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Asking For Self, Male 30, Riyadh
I had a lump/lipoma in my back on upper side of buttocks 1 year ago which was very small in size without any abscess in it and there was no pain. Since i have it in other body parts also so, i took it as a genetical issue. But 2 months ago i had abscess in it and there was drain out almost 1 inch far from the lump in sacral. I consulted a doctor here in Saudi Arabia and diagnosed for Pilonidle Sinus. He recommended me to go for surgery which i am afraid of. Kindly advise me if this is really Pilonidle Sinus or not. If so, is there any other treatment rather than going for surgery?
Are u a driver by profession or frequent rider of bike or any vehicle??
For a diagnosis kindly get a video appointment through app. Secondly, there are both non surgical and surgical options for dealing with pilonidal sinus, depending on examination and history.
Surgery is required if its getting infected repeatedly or its of larger size.. if its causing no problem like no pain no abscess then there is no need to get operated.
Patient
Post Owner
Its not big in size but when i am sitting for long time, there is swelling. Abscess usually after every 1 to 2 days i have while i get up in morning.
4 years ago
consult a general surgeon...
Asalam o alykum
if it is pilonidal sinus then the only option is surgery, antibiotics can be given for Patient satisfaction but remember pus always needs to be drained and antibiotics dont go into the puss. Sinus usually have a tract so if tract is not removed then again puss will form in future.
thanks
Pilonidal sinus a kind of a hole or tunnel in the cleft at the top of the buttocks. A pilonidal cyst usually contains hair, dirt, and debris. It can cause severe pain and can often become infected having pus in it. It usually happens to occur to those who sit for longer hours e.g., tailors, gold smiths and drivers. Surgery is the only option if it is infected. Don't worry, its surgery is safe, you should go for it. I have attached an mage of pilonidal sinuses so that you can know its site and shape. After surgery, keep the top of your buttocks clean. Do not let hairs, dirt or debris collect in the top of your buttocks.
Patient
Post Owner
This is exactly the same in image what i have. Thank you for your opinion.
4 years ago
Consultant General surgeon
History shows ,its pilonidal sinus but Can you show me photograph if possible???and kindly tell me about your profession?and are u taking any medicine for this?
Patient
Post Owner
Yes i can share the photo personally. I am a procurement officer and i am leaving my chair hardly for 10 to 15 mins in 8 hours. I have not started any kind of medication yet.
4 years ago
It could be a perianal abscess or may be a pilonidal sinus, as there is pus discharge so it must be drained, treatment of choice is drainage followed by antibiotics, if a pilonidal sinus is doagnosed on examination than it must be excised to avoid any further complication.if the pus is foul smelling than anaerobic cover should also be given, both these conditions initially require minor surgical intervention.
Consult a general surgeon & get it drained. As infected wound can be dangerous. Don't worry it's aminor procedure, it will be excised and drained & u will be given antibiotics course. Don't waste your time and do it before it gets complicated
You can consult online with Dr. Muhammad Shahzeb Asghar
Book Online Consultation here:
https://www.marham.pk/online-consultation/request?id=100&d_id=15225
Surgery is the best treatment advisable
The region you mentioned is most common site for pilonidal sinus, but your question that is it really pilonidal sinus or not? can only be answered by physical examination.
treatment is surgery
The history is incomplete. Also, for the diagnosis a look at your problem is required. But if it is pilonidal sinus then excision by surgery is the only option. To prevent recurrence, you should shave the area off all hair and maintain a good hygiene.
traveling or prolong sitting?
see sinus is basically a blind track n can only be dx after thorough examination so go for it.
maintain good hygiene
follow ur surgeon's advice.
Hello!surgery is the ultimate and best solution for pus .. so go for it dont delay it get rid of it and ger bk to nrmal life
Patient
Post Owner
No. I am a procurement officer but i am sitting for almost 8 to 10 hours without any gap.
4 years ago