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Had pilenodial sinus. Now showing pus formation. Suggest - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1525 Questions
User:I had pilenodial sinus around 4 yrs back and the same got resolved and just left a small hole
User:for 2-3 yrs there was not issue
User:now suddenly there is puss formation and then it breaks and i am ok
User:but this happens everyweek once
Doctor:Pilonidal sinus recurrs
User:what should i do
Doctor:it is because of long working hours and poor posture
Doctor:You have to get up once every 30 min
User:the moment i have some pain, then the boil breaks and i am releived
User:shoudl i take any medication
Doctor:Extra cushioning is required
Doctor:You should not lean back as that forms the pressure point and reduces the circulation
Doctor:Clean the area well, remove the hair and debris in aseptic way
Doctor:Only a doctor can do it
User:can i clean the area with savlon
Doctor:You can apply antiseptic cream over the area three times a day
User:which one would you recommend
Doctor:Yeah you know usually such areas have hair
Doctor:Use a hair remover and remove
Doctor:Keep the area clean
User:shoudl i keep the area damp with the anitseptic cream always
Doctor:You can try organic / herbal preparations like ALOEVERA gel
User:how can i stop the puss formation
Doctor:If it has pus, then do not apply aloevera
Doctor:apply FUSIWAL
Doctor:thrice a day let it remain for two hours
User:whenever the take some antibiotic for it to heal
Doctor:and clean with water
Doctor:IF the problem is recurring then you need to get the area excised
Doctor:by a surgeon
Doctor:it is called sinusectomy
User:can it be done thru laser
User:is it safe
User:is this a permanent solution
User:are there any side effects
Doctor:The permanent prevention is by adopting the lifestyle
Doctor:i just said
Doctor:there are serious side effects
User:like ?
Doctor:sorry no serious side effects
Doctor:so you can actually go ahead and get it done
User:can you tell me what exactly will be done in sinusectomy ?
Doctor:Yes, they actually incise the area till fresh area appears
Doctor:and heal it better
User:will it create a big hole behind after operation
Doctor:If you have too many discharging sinuses the healing is tougher
User:i have just one hole
Doctor:So this is a procedure to improve the healing and thus recurrence
Doctor:Yeah but it can form other holes
Doctor:Keep getting up frequently from the seat
Doctor:keep the area clean and dry
Doctor:that helps a lot
User:is there a way to keep the area clean when the discharge is happinng or post the discharge
Doctor:Use good and dry cotton swabs
Doctor:to clean the discharge
Doctor:Let the entire discharge be cleaned
Doctor:and then apply the ointment
Doctor:You do not need to necessarily use the savlon
Doctor:You can use BETADINE lotion insteaad
Doctor:Did you follow?
User:can i keep the cotton swab and past it with a band-aid and then move out
User:your information has helped me a lot
Doctor:Leave it for air
Doctor:If you cover it the germs grow more
User:then the swab would fall down and the discharge woudl spread all over
User:how to take care of the discharge will on the move
Doctor:That is why I say to clean the discharge completely
Doctor:Ok you mean if you are going to office, then you can cover with band aid
User:after the puss then there is some blood which comes out
Doctor:The cleaning method what I say is after your office hours
Doctor:That is normal
User:i will try this
User:this is really helpful
User:i have one more query for an endocronolgist
Doctor:But the doctor would not operate when there is clear infection and draining sinus
User:oh ok
Doctor:once the active infection clears then they operate it
Doctor:Let them decide on when to if you are prepared ot
User:i have one more query for an endocronolgist , can you help
User:i am suffering from thyroid for 5 yrs now...and having eltroxin
User:is there a cure for thyroid
Doctor:Generally the requirement for thyroxine hormone depends on age, occupation, other conditions, so it generally to be taken life long
Doctor:with continous follow up
Doctor:with Serum TSH
User:what kind of follow up
Doctor:with the treating doctor
Doctor:and Serum TSH value
User:Can TSH be controlled with change in lifestyle ?
User:food , etc ?
Doctor:No evidence
User:ok thanks
Doctor:about food and lifestyle that can control hypothyroidism
Doctor:Do you have any questions?
User:also can the thyroid gland be reactivated with an operation ?
User:what foods to be avoided and what food will help
Doctor:Avoid cabbage, cauliflower
User:what foods will help
Doctor:There is no food that helps to improve thyroxine secretion from thee gland
User:Thanks for all the advice
User:can i get your name and no
Doctor:I am Dr. Mazumdar
Doctor:You can reach me on chat alone
Doctor:Else you can request a call back
User:ok thanks
Doctor:from me
Doctor:by going on to the portal
Doctor:As per the policy we should not share our phone number
User:do you practise in mumbai ?
Doctor:No I am in Bangalore
User:ok thanks.....i am signing off
Doctor:Ok bye for now
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