Pilonidal Sinus

Pilonidal Sinus or Pilonidal Cyst

Pilonidal Disease

Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). It is more common in men than women and most often occurs between puberty and age 40. Obesity and thick, stiff body hair make people more prone to pilonidal disease.

Causes
Hairs often grow in the cleft between the buttocks. These hair follicles can become infected. Further, hair can be drawn into these abscesses worsening the problem.

Symptoms

Symptoms can vary from very mild to severe. The symptoms may include:

  • Small dimple
  • Large painful mass
  • Clear, cloudy or bloody fluid drainage from affected area
  • If infected, the area becomes red and tender and the drainage (pus) smells foul
  • If infected, may have fever, nausea or feel ill

Disease Patterns

Nearly all patients have an acute abscess episode (the area is swollen, tender and pus may drain from it). After the abscess goes away, either by itself or with medical care, many patients develop a pilonidal sinus. The sinus is a cavity below the skin surface that connects to the surface through one or more small openings. Some sinus tracts may resolve on their own, however, most patients need minor surgery to remove them.

Diagnosis

Diagnosis is typically confirmed by a physician examining the buttock area.

Treatment

In modern surgery lot of treatment options are available for pilonidal sinus like … excision of tract and marsupilization.. z plasty..rhomboid plasty.
But every procedure is having own percentage of recurrence and complications.
In sarajas ayurveda clinic , we treat these cases with kshara karma and kshara sutra treatment, as an office based procedure under local anaesthesia.
Post operatively we advice regular dressing with ayurvedic medicated oils.. pt can do his regular activities from next day onwards..
We can cure the disease with out any recurrence and complications.

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