What is a Pilonidal Abscess?

A pilonidal abscess is a painful infection that develops in the upper part of the buttock crease (sacrococcygeal region). This abscess usually occurs due to an infected pilonidal cyst (a sac filled with hair and other debris). A pilonidal cyst can form for various reasons, including ingrown hairs, prolonged pressure on the area, or genetic factors.

Symptoms of a Pilonidal Abscess:

Symptoms of a pilonidal abscess may include:

• Severe pain and tenderness in the upper part of the buttocks
• Redness and swelling of the skin
• Warmth in the infected area
• Discharge of pus or fluid from the area
• Fever in severe cases
• Feeling unwell and tired

Diagnosis of a Pilonidal Abscess:

Diagnosis of a pilonidal abscess is usually made through a physical examination. The doctor will examine the painful area, assess the signs of inflammation, and check for the presence of discharge. In some cases, an ultrasound or MRI may also be prescribed to rule out other skin problems.

Treatment of a Pilonidal Abscess:

Treatment for a pilonidal abscess typically includes:

1. Drainage of the Abscess:
• This is the primary method of treatment. The doctor makes a small incision in the abscess to drain the pus and infected fluid. This reduces pain and pressure and helps to improve the infection.
2. Antibiotics:
• Antibiotics are usually prescribed after the abscess is drained to control the infection. The type and duration of antibiotics depend on the severity of the infection.
3. Local Care:
• After the abscess is drained, it is important to keep the area clean and dry. The doctor may prescribe special dressings and explain how to care for the area.
4. Pilonidal Cyst Surgery:
• After the abscess has healed, surgery to remove the pilonidal cyst may be recommended, especially if the abscess recurs frequently. Surgery may include complete removal of the cyst and surrounding tissue. There are various surgical methods, and the doctor will choose the best option based on the patient’s condition.
5. Prevention:
• To prevent recurrence of a pilonidal abscess, it is recommended to maintain hygiene in the area, avoid prolonged sitting, and wear loose-fitting clothing.

Post-Treatment Care:

• Maintain hygiene in the surgical area
• Change dressings regularly
• Avoid prolonged sitting
• Take antibiotics as prescribed by the doctor
• Follow up regularly with the doctor