Conditions
Pilonidal Sinus
This condition is more common than some might think, and is caused when a small tunnel or cleft develops under the skin at the base of the spine. This cleft fills with hair, bacteria and dead skin, eventually forming an abscess that can be sore and painful. The pain generally subsides when the pus is released from the abscess, but re-infection will occur as the hole continues to fill up with detritus. Symptoms can be alleviated by extensive washing of the infected area, but if it continue to reoccur, or occurs quickly and severely, surgery has to be considered. This normally involves the removal of the sinus, but reoccurrence is a possibility. In these cases laser hair removal can be considered if it is a hair follicle that is causing the problem.
Comments and Questions
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I'm a 25 female, witht barely any hair on my body. I first noticed my sinus 3 years ago the bottom of my back was very painful and sore but nothing showed so left it alone. Then the abscess appeared and was very painful, my doctor put me on antibiotics and it cleared up. Then back in april this year i could feel that pain again and it came back with vengence. I went back to the docs for antibiotics and by the end of the weeks course it had doubled in size and i could barely walk with the pain. I went back to the doctors and they sent me straight to hospital where they told me it needed to be drained. 12 hours later i was operated on to remove the sinus. What i wasn't told was that i was going to be left with an open wound that needed to be packed everyday and it eventually took 9 weeks to fully heal. However i would say it was the best decision they made for me because it is unlikely to come back now and there was no infection. The best advice i can give is dont leave it get it seen to straight away because it will only get worse.
i am 16 and have had a headache for nearly 6 months. my eyesight has become weaker in the past year or so and worse in the past 8 months. i have glasses for computer tv. i have seen my eye size of pupil decrease in size and my eyelids have shut closer together, i have to strain and squint. my eyes r dry and when i blink there is a clicking noise. i have tried all sorts of eyedrops they r all rubbish. my headache is more like a heavy head which permits me from carrying out day 2 day tasks like working out sums, and doing work . i just feel like not speaking and moving or getting up. i feel tired and not bothered. i have pain all overmy head and i think at the back of my head. is it sinus disease. my head feels strained and tight. i have tried massages but doesen't work .
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my husband had a perodenal abcess op done last september can a trauma inside possibly be caused my the gadgets the nurses use to measure the depth being pushed way too hard 5 days after surgery cos my hubby wont heal 9 mths later and 6 cms has only gone to 4 cms??
Hi Maggie. I wouldn't have thought the probing would harm the healing... what may happen (and all wounds are different) Is the wound could be backed to tightly, or "over dressed" so it will only go to a certain point. Towards the enf of my first one, granted it was smaller than your husband the nurses began to use less packing and pack it looser, they also used silver nitrate (ow!) over the edges to stop it over granulating... i'm not sure if that may help in your husbands case? I think if you're not getting the help from your Dr or Consultant it may be an idea to search for local wound care centres in your area as they would be able to offer you further help. Hope this helped.
I had same problem for abt 10 years now n hvn't treated it yet.FYI I m 27 now Male. It reccurs time n agn but it is not much painful as it disrupts relieving pressure and discharging pus n blood(Debris). I asked my physician n he told me that it is reccurant but its upto me to think abt treatment as it happens less frequently and less painfull. Never Say Die. Cheers.
Hi everyone. I also wanted to share my PS story after reading your posts. I'm a non hairy female ... who had a nasty fall on my coccyx when I was little, back last September I began to have on off pains jn my coccyx which i had associated with my fall. October came and all of the following happened within 2weeks: i started getting fever and unbearable pains and i couldn't ait down (I work in an office) I was off work, went to a&e and they couldn't see an assess so they guessed I just briised it. I was sent home with co cordamol. Few days later pain was worse, went to my gp, was given anti biotic for a week, a few days later pain getting worse I went back to hospital. Given more anti biotic but was told i had an assess which would erupt by itself...boy it did, and smelled bad!.next day fever at all time high, unable to walk my go referred me as an emergency to hospital....anyway long atory ahort, I didn't know it was PS until AFTER my op n it freaked me out.8months later wound hadn't healed. May 2010: discomfort still there but I just about managed to work, towards the end of the month my bf noticed another small hole...at this point it wasnt giving me trouble.3days later well... the old symptoms were back and i knew its a recurence, I didn't mess about and went straight to my drs and was suffered to hospital. June 3rd 2010: had operation the hole was an infected sinus tract had the op within hrs. This wound was a beast. My last surgery was open, the wound was 1inch deep 2inches wide 1 inch deep aprx. This one... they told me it was agressive, I had 5inches long, 3inches deep 4inches wide..horrendous. 4days layer I'm discharged, walking hurts i was stuck in Ned getting hip ache but on pain killers. This time I'm now having vacum therapy, I go down twice a week for dressing changea and I have a tube coming from the wound into a machinei carry around. It's healing steady now, i can move easier and the wound is reducing in size after 2weeks... so far so good. I urge anyone who has surgery to go for an open wound healing. I was reassured if it came back, is have the cleft lift plastic surgery. So far I'm off work for a month but that will be reviewed in 3wks. I'm worried about going back to soon. It's a painful and horrid condition and forums like this are great to share experiences. It will get better... it just takes time. All comments welcomed :)
my husband has had the same op last september was 6 cms deep and tracked off to the right of his butt,he still has a 4 cm deep wound and we have a nurse every day for packing and have had for the past almost 9 months to say we are fed up is an understatement,when the proffesor saw him 2 weeks ago he held his hands up and said he was lost for words and does not know what to do for us now.
Sorry to hear about you husband, It's a nightmare of an illness to deal with. It can take strain on a relationship sometimes but i guess it's a good test that's what i keep telling my boyfriend. Is this your husbands first one? With a wound that size i'm suprised they didn't try Vac therapy. It's disheartening and with my first wound i had the same problem, after months i just wasn't getting anywhere and the nurse said "it's stopped" not what you want to hear, she tried a different aquacel packing, called aquacell SG i think or aquacell silver, i think it attracts more exudate from the wound. I hope your husband is doing ok considering and i bet it's hard for you too, keep me posted with your developements :)
im 13 years old and im a girl. i am having a problem with my bum beacause about 1 year ago i felt a stand of hair stuck to my leg i pulled on lit to get is of but it let alot of pain go up to my bottom. ever since i tried getting that hair of i have had alot of hair growing up there i dont know what to do because i have not yet told anypne about this im scared cause i dont know to do.
Hi, Im a 27 yr old female.I've been reading all these comments and here's me thinking im the veteran at it! Some of your cases of reoccurrence sound worrying...in fact im kind of glad i found this AFTER my last op else i dont think i would have gone through with it. Mine st appeared about 9 years ago, very painfull swelling at my coxics which just got progressively bigger i was given a course of strong antibiotics i remember my doctor told me the operation should be avoided unless absolutly necessary due to how nasty it was...as u can imagine i was scared out by wits by his comments. Luckily for me it went with the tablets but left a small hole in its place. About 2 years ago it came back with a vengence due to my previous scare i asked the doc for antibiotics again he was relutant but gave them too me this didnt shift it and it got worse. I was admitted to the hospital and was put on morphene the pain was so unbareable, thia time they drained it and packed it i was off for about 5 weeks, this time the doctor told me off for not going sooner, he said these things are easier to operate on when they are not so agressive and so should it ever reoccure go straight to hospital as there is more chance of them getting the whole infected area. Well 12 months later it did reoccur except i was in asia at the time and so due to this i went and bought antbiotics again dispte thinking over and over again what the doc had said last time, i couldnt bring myself to do this in somewhere so remote. In the end i was medivacced off the island i was on and ended up in a hospital on the mainland, here i was operated on twice as the first time i almost got blood posiening from the infection..it sounds worse than it was they were lovely but thank god for travel insurance 10k later (due to the fact they had to fly me business class back as i couldnt sit for 12 hrs) i was home and having my dressings packed by a nurse each day for another 6 weeks. I was healed fine and no further symptoms but it was at this point i decided i couldnt go through this pain again or risk it happening somewhere else abroad so i went to see a specialist who advised me it will keep coming back unless i had an operation to remove the sinus completely and surronding tissue doing this whilst not having a flare up means better chance of getting it all. Ive just had the surgery and my surgeon has promised me even though he has stitchd me instead of leavng it open it wont come back now. I am currently sat on my side in bed writing this with hip ache...you guys had that too? Im having the stitches out tomorrow but im wondering how long am i likely to be off this time as at the moment there is no way i could sit at a desk all day and im 2 weeks in am i being a pussy? My advise to anyone who has had this happen more than once is to just go and get it sorted..even if you think your ok now it will keep coming back maybe every few yrs but that pain is something else! If you do it whilst there is no flare up you have a better chance of it never returning.
Would be interested to know what your experiences of scarring are?
I'm a 17 year old female, absolutely not a hairy person whatsoever, even my legs and arms only have very fine, spaced apart hair. Began experiencing problems this time last year. Started off feeling like I had a bruised coccyx area, just in the little cleft at the beginning of the bottom. Felt slightly uncomfortable to sit down but in its early stages it was not red and I couldn't feel a lump there at all. It got sorer and sorer over two or so weeks, so eventually I went to see a doctor who listened to the symptoms (sore, difficult to sit down for long periods of time without a dull ache) and diagnosed me with coccydynia. Not knowing any better I believed this and embarked on a course of physiotherapy with massage and ultrasound being used to try and alleviate the pain. My physiotherapist was concerned as to the amount of acute pain I was feeling, particularly in just one small spot, and at the same time the area was becoming a bit redder and the skin was feeling quite taut to touch. Eventually I was referred again to the doctor and was put on two types of antibiotics (Augmentin and one which I cannot remember). The abscess drained by itself, very unpleasant and painful and needed dressings etc several times a day. Since then it hasn't returned which I'm very thankful for. My advice: - make sure you get the right diagnosis! I could have saved myself a lot of pain if I'd questioned the original GP's verdict - get referred to a colorectal specialist, mine was brilliant and didn't jump into surgery which apparently can make things worse in some instances And my sympathies to everyone who has suffered/is suffering from this horrendously painful problem!
Hi Grace, The first time when it went its self it left a small hole there. The next 2 times i had it operated on were emergency ones so they left 2 small scars at the top of my bum near where the crease starts. Since having it done properly all im left with is it running down the crease so you wont see it and the orginal hole as this was cut out is also gone. Speak to your doctor about having surgery to prevent re occurences as the procedure is much less painful and will leave you with less scarrinng than if its done when its flared up. You may be one of the lucky ones but i suspect if your abcess has left a hole (sinus) then chances are it will get reinfected at some point. But mine was 9 ys before i had my 2nd. In answer to you wondering about why its happened to you and your not hairy, im the same but im told any lose hair can inbed its self into your skin so things like washing your hair shaving etc. Its also known as jeeps as its common in drivers people who sit a lot at work or jcb drivers as they constantly bouncing about. Hope this goes someway to stop you worrying about that :)
I'm the 26yr old male who kept getting flare ups OVER and OVER... and ended up going private... In response to people posting about laser hair removal... please bear in mind it is not always effective. I have had 4 set of sessions costing over £2000 for each set, unfortunately my hair remains there :( Before you possibly waste your money, discuss your hairy problems with a proffesional before under going ANY kind of laser removal.
I agree. Females frequently are NOT that hairy from the rear view! which makes it even more perplexing when the problem constantly flares-up. (I had one Surgeon who commented he was normally ferreting around in a forest.... At least this raised a laugh in yet another bleak moment in the face down position.)
Hi I'm 20years old and have had these inflamations around my bikini line for as long as I can remember. I'm not at all sure what they are and every GP I've seen they've told me different and supplied various creams that just have not worked. They flare up just before a period and are extremely painful. They burst with the rubbing of my underwear and then scar. I get a lot of ingrowing hairs but I only get these inflammations on my bikini line. Can anyone help me? Please? I hate it :(
i just got my first one 2 weeks ago and i have had the cut and drain surgery.it looks like its healing pretty good and im off antibiotoics...fingers crossed. anyways im here to give you some advice...get laser removal on the area and get rid of all that hair around it...it suppose to really work...try that. im going to get the laser as soon as mine heals.
Thank you for visiting our web site and for discussing your problem so openly. If you would like the opportunity to be seen by one of the Embarrassing Bodies Doctors and have your problems assessed and treated by a specialist, then why not apply for the chance to take part in the programme. Please visit the following link and click ‘Apply to be on the show’ where you can fill in an application form: http://www.channel4embarrassingillnesses.com/features/be-on-embarrassing-bodies/
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