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1.The history and symptoms suggest the recurrence of philonidal
cyst with features of infective discharge.
2.It is seen in as a bad healing of the previous infection, can be due to inadequate post procedural care, medications and mobility and underlying medical conditions can be the causes.
3.In this case you need to approach a specialist / surgeon and proper investigate the condition and spread of the infection.
4.The complications in this case are fistulas opening internally to the bowel and so on - so needs to investigate and plane for surgery.
5.In can not be treated in ER as recurrence is possible - so please visit surgeon and get examined, treated accordingly.
Good luck.
Hope i have answered your query,
any thing to ask ? do not hesitate to ask.
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