All You Need to Know about Pilonidal Sinus

“Pilonidal Sinus“ is an Italian term, which means a nest of hair, highlighting the main cause of the disease – ingrown hair. It’s a less known ailment but is common among young generation, especially males between an age group of 20 to 30. A pilonidal cyst is a cystic structure developed along the coccyx region (tailbone) in the cleft of the buttocks, located almost 4-5 cm from the anus. This cyst is filled with hair, bacteria and skin debris.

Common Symptoms

More than one cyst may also develop, which later connect to each other by tunnels formed under the skin. It eventually forms an abscess. A patient suffers from a lot of pain and soreness in the particular body part. Even after pus discharge from the cyst, it continues to fill up with detritus leading to re-infection. One must see a Colorectal Surgeon well before the sinus becomes severe. If the cyst is infected, then pus is drained out and the patient experiences fever, pain & swelling in lower spinal region and warmth & redness in the affected skin.

There may not be any noticeable symptoms indicting the occurrence of a pilonidal sinus. As soon as a small dimple-like depression is developed on the skin in natal cleft, one should immediately seek for a doctor’s assistance. This dimple-like depression is infected later to develop into a cyst filled with abscess.

Males are most likely to suffer from pilonidal sinus. Let’s see what the risk factors are.

Family history
Obesity
Profession demanding prolonged sitting or driving
Copious hair (hirsute)
Deep natal cleft

A pilonidal cyst is diagnosed by physical examination and prominent symptoms.

Pilonidal Sinus Treatment

If not infected, pilonidal sinus can be cured by medication. However, an infected sinus has to be treated by a surgery. Conventional surgery is performed under local anesthesia to remove all the debris and abscess from the cyst. However, recurrence is common, as it is estimated to occur in approximately 40%-50% of individuals. At Dr. Ashwin Porwal’s Healing Hands Clinic, Excision & Primary Closure are provided for successful pilonidal sinus treatment in and around Pune.

Maintaining hygiene in the sacrococcygeal area is critical to prevent pilonidal sinus. Keeping the area clean, dry and free of hair is the best preventive measure.

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Laser treatment for Pilonidal Sinus

It is always advised to take a proper exercise on time to avoid in future ill health and to grow your immune system. Mostly people who are adaptable to sedentary lifestyle are prone to low immunity and are people suffering from most of the ailments. Science has revealed that even if you have a sedentary lifestyle you should always walk a little in every 1-2 hour for better health. Intake of water in every 2 hours is recommended for good digestion and health maintenance.

One of the major ailments that mostly sedentary people are affected is known as Pilonidal Sinus. Pilonidal Sinus occurs mostly due to prolonged sitting but is not the only reason, being overweight (obesity), a previous persistent irritation or injury to the affected area, having a hairy, deep natal cleft and a family history of the condition.

Pilonidal Sinus is an abnormal pocket in the skin that usually contains hair and skin debris. If your are facing from symptoms like external sinus opening seen at the base of spine between the buttocks, Pus discharge from the lump on lower back, history of recurrent swelling & abscess on lower back and Fever, pain.

There are some causes which add to this ailment like lack of cleanliness in sacral region, over sweating, improper sitting style and twisting of hairs below skin causing infection to hair root. A proper treatment on time is hence very necessary to overcome this ailment as more delay you make in treatment the more infection spreads causing a deeper duct in tail bone area.

If the Sinus is at just its beginning then a Pilonidal Sinus doctor will advice you some antibiotics but if the Sinus is an infected one surgery is advised. Treatment for Pilonidal sinus in Pune is now available at Healing Hands Clinic, Pune (Upcoming in Navi Mumbai, Chinchwad & Chakan).

Healing Hands Clinic is founded by Dr. Ashwin Porwal ( Colo-rectal Surgeon) who has introduced laser treatment for Pilonidal Sinus for the 1st time in India. Irrespective of other treatment the laser treatment is the best option as it provides a blood free environment, negligible pain, faster recovery, no stitches involved, no dressing required and discharge within 6-8 hours of the surgery.

Healing Hands Clinic is a Member of ECTA, ESCP, and ISO Certified and India’s First Proctology Clinic with MRI Defecography is One-Stop Clinic for Pilonidal SinusTreatment in Pune. (Opening soon in Chinchwad, Chakan and Navi mumbai).

Healing Hands Clinic (HHC) specializes in the management of anorectal diseases (Piles (Mulvyadh/Bavasir), Constipation, Fistula(Bhagandar), Rectal Prolapse, Pilonidal Sinus) Hernia, Digestive Diseases & Varicose veins via both surgical and medicinal management methods.HHC is also awarded as centre of Excellence by Dr. John Murphy (Ex-President American Hernia Society).

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