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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pilonidal Cyst

Hello, I have done some research and I seem to have had either a hair root infection or pilonidal cyst on the upper part of my intergluteal cleft. It burst and oozed dark pus and blood. I have cleaned it and have bandaged it, but when I remove the bandage to replace it, it continues to bleed. I am wondering if I can continue to clean and bandage it to let it heal and not have it come back or if I need antibiotics. I am in college so I would rather not have to go an get a prescription if possible,
Tue, 4 Nov 2014
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Infectious Diseases Specialist,  's  Response
Hi,
Welcome to HCM,

I had gone through your history and understand your concern,

A pilonidal cyst or sinus is a cyst in the lowest part of the vertebral column or in tailbone area. It may contain inside hair or skin remnants.

Treatment is surgery under local anesthesia. Usualy there is no connection between the cyst and neurological symptoms. However there are isolated cases reported of sacral or lumbar osteomyelitis and epidural abscess as a complication of pilonidal cyst.

I suggest you to discus with your Doctor the possibility of plain radiographs of your lumbosacral column. I also suggest to treat the cyst surgically, it is a simple procedure under local anesthesia.
Thank you.
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Suggest Treatment For Pilonidal Cyst

Hi, Welcome to HCM, I had gone through your history and understand your concern, A pilonidal cyst or sinus is a cyst in the lowest part of the vertebral column or in tailbone area. It may contain inside hair or skin remnants. Treatment is surgery under local anesthesia. Usualy there is no connection between the cyst and neurological symptoms. However there are isolated cases reported of sacral or lumbar osteomyelitis and epidural abscess as a complication of pilonidal cyst. I suggest you to discus with your Doctor the possibility of plain radiographs of your lumbosacral column. I also suggest to treat the cyst surgically, it is a simple procedure under local anesthesia. Thank you.