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Pilonidal Cysts - treatment w/o surgery? can it spread?

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I have an itchy bump above my butt (by the tail bone) and it usually bleeds a great deal and oozes some puss and it has been driving me mad for the last 2 1/2 years.

Im pretty sure its a Pilonidal cysts...unfortunately. But fortunately it doesnt look like it is hemorrhoids or a cancer like i thought it was when i first saw it. Im afraid of it spreading and i have been worried about this tiny bump since spring 05 when i first felt the bleeding and itching. It really came out of nowhere...

Is there ANY way to treat it without surgery? Will it be with me forever if i dont do something about it, because it has been almost 3 years and its not changing. Sad

Can it spread? Im recently having trouble using the bathroom because i think, I THINK i may have developed another one inside my actual anus, preventing me from going poop properly. Like its blocking my exit. Is this possible? I really hope thats not the case.I havent pooped in about 2 days and im really scared.

Anyone please respond.

Thank you.
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replied November 2nd, 2007
Extremely eHealthy
Do you have family history of pilonidal cyst?
Are you prone to acne, boils, sebaceous cysts?
What's the size of the lump?
Does it hurt when you press it on?
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replied November 2nd, 2007
dont know about family history but my grandfather was in wwII, didnt it start there? maybe he had one.

yes i have had acne since 13 and it never goes away. acne has been with me in some form or another all the way up to my current age of 23. no boils, but i have gotten several acne cyst over the years but they all eventually went away.

well, the one that itches is fairly small, probably the size of a bad acne cyst.
it stings and itches when i press on it. yeah i would say it hurts when i press on it.

now, is it possible that it spread to my anus hole, im have really hard trouble passing gas and pooping because it seems the hole is closed off something that is bleeding a small bit. i padded it with a tissue and i feel a bump there that if i rub it a bit, kinda leaves dots of blood. but im not sure if its blood or you know...poop.

ive had the itchy lump for about 3 years. can it go away without treatment? im afraid it has spread and im really worried lately.

any advise will be greatly appreciated.

thanks again.
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replied November 8th, 2007
Extremely eHealthy
Is this lump located exactly on the bottom of your tailbone ?
Was the appearance of this lump same three years ago as today or it was changing over the time?
Was this lump oozing pus when you had noticed it for the first time?
Are you experiencing its presence as swollen red lump that's causing pain?
Do you feel progressive tenderness after physical activity or a period of prolonged sitting?
Do you have fever?
If this lump is a pilonidal cyst there is no need to worry about spreading it inside your anus.
Do you find this lump and the surrounding area tender and warm to palpation?
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replied November 13th, 2012
i refer to the statement "if this lump is pilonidal cyst there is no need to worry about it spreading inside your anus" - this is wrong it can spread to the anus, i have the infection and it has spread that far and further
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replied November 12th, 2007
" If this lump is a pilonidal cyst there is no need to worry about spreading it inside your anus. "

thats what i wanted to hear!

anyway, this is indeed a pilonidal cyst. i went to the doctor last week and she confirmed it. if it wasnt for me currently not having insurance, i would have a surgery date set by now. but unfortunately im stuck waiting it out until i find some insurance.

its seems its been the same size since ive discovered it. it only itches (pretty badly at times) and thankfully the pus has been very less frequent lately.

my biggest fear was it spreading. so, im trying to keep myself very clean in hopes nothing like that will happen before i have surgery.

can diet have anythinig to do with this itching more or having more pus?
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replied November 14th, 2007
Extremely eHealthy
This cyst can become infected and filled with pus. When this happens the cyst is known as pilonidal abscess. It's an abscess that is created from an infected follicle. Usually, when it's infected the pain is worse.
Pilonidal cyst can take one of several courses.
Some people with pilonidal cyst will experience excruciating pain in the tailbone area and will have obvious signs of inflamed lump(redness, swelling, pain)
Other people will have abscess that's draining and don't cause sever pain.
The third group of people are the ones that can feel the lump, but cause very little pain.
I guess you belongs to second group and you may feel itchy in tailbone area and perianal area caused by drainage.
So long as your cyst is draining you will have to wear a little gauze pad over the drainage with hypoallergenic paper tape to take care of the mess.
Eating a healthy and balanced diet (food rich in zink and vit E ) is essential for healing process after drainage or surgery.
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replied May 13th, 2009
pilonidal cyst bleeding 5 months after drainage??
i had my pilonidal cyst drained in December of 08. the pain and swelling hasn't gone away since. i had a 4x5 inch infection on my lower back that went and spread apart onto the top of my butt cheeks and tailbone. i just noticed that the crack is bleeding a little. that was the first thing to hurt when i found out i had a cyst. is it going to abscess? what should i do???
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replied June 25th, 2009
I too have a pilonidal sinus from last 3 yrs on the side of my anus.Earlier i thought its an cyst but after some time i came to know its a sinus as it has some pessage from inside.As far i have concerned to the doctors surgery is the last option but chances are it comes back again if a single pus cell remains.So it all depends on the surgery..OPEN WOUND SURGERY are best for tail sinus or cyst.Its takes around 2months depends upon how much area is covered. Tail sinus is also called as jeep disease.It generally happin to those having lots of hair in body or back side.
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replied June 25th, 2009
-Try Ayurvedic Medicines it really helps..
-Eat healthy food non spicy,less oil,fruits,drink lot of water
-Do yoga,avoid heat,stress,Try to maintain your body temp.
-Use steam or hot tubs,avoid constipation ,some times it leads to piles and other disease takes place.
Hope it will help ..Be positive
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replied January 5th, 2013
I too recently had a pilonidal cyst surgery. I started feeling the pain and discomfort back in July of 2012 and I ignored it for a couple of months until I saw my physician and he referred me to a colorectal specialist. He put me on amoxicillin 500 mg and I also had surgery. I had 6 removed. Five of them healed perfectly one of them opened after the suture were removed and the doctor said if the cauterizing doesn't help then in the next 3 to 4 months I may need another surgery and I really don't want to go through with that again. I just wanted to know what are the risks of living with this infection and can it cause severe damage down the line.

Thank you
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replied January 8th, 2013
Pilonidal Cyst
I have a pilonidal cyst as well. But my symptoms are a lot worse than that. I'm having pain to the point I can't hardly sit down.

What do I need to do?
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replied February 24th, 2013
I've had a bump on my tailbone for years. Never hurt. This past week it became larger, tender and eventually turned into an abscess. Every day the pain got worse. And at night I couldn't lay on my back. It had to be on the sides or my stomach. Sitting down became super painful. Walking became nearly impossible. I had to take 3 200mg of IBuprofen to be able to walk and do other activities. I was terrified to go to the doctors so I took care of this on my own... One night I lost sleep due to the EXCRUCIATING pain. It felt like WOLVERINE was inside my abscess and was clawing at it to break out of my skin. ( I'm a huge wolverine can and this is the best way to explain the pain) It got to the point where having clothes on and having my panties touching any area of my back sent 1,000 needles poking the abscess. I kept taking pictures and every hour my abscess was getting translusant and I could see a a pocket of blood and 2 pockets of white pus making their way to the surface of my skin trying to burst. They only thing that helped were SUPER HOT showers every hour that received the pain for about half an hour. I had already maxed out on mess so I was on my own dealing with this TERRIBLE pain. I'm pretty tolerable about pain. So when I cry you know I am in pain. I cried about 5 times that night. The abscess still had not burst I was desperate. So at about 8 in the morning I took matters In my own hands ( which I don't reccomend, I just couldn't take it any longer) I took something really sharp and with the help of the mirror I piped one of the pus pockets and it started draining slowly but it did. I jumped I. The shower squeezed it ( the numbness of the hot water helped but the pain was still painful.) I continued this routine throught the day of showering taking pictures to be able to see it. I bought non-stick gauze pads. With medical tape and some panty liners. Once the abscess wasn't sensitive to my clothes I would cut the gauze in half but it on my abscess, help it down with the medical tape. Instead of wearing the panty liner like usual, I put it so that it's along my back and protected the gauze pad. And I would change it every hour to keep it clean. Of course clean the pus and blood draining out. I am on my 4th day and I am happy to report that from the 2nd day on I could walk and sitting down came with less pain. I am on day 4 where I can walk painless. And even lay down on my back. It still drains a bit but showering became 3 showers instead of every hour. The cyst is a small bump but it is some what of an opened wound that is slowly growing skin over it again. The pain I will NEVER FORGET. And the wolverine comment might sound funny or even over exaggerated to some, this is the best way to explain what pain I went though and felt. Hang in there because the pain will subside and be painless in a few days.
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replied April 27th, 2014
pilonidal cyst
Hi there, quick question. I have been dealing with pilonidal cysts for it seems forever. I had a pretty big golf ball bump on my tail bone but it didn't start acting up till i was 19 it kinda seemed it came out of nowhere. It got to the point of where i was in so much pain, that i couldn't do anything.

I was taken to the er that night, and they had it lanced and drained, and packed. I went in for two of my stuffing procedures for the healing, but couldn't afford it at 19, at 90.00 bucks a pop and no insurance and poor teenager trying to make ends meet. So i stopped.

Did ok, for a little while, then it came back, then shortly after a second hole formed. Been dealing with this for quite a few years. I'm 28 now, Now this year i have a 3 hole going on, and it seems it keeps forming further down. But this is in the middle of my buttocks in the crack. and it is really hurting like skin in splinting if i move the wrong way, and it only seems to bleed and puss like the other two. Will this keep growing? or do other damage?

Any Healthy ways to go about this to stop spreading? Or is this a severe infection?
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