| Re: I have a Butt infection and discoloration help!
Oh man, I remember that cyst was one of the MOST painful things I'd ever experienced in my life! I'm not sure how long yours has been active, but mine was episodic: it would flare up, become inflamed, swell, burst, drain, have a scab, and then heal over. I would be fine for a few months and then it would start all over again. When it was inflamed, it was painful to sit, lay on my back, drive, stand. And when it swelled, my whole lower back would swell. And when it would finally burst? Oh my gosh, it was the most disgusting gunk - and I never really knew when it would burst.
I did have a surgeon look at it, and he said surgery was an option. The problem with a pylonidal cyst is there is no guarantee that they will grow back. So, you could go through the surgery (which, in and of itself is not a pleasant experience), and a year or so later be dealing with the same situation. He did give me some recommendations on how to live with it - mostly soaking in hot water when inflammed to soften the skin so it would burst to relieve the pressure. Sometimes doctors would give me antibiotics, but I never felt those worked. The surgeon did tell me most of the time they do just dry up and go away, but there is no way to tell how, when, or why.
Then, mysteriously, the episodes become very infrequent. And, the last time I had an episode, it was extremely painful (the skin had grown over and was very thick). I couldn't get it to burst, so I went to the doctor and she lanced it. (cut it and forced it to drain, then inserted some sort of medicine directly into the cyst) When it healed, which took a week or so, it never returned, and it has never bothered me again. This was almost 20 years ago.
I know the area used to be very, very red when inflammed and shiny because of being swollen. It was never black, though, that I can recall. I would be cautious of surgery, however. Get a second opinion on that. Of course, surgery techniques might have changed in the 20+ years since I last consulted a surgeon about this, but just beware of what you are getting yourself into.
You really do have my sympathy with this. It is extremely painful. Also, you might want to see if anyone in your family has this. When I had mine, I discovered my father had had one - curious, I thought at the time!
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