a way, I'm glad to see that I am not alone. I'm only 16 and I had 6 small holes on my backside running down the middle. I found out what it was 4 months ago thanks to this hub. I had surgery and it was left as an open wound. You can just imagine how large a wound 6 openings can create. It has barely closed, and after visiting the surgeon for a checkup he found a new hole below my wound.

The surgeon didn't say it.. but I know I will need more surgery after the open wound heals.. Over these months I have not been able sit or walk for more than 10 minutes. I feel fed up, scared, and depressed. I hope your son is alright. Please keep me in your thoughts as well.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

I hope everything can be fixed for you Jonathon. My son had surgery as well but he had a closed wound and was feeling better in about 3 days. Maybe you and your parents should ask about a closed wound surgery. I will keep you in my thoughts and prayers. Good luck to you.


joan perkins 6 years ago

In 1968, I formed a pilonidal cyst. If you have never had a cyst like this one thank God for that. This formed as a red spot on the buttocks and formed into an abcess. Had to go to the emergency room and have it drainrd. Had it removed for Christmas of 1968. Had to only have one surgery. Every now and then a little pus will form, but will only last a day or two. I can live with that.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

You are lucky Joan some people form more even after surgery. My son is so far good, but he needs to keep the hair off his butt or the chances of reoccurance is greater.Thanks for reading my hub.


angeles 6 years ago

Hi Fishtiger, i am facing similar kind of problem, but its like have not much pain, but if i sit for longer periods, i am facing this problem, when i clean it up with tissue, it has puss and blood...after some 1 month of struggle with care(warm water bath, regular obervation)it dissappears, but it will reappear after 1 month or so if i have to sit for longer periods....how should i be dealing with this, should i go ahead and consult a doctor, whom should i consult...please suggest me....thanks


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks angeles I would see a doctor.


RTalloni profile image

RTalloni 6 years ago from the short journey

Whoa. I'm thankful your son is doing so well. A friend is having a problem and I wonder...

So many people with this problem. Jonathan, hang in there!!!

The comments are interesting--Manchester UK perhaps had the most interesting:

"I had the symptoms(which were severe itching and discomfort!) for about 12 months before I could be operated on (due to the then hospital waiting lists)."

I have to ask, what makes us think we want socialized medicine!?!


tara 6 years ago

Hi, i have had this Pilonidal Cyst twice now first time in high school, second time i was in my early 20's, and now this will be my third time and i am now 34...been to doctors already but it's still in it's first stages, there is a lil drainage, but right now it's a sinus, (that's the begining stage i am talking about) and she told me theres nothing they can do until its fully into a the cyst, which sucks because it's sore, it heals then re opens again, so i am waiting for it to turn into the thing im regretting the most, because i really don't want to have surgery for my tail bone yet again, pretty soon i won't have a tail bone left lol.. but the doctor told me to put polysporn on it for now..not sure what that will do but i guess i'll have to give it a try.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

No kidding RTalloni I have to agree with you, my son had surgery withing a week of getting his diagnosis. Thanks for reading my hub.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Hi tara I am so sorry you are having this problem, I sure wish they could fix this once and it would be the end. My son's doc also said it can reoccur but I'm hoping for his sake it won't. He also said that usually by the age of 40 this problem will be over, why I really don't know. Antibiotics helped my son immensely but he was infected. I do hope everything goes well for you and I do understand that not wanting to have surgery anymore. Take care tara.


HotPinkEmt 6 years ago

I had one of these last fall. I had no idea what it was. I was putting boil ease and heat on the area and that made it easier to sit or lay down to sleep. About 2 weeks later, I was at work in the bathroom and it exploded. It took a month for it to heal. I now pay extra close attention when showering and no longer sit for extended periods of time.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Keep the area real clean HotPinkEmt and while it's not there clean with rubbing alcohol seems to keep it at bay.Thanks for reading my hub.


ABCMom 6 years ago

Thank you for all the information (not the topic of many conversations!). My 17 yr old daughter is lying in a hospital bed beside me. About a year ago she began complaining of the same symptoms as your son. We went to the local doctor, who lanced the cyst, and that was that. Then just a few weeks ago the area began bleeding and was sore. this time we were referred to a surgeon. Last Thursday she had an operation to "remove the sac inside the cyst". Oh MY GOD....the wound is the size of my hand, and deep (right to the bone). She began to bleed excessively last Friday and was rushed in by ambulance to a much larger hospital. We are now in the Golisano Childrens hospital in Syracuse, NY (where we have been since last Friday) Special surgeons and plastic surgeons have been called in and she will undergo another surgery within the week. I am now doing my research on the subject..maybe if I had earlier she wouldn't have to go through so much. Again thank you for the info...as a Mom you know that when your baby(at any age) hurts, you hurt. It comforting to know we are not alone.


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks ABCmom I hope they can get this all fixed for your daughter, my son has been doing well since his surgery, he had a closed wound surgery,I have heard the open wound surgery is a much longer recovery time. Good luck to your daughter.


sockyee profile image

sockyee 6 years ago from Singapore, Malaysia

Oh no, that must be really painful. Just can't imagine what will it be or like? Is there any way to prevent it in the first place?


fishtiger58 profile image

fishtiger58 6 years ago from Momence, Illinois Author

Thanks sockyee and I don't think there is any way to prevent it.


wellwellwell346 5 years ago

I have had one for nearly a year now, the last time it drained was at least 5months ago as i could feel a lump in my right cheek but now the lump has gone and the leaking has stopped, ive been more active going for walks and such and have noticed a difference! As for the area itself no iritation or pain when i sit or stand so i can only hope for the best that the problem has gone! i was reading and reading but i could not find anything on when a cyst heals naturally, or goes naturally.


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

Thanks for the comment wellwellwell, I don't think it does go away naturally, that's what my son's surgeon says. I think his is coming back and he had surgery 7 months ago.


wellwellwell346 5 years ago

Well after seeing my specialist before rushing to any conclusions he was impressed that the swelling and irritation went down! he said that if it was not causing any problems there was not any need to have surgery that might worsen the whole situation! Oh and i forgot to mention in the comment before that i have been keeping the area clean!! And if you are hersuit (hairy) the other option of prevention is hair removal as some believe it is caused by this!! I hope i helped!!


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

Yes wellwellwell that is what the surgeon said as well, to keep it clear of hair and keep it clean, my son is very hairy, I am happy you don't need the surgery and good luck with yours. My son's was all infected and yucky so he did end up with surgery, right now it looks pretty good but there is a new pilonidal sinus tract or hole, I feel so bad from him. Thankfully he is not infected or hurting so we are just waiting to see how it goes for him.


Mike 1991 5 years ago

hi, im 19. i think i have the worst skin you could possibly think of. i have had a few sists but never looked into it too much until i got this one right at the top of my butt. i cant sit back, i need to lean forward. i cant sleep for more than a few hours at a time. my mom thought it was just a massive zit or something because i have trac acne on my lower back. thanks to this i know what it is and i am going in to have it looked at as soon as i can. and what really sucks is i swear im 75% ape... i have hair from head to toe all over my body.. i know i didn't have any issues until one day i decides to shave my ass. lol, regretting that now because i never had a problem till i did...


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

Thanks for reading my hub Mike, if you do end up with surgery your surgeon will tell you to keep the area free of hair after you heal. I'm glad my hub has helped you in some small way. Have you seen a hole at the very top of your butt crack? In any case I'm not a doctor but it does sound like you have a pilonidal cyst and it really should be looked at glad you are going to go to the doctor.


Mike 1991 5 years ago

not yet... i wish it would just pop. i thought it was just one of theese deep boil/zits that i get so i had been trying to pop it which definatly irritated it so its just been getting worse fast. i had a sist under my armpit about 3 or 4 years ago that was doing the same thing. couldn't move my arm without it hurting. i had it checked out and they didn't have to drain it or anything and since it poped ive been fine ever since. now ive always played my fair share of video games... i dont know why its showing up now and not a few years ago ...


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

As I said in my hub the cysts show up usually between the ages of 15 and 24 and you are right in the middle of that, my son is also 19, the doctors just don't know why they show up or what causes them. Good luck Mike I truly feel for you.


Mike 1991 5 years ago

that has got to be the most painfull thing ive had to go through in a long time... now put your thumbs and your index fingers together in a circle. thats how big my cyst was. the doc told me it was bcuz i shaved... i dont think ill be doing anymore manscaping... lol. was also told im going to need to go in for the surgery at some point but hopefully it'll heal good for now. im glad you made this page explaining everything. not one thing the doc told me that i didn't already know. thank you :)


coolbreeze profile image

coolbreeze 5 years ago from Hawaii

Great Hub! I worked in surgery for 25 years and I cant make hubs with this sort enthusiasm.


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

Thanks coolbreeze for reading my hub.


CindyLynn 5 years ago

Thank you so much for the article. My son had his rupture in school. We thought it was a puncture wound. It seemed to heal and weeks it became sore, so we took him to the doctor. He has no infection, so we are scheduled with a surgeon next week. Thanks for the information on what to expect.


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

You are so welcome CindyLynn hope all goes well for your son.


AK 5 years ago

Hi there- I had a pilonidal cyst removed about two years ago. The wound was large, and I required the use of a wound vac to help it to heal. The removal of the wound vac multiple times a week was excruciatingly painful. I tried to take pain meds, but they didn't help, and in fact, just made me constipated, so I stopped taking them. I highly recommend the use of a "tush cush" type of cushion for daily sitting- the donut/hemmerhoid type cushions just pushed the wound, and hurt. The tush cush type of cushion has a cut-out closer to the actual wound.

I hope your son feels better soon!


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

Thanks for reading my hub, glad to hear you are doing well.


PhillyGirl79 5 years ago

I am 31 and currently experiencing either my second or third cyst. I always assumed they were bad pimples, but this one is the worst by far. it is roughly the circumference of a toilet paper tube, and EVERYTHING is painful. Sitting, walking, laying (I haven't slept through the night in at least a week)... On Thursday, my doctor said it will usually go away on its own, and to help it along by taking warm baths, and if necessary, it may respond to antibiotics. Well, about an hour ago, I thought the cat must have had a tummy ache and did some bad business in his litter box, but the smell followed me. I decided to check my pants because although I don't remember it smelling bad before, I knew from the research I did last week that it would have an obscene odor. Sure enough, that s.o.b. had FINALLY exploded. It was seeping, and at some points gushing... I have gone through probably half a box of baby wipes in the past hour, and three cotton balls. smh. It is probably the single most disgusting thing in the entire universe. It smells like a dirty diaper and it an ugly mix of red and pink (blood) and white/yellow/green puss. *puke* It still hurts like hell and is still draining, but OMG, it is SO much better than it was 2 hours ago.


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

If it's that big, I'm not a doctor, but I don't think it will go away. I would go get it checked out again. Hope this helps. Thanks Phillygirl.


fisheti 5 years ago

My son who is 18 had been complaining about his tailbone hurting and being that he was a skateboarder i thought he had just had too many falls. Tonite he asked me to looke at his behind which was probably hardest thing for him to do. I knew it must be bad. I had never seen anything like it, and though I din't look at it real close he state dthat he that it had pus coming out of it. I am going to take him to the doc on momnday. Is normal procedure to take antbiotics and THEN have a surgical treatment? This is something I have never encountered or heard about. I was so glad I found your hub.


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

Thanks fisheti for reading my hub I'm glad you found it too. My son's cyst was infected so the doc wanted that cleared up first, then if there is a pilonidal sinus which means a hole the only way to fix it is surgery, although they can come back. So taking you son to the docs is the best thing you can do right now and then your doc will advise you as to what steps need to be taken. Good luck to your son.


stephosz 5 years ago

My son had one exactly like your son's. He was about 18 when he had his. He had his for about 6 months going to the doctor every so often to have it drained and cleaned. The doctor finally did an outpatient procedure where he removed the cyst by cutting it out and packing the area. This is gross but there was a long ingrown hair in the cyst. He was very sore for days but has been fine now for 6 years. These things are pretty common I guess.


fishtiger58 profile image

fishtiger58 5 years ago from Momence, Illinois Author

Thanks stephosz, glad you son is doing well, it looks like my son's cyst is coming back, almost a year after surgery.


Shauna 5 years ago

hi ive had a pilonidal sinus five times over the last four years they are very painful! ive had it drained, drained and excised, stiched, excised again and excised again after all that i thought it was finally gone and it kinda is augest last year i got the pain again and i thought no not again so i waited for a week or two there was not swelling or anything just a bit red and it just opened on its own so i went to the hosptial and they said it would heal up on its own so i said great at least no operation!! this went on for months and i was in pain so i kept going back to see my sergron and ahain they just kept saying it will heal up it got to the point where i snapped and said something had to be done but they said theres not much to do because the skin was so fragile so since augest if bein in and out every week to get it dressed im actually waiting to see my sergron again on tuesday i might have to have the surgery after all... for something so small (but not small at all) it causes so much pain and takes over your life i wish it would just go away!!!


Gege 5 years ago

I was sitting here reading your story on your son and I know exactly how he feels. I have had a pilondial cyst operated on 4 times and looks like I will need to go for round 5. I am a 46 yr old woman and I am getting pretty tired of having this area cut open. I have been told by doctors that they don't think it will ever heal properly because of it's location. So I go to see a specialist in a couple of weeks and I will keep you posted.


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fishtiger58 5 years ago from Momence, Illinois Author

I am so sorry to hear this Shauna I think my son is also getting a reoccurance of his cyst, he is not happy, hope things work out for you.


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fishtiger58 5 years ago from Momence, Illinois Author

I wish the doctors could figure out what's up with this and fix it once and for all, I don't want my son to have to go through this again but it looks like he may, thanks for reading Gege and yes let me know what happens.


Mandy 5 years ago

fishtiger58 - I JUST got out of the hospital for the exact same thing. Nice big hole in my tailbone and looking at an 8 week recovery... I feel SO bad for ANYONE who ever has to go through this excrutiating pain


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fishtiger58 5 years ago from Momence, Illinois Author

I do too Mandy, I wish they could fix this mess instead of putting people through surgery after surgery, thanks for reading my hub.


Help please 5 years ago

Ok. I am 23 years old and this happened to me when I was 21 i went to the doctor and they lanced it and packed it to heal from the inside out it completely healed and was gone for exactly one year to the day and returned but never got swollen or hurt it just leaked directly out so I thought it would go away but I have had it for six months and am scared to go to a doctor why won't it heal ? :(


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fishtiger58 5 years ago from Momence, Illinois Author

So sorry to hear this Help Please, I think my son's is coming back too, the doc told us that reoccurance is quite common. Better get it checked.


Concerned Mama 5 years ago

Fishtiger~I've been looking online for info and came upon your hub first. I believe I will look no further. My 12 year old son has been complaining of pain in his tailbone area on and off for around 2 weeks. I assumed it was either a pimple or maybe pain from wrestling/rough housing. It has been 2 weeks now and he still complains of sitting on certain chairs, in certain positions, and riding in the car. This has left me clueless. After reading your hub he fits into every single category listed. Although he's only 12, he is 5'9" and 200lbs. I looked at the upper area of his bottom, just above his "crack" and didn't see anything at all. Is this the location of where the cyst is or is it lower? Is there a way to describe what it may possibly look like? I just called his doctor and have him scheduled in a few days. How do they diagnose this cyst? Xray? I read of the antibiotics but what did they give your son for pain? I've given my son OTC ibuprofen and/or tylenol but it doesn't seem to ease the pain. Thank you for posting this info and opening my eyes.


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fishtiger58 5 years ago from Momence, Illinois Author

Hi Concerned Mama, my son had two holes just below the top of his butt crack, in the butt crack. They were open holes once I got them cleaned up of blood and pus. My son was given antibiotics because he already had the holes in his skin and they were infected. When I looked into the holes I saw darkness but later learned I was looking into his body. Inside his body is what I mean. But it was just dark. As for pain he just took ibuprofen. I believe the cysts themselves are actually under the skin, you can't see them, only the sinus tracts they leave behind so to speak. As for diagnosis he bent over, the doc took about a 5 second look and knew right away what my son's problem was. No xray or anything like that. However if your son has no outward sign yet, I am not sure how they know what it is. That will be up to your son's doc to figure out. I sure hope you son can be helped.


sergo 5 years ago

so if u have holes already you really need surgery right plz help........i have 2 holes but i dnt have no pain at all


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fishtiger58 5 years ago from Momence, Illinois Author

Hi sergo, my son's surgeon said that's the only way to repair the holes. I advise you to go see your doctor, hope everything goes well.


sergio 5 years ago

how long did it take to heal after surgery thank you for your help


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fishtiger58 5 years ago from Momence, Illinois Author

Hi sergio, my son was feeling better after about 4 days, but to fully heal it was like 2 weeks.


Emmanuel 4 years ago

I had a surgery 5mooth ago coz i broke my ankle and had a large wound which heals very slow but suprisingly when the healing proceds another wound developed on the same spot and pus wont stope i have started using mebo cream past 4days but i dont know .Plz help me


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fishtiger58 4 years ago from Momence, Illinois Author

Hi Emmanuel, I would go back to the doctors. Good luck


John Garrod 4 years ago

The doctor told me had a pilonidal cyst about 2 months ago. All I can say is, JEEZ! I have never experienced such pain and discomfort in my life! And I've broken my arm!

So, consigned to sitting on my chair all day, I was glad when I found http://www.pilonidalcystadvice.com

Saved me hours of research.

I just pray that it never comes back!


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fishtiger58 4 years ago from Momence, Illinois Author

Glad to hear you got the help you needed John I hope it doesn't come back on you.


Tina 4 years ago

sorry to hear that......and i have gone through it also and i am only 16, i just had surgery it wasn't painful at all....and dressing isn't painful also till you get a nurse who could really make it hurt...But good luck! Hope your son gets better!


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks Tina glad to hear you are doing well.


guest 4 years ago

I had a pilonidal cyst nearly 3 years ago, had it drained and 2 weeks later it had returned and had to go through the op again, 3 years on and it has come back again. Cant believe it really thought that would have been the end of it. i am currently on antibiotics but this never worked for me before hence the surgey. Have been on them for 2 days and no improvement. The only thing that they docs say is likely to cure it completely is to have a wide excision which means having the whole area cut out and left open which means getting it dressed daily for 3 - 4 months not good when ive just started a new job and am still on probabtion.


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fishtiger58 4 years ago from Momence, Illinois Author

wow that's awful guest, I wish they could get this problem fixed once and for all. Good luck


Questions 4 years ago

Hi I have a friend who has this problem and I was wondering is it good to shave the area where it's likely to occur, I feel like that would just make it easier for the hair to get forced into the skin?


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fishtiger58 4 years ago from Momence, Illinois Author

Yes Questions, my son's doc said to keep the area clear of hair. Thanks for reading my hub and hope this has helped.


princess 4 years ago

Hi, I had the pilonidal cyst when I just turned 18 and I had it drained. I'm 19 now and its almost been 2 years since then and it came back. I'm seeing the doctor next week to have it checked out again. Do you know if it attacks the nervous system also because my whole right leg goes numb and then hurts afterwards and this also happened the first time.


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fishtiger58 4 years ago from Momence, Illinois Author

I am not a doctor princess and I would definitely ask the doctor about that, my son didn't mention any of that. Much good luck to you.


princess 4 years ago

Okay, thanks


David 4 years ago

Go to pilonidal.org and look up a surgeon near you who offers the modern procedures for this disease. They are called pit picking and cleft lift. They offer rapid recoveries and minimal discomfort. I assure you this is the best website for anyone dealing with this disease. It changed my life.


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fishtiger58 4 years ago from Momence, Illinois Author

Oh wow thanks David, I haven't heard of this site, will check it out. Thanks for reading my hub.


grayhorse 4 years ago

fishtiger,I've been dealing with the same problem for about ten yrs now.What I have noticed paying attention to my diet, chocolate really seems to set it off.I started staying away from chocolate and it subsided. You might want to keep track of his diet and see if there is anything that he is eating that is setting it off for your son.Mine has all but gone away as long as I stay away from the fudge and chocolate. I hope this helps!


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fishtiger58 4 years ago from Momence, Illinois Author

wow no kidding grayhorse, this is a side no one has ever mentioned, I will ask him to cut out chocolate and see if that works for him, thanks so much


elie 4 years ago

i had 2 small holes and been drained and packed and had inflamtory anthebiotics every 4 5 month its drain a little blood any solution other than operating

i hVE no pain only this issnue every 5 month


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks for reading my hub elie, my son's doc said once you have the holes there is no other solution except surgery. Good luck to you.


elie 4 years ago

in case the cyst was not treated does anyone have the idea what wld happen?


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fishtiger58 4 years ago from Momence, Illinois Author

I think but am not positive, the cyst would keep reinfecting. Thanks elie.


healingsniper 4 years ago

whts the purpose of 1st opp if it will reccure did anyone tried phenol injection or polyphenol i heard they hve w very hight potentiol of success


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fishtiger58 4 years ago from Momence, Illinois Author

I haven't heard of that healingsniper, my son's doc said if you didn't get it closed up it would reinfect. That's really all I know. Thanks for reading my hub.


Ray 4 years ago

I was told back maybe 10 years ago that I had a cist it didn't bother me for about 5 years then it did for a year nothing for a while now its bothering me a lot. Lots of puss and drainage daily.


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fishtiger58 4 years ago from Momence, Illinois Author

I think the docs just don't know that much about them, they seem to have trouble treating them, and everyone is different. Thanks Ray


Vicky 4 years ago

Well I got this terrible problem about a year ago. After antibiotics to calm it down, it would still discomfort me every now and then with pus and blood coming out from my butt area! I don't even want to go into the horror details. Doctors will only recommend surgery after antibiotics as they themselves do not understand pilonidal sinus! But study shows surgery has a recurrence probabilities because it does not 'cure' the root of the problem. See pilonidal sinus is your body trying to message you that something is wrong or imbalanced in your body.

After suffering so much with it that I wished I was better off dead instead, I made a commitment not to give up against it. I changed my diet to more fresh foods. And opted for homeopathic medicines for curing my pilonidal sinus. Homeopathy works from inside out curing the root of the problem but it is a lengthy process. Took me about 4 to 5 months and the holes actually healed themselves. I would urge every one with this problem to research homeopathic remedies at least once before giving in to another surgery.

Do the basics right like:

-Keep the area clean and hair free

-Eat more veggies and fruits, get your body's pH level in good condition again

-Do not put pressure on the area

-Drink more water

If you research, there are tens of hundreds of ways and methods many different types of doctors such as ayurvedic, homeopathic, allopathic docs have treated this condition. But only someone who has it will spend sleepless nights such as me researching some way to get rid of this condition and return to your life.

Good luck. Hope that helped! And remember no matter how depressing and hopeless things may look, know that there is a god up there and he is putting you through this for your own good. Things will always get better. Do not lose hope! I know because at one point, I hit rock bottom because of this condition.


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fishtiger58 4 years ago from Momence, Illinois Author

wow that is very interesting Vicky I will certainly talk to my son about this. Thanks so much


Louisa 4 years ago

Hi,

I am 20 years old and have had this disease for the last 4 years. I first noticed it when I was 16, and I noticed I had a spot a the top of my buttocks that kept bleeding. After a few months, it was still there and getting quite painful, so I went to the doctor and pilonidal sinus was diagnosed. Since then I have had 4 different types of surgery but each time it just comes back. I have been on antibiotics permanently,for nearly 3 years. I usually get an infection every 2 to 3 weeks. The pain can get so bad that it is very difficult to walk or sit. I had my last surgery 3 weeks ago but it's too early to tell whether it's been a success. I should know more in a few months. I hope and pray that this will be the last time it affects me. The last 4 years have been very difficult, I've had to take a year out of university and the pain is very restricting. Each time I have an operation I feel like I've got better only for it to return a few months down the line. It's been extremely frustrating and at times lonely but I can only hope that I've finally turned a corner after this surgery and can get my life back on track.


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fishtiger58 4 years ago from Momence, Illinois Author

It really seems like surgery is only a stop gap measure, it always seems to come back. I am so sorry for you Louisa, I hope this 4th surgery is a success.


Max 4 years ago

I was diagnosed at 16 (I'm now 22), dealt with the operation (one where they cut everything out, leving a gaping hole) and then the whole dressing it daily routine. Went through laser hair removal - didn't work too well. Practically needed to do it 10-12 times every 6 months.

Anywho, just found that it's occurred again. After a few weeks of pus coming out, I finally had the big blood explosion. I'm not in any pain whatsoever right now, not sure if it will get worse. I just dont really know what to do, i've actually had 2 fevers out of the blue in the past few months as well, so I dont know if they're connected.

Dont look forward to surgery again.


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fishtiger58 4 years ago from Momence, Illinois Author

I am so sorry for you Max. Seems the medical community is really at a loss as to what will cure this problem once and for all.


robbin 4 years ago

i hVE BEEN TO doc lAT WEEK for those 2 holes in my lower spin he clean it up and said thats a micro cyst and he won t do the surgery coz they are very small and harmless an tell me in case of bleesing to use septivan in it hope that i cld help somone with thir article


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fishtiger58 4 years ago from Momence, Illinois Author

Septivan hmmm I will have to check that out, thanks Robbin.


hope 4 years ago

ihad 2 small holl by 4cm space between them one of them was infecyed i went to the doc he gaved me med and clean it up and said to clean it up always with bitadine a year later now i wanted to check it up as there was a little bleeding every some months and a little pain so i visited him and the result he have seen only one hole and he said this hole is superficial in the ex visit he said that it was deep so he told me that s micro cyst and he wont put a hole in my low back so he advied me in case of blood to put in antisptic in the hole septivan he wanted to give me something for pain i said no need coz its tolerated.and told me such operation will be local anasthetic put me 6 days out of work and free of pain . the most important thing is keeping way the infection. if their any advice from anyone waiting ur replies


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fishtiger58 4 years ago from Momence, Illinois Author

Someone else said spetavin as well, is that over the counter or do you need a prescription? Thanks for reading my hub hope.


Ernie 4 years ago

I have the same thing im 24 years old bit im scared to tell any one and i did breaxk my tail bone when i was seventeen .mine swells up quite often witch makes me more and more worried if you have some advise my number is 254 813 7615


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fishtiger58 4 years ago from Momence, Illinois Author

I think you need to go to see a doctor Ernie, that's what I would do. Thanks for reading my hub.


Ernie 4 years ago

No problem this is the first time ive ever really did reacerchan im just worried .what will happen if nothing is done about it


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fishtiger58 4 years ago from Momence, Illinois Author

It will just keep reinfecting.


Jurgen 4 years ago

They discovered one on my buttocks 2 years ago, they recommended a waiting approach. Last month a preey large abcess formed, took antibiotics to get it removed and drained. Getting the open gap procedure next week, so scared of the healing process :'(


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fishtiger58 4 years ago from Momence, Illinois Author

Much good luck to you Jurgen.


Puppy 4 years ago

I am so happy I came across this site.

Last week my 15 year old son mentioned that his lower back hurt (he was sloutching on a kitchen chair at the time) and asked me to take a look. I couldn't see anything obvious but when I felt on the right side of his buttocks I felt a lump. As we had an appointment with his paediatrician for a cough on Friday I asked him to take a look. He told me to take him to a surgeon but didn't diagnose anything himself.

I took him yesterday to a surgeon who said it was pilonidal sinus. He actually showed me 2 black holes and proceeded to pull hairs out of them with his tweezers. He said he will need surgery which will be performed under local anaesthetic and it will be an open wound to help it heal. He also said that the pain is minimal as there aren't any stitches to pull on the area.

We have decided to go ahead with the surgery before Easter as the schools will be closed for 2 weeks which should give him a bit of recovery time before he has to go back to school. The doctor explained to both of us that daily baths are a must and sitting in salt water will also help.

He said that full healing could take up to 4 months. This upset my son more than anything as he is really athletic and he will have to give all of that up until the doctor gives him the all clear.

The doctor is very nice, very informative and someone we trust as a surgeon as he removed my gall bladder 4 years ago and my husbands appendix 2 years ago, but since the appointment I have been searching on the internet and all I seem to read is horror stories about how the surgeries don't work and they keep having to be repeated and how much pain people are in after. Another thing that is bothering me is that although my son he has had other surgeries they have been under general anaesthetic. How will he hold out under local anaesthetic?

We actually know someone who has had this same procedure with the same doctor done 3 times.

Sorry this was such a long winded note but I just feel as if I need a little reassurance that we are following the right path. As he isn't really in any pain is it best to leave it or will it just get worse and worse.

Thanks for listening.


vicko 4 years ago

hey puppy

i had a small cyst dscovered when he was swelling he had a hole on top of it the doc drain it and infection medication.and told me to keep cleaning and he pulled out a big hair from it now every while it drains a little blood a weeks ago it drained blood again and i was feeling little pain . so i visited my doc he still says that a micro cyst and he said he wont do me the surgeir coz it small and to tacke panadol for pain if needed it in case of blleeding to use betadine in thehol and it will stop bleeidng but i was forbiddem from aclohol or traveling to africa.but he told me that the op in case done will be local anasthetic i will need minium 6 days in bed he mentioned that i will not feel any pain. so far i will work by his instruction but in case of repetitive infection god forbidden i guess than removing is must and from what i now and read the op have 20 percnr reoccurence i would advise for ur soon to clean observeine find u could always go to op but never come back watch if its growing larger or fixed presence of pus any infection signs. gd luck hope medecice cld find a non surgical treatement for this case and i noticed on site nothing positive they put the complicated and hard issues that what i have been told at least


puppy 4 years ago

Thanks Vicko for taking the time to answer. It looks like we will have to go ahead with the surgery as the doctor really believes that it has to be done. Lets pray it all goes well.


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fishtiger58 4 years ago from Momence, Illinois Author

Hi puppy, my son's surgeon said that without surgery it will surely reinfect. But multiple surgeries are possible, you son could have problems with this cyst until he gets into his 40's. Wish they could solve this problem once and for all but that doesn't seem possible at this time. Good luck to your son.


Puppy 4 years ago

Hi fishtiger. Thanks for your answer. This is exactly what I am afraid off. We all have to get on with it I suppose and pray for the best. Hope your son is well.


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fishtiger58 4 years ago from Momence, Illinois Author

My son's cyst is coming back, thankfully still not infected. I feel so bad for all that have this, he is almost 21 now, I am afraid he is going to have trouble with this until he is in his 40s. Apparently they seem to go away sometime in the 40's. Good luck to your son Puppy.


Puppy 4 years ago

Thanks fishtiger. We are scheduled for surgery this coming Friday. Will let you know how we get on.


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks Puppy, I will be waiting to hear.


jagdish 4 years ago

hi,i m 20 yrs old,i 2 hv discovered about pylonidal cyst on my body & even informed my parents they hv given me permission 2 visit my family doctor but i dont knw why i m neglecting this disorder,may be becoz i m afraid of treatment and pain and dont want any disturbance in my busy engineering,but still i need your advice, what am i doing something wrong?


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fishtiger58 4 years ago from Momence, Illinois Author

I don't think you are doing anything wrong except not getting it treated, apparently it will not go away on it's own. I'm not a doctor, seeing one is your best course of action at this point. Good luck jagdish.


Saif 4 years ago

Thanks for the update; and truly interesting information. And really amazing hub. Keep up the great work on sharing information that can help others. :)


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks for you kind comments Saif


Jurgen 4 years ago

So, had the surgery yesterday, it wasn't a very large region they had to remove so they decided to close the wound. It's pretty painfull when sitting but it's doable, I hope for a small recovery time. Was very afraid of a lrage open wound so, this feels definatly better. Will keep my status updated, thx for reading, great site!


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fishtiger58 4 years ago from Momence, Illinois Author

Good to hear it all went well Jurgen, hope you heal quickly. Good luck.


Jurgen 4 years ago

Yeah, just hope it stays quiet down there, i've had it with this messy cyst


Mysti 4 years ago

Within the last two days I've noticed pain and a growing painful, tender red nodule on my right buttocks, where it starts to curve into the "crack". I feel it's too far down to be a pinodal cyst, after reading up on them, especially since they "typically" occur toward the left side of the cleft. But the symptoms seem to match. It hurts soooo bad to sit or stand or lay or walk. It's come to a nasty, red head (whereas I was expecting a white head) and I'm scared of it exploding all over the place. I also don't have health insurance, so going to the doctor is a no, and my experience with abscesses in the E.R. are terrifying, to say the least. I don't know what to do.


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fishtiger58 4 years ago from Momence, Illinois Author

It sounds more like a boil to me, but I'm not a doctor. If it is a boil it may have to be lanced. Good luck Mysti.


Pravin 4 years ago

I was infected with this disease in 2006 and was treated with simple excision. Afer that it never healed and had my second operation in 2007 - it was rotation by flap method where they cover the wound by skin via plastic surgery so that it doesn't recur. And Now, just a week back its back again and i have to go for surgery. Once i am finish with this surgery, I would be looking into alternative methods such as homeopathy and ayurveda. This is very worst condition or disease and I don't wish this even to my deadliest enemy.

I wish all the best to your son. May he get well soon and doesn't have to go through this again.


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks Pravin, I haven't heard of this type of surgery, but sounds like it doesn't work. Good luck with everything you try.


julie 4 years ago

I know what your son went though as I am Going.though it as we speak. It hurts so much to sit lay down I had two just got them.cleaned up and it feels better already thank.god. hope your sons is.better.too.


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks Julie, I do hope everything works out for you as well, good luck.


im dying of it.... 4 years ago

Hello ure hub is very informative and the comments are very interesting as well, but experience really speaks louder than anything, i would like to share mine with you, okay so 4 months ago i was 18 and i starting feeling immense pain when i sat slept or even walled, first i thought smthng was wrong with my back but when i looked at my butt i couldn't believe what i was lking at, it litetally looked like a small tail and it really hurt a lotttt...anw i didn't do anything to it except use a medicine that forces the cyst to.mature and gives it like a heaf to open up and release the pus in it, it was very painfull it lasted a week maybe until it ex ploded and yes it felt much bettet and when this happened i pressed on the tail-like thing that was between my bottocks and got it allll out(this was like really the most painful part like my soul was being expelled my body) anw after i did that and took some anyibiotics it healed by itself it hasn't returned till now and the area feels and looks pretty normal...all he has to do is endure some pain. Good luck to ure son...i know how he feels, this is literally the most painful thing ever...


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks for reading my hub I'm dying of it, glad you are doing so much better.


Dabomb2395 4 years ago

hey! i had surgery for mine yesterday, im currently seventeen years old. they cut out the absece (is that how you spell it?) and they also cut out the four, not two holes, i had. do you have any idea how long it will take to heal? to be honest im really scared because its long, about the length of my middle finger and as deep as it is thick. that is the place they surgically cut out. i just really want to know how long it will be until i can stop wearing these gauze pads, having my mom help me after i take my daily two showers to spread my cheeks and pack the gauze in is embarressing, expecially since i like to be independent. please help?


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fishtiger58 4 years ago from Momence, Illinois Author

Hi Dabomb, well my son's didn't take very long to heal but he had a closed incision. Apparently there are 2 different ways to do the incision. If you have an open wound incision it could take months to heal, that is my understanding of it. Much good luck to you.


eliosse 4 years ago

hey dabbomb how are u dealing with the pain after surgery ?? is a lot what medication are u tacking, pain killers are they working for u?


Peter 4 years ago

Eliosse i had the same surgery, open wound i was scared at first nd all but after i dis it i took diantalvic every 6 hours for 1 week its a pain killer nd today would make it 2 weeks since the surfery, honestly during recovery i neer felt pain excpet the first 3 days i feel much better now but i cant sit on it compleltly


Kena 4 years ago

A cyst is not formed from obesity or being seditary. It is with you from birth but not relly noticed til later in life. I have this and it is so painful. I will be getting the surgery soon I hope.


eliosse 4 years ago

peter didn t get u u only felt pain the first 3 days ? what was the size of your wound?

thk u


Kelly 4 years ago

I have the same thing your son has. I have had it for almost two months, and at first thought it could've been a boil but it didn't feel or look like one. So I actually googled it and found this, and went to the doctor today and asked him if this is what I have and he told me I was exactly right. I'm on medicine for 10 days then I get it surgically removed. Hopefully it doesn't hurt anymore after that. This post really helped.


Jurgen 4 years ago

It's been 5 weeks now since I had the surgery, closed wound. After the stiches where removed after 10 days it opened up for like one centimeter bus that's almost fully closed now. Yesterday I went to see a movie at the theatres and after an hour i'm getting small pains so I have to adjust my sitting position abit. Now I really hope i'm done with this awfull disease, but I'm reading chances up to 50% it can return with a vengeance :'(


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fishtiger58 4 years ago from Momence, Illinois Author

Hi Kelly so glad this hub helped you, much good luck with your surgery.


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fishtiger58 4 years ago from Momence, Illinois Author

Hi Jurgen good to hear things are going well for you.


MrsHogan 4 years ago

From as early as 14 yrs old I would notice leaking from what I thought was my butt and then once in the shower as I was washing I noticed clumps of short body hairs coming out. I was embarrassed so I never told anyone. When I was 16 I formed what I later learned was an abcess and I finally caved and told my mom. We ended up being referred to a surgeon who cut open and packed the abcess and then I was set for surgery a few weeks later. The surgery wasn't too bad, but the tube I had coming out of my butt was. I had to measure the fluid draining from it twice a day. I thought I was fine when they removed the tube and my stitches weeks later, but at 20 I started having pain again so I went to a surgeon. I wanted to add that I have had several MRIs because they can spot the cysts. During that operation they discovered another cyst that was even deeper, almost on my spine, and they removed that as well. I have never completely recovered as I still have pain when I sit, a large scar that always feels numb, and just discomfort in general. The surgery at 16 was the most traumatic experience of my life. I am now 27 and fear it is returning again. I hope I am wrong. Maybe one day they will find a way to end this misery for us. I just want to recommend that if you can find a surgeon who doesn't do the open wound packing method, to go with them. The recovery is easier and less painful. Good luck to all dealing with this hell.


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fishtiger58 4 years ago from Momence, Illinois Author

My son had a closed wound surgery and healed quite quickly but I think his is coming back too. They say that this can recur until the age of 40 or so. I am so sorry for your misery MrsHogan, I hope you are wrong about it coming back. Much good luck to you.


eloy 4 years ago

Thank you...


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selena86 4 years ago from Ireland

I think my boyfriend is suffering from the same thing. He complained of a pain just at the top of his 'crack'. When I checked it out I found a small red lump, about the size of a pea. I pierced it and only blood came out - no pus that I could see. I've instructed him to keep the area really clean and use antiseptic cream. Before finding this hub I would have assumed that this was just a boil/pimple, but now I'm concerned. It doesn't look swollen but he says the surrounding area is still tender and there is a small hole(size of a peppercorn)where the red lump was. I don't know how deep it is as I can only see black inside. He told me this is around the 3rd time he has had this and that they are moving. He has exams for the next two weeks so no doc will be seen until after, do these details resemble your sons (size, pus, swelling etc) I just want to know if this is a severe case and if we are being dump postponing doc visit..sorry about the long comment!


kiran 4 years ago

I am also suffering from this bullshit pain. I am 24 year old girl, Before I didn't notice it considering that its may be skin infection due to long sitting or over sweating. but 3 months back I have consulted an Allopathic Doctor and he confirmed it as Pilinidal Sinus and told to get it operated which is the only cure in Allopathy.

But, I don't want to get it operated as there are chances of reoccurance as per the WwikiPidia Wwebsite information.Also, there seems to be quite complications involved in surgery.

I have studied up alot about pilonidal sinus while surfing on the net and came to know the complete & proper cure for this disease is possible in Homeopathy as well. So now m looking for a best and safe homoeopathic treatment.


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fishtiger58 4 years ago from Momence, Illinois Author

Selena if there is a hole it sounds like a pilonidal cyst to me but I'm not a doc. I don't think a 2 week delay is going to do him that much harm, his exams are important, but that is a decision you both will have to decide. I would get to a doctor as soon as he can after his exams however. Much good luck to him.


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fishtiger58 4 years ago from Momence, Illinois Author

Hi kiran so sorry for this. I don't know if Homeopathy works what I do know is that even with surgery the chance of the cyst coming back are great. Whatever you decide I wish you all the luck in the world. I do know its more common in males than females and you could have problems with this until the age of 30 or so.


aherrer2 4 years ago

I am so glad I found this.

A little more than a year ago I started having a lot of pain on my butt, and just as you said, my mother told me it was probably nothing. After a few days, the pain got so bad I could no longer walk, sit or even lay down. I went to the doctor's and found out what it was. The healing process was terrible. I was out of school for two weeks and missing the end of my senior year of high school was no fun. After getting it lanced and packed with gauze, the hole itself went away. I was told if I got surgery, it would decrease the odds of having to experience this again. I opted out of the surgery because I did not want to have to start college being away from my parents and still recovering from the surgery.

Turns out it is starting to come back. The area is now inflamed and it hurts a lot. Thankfully I only have one more day left in school until I return home. Sorry to hear that your son may be experiencing this again. I really wish doctor's were more knowledgeable about this. Now I'm starting to think that even if I get the surgery after all, it may come back.

I hope your son gets better!


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fishtiger58 4 years ago from Momence, Illinois Author

Hi aherrer, yes I agree I wish the medical community could figure this out once and for all, and yes you are correct even with surgery the chance of it coming back are still there, at least until you are in your 40s is what I have read. Much good luck to you.


anothersorebutt 4 years ago

My 13 yr old daughter as been complaining about butt pain right in the spot you all talk about- top of the butt crack near the bone. I thought maaybe she injured the tailbone-told her it will go away. She has had no known injury there but she remembers telling me 2 years ago that this area hurt but it went away.There are no black holes or sinus holes-even if you do the pull down thing. The crack itself over the sore spot is red but could be from the stretching to look at it. So we went to a physicians assistant. She told her it could either be tailbone problem or pilonidal.But thought it was pilonidal since it was red there. Placed her on 10 days clindamycin 150 and said lets wait before doing xray/ mri or seeing a surgeon. She has been on it a day and a half and can't sit or stand witout the pain. She is ok doing other activities.When my daughter said it hurts when she sneezes the nurse said that shooting pain up it when you sneeze is a classic symptom. Questions for fishtiger -do you think we should finish antibiotic then follow up-or go to surgeon for 2nd opinion asap. Hate to wait while this thing could be tunneling up inside her.From what Ive read antibiotics do not heal this! I have no problem with her taking it since it is needed if she has surgery. But ITs the end of school year and shes taking her exams in pain! All the fun events,etc all happening now and hate for her to miss but also hate for her to have to try to enjoy it through the pain.(Smiling but saying dont make me laugh my butt hurts) It hurts for her to even laugh! How is your son fishtiger? Also we have a plastic surgeon that does these. Do you think we should see him for opinion or go to pylonidal specialist we have one 1 hour away. (he is on the list) Poor kid she doesn't want to take the meds 4 times a day or let me look there . I still dont see anything but pain is a bit worse today. Should she try hot baths-some say that the water can infect it worse? sorry for long post. Trying to get her to clean area a lot since there is still no open spot yet. How long will we wait for it to rear its ugly head? With the antibiotic i fear it will not for a long time. She may have to stop sports too. good luck to you all. We r going to try better diet and vitamins plus extra sleep can't hurt.


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fishtiger58 4 years ago from Momence, Illinois Author

Anothersorebutt, I think your daughter should finish the antibiotic for sure, but you don't have to wait until it's finished to see a surgeon. I am not a doctor but if there is no hole I don't think they can do anything. My understanding is that once there is a hole or sinus then a surgery is needed as it will not heal on it's own and will probably reinfect time and again. My son's cyst is coming back and it's been 3 years since his surgery. Much good luck to you and your daughter.


anothersorebutt 4 years ago

Thank you for answering so quickly. My gut tells me that I should not do the "wait and see" approach-but I do tend to "jump the gun" sometimes and worry for nothing. I spoke with a radiologist who did say the MRI is the way to go as we all know it will show the cyst if its there and how deep it goes and its involvemnt where as the xray will only show the bones. The P.A. said finish antibiotic and we can do an xray from there-Im thinking why radiate her unnecessarily when she goes to surgeon he will want mri anyway . The radiologist said he can see them on mri and that they may want to put some dye in to help highlight it. I think of your poor sone and how long he has battled this and my heart goes out to him. I keep thinking that 4 or 5 years from now my daughter will be going to college and i pray whe isn't still dealing with this monster! Anything with ducts and cysts have slow painful healing and can always return. Surgery is no guarantee which is pitiful esp. considering the time pain and $ that it costs. I have packed many coccyx sores from pressure sores (im a nurse) and I know keeping pressure off that area can be hard as well as keeping it clean and dry. At this point there is nothing showing. I think my main question at this point is....... Has ANYONE ever heard of one of these going away on an antibiotic if it never broke open or had a hole or sinus?? And do they ever just present with pain and never amount to coming to a head and draining?? I asked the P.A if shes seen them respond to antibiotics only (before opening) and she said yes. (She also said shes seen hundreds of them) But with the anount of pain my daughter has I can't help but think there is something brewing under there that will come back with a vengance once the medicine is out of her system. Afraid to book at vacation for fear we will be stranded with no good doctors when she has it show up or burst. Hope I can help her get through the rest of May and June to last exam.. not sure if I let her swim in the chlorine if that will help. I read a persons story about the warm soaks the mom was putting on it gave her a raging infection in her spine etc..so i am afraid to try soaks Im letting nature and the medicine do its thing. Have you ever put antibiotic ointment on when its dry to ward off bacteria?? Another question I had was have you ever had him put a folded up 2x2 or gauze pad between the chheks up high to keep area very dry? Id think that would help. I agree that keeping hair out is good idea but also shaving causes her to get ingrown hairs under her arms and she just had a boil from it and thinks shes getting another deep under skin so I am avoiding the shaving thing. Afraid to try a hair remover there! that stuff seems unsafe but I think if it works for others great! Has your son ever tried a wound healing vitamin? I know I never believed in those but I take lysine and haven't had a cold sore since I started them a long time ago-had I not read it on a board like yours Id have never tried it. Wondering what vitamins or suppliments my help ward this off. ive read garlic but sure who wont like that one. Have you even consulted with one of the pyloniadal specialists listed on their website? I think its worth the trip to rid the thing. or see a Dr that says This is pretty much all I see all day! Experience is what we need at this point not guessing games. I say a 13 yr old butt is nothing to mess with and I want the best for her. Embarassing spot plus the stories about wht people have in those things! One person posted it had teeth and hair from when she was a baby! That sounds like a hydatiform or a twin that was there! there are rare tumors too. You worry so much for your kids. Please keep in touch and if I have a good outcome or a bad I'll post it so there might be info for others. Wish people would post their success stories. I have see a few encouraging ones. Does your son use a doughnut to sit on? Do they help? let me now about the antibiotic ointment if hes tried that too. My mom is a firm believer is bacitracin!!


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fishtiger58 4 years ago from Momence, Illinois Author

another sore butt, my son is an extremely hairy guy, he is going to be 21 in a couple of weeks. What I have read online is that no matter what you do to help cure or take care of this problem is no guarantee that they won't come back. Apparently this problem can occur until the age of 40, which is a very long time to deal with this. I once waited to see if my son's cold was just that and it turned out to be worse than that. I still agonize about thinking it was just a cold. That happened 17 years ago and I still have guilt. I think where a child is concerned you can't be to careful and a doctor visit is the best thing. As to a pilonidal cyst expert I haven't heard of them, so I have no opinion about them except that apparently they can't seem to prevent this from happening over and over again even with surgery. I hope you have read the other comments here, they will give you a good idea as to what others go through and how many times the cyst has reoccured. My two sons are now grown but you never stop worrying about them and their health. My son's cyst is coming back but so far doesn't seem as bad as the first time. As to vitamins and ointments, I buy them but he is bad about using them and he is almost 21 so nagging doesn't seem to help. He has been walking more and sitting less so that's a good thing, but I'm thinking one day in the very near future he will have another eruption and need surgery again. I'm afraid he will be dealing with this for a very long time. Breaks my heart. He did use a donut to sit on for a time after his surgery but doesn't at the present time. As for the surgery he healed quickly less than a week of discomfort but he had a closed wound surgery. I hear the open wound surgery is awful and months and months of healing and pain. I do hope your daughter starts to feel better, and much much good luck on whatever you decide to do.


anothersorebutt 4 years ago

Thanks for the wonderful kind caring motherly advice. We moms feel the guilt if its bad and we wait. Don't feell bad about your sons cold from years ago-as even Dr's tell people they have somethiing only to find out later they had something different! Tests and xrays are expensive and sometimes invasive but they sure give a better picture of what's going on. I worked for a Dr who was VERY smart and had great clinical judgement but he always said to me "GET an xray! I can't see through skin!" So true you never know if there is a break without xray. My daughter and I were hoping shed have xray and be told its the coccyx bone and not theis nasty pilonidal --Since the tailbone fracture is just watched and no treatment. Well I may buy the doughnut to sit on and as for the meds and ointments I doubt I can hound her too much -have a hard enough time getting her to take pills 4 times a day. Ive read on her that a surgoen told a patient NOT to take clindamycin for this and to stop it and that the ER dr. should never have prescribed it. So now I wonder if i take my daughter to a surgeon if hed say the same! Well Thank you thank you..and yes Ive read all these posts as well as posts on other sites. I hope she will be one of the lucky ones that escapes it from raging and ever coming back. I will say a prayer that your sons just vanishes! Just read a story aboiut a patient that had an xray which showed a TAIL curled up. She had it removed. The Dr has the xray still. makes me want her to have an xray! never know! Did your son have MRI with this bout or xray?? IF you go to the pilonidal there is a list of specialists. we are in NY so have a few choices if we don't mind driving. Keep in touch and let me know how your son does! If we go to specialist I;ll post his insight here. Esp about oinments etc..have a good memorial day weekend!


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fishtiger58 4 years ago from Momence, Illinois Author

My son had two open holes or sinus cavities, so no xray or mri as it was quite obvious what was going on. Yes I will be very interested as to what goes on for your daughter and what the docs say. I just wish they could cure this once and for all. Maybe the polonidal experts are getting close, one can hope. My husband works for the state of Illinois and has fantastic insurance, so there was no reason for me to wait on my son's cold and that's why I feel so much guilt about that whole thing, but thankfully he recovered with antibiotics. I live about 50 miles south of Chicago so I am going to see about a pilonidal doc for him.


kazandkev 4 years ago

Hi, my son is 18 and didn't tell me about his problem. I did wonder why I was getting very dirty boxers and finding blood on the toilet seat.

When questioned he said the blood on the seat wasn't from him. Eventually he had to face the embarrassment and tell me about it. Like you I was horrified to see that he had this hole at the top end of the crack in his bum. Once cleaned it was so deep it was black looking, I instantly put inodine dressing on it and a dry mepore pad. I had been treating it for about a week when another one appeared just below it. I have treated these holes now for about 4 weeks and I have now healed the first one and I am watching the lower one get smaller and smaller each day that I dress it.

My son has become so used to me treating it everyday that we now chat generally whilst I am dressing them and he is no longer embarrassed. We have had them checked by the Dr who gave him a course of antibiotics to air on the safe side, but on the whole the Dr was pleased with what I had done.

The Dr has said it is probably something that will keep reoccuring but seeing as I have closed the holes with inodine and mepore pads he is happy to leave them alone.

So I suggest if you have someone that will wash your rear end, dry it properly and then put a small piece of inodine gauze and a mepore pad on daily then try this first.

My son is sore but he hasn't experienced large amounts of pain and he has had no pus or lumps. But I just thought I would share what we are doing and that it is working.


Nicola 4 years ago

Hi,

I had one of these removed back in 1993 suffered for over 2 weeks with the worst pain in my life by the time I got admitted to hospital I think it must have been on the verge of bursting I such a large area of my back and buttocks which was very red and hot to touch. Mine was left open and packed to heal from the inside I remember for a few years after it would swell up and open a little and weep but after the surgery the relief that the pressure had gone was immense even though I was in pain from the operation. I'm 42 now female and touch wood have had no further problems but do remember feeling the pain of the abcess At school when I was 14 maybe 15 at the most so it took sometime to show itself fully. Would not wish one of those on my worse enemy so hope anyone suffering gets sorted really quick.


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks Kaz for the information, I am going to look into doing this for my son.


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fishtiger58 4 years ago from Momence, Illinois Author

Hi Nicola, glad to hear you have never had a reoccurance, it's horrible for those that do.


anothersorebutt 4 years ago

My daughter still complains of sore butt but I still dont see anything there. She is almost 4 days into the antibiotic. The crack still has just a tiny bit of redness but I cant feel there to see if there is a lump under the skin or not because it hurts her so bad to touch there..today she says it feels like a bruise..Can anyone answer..is that normal for pilonidals to feel just like a bruise? I just wonder if she really needs the clindamycin--I know once you start it you have to finish it..but maybe its a bruised or broken tailbone? I would think the redness would have gotten worse but it hasn't.. If you were to look its like nothing is there! still no swelling or hole or raised area. BUT the pain is always there for her especially when getting up or sitting down. I guess we will have her finish the medicine and re-evaluate. I'll push for something more diagnostic if the pain persists. Hate radiating her or runnning up an MRI bill but if its pilonidal I want to get moving on the right surgeon to take care of it for her. Hope you are all doing better. Nicola when you were 14 or 15 and felt the pain..did you know you had an abcess or did it just feel painful then in your 20's got bad?? I can't imagine my daughter having this for years without knowing what it is until it festers! Hate this ugly painful thing. I feel bad for anyone who has this. Im afraid this medicine is only pushing off the inevitable and it will show up worse when the medicine stops. WIll let you know in a week what happens when its finished. thanks for the support. PS watching youtube videos just made me freak out and worry even more. I wont go there when I google it anymore.


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fishtiger58 4 years ago from Momence, Illinois Author

anothersorebutt, after just one or two days on the antibiotic my son's butt felt better, you have me thinking it may not be pilonidal at all. Does she remember falling on her tailbone or something like that.


anonymous 4 years ago

hi, i'm 17, male, i've recently been experiencing alot of pain in the same area, it's a bit swelled, but it's been like that for a long time, and it's painful to touch. if i walk then it becomes very painful and if i sit or lie down. i don't remember bumping it or hurting it except a few years ago, about 10, when i fell, but it's fully recovered since then. what do you suggest i do? it's really painful and i have to sort it out otherwise it's going to cause problems at school. thanx.


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fishtiger58 4 years ago from Momence, Illinois Author

Hi anonymous, I would tell your mom and get to a doc, sounds like it could be a pilonidal cyst but only a doctor can tell you that and the steps to take to get rid of it. Good luck.


anothersorebutt 4 years ago

My daughter had s horrible reaction to the antibiotic on day 6 ..had to stop it. The N.P. just said stop the medicone do sitz baths and call if no better. Well still not better..hurts upon sitti.g and standing ...still no cyst seen..talked to a plastic surgeon at work he said even without a cyst seen they could do exploaratory to see what the cause of the pain is. But need mri first....she doesn't remember any injury at all. But is in sports. She complains a lot ..everyday of this pain.


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fishtiger58 4 years ago from Momence, Illinois Author

I am so sorry to hear this anothersorebutt, I would go get the mri.


Luke 4 years ago

hi, ive just this week developed what i thought was a pilinidol cyst after hours of googling and i can also say it has been the most painful thing ive ever experienced. My cyst popped about an hour ago and luckily i got to the bathroom where blood and smelly puss poured out for about 5 mins. im currently sat here awake at 12am because im worried about going to sleep an more puss coming out in my bed because although loads of pus came out the cyst is still the same and the swelling hasn't changed, is this normal? what shall i do


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fishtiger58 4 years ago from Momence, Illinois Author

Hi Luke sounds like you are infected, you need to go see a doctor and he or she can advise you as to what needs to be done. I'm so sorry that you are going through this.


Vicky 4 years ago

Hey It's my second post on your page. I just wanted to share my success story with you. Who knows? You may try it as well and be cured completely as well. I had this problem for a year during which I tried every natural remedy possible. I did not opt for surgery because I read and observed the recurrence rates when surgery was done. It was one hard year for me until I finally gave in to this ancient procedure used by ayurvedic (means medicine made from natural sources) doctors. I'll be very brief about it. There are many expert doctors in India who do this procedure and cure thousands of people who suffer because of this there. I was extremely hesitant because the procedure sounded weird on paper. But when I finally had no choice and my pilonidal sinus was becoming even worse, I just had to get it done. The procedure is called Ksu-Sutra. A thread dipped in ayurvedic natural medicine is inserted inside the hole(s) and tied there. During the course of six weeks to eight weeks, the thread was changed weekly with a daily dressing being done. The medicine is fed to the absorbent thread which makes it travel all the way to the root of the sinus. It hurt when it was being done but not so much. All my daily routines could be carried off which was the best part. After six weeks I was cured. Apparently the medicine that is applied goes to the root of the infected tissue and destroys it gently, leaving room for new healthy tissue to grow. Please research about this method called Ksu-Sutra on google thoroughly.

All the best


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fishtiger58 4 years ago from Momence, Illinois Author

Wow Vicky that is totally amazing, I will go check this out, I am really happy to hear that it worked for you without the need for surgery. Much good luck to you.


tom 4 years ago

i had mine since 2 years ago its infected a 2 month ago antebiotic went welll but doc say it have hands or tracts from infection am so scared of surgery he told me pain well be as any operation and i will stay home for 2 weeks they must find a solution for this mounster other than those op .


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fishtiger58 4 years ago from Momence, Illinois Author

I agree tom, thankfully my son's is doing well it's been 3 years and still the operation is a success. No cyst as of yet, I am hoping he is done with it all.


Andrew1980 4 years ago

these cysts can form until you approach the age of 50 years old, I am 32 now and have suffered from them since I was around 20 years old back then they were just as sore but not as big as they have been this past few years, back then I'd get them around every 3-4 months now it's almost every month, I do sometimes have a few months where I don't have any cysts but then when I do it is back with a vengeance and double the size of the regular monthly cysts, I am glad surgery has helped some of you's but I have been reading about this condition for over a decade now and not every surgery is a success story, some people can take from 4 months to a full year to recover and after surgery some people do get even more cysts than they do before, as for it being due to an inactive lifestyle highly doubtful as I've managed bars and clubs all my life and never had a job where I was sat down for long periods of time, I did get a bit sweaty though and I am hairy, I had a friend when I was younger who was male very skinny and active daily and he had very little body hair and suffered from the cysts also, I have a high pain threshold thankfully as with this condition you really need to be able to endure severe pain once the cyst has filled completely with blood and pus it is an agonizing wait for the cyst to burst and drain but once it has it is not so much of a struggle to get around, with the cysts at their fullest sometimes even getting to the bathroom is a sheer struggle, and yes antibiotics do help reduce the infection but they do not stop the cysts reforming, I have never had surgery as after reading 10 years of good and bad reviews about the surgery I think it's not worth taking the risk of having it and the cysts becoming worse because they can be so extremely sore and occur once a month who would take such a gamble? not me, although they are still researching the root causes of this condition be aware that they have a higher surgery success rate these days than they did a decade ago!


aaron 4 years ago

thank you for all of the information, I am 19 and i have my first cyst, i thought nothing of it when it first formed, thought it was only a pimple. Until about a week ago i looked and notice a hole on my buttocks. you have helped so much with all of your information and sharing of your sons story. thank you!


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks Andrew and Aaron hope you guys get better. Thankfully my son's cyst has not reoccured since his surgery and it's been over 3 years now.


Vicky 4 years ago

Hello to everyone here 'Fishtiger58'

I gave some information earlier but I will feel better if I put more effort into letting people suffering from this wretched disease on how I got cured. Here is a link with some info on this method that cured me.

http://hubpages.com/health/Ksharsutra-Technique-in...

Hope that helps. Thanks and Good luck


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fishtiger58 4 years ago from Momence, Illinois Author

Thanks so much Vicky


kimkat 3 years ago

My husband is 42 and I think this is what he has on his but. About a month ago he asked me to look at a bump on his backside. It is just above his but crack. You could not see anything but it felt hard like a cyst. 4 days ago just inside the crease of his ass just next to his anis he has a very large hard lump, it is getting bigger and more red. He has been taking hot baths once or twice a day since. He cant touch it, it is so sore. I cant see any type of head on it that would look like a pimple that might break. He is so afraid to go to the dr.. At this age is it strange that he never had it before? Hoping it will soon break or get so painful that he will seek medical attention. He cant sit, walk correct or get in or out of bed without pain. Thanks for your hub as I do believe this is what he has, even though he is older and never had it before.


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fishtiger58 3 years ago from Momence, Illinois Author

Hi kimkat, I think mostly they develop very close to the top of the butt crack nearest the waist. It could possibly be a boil he has although I can't say as I'm not a doctor. But he really should go see a doctor. Thanks for reading my hub and I sure hope he gets better real soon.


Jurgen 3 years ago

Hello, just stopping by to say everythings still ok with my bum. People can get very scared with what they read about this (even I was terrified), so I came back here to tell people not to worry, it can heal very quick!

grtz from Belgium


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fishtiger58 3 years ago from Momence, Illinois Author

good news Jurgen


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Harleyh 3 years ago

That would explain the hole I have on my buttcheek.... damn.. Guess I gotta go get it looked at.. I thought maybe it was from the staph infection the dr thought I had but reading these symptoms I know see that is was just this cyst with an infection. The localized swelling, the pussy stuff. all of it. Even the fever! wow oh wow.. Thanks a bunch for posting this!


mark 3 years ago

I had Pilonidal Cyst in my but crak in 2009 they hate to operate twice that year and i have got to go back to have it all done again as it keeps coming back i rely feel for people who get this it is so painful the 1st time i had it done was the worst as it was left open and i hate to go to docs every day to have it packed so it would heel from inside out.


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fishtiger58 3 years ago from Momence, Illinois Author

My son had the closed wound surgery and he was good in about 2 weeks, then we thought it was coming back about a year later but thankfully he is still cyst free. I am so sorry for you mark.

Thanks for reading Harleyh but I understand the cyst is in the butt crack, not the butt cheek. Yup go get it checked out.


curtisbunheirao 3 years ago

hi fishtiger, about 2-3 years ago, i found that i had a second hole top of my buttcrack!...sometimes it itches and sometimes it feels sore but those symptoms comes and goes and just lately have i noticed that its secreting some sort of white ooze and in which it does not have an odor to it...i went to see the doctor as soon as i found this hole...doctor told me that its a pilonidal dimple and that its hereditary, and should not need anything done unless it gets infected, to just keep it clean. and that was it....so after reading all the above comments..im terrified!..i do not want to or have to go through anything as far as lancing and draining , nor surgery... so for now im just gonna keep up a daily prevention, by removing surrounding hairs and keeping it clean, and hope that by the time i hit the age 40 i wont have to endure this any longer ... im 31 now. ..hmm i wonder if a cyst bath ( Epsom Salt and hot water) would be beneficial...


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fishtiger58 3 years ago from Momence, Illinois Author

I have heard of the polonidal dimple but have never heard of it oozing stuff. Very interesting. As for the Epsom salt I would do some research on that to see if it helps. Much good luck to you curtisbunheirao I hope everything turns out well for you, I wouldn't wish this mess on anyone.


Grossedout 2 years ago

Hi,

I'm not sure if this is the same thing, but yesterday I noticed 5 small black holes on my boyfriends tail bone area on the top and they had little hairs sticking out. I removed the hair and was grossed out by how long and how much there was. I'm wondering is this how the cyst start?


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fishtiger58 2 years ago from Momence, Illinois Author

Hi Grossedout, it sounds like it, but I'm not a doctor. I would suggest he see a doctor. Thanks for reading my hub


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fishtiger58 2 years ago from Momence, Illinois Author

see my comment below


Please help! 2 years ago

I've had this condition for about a month now and now it is oozing and smelling God awful like something rotting, I take showers everyday and after using the bathroom, it sometimes bleeds but not much. I do believe I have a cyst as well but embarrassed to tell my parents not sure how I can cure it or get it to heal, please help! I've read some other articles saying that it may be cancer or some other bad stuff, I'm really worried, if I can get it to heal without going to the doctor would be awesome but right now I'm really nervous and worried about this, Im in college now and most of my time is sitting down so I don't know how to get around that. But if any of you guys can give me some guidance that would be great, however if must call for it, I'm willing to tell my parents because I'm so over the pain and discomfort trying to sit and go through the day like this! Please help!!!


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fishtiger58 2 years ago from Momence, Illinois Author

I'm not a doctor but it won't heal. Go see a doctor it's really your only option. Much good luck to you.


Improvingmylife 2 years ago

Hi,

I'm a 23 year old female. Last week I began feeling a burning sensation on my tailbone. It hurt so bad I had to go to the doctor. He gave me some painkillers to relief the pain. The painkillers helped only for a few hours. In the weekend I noticed a little red bump. Which scared me. I thought immediately that it was a cold sore. I'm still in doubt if I have genital herpes. Even though I've been tested negative. I've had a few 'cold sores' on my lip and vaginal area throughout this year. Which is why I'm doubting my test results. Anyways over the past few days the sore has gotten redder and bigger. I've been to the doctor again and was prescribed antibiotics. The wound hasn't gotten bigger since I'm taking my antibiotics, but the pain has gotten worse. I don't know if this is the antibiotics doing it's work. But I've noticed the sore has gotten white, it really looks like a cold sore. But around the sore has a reddish/purplish color. Also my butt cheeks around the sore has gotten hard as rock. I also feel as if someone's stabbing me every few seconds in my butt. My doctor said that I should come back after I've finished my antibiotics and I've seen no positive results. She also told me that I can go to the emergency room if I want to and maybe they'll cut out the affected area. This morning I've noticed a lil drop of dry blood at the hole. I'm tempted to squeeze the sore, but I'm too scared of the pain and that I might make the infection worse. At the emergency room they gave me painkillers and said that they'll only remove the affected area with a letter from my doctor. But my doctor doesn't wants to write a letter in order for them to remove the affected area, cause according to her the sore isn't ripe enough. I'm really in so much pain and wished the medical care would at least help me. I hope it's the pilonidal cyst I have and not a cold sore. I know the feeling your son has been through, a painful experience and yet affects my self esteem as my sexual life. I would never wish this on any of my enemies. Thanks for sharing your story.


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fishtiger58 2 years ago from Momence, Illinois Author

wow you doctor should know if it's a pilonidal cyst or not. If it doesn't improve after the antibiotics I would ask her if it is in fact a pilonidal cyst. Much good luck to you Improvingmylife.


Another mom 2 years ago

My 16 year old son came to me last night asking if I would look at his butt. I knew right away something was wrong. That's a question I know he would never ask. I found 8 small holes and 1 large hole. I pulled groups of hair out of each hole. Some were at least 2 inches long. My boy is a hairy guy too. I've already contacted his doctor. He started antibiotics today and will see doc in the morning. I already know this is exactly what he has and he will have to have ten removed because I had the same thing at 17. I'm so sad that he will have to endure this but we will all face it together. Thanks for your sons story! It's always nice to know your not alone.


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fishtiger58 2 years ago from Momence, Illinois Author

You are so welcome Another Mom, my son had his surgery when he was 18, he is now 23 1/2 and still no recurrence of his cyst thankfully. At one point we thought he was getting another but then it went away and nothing since. Much much good luck to your son. I hope everything goes well.


Alex 13 months ago

I'm 13 and a girl, and I think I might have the same thing. About two weeks ago, I noticed that a black hole had formed at the top of my butt. Occasionally there would be some pus. There wasn't really any pain. I didn't really think anything of it, and just left it alone and hoped that it would go away. Today, I noticed another, slightly smaller hole just beneath the first one. I don't know what to do, and I'm really really scared!!


StellarTutor 7 months ago

Alex, I was just 16 when I developed a pilonidal cyst and it was AWFUL! I am an American but went to New Zealand as an exchange student from California. It was in NZ that it was originally misdiagnosed as a bruised tailbone and the "therapy" made it much worse and much more painful until I had to go in for emergency surgery. It IS SURMOUNTABLE! I truly believe I am a better, stronger person with much more character than I would have had not going through this experience. I hope you are better by now. I see your post is six months old. I am presently suffering from another pilonidal cyst that requires surgery and I am now 45. 29 years cyst free was awesome. Don't feel like a freak or anything because you are female and not some big hairy dude. Hang in there.


suze46 4 months ago

So I have had the 3 little holes since 14 or 15 yrs old. My dad had surgery & a brother had a cyst. I thought all people came w/the little holes & never told anyone. Always have had trouble sitting & took a job where I was on my feet mostly. I am 56, female &have been biking alot. No drainage ever, just pain & cant sit for long time. Should I ask my primary care doc? Or wait til itx unbearable? Thanks


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fishtiger58 4 months ago from Momence, Illinois Author

Alex I think you should tell your mom and dad and have it checked out. Suze46 I wouldn't wait any longer I believe the longer you wait the worse it can get. Go see your doc and get it fixed.

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