r/pilonidalcyst

Do i need antibiotics every time my sinus tract bleeds?

Do i need antibiotics every time my sinus tract bleeds?

I believe this is a tract and hasnt bleed in a little bit started yesterday do i need oral antibiotics every time? I have a cream i put on it that has antibiotics in it

u/Agitated_Primary3439 — 15 hours ago

Just got my cyst drained

I'm 5 days out of the drainage no drainage coming from the incision anymore and I've been laying on my back for a little bit of time here and there In the bed I return to work tomorrow about 5 days after the incision am I good do you think? Is sweat and stuff gonna make it worse the incision is about 2cm big and has packing in it but I'm assuming we stop packing after a week?

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u/Gold_Distribution_58 — 21 hours ago

How to apply gauze over wound.

How should i pack my wound? Im one month post op and my surgeon recently opened up these two spots and treated them with silver nitrate. Ive been currently just loosely applying the gauze over the wound.

I've gotten miserable since surgery pls share your experiences

Had surgery 2 days ago. Mine is a sinus and the surgeon left it open.. it's not a very big excision thankfully but this morning I had my bandage changed (basically the doc told me to wash inside with warm water...then dry...then fill the cavity left open with tetracycline 3% ointment and then put a gauze inside, then put a bandage and tape) and when I changed it, it hurt like hell inside. I've kept strict hygiene but it hurt so fucking bad i wanted to slam my head somewhere. The pain is better now but throbbing

Was anyone like this?? will this hell get over??😭😭

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u/TheRedPHANTOM212 — 1 day ago

Is this it? Pilonidal cyst.

I had what looked like an infected cyst, and when I went to the toilet just now, I checked on it and it seems like it had popped. There was some fluid, but mostly blood.

This is the second time in about a month that it's opened up and started bleeding. Last time, I put some toilet paper between my buttocks and my underwear to keep the blood from staining my underwear. I'm wondering if using a pad might work better this time😅

Also, one of the reason why I ask/post here, is because it's weekend, so gps are not available. Maybe someone has advice on how to treat it the upcoming days?

P.S. it's damn difficult to make a decent picture of your own crack.

u/Messquito — 2 days ago

Self-lancing

Hi team. Long time lurker first time poster! I have a cyst that had so much acute pain and every urgent care in the area refused to lance it. I’m on antibiotics now but it’s turned the acute pain into a soreness and the cyst is bigger somehow. I’m wicked uninsured so going to a doctor or ER is out of the question.
How would you guys going about popping it by myself? Anybody have any luck doing this? I know this is a “don’t ever do that” kind of questions but I’m losing my mind over here!!
Thank you!!!

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u/poopfromabutt69 — 2 days ago

Taking dump after surgery

I got my surgery 2 days ago and i got stitches on my wound. Doc told me that i should avoid sitting for a week but i have to take a dump on the toilet. Is that safe for the wound?

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u/bloody_homicide — 3 days ago

My Experience With Pilonidal Disease as a 21M in Australia

I first developed a pilonidal cyst 5 years ago. It appeared suddenly and was extremely painful, making it hard to sit or move. I had it drained and went back to school with a pad to catch any leakage. It healed in about 2 weeks.

Over the 12 months since first cyst, I noticed a small pit and mild discomfort but ignored it. Around a year later, the cyst flared up again, with pain, swelling, and pus. I chose to ignore it and as a result developed a recurrent cyst that would be super painful and drain almost one every month.

I eventually was booked in to have an EPSIT to get it removed (it was a 6 month wait as it was a cat 3 procedure - recommended within 365 days). It didn’t work at all, and it kept coming back so I got it again (3 month wait) and again (another 3 month wait) until it felt like it worked and I had no symptoms for a year.

But the game was not over, a month and a half ago I had another recurrence and it was so bad - 10/10 pain constantly not been able to walk etc. I had to get emergency drainage again, and was eventually booked for an excision +/- flap under cat 3 - within 365 days.

I ended up been extremely lucky, got the surgery in 26 days the day after a call. I stopped everything and agreed to have surgery and I’m so grateful. They needed up doing a limberg flap and I’m 1 week post op and everything is healing very well and pain has been no more than a 2-3/10 this whole time, even after taking oxycodone for one day and paracetamol until day 3 after surgery. Nothing since. It was also day surgery and went very smooth.

I just wanna say, anyone experiencing this I feel for you. It’s so hard but everything happens for a reason. It will work out.

If anyone has any questions please ask.

u/InsuranceOriginal651 — 3 days ago

Possible case?

Sorry for graphics. Need help. Slight irritation and bleeding. Should I go into the doctors tonight or tomorrow?

u/ThrowRaSucculent — 4 days ago

Cleft lift surgery tomorrow- so anxious!

I’m not a fan of hospitals and i’m just a very anxious person in general. If anyone has any reassuring stories or experiences regarding this surgery please tell me about them. I’m so nervous about the recovery and the drain and not being able to sit. I am definitely the kind of person that if there is something to worry about, I will not only worry, but also let it consume me. Any tips help!

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u/mirrorball1215 — 4 days ago
▲ 3 r/pilonidalcyst+1 crossposts

Urgent:Painful spot at top of butt crack near tailbone, no visible bump or redness. What could it be?

​

Hi everyone,

I'm 20 years old. Since yesterday I've had a very painful spot in the midline at the top of my butt crack near the tailbone.

The pain is sharp and gets much worse when:

Sitting

Standing up

Squatting (Indian toilet)

Coughing or sneezing

Tightening my buttocks

Skin over there is kind of sore .

I don't have:

Fever

Drainage/pus

Bleeding

Constipation (bowel movements are normal)

Paracetamol helps for a few hours and reduces the pain, but it comes back afterward.

Has anyone had something similar? Could this be an early pilonidal cyst, skin irritation from friction, or something else even when nothing obvious is visible?

Any experiences or advice would be appreciated.please it will be helpful i'm having severe pain .

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u/Big-Swordfish1792 — 4 days ago
▲ 3 r/pilonidalcyst+3 crossposts

I am scared I have a pilonidal cyst

I have seen two doctors but both think it is dermatitis. I am just worried it is more. I have started some creams

u/tigerk1992 — 5 days ago

Best surgery to have? UK based

Hello. I live in the UK and have an appointment next month to see a surgeon (Colorectal & Lower GI
Surgery appointment). I had incision & drainage in October 2025 and since then I’ve had constant flare ups, so I demanded my GP refer me for surgery.
I’m not sure what the best treatment/surgery would be. I see a lot about cleft lift (think that’s right) but I’m not sure that’s offered in the UK. Not possible at all for me to go private.

My question is, what’s the best treatment for Pilonidal disease in the UK that the NHS offers?

I know there’s no cure and I know a sinus can come back even after being removed. At this point, I’m willing to try anything for relief.
Thanks in advance :)

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u/Gloomy-Toe9813 — 5 days ago

Silver nitrate, good or bad?

Yesterday my surgeon cauterized some spots of separation on my cleft lift wound with silver nitrate. I’ve been reading online that silver nitrate is not good for wound healing. Is that true? And whats some of y’all’s experience with silver nitrate?

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u/Mundane-Excitement54 — 5 days ago

Crying at 2am

Hello everyone I just found this subreddit. I wanted to share some of my story as I'm just crying sat here about this issue. I'm 20M. But this issue didn't start recent for me. It started 4 years ago when I was 16. I didn't know what it was. I was just embarrassed by it. I was in college back then and just didn't know why this was happening to me. Maybe I was eating a lot of dry fruits? Maybe I was eating too many noodles? I tried so much but it didn't stop.

Eventually after a few weeks I told my parents and we went to the doctor. Guess what the doctor told me? Everything is fine it's normal. "It's normal." I hate that sentence. From there on I got checkups every 6 months and every time they just couldn't find an issue.

It destroyed me. I couldn't sit anywhere because I was worried I'd leave my discharge there. I wouldn't hang out with anyone, not play sports, feel disgusting and dirty everyday (the only time I'd feel clean is maybe 5 minutes at max after a shower). I stopped wearing colored clothes, only fully black ones. I never went to anyone's house, always slept on the floor with a towel near my lower body in case I discharge at night, wouldn't go to the gym, wouldn't talk to ANYONE EVER. I had even accepted that yes something is won't with me and I'm never finding love because I'm not deserving of love, why would anyone love me? My family was annoyed by it. Which is funny because whatever they felt I felt 1000x worse. And nothing helped. Nothing. I'm a Muslim and we have to pray 5 times a day. For that to happen, we have to be clean, wear clean clothes. I as a Muslim, didn't even feel like a Muslim because I just couldn't pray because I was never clean. I lost all my identity, I couldn't see myself as a Muslim and I couldn't see myself as a human. I was just a weird monster thing that's supposed to just die soon somewhere alone in a ditch. There is much much more but I can't remember it all at the moment. In short I can say that I just didn't want to live anymore. Not in the day of wanting to kill myself but being okay with the fact that if I didn't wake up tomorrow, I'll be fine with that.

After around 3.7 years of facing this, one doctor finally FINALLY properly diagnosed me. For the first time I felt normal in life, I felt like things could be better. And then we had a financial crisis in my family. Couldn't get the treatment. For a long time. And that brings us to these past 14 ish days. The situation has gotten worse. I discharge like 15-20 time a day. It's red and liquidy and it has a metallic almost medicinal smell. I'm going to the doctor tomorrow since our condition has slightly gotten better.

I was reading posts here and seeing people talk about how this comes back even after surgery and it just made me cry that man I just want to be rid of this please. I want it to go. I don't care if they want to do a surgery and it takes me an year to heal. I just want to be free of this forever. I can't bear it anymore.

As a small note I will add that I have gotten better in everything else, I do see myself as a human, hang out with friends, do think I deserve love and all. But it still would be a lot better if this thing would just leave me forever.

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u/SOLOKUSOLOS — 5 days ago

I believe I’ve discovered a minor sinus. Is it possible to get rid of it?

I started experiencing some minor discomfort at the bottom of my tail bone but nothing crazy. I didn’t think much of it until it started bleeding and draining puss so I had my wife check it out and she took a picture of what I can only describe as a relatively small crater in my buttcrack. After some Google-fu it seems to match all the characteristics of a Pilonidal Sinus. Thankfully it doesn’t hurt really, just a little itchy and a little uncomfortable.

I don’t have a GP so I intend to go to an urgent care or something similar to figure out my options. I found this subreddit though and it’s making me question if this is even something that can be “cured”? It seems like most people say they need surgery to make it go away which isn’t ideal.

I’m planning to go to an urgent care or something similar anyways so I’m not really looking for advice per say, unless someone has a better idea, but wanted to ask the community if I’m going to have a hole in my butt forever now?

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u/MeaningFormal4142 — 6 days ago

Open wound

I had a surgery a week ago open wound i wont go through details because usually it’s similar to all other experiences but i have a question.. before doing the surgery i was on diet low calories .. should i resume my diet or stop it for sometime and eat for faster recovery? Another question hoe much time will it take to feel free again ? Move normal sleep normal sit normal ? and thanks

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u/Prestigious-Bed7635 — 6 days ago

Should I be wound packing?

It's now been almost 5 weeks since I got open wound surgery. The healing was really dragging at first because I wasn't eating well the first 2-3 weeks, mostly because my gut bacteria was still insanely messed up from the antibiotics I was given prior to the surgery.

Now I'm starting to get worried that the wound might close prematurely..

My surgeon told me to just wash it twice a day and put a compress over the wound + a bandaid to secure it. And I'll be honest I don't really trust my surgeon since she hasn't been very helpful at all..

She also basically lied to me saying that I'll be healed up within 3-4 weeks despite the wound going down all the way to my tailbone.

Unfortunately I'm not able to reach out to a different doctor because getting an appointment is insanely hard these days. I'll be seeing my surgeon soon for a checkup tho!

At first I thought it would be fine but now that I look at the recent pictures it seems like the sides are closing up it's not really changing depth wise?

I'm hoping you guys can give me some advice!

u/Ms_YanCat — 6 days ago