Pilonidal Cyst

11 min read

A pilonidal cyst is a small sac filled with fluid or pus located near the tailbone at the top of the buttocks crease. It is a common condition that affects both men and women, although it is more common in men. Pilonidal cysts are usually caused by ingrown hairs, and can become infected and filled with pus.

Causes of Pilonidal Cysts

Pilonidal cysts are caused by ingrown hairs that become trapped in the skin. This can happen when the hair follicle becomes irritated or inflamed, and the hair curls back and grows into the skin. This can cause an infection, which can lead to the formation of a cyst. Other factors that can increase the risk of developing a pilonidal cyst include obesity, a sedentary lifestyle, and excessive sweating.

Diagnosis of Pilonidal Cysts

Pilonidal cysts are usually diagnosed by a physical examination. The doctor may also order imaging tests, such as an X-ray or MRI, to confirm the diagnosis. In some cases, a biopsy may be necessary to rule out other conditions.

Complications of Pilonidal Cysts

Pilonidal cysts can become infected and filled with pus. This can lead to pain, swelling, and redness in the area. If the infection spreads, it can cause fever and chills. In some cases, the infection can spread to other parts of the body, such as the bloodstream.

Prevention of Pilonidal Cysts

The best way to prevent pilonidal cysts is to keep the area clean and dry. This can be done by washing the area regularly with soap and water, and avoiding tight clothing that can irritate the skin. Regularly trimming the hair in the area can also help to reduce the risk of ingrown hairs.

Symptoms

Common Symptoms of a Pilonidal Cyst

  • Pain in the area near the tailbone
  • Swelling in the area near the tailbone
  • Redness in the area near the tailbone
  • Drainage of pus or fluid from the area near the tailbone
  • Foul odor coming from the area near the tailbone
  • Fever

If you experience any of these symptoms, it is important to seek medical attention. Your doctor will be able to diagnose a pilonidal cyst and recommend the best course of treatment.

Take the Pilonidal Cyst Assessment

Causes

Genetics

Genetics may play a role in the development of pilonidal cysts. People who have a family history of pilonidal cysts are more likely to develop them. This is because the condition may be inherited.

Poor Hygiene

Poor hygiene can also increase the risk of developing a pilonidal cyst. Not washing the area regularly or not drying it properly after washing can lead to an accumulation of sweat, dirt, and bacteria. This can cause an infection, which can lead to the formation of a cyst.

Tight Clothing

Tight clothing can also increase the risk of developing a pilonidal cyst. Tight clothing can cause friction and irritation in the area, which can lead to an infection. This can then lead to the formation of a cyst.

Conclusion

Pilonidal cysts are small, painful lumps that form near the tailbone, usually at the top of the cleft of the buttocks. They are caused by a combination of factors, including genetics, poor hygiene, and tight clothing. It is important to keep the area clean and dry, and to wear loose-fitting clothing to reduce the risk of developing a pilonidal cyst.

Getting a Diagnosis

Your doctor may also order imaging tests, such as an X-ray or MRI, to get a better look at the cyst and the surrounding area. These tests can help your doctor determine the size and location of the cyst and any other abnormalities.

Your doctor may also take a sample of the fluid from the cyst and send it to a lab for testing. This can help them determine if the cyst is infected and what type of bacteria is causing the infection.

If your doctor suspects that the cyst is infected, they may prescribe antibiotics to help clear up the infection. In some cases, surgery may be necessary to remove the cyst and any surrounding tissue.

Conclusion

Diagnosis of a pilonidal cyst typically involves a physical examination and imaging tests. Your doctor may also take a sample of the fluid from the cyst and send it to a lab for testing. If the cyst is infected, antibiotics may be prescribed, and in some cases, surgery may be necessary to remove the cyst and any surrounding tissue.

Questions for Your Doctor

Symptoms

Discuss any symptoms you are experiencing, such as pain, swelling, redness, or drainage. Your doctor may also ask about any fever or chills you may have.

Treatment Options

Your doctor will discuss the various treatment options available to you. These may include antibiotics, draining the cyst, or surgery. Your doctor will help you decide which option is best for you.

Follow-up Care

Your doctor will discuss any follow-up care that may be necessary. This may include regular check-ups or tests to monitor the cyst. Your doctor may also recommend lifestyle changes to help prevent the cyst from returning.

Questions

Be sure to ask your doctor any questions you may have about the condition or the treatment. Your doctor can provide you with more information and help you understand your diagnosis.

Treatment

Antibiotics

If the cyst is infected, antibiotics may be prescribed to help clear up the infection. Antibiotics can be taken orally or applied topically. It is important to take the full course of antibiotics as prescribed by your doctor.

Drainage

If the cyst is large and filled with pus, it may need to be drained. This can be done in a doctor's office or in a hospital. The doctor will make a small incision in the cyst and drain the pus. The area may need to be packed with gauze to help keep it clean and prevent infection.

Surgery

If the cyst is large or recurrent, surgery may be necessary. During the procedure, the doctor will make an incision in the cyst and remove any infected tissue. The area may need to be stitched closed. After surgery, the area may need to be packed with gauze to help keep it clean and prevent infection.

Home Remedies

There are some home remedies that may help reduce the size of the cyst and reduce pain and inflammation. These include soaking the area in warm water, applying a warm compress, and using over-the-counter creams or ointments. It is important to talk to your doctor before trying any home remedies.

Drugs & Medications

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are a type of drug that can help reduce inflammation and pain. Commonly used NSAIDs for pilonidal cysts include ibuprofen, naproxen, and aspirin. These drugs can be taken orally or applied topically to the affected area. NSAIDs can help reduce swelling and pain, but they should not be used for more than a few days without consulting a doctor.

Corticosteroids

Corticosteroids are a type of drug that can help reduce inflammation and pain. They are usually prescribed in the form of a cream or ointment that is applied directly to the affected area. Corticosteroids can help reduce swelling and pain, but they should not be used for more than a few days without consulting a doctor.

Antibiotics

Antibiotics are a type of drug that can help reduce inflammation and pain. They are usually prescribed in the form of a pill or liquid that is taken orally. Antibiotics can help reduce swelling and pain, but they should not be used for more than a few days without consulting a doctor.

Surgery

Surgery is the most common treatment for pilonidal cysts. The type of surgery used will depend on the size and location of the cyst. Surgery can help reduce swelling and pain, but it should not be used for more than a few days without consulting a doctor.

Conclusion

Pilonidal cysts can be painful and uncomfortable, but there are several drugs that can be used to help reduce the pain and inflammation associated with the cysts. NSAIDs, corticosteroids, and antibiotics can all be used to help reduce swelling and pain, but they should not be used for more than a few days without consulting a doctor. Surgery is the most common treatment for pilonidal cysts, but it should not be used for more than a few days without consulting a doctor.

Diet

What to Eat

Eating a healthy, balanced diet can help reduce inflammation and promote healing. Foods that may be beneficial for people with pilonidal cysts include:

  • Fruits and vegetables: Fruits and vegetables are rich in antioxidants and other nutrients that can help reduce inflammation and promote healing. Aim to eat a variety of colorful fruits and vegetables every day.
  • Whole grains: Whole grains are a good source of fiber and other nutrients that can help reduce inflammation. Choose whole-grain breads, cereals, and pastas instead of refined grains.
  • Healthy fats: Healthy fats, such as those found in olive oil, avocados, and nuts, can help reduce inflammation. Avoid unhealthy fats, such as those found in processed foods and fried foods.
  • Lean proteins: Lean proteins, such as fish, poultry, and beans, are a good source of protein and other nutrients that can help reduce inflammation. Avoid processed meats, such as bacon and sausage.

What to Avoid

Certain foods and beverages may increase inflammation and should be avoided. These include:

  • Refined carbohydrates: Refined carbohydrates, such as white bread and pasta, can increase inflammation. Choose whole-grain alternatives instead.
  • Sugary drinks: Sugary drinks, such as soda and fruit juice, can increase inflammation. Choose water or unsweetened tea instead.
  • Processed foods: Processed foods, such as chips and crackers, are often high in unhealthy fats and refined carbohydrates. Choose fresh, whole foods instead.
  • Alcohol: Alcohol can increase inflammation and should be avoided. If you do choose to drink, do so in moderation.

Conclusion

While there is no specific diet that can prevent or treat a pilonidal cyst, eating a healthy, balanced diet can help reduce inflammation and promote healing. Foods that may be beneficial include fruits and vegetables, whole grains, healthy fats, and lean proteins. Foods and beverages that should be avoided include refined carbohydrates, sugary drinks, processed foods, and alcohol.

Lifestyle

1. Keep the Area Clean

Keeping the area around your pilonidal cyst clean is essential for preventing flare-ups. Wash the area with warm water and a mild soap twice a day. Avoid scrubbing the area too hard, as this can irritate the cyst and cause it to become inflamed. After washing, pat the area dry with a clean towel.

2. Wear Loose-Fitting Clothing

Tight-fitting clothing can irritate the area around your pilonidal cyst and cause it to become inflamed. Wear loose-fitting clothing that won't rub against the cyst. Avoid wearing tight-fitting jeans or pants, as these can cause friction and irritation.

3. Avoid Sitting for Long Periods of Time

Sitting for long periods of time can put pressure on the area around your pilonidal cyst and cause it to become inflamed. Take regular breaks throughout the day to stand up and move around. If you have a desk job, try to get up and walk around every hour or so.

4. Avoid Activities That Put Pressure on the Area

Activities that put pressure on the area around your pilonidal cyst can cause it to become inflamed. Avoid activities such as running, jumping, or lifting heavy objects. If you must do these activities, wear protective padding to reduce the pressure on the area.

5. Eat a Healthy Diet

Eating a healthy diet can help reduce inflammation and improve your overall health. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Avoid processed foods and sugary snacks, as these can increase inflammation.

6. Get Regular Exercise

Regular exercise can help reduce inflammation and improve your overall health. Aim for at least 30 minutes of moderate exercise, such as walking, jogging, or swimming, five days a week. Avoid activities that put pressure on the area around your pilonidal cyst.

7. See Your Doctor Regularly

It's important to see your doctor regularly to monitor your pilonidal cyst and make sure it's not becoming infected. Your doctor may recommend antibiotics or other treatments to help manage your condition.

By following these lifestyle tips, you can help manage your pilonidal cyst and reduce the risk of flare-ups. If you have any questions or concerns, talk to your doctor.