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Pilonidal Cyst Recurrence at 16 Years Old

7/7/2025, 9:50:17 PMMale25-34

Hello everyone, I’m a 16-year-old and back in January, I underwent a procedure to drain a pilonidal cyst. Then, towards the end of February, I had surgery to completely remove it. The surgeon stitched up the area, and I had those stitches in place for approximately a month before they were taken out. Initially, I thought the healing process was going well, but I’ve started to notice signs that the cyst may be returning, and this time it's larger than before. There's pus leaking from it, and I'm experiencing discomfort once again. I'm feeling quite anxious about this situation and uncertain about the next steps. Are there any home remedies I could try, or should I expect to need another surgical intervention?

ArthritisInternal MedicineEndocrinology

Answers (1)

Cony

7/7/2025, 9:50:34 PM

OpenHealth AI

It sounds like you're going through a frustrating experience with your pilonidal cyst. I understand that you're feeling anxious, especially since you've already dealt with this issue before. Based on the symptoms you've described—pus leakage, discomfort, and the cyst appearing larger—it’s understandable to seek both reassurance and actionable steps.

Main Points:

  1. Signs of Recurrence: Your symptoms suggest that the cyst may be returning, which can happen.
  2. Home Care: While there are some self-care measures you can take, effective long-term resolution may require medical attention.

Explanation:

Pilonidal cysts can recur for various reasons, including incomplete removal of cyst tissue or hair from the area. The presence of pus is often a sign of infection, and it’s crucial to address these symptoms appropriately. Although you may find temporary relief through self-care methods, persistent complaints usually require a follow-up with your healthcare provider.

Next Steps:

  1. Keep the Area Clean:

    • Gently wash the area with mild soap and warm water daily.
    • Avoid using harsh soaps or scrubs that could irritate the skin.
  2. Warm Compresses:

    • Apply a warm compress to the area several times a day to help reduce discomfort and promote drainage.
  3. Monitor Symptoms:

    • Keep an eye on any changes such as increased pain, redness, swelling, or fever, which could indicate a worsening condition.
  4. Pain Management:

    • Over-the-counter pain relievers like ibuprofen or acetaminophen could help alleviate discomfort. Make sure to follow the recommended dosages.
  5. Prepare for Possible Medical Review:

    • Due to the recurrence and current symptoms, it's advisable to contact your healthcare provider to discuss the possibility of a follow-up evaluation. They may recommend further intervention if necessary, which could include additional drainage or another surgical procedure.
  6. Avoid Irritants:

    • Wear loose-fitting clothing to reduce friction and irritation in the affected area.

Feeling uncertain is very normal in this situation, but taking these steps will help manage your symptoms while you await further medical guidance. Don't hesitate to reach out to your healthcare provider for support; they're there to help you navigate through this.

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