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Pilonidal Cyst/Abscess

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Old 04-12-2009, 10:55 PM   #1
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Pilonidal Cyst/Abscess

I have a pilonidal cyst that first acted up when I was 18. It is my recall that I had it lanced when I was 18 and it went away. Over the last 20 years, the skin around my tailbone has itched, turned red at times, and has seemed to start flaring up but these symptoms have always gone away on their own. Well, over this past weekend I have definitely had a HUGE flare-up of this pilonidal cyst. I believe it is now called an abscess because it is flared-up now. Is there anything I can do to cause this thing to drain on its own? I really do not want to have any surgery on this. If I go to a doctor, can a doctor just help drain it without cutting into me? I feel as though I have gone 20 years with this thing not bothering me much at all and I would like to not have to do anything drastic to make it go away this time. Any advice is appreciated.

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Old 04-13-2009, 09:10 AM   #2
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Re: Pilonidal Cyst/Abscess

I'm pretty sure a doctor could just lance it again to facilitate drainage, the way it was done when you were 18. My husband had one lanced when he was around 22. It re-erupted many times over the course of the next 40 years, but not often enough that he felt the need for surgical repair, either. My son, on the other hand, had almost constant drainage during his HS senior year and freshman college year, so he had his surgically repaired. Now that he's 36, he hasn't regretted it yet. Just depends on how much you can tolerate.

Old 04-13-2009, 12:13 PM   #3
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Re: Pilonidal Cyst/Abscess

My husband and I have both had them. He had his removed and left open to heal. Mine was so huge it had to be opened, drained, packed and then drains put in and closed up. It later reformed but later healed closed. It's a defect you are born with.

But here's the good news. This is how my hubby and I met. We both were in the hospital at the same time and went to surgery together. Yesterday we celebrated our 34th wedding anniversary yesterday. So fixing a pilonidal cyst can be a good thing!


Old 04-14-2009, 08:18 AM   #4
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Re: Pilonidal Cyst/Abscess

Thanks for all the advice. Last night it began to drain some on its own. It is also a lot less painful too. I hope it continues to drain as there is still a bit of a tender bump/spot. But is is definitely better. I plan on avoiding any surgery on it if I can. I am now using a cotton ball of rubbing alcohol on it to try to keep it clean and dry. I got that advice online somewhere on a medical website.

BTW: Jenny that is an awesome story! I like to hear stories of how people meet when it is unique like that. I met my husband on a camping trip but he wasn't camping at the time. It is a cool story but way too long to share here.

Last edited by beachlovr; 04-14-2009 at 08:19 AM.

Old 01-03-2010, 01:43 AM   #5
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Re: Pilonidal Cyst/Abscess

Hi there. I have or should say had one for over five years. It won't go away, one day you will get a large rupture and green stuff will come out. The only way to get rid of it for good, (as it will return over and over... Might take a week or a few months but it will come back. The only way to stop it unfortunatly is to have it surgecly removed. I thought mine was small but it turned out to be a five inch cyst and she had to go all the way down to the tailbone get it out. (she told me she had to go down four inches to get it all five inches big and four inches deep.) she actually uses your tailbone kind of like an anchor and ties the stitches through the bone. You see, the cyst has roots and depending on how big they are,(mine was over 6 inches long) they can grow into you abdomen, intestines or even lower. My surgeon told me I should have come the first Time I noticed it
There is two ways to fix it. Both in the O.R. The worst one is that a doctore would pack the hole and that packing would have to be changed everyday for over FOUR months!
I got it easy by having it donevthe way I did. , changing packaging hurts like Hell. So she what she did was tie it up from the tailbone up to try and make it heal. Then, she stuck a piece of gauze in there and tied my bum up! I had my first set of stiches taken out on the 21st of December, she even sewed a piece of gsuze right into my butt! it was kinds funny though as when home care came, they had no specific instructios other then to clean and re bandage but she thought the gauze was loose and tried to pull it out! OWWW! That's when we knew it was stocked right in. A nurse has to come to the house to change the bandages every second day now. Now the DR told me that there was to be NO fluids coming out as that would be bad.
I have been getting thatBdince the 23th and it was a doozy with drainage. Like I'm going to track her down on Christmas Eve!! I saw her again on New Years Eve and she was not impresses with the bandage job and that I didn't tell her I was draining. Most of the time when it drains it soaks the gauze. Well, it is still doing it and I'm scared to talk to her again about it. She's ****** at how the nurse only came once every four days and left my husband to do it.
My husband and I are convinced there is another pocket of fluid in there because of all the wet gauze. It's not infected, just draining but she made it VERY clear that I am to continue with no sitting. Only laying down or standing. The incsiion is quite puffy and draining but again the nurse says not to worry about it. I'm going to call the dr's office on Monday and ask about it.
As for you, this will NOT go away on it's own. Yes it will heal but give it a few months and it will be back. That's what happened to me and whenever it was really hurting again for a few days sure enough it was still draining and even more so since the stitches are out. So, if you decide to do it, ask them to do the method where there is no packing involved. Cause other the my leakage I am totally fine!
Sorry if I scared you with this info but I just wanted you to know what happened to me. Oh! If you get it done, you can NOT sit. Only standing and laying down.
I hope this has been of some good help to you. Let me know when you deide. Take care and HAPPY NEW YEAR!! Mary Jane

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