WHAT YOU SHOULD
KNOW
A pilonidal (PIE-low-NI-dal) cyst is a sac under the skin
at the base of the spine. It looks like a small hole, often
with a few hairs coming out. The cyst may become infected.
Pilonidal cysts are most common in young
men.
Causes
The cysts form before birth, but
present no problem until bacteria cause them to become
infected.
Signs/Symptoms
Typically, there will be pain,
redness, and swelling in the area of the cyst. A pus-like
discharge may come from the cyst, and you may have fever and
chills.
Care
You may need an antibiotic to
fight the infection. Your doctor may have to open the cyst to
drain the pus, and may need to remove the cyst
surgically.
WHAT YOU SHOULD DO
-
If the cyst is not infected, keep the area clean and
dry. Bathe or shower daily and wash the area well with a
germ-killing soap. Taking hot tub baths helps prevent
infection. Dry the area well with a
towel.
-
Avoid tight clothing.
-
If the cyst is infected and needs to be cut open and
drained, your doctor will pack the wound with gauze. This
allows the wound to heal from the inside outwards. You
should return to the doctor's office in a few days for a
follow-up wound check.
-
Do not take tub baths or showers until the gauze is
removed. You may wash at the sink.
-
After the gauze is removed, apply a warm, wet wash
cloth to the area or sit in a tub of warm water for 15 to
20 minutes several times a day to relieve the pain. Then
clean the wound gently with mild, unscented
soap.
-
If your doctor prescribes an antibiotic to fight the
infection, take all of the medication exactly as directed,
even if you are feeling better. If you stop treatment too
soon, some bacteria may survive and re-infect you. If you
are using a pain reliever, take it exactly as
directed.
Call Your Doctor If...
-
You have increased pain, swelling, redness, drainage,
or bleeding from the area.
-
You develop a high temperature.
-
You develop muscle aches, dizziness, or a general ill
feeling.
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