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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Orange Pus Discharge From Buttock Cleft Despite Suffering From Pilonidal Sinus?

My partner has a recently diagnosed pilonidal sinus in buttock cleft, there was clear, sometimes cloudy discharge coming from the sinus at this stage. However, there is now orange pus/discharge coming from sinus and marking underwear. This started just as he began an aggressive course of antibiotics.. Is this linked with antibiotics or has a pretty bad infection started? He has no other symptoms.
Thu, 24 Feb 2022
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General & Family Physician 's  Response
Hello,

Your husband has history of having pilonidal sinus. Presently he is having orange pus discharge coming from it. When the pilonidal sinus gets infected, it starts oozing discharge. He is suggested to wash the area with antibacterial soap on daily basis and make sure that the soap is washed out. He should keep the area dry and avoid sitting for a long time. He can take sitz bathe twice daily for relief.

He can take a course of broad spectrum antibiotics (Amoxycillin or Ampicillin) to help reduce infection, inflammation and discomfort. He can take analgesics or NSAIDS, one stat for relieve from pain. If obese , he should control weight and maintain healthy weight. He should avoid intake of oily junk food and prefer home made nutritious food.

It will help to reduce the symptoms comparatively. If needed he can consult a GP/Urologist, he may be recommended surgery but recurrence rate of pilonidal sinus is high. Taking care of the hygiene, control on diet and maintaining healthy weight will help reduce symptoms and discomfort.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Causes Orange Pus Discharge From Buttock Cleft Despite Suffering From Pilonidal Sinus?

Hello, Your husband has history of having pilonidal sinus. Presently he is having orange pus discharge coming from it. When the pilonidal sinus gets infected, it starts oozing discharge. He is suggested to wash the area with antibacterial soap on daily basis and make sure that the soap is washed out. He should keep the area dry and avoid sitting for a long time. He can take sitz bathe twice daily for relief. He can take a course of broad spectrum antibiotics (Amoxycillin or Ampicillin) to help reduce infection, inflammation and discomfort. He can take analgesics or NSAIDS, one stat for relieve from pain. If obese , he should control weight and maintain healthy weight. He should avoid intake of oily junk food and prefer home made nutritious food. It will help to reduce the symptoms comparatively. If needed he can consult a GP/Urologist, he may be recommended surgery but recurrence rate of pilonidal sinus is high. Taking care of the hygiene, control on diet and maintaining healthy weight will help reduce symptoms and discomfort. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician