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Pilonidal Cyst What The Heck Is That

Updated on April 22, 2011

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.

Comments

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    • fishtiger58 profile image
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      fishtiger58 13 months ago from Momence, Illinois

      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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      suze46 13 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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      StellarTutor 17 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.

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      Alex 23 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!!

    • fishtiger58 profile image
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      fishtiger58 2 years ago from Momence, Illinois

      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.

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      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.

    • fishtiger58 profile image
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      fishtiger58 2 years ago from Momence, Illinois

      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.

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      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.

    • fishtiger58 profile image
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      fishtiger58 2 years ago from Momence, Illinois

      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.

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      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!!!

    • fishtiger58 profile image
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      fishtiger58 3 years ago from Momence, Illinois

      see my comment below

    • fishtiger58 profile image
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      fishtiger58 3 years ago from Momence, Illinois

      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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      Grossedout 3 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?

    • fishtiger58 profile image
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      fishtiger58 3 years ago from Momence, Illinois

      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.

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      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...

    • fishtiger58 profile image
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      fishtiger58 3 years ago from Momence, Illinois

      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.

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      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.

    • Harleyh profile image

      Harleyh 4 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!

    • fishtiger58 profile image
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      fishtiger58 4 years ago from Momence, Illinois

      good news Jurgen

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      Jurgen 4 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

    • fishtiger58 profile image
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      fishtiger58 4 years ago from Momence, Illinois

      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.

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      kimkat 4 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.

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

      Thanks so much Vicky

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      Vicky 5 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.

      https://hubpages.com/health/Ksharsutra-Technique-i...

      Hope that helps. Thanks and Good luck

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      aaron 5 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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      Andrew1980 5 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!

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      tom 5 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 .

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      Vicky 5 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

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      Luke 5 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

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

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

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      anothersorebutt 5 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.

    • fishtiger58 profile image
      Author

      fishtiger58 5 years ago from Momence, Illinois

      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.

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      anonymous 5 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.

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      anothersorebutt 5 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.

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

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

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

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

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      Nicola 5 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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      kazandkev 5 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.

    • fishtiger58 profile image
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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      anothersorebutt 5 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 5 years ago from Momence, Illinois

      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.

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      anothersorebutt 5 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 5 years ago from Momence, Illinois

      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.

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      anothersorebutt 5 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 5 years ago from Momence, Illinois

      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.

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      aherrer2 5 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 5 years ago from Momence, Illinois

      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.

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      fishtiger58 5 years ago from Momence, Illinois

      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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      kiran 5 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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      selena86 5 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!

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      eloy 5 years ago

      Thank you...

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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      MrsHogan 5 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 5 years ago from Momence, Illinois

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

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      fishtiger58 5 years ago from Momence, Illinois

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

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      Jurgen 5 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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      Kelly 5 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.

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      eliosse 5 years ago

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

      thk u

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      Kena 5 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.

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      Peter 5 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

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      eliosse 5 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?

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      fishtiger58 5 years ago from Momence, Illinois

      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.

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      Dabomb2395 5 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 5 years ago from Momence, Illinois

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

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      im dying of it.... 5 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 5 years ago from Momence, Illinois

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

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      julie 5 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 5 years ago from Momence, Illinois

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

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      Pravin 5 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 5 years ago from Momence, Illinois

      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.

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      Mysti 5 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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      Jurgen 5 years ago

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

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      fishtiger58 5 years ago from Momence, Illinois

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

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      Jurgen 5 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 5 years ago from Momence, Illinois

      Thanks for you kind comments Saif

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      Saif 5 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 5 years ago from Momence, Illinois

      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.

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      jagdish 5 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 5 years ago from Momence, Illinois

      Thanks Puppy, I will be waiting to hear.

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      Puppy 5 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 5 years ago from Momence, Illinois

      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.

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      Puppy 5 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 5 years ago from Momence, Illinois

      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.

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      puppy 5 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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      vicko 5 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

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      Puppy 5 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.

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      fishtiger58 5 years ago from Momence, Illinois

      Much good luck to you Jurgen.

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      Jurgen 5 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 5 years ago from Momence, Illinois

      It will just keep reinfecting.

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      Ernie 5 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 5 years ago from Momence, Illinois

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

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      Ernie 5 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 5 years ago from Momence, Illinois

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

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      hope 5 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 5 years ago from Momence, Illinois

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