Is the Pain from this Cyst Normal?
Yesterday, I visited the hospital due to an intense pain and what appeared to be an infected blister located on my coccyx area (upper cleft). The attending physician diagnosed it as a pilonidal cyst, prescribed clarithromycin, and advised me to wait for four days before reassessing the situation. However, since that appointment, the discomfort has escalated to a level that is almost intolerable. I find it challenging to lie in any position other than on my right side, with any other movement inciting sharp pain. I have been relying on painkillers every two to three hours, which raises concerns regarding the possibility of exceeding the recommended dosage. Is this level of pain typical? It feels as though I am experiencing a stabbing sensation at the base of my spine with every slight adjustment in position, which has left me increasingly anxious. I am not sure I can manage this for several more days. Should I consider going to the emergency room and insist on having it drained?
Answers (1)
6/21/2025, 12:40:36 PM
OpenHealth AI
It sounds like you're experiencing significant discomfort from the pilonidal cyst, and your concerns are completely valid. Pain that intensifies and affects your daily activities can be distressing. While some discomfort is common with this type of cyst, the level of pain you're describing, especially if it feels intolerable and sharp, may indicate that further evaluation is necessary.
Explanation
A pilonidal cyst is an abnormal pocket of tissue that can become infected, leading to pain and swelling in the area. In many cases, cysts can cause discomfort but should improve with appropriate treatment. However, if the infection is severe, or if pressure is causing increased pain, interventions like drainage might be warranted.
Actionable Next Steps
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Reassess Pain Levels: If the current pain interferes significantly with your ability to function or sleep, that is concerning.
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Use Pain Medications Cautiously: Continue taking your pain medication but be mindful not to exceed the recommended dose. If you find that pain relief isn't sufficient, you may need to consult a healthcare professional sooner.
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Monitor Symptoms: Watch for signs of systemic infection, such as fever, chills, or increased redness and swelling around the cyst.
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Consider Emergency Care: If pain continues to escalate, or if you notice any of the above symptoms, visiting the emergency room is a justified step. It’s important to advocate for yourself; if you feel drainage might be necessary, communicate that clearly with the healthcare team.
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Position Changes for Comfort: Keep lying on your side if that's the only comfortable position, and consider using soft padding to ease pressure on the affected area when you need to change positions.
Remember, your comfort and well-being are the priority. Don't hesitate to seek further medical attention if your pain persists or worsens.
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