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Natural Homeopathic Remedies for Pilonidal Cyst

 Homeopathic Remedies for Pilonidal CystPilonidal Cyst refers to the formation of a cyst at the cleft of the buttocks near the tailbone. Pilonidal term means ‘nest of the hair’. The pilonidal cyst contains hair and skin debris. It develops when hair penetrates the skin due to friction, and the body, considering it to be a foreign substance, forms a cyst around it. The cyst can get infected, get filled with pus, and form an abscess. A pilonidal sinus is formed when a tract begins from the infected cyst, and opens on the surface of the skin. Under the conventional mode of treatment, a surgical incision of the Pilonidal Cyst is advised (which is painful, and temporary, and the cyst can recur even after surgery). Homeopathic medicines for pilonidal cyst is a safe and efficient alternative treatment option. These medicines treat Pilonidal Cysts in a very safe, gentle, and effective manner, and prevent the need for surgical procedures.

Homeopathic Treatment 

Homeopathic medicines follow a curative approach to treat Pilonidal Cysts, rather than just providing relief from the symptoms. These help in dissolving the cyst. These medicines are made from natural substances and raise the body’s self-healing powers to fight the infection naturally. They help manage symptoms like pain, swelling, itching, and discomfort. Homeopathy for Pilonidal Cyst also helps in absorbing the pus discharge from the Pilonidal sinus.

Homeopathic Medicines for Pilonidal Cyst / Sinus

Among a long therapeutic list for treating Pilonidal Cysts, the top-rated homeopathic medicines are Silicea, Myristica, Hepar Sulph, and Merc Sol.

1. Silicea – Top Remedy For Pilonidal Cyst

Silicea is the top recommended medicine for Pilonidal Cyst. It is usually the physician’s first choice of medicine to deal with these cases.  This medicine is helpful when a cyst is present in the buttock cleft, and also in the case of the pilonidal sinus with pus discharge. The pus discharge may be very offensive and fetid. The pus can be scanty or copious. The pus can be thin, watery, or thick, jelly and sticky in nature. Hardness, and swelling at the cleft of the buttock is also present. Itching also appears mostly in the daytime. Silicea helps reduce swelling and aids in the expulsion of hair and pus from the cyst.

2. Myristica Sebifera – For Pilonidal Sinus With Pus Discharge

‘Myristica Sebifera’ is of unquestionable value when it comes to treating pilonidal sinus with pus discharge. The most important action of this medicine is to hasten the process of suppuration (pus formation) and aids in complete recovery. Myristica speeds up pus discharge from sinus and shortens the time of complete recovery. Its use prevents surgical intervention in most cases of pilonidal sinus. Apart from Pilonidal Cysts, Myristica works wonders in treating suppurative diseases like boils, abscesses, carbuncles, and anal fistula.

3. Hepar Sulph – For Pilonidal Cyst With Pain And Pus Formation

Hepar Sulph is medicine for Pilonidal Cyst when there is pain in the cyst along with the formation of pus from an infection. However, the pus isn’t in the stage of oozing yet. The pain is throbbing, beating, stinging, or pricking in nature. ‘Hepar Sulph’ will aid the drainage of pus from the cyst. Once pus begins to come out there is relief from pain. Mostly pus discharge is watery and blood-stained. There is an offensive odour, like old cheese from the pus. The skin above the cyst is highly inflamed, and hot. It is also very sensitive and sore to the touch. In the majority of cases, the pain gets worse at night. Exposure to cold air also worsens the pain in some cases.

4. Calcarea Sulph – For Pilonidal Cyst With Yellow Pus

Calcarea Sulph is effective for Pilonidal Cyst when pus discharge has started to ooze from an opening. The pus is yellow in colour. The discharge is thick, and lumpy and may be bloody in some cases. ‘Calcarea Sulph’ helps to hasten pus discharge and aid the effective healing of the cyst.

5. Calendula – For Painful Pilonidal Cyst And Pus Discharge

Calendula is a natural herbal homeopathic medicine that can be administered when the infected area over the buttock cleft is sore, and painful with pus discharge. One feels pain as if the affected area has suffered beating. The area surrounding the pus discharge point is red. There may be a fever with stinging pain in the cyst. Complaints become worse at night. It is a great healing agent that heals skin infections with marked brilliance.

6. Merc Sol – For Pus Discharge With Burning, Stinging Pain

Merc Sol is medicine for Pilonidal Cyst with the pus releasing from the cyst accompanied by burning and stinging pains. The pus discharge is profuse, green-coloured, and may be blood-stained and sticky. The affected area is sore, and painful to touch. Itching may also be present. An increased amount of offensive sweat on the body is present. The symptoms worsen at night, and warmth tends to aggravate all these symptoms.

 7. Phosphorus – For Pilonidal Cyst with Bloody Discharge

Phosphorus is medicine for Pilonidal Cyst treatment when there is a bloody discharge from the cyst. The blood is thin and profuse. Burning in the surrounding skin may also appear. Phosphorus is an excellent anti-hemorrhagic remedy. It helps in controlling the bloody discharge, and also contributes towards healing the ‘Pilonidal Sinus.’ It is also useful in cases where healing has taken place in the past, and the problem has arisen again with a bloody discharge. It is also indicated in those cases where the Pilonidal Cyst has colourless and fetid pus.

8. Lycopodium Clavatum – For Milky-white Pus Discharge

‘Lycopodium Clavatum’ is a medicine for ‘Pilonidal Cyst’ where there is a milky white pus discharge. The discharge has a putrid smell and it corrodes. Burning, and stitching pain is felt in the affected area. Warmth worsens the complaint. Fever alternates with chills, and heat may also arise. It is also indicated when the cyst recurs periodically and does not get treated.

Signs and Symptoms of Pilonidal Cyst / Sinus

Sometimes Pilonidal Cysts do not give out any signs/symptoms. However, if it gets infected following signs and symptoms may appear:

1. A dimple or swelling, and pain in the cleft of the buttocks. The size of the cyst may be small or large. Though the cleft of the buttocks is the major location where ‘Pilonidal Cyst’ forms, rarely it may form in some other areas as well like the armpit, between fingers, navel, cheek, or genital area.

2. When this dimple gets infected a cyst is formed(a fluid-filled sac) that may turn into an abscess (pus-filled lump)

3. Redness, itching, and tenderness in the swollen area

4. A discomfort while sitting also arises from this cyst

5. Formation of sinus tract/holes in the skin. The sinus tract is a channel that starts from the source of infection and opens on the surface of the skin. Drainage of pus or blood from the ‘Pilonidal Sinus.’ The pus may be white or yellow or may have an offensive odour

6. Hair protruding from the affected area may be seen

7. Nausea, tiredness, and low-grade fever may also appear along with the above features in some cases.

Pilonidal Cyst And Its Causes

The exact cause of the Pilonidal Cyst is not clear. But a theory states that initially, loose hair penetrates the skin of the cleft between the buttocks. Friction (as from riding a bicycle) or rubbing makes the hair go deep into the skin. The body, considering this hair to be a foreign article, forms a cyst around it to push it out from the skin. If left untreated this cyst may lead to an abscess (pus-filled lump) or it may break open, and form a tract that emerges on the surface of the skin (which is called a Pilonidal Sinus). However, as per another theory, the trauma to the area between the buttocks is what may create this cyst.

Risk factors

Though anyone can get a ‘Pilonidal Cyst’ but there are certain factors that increase the risk of a Pilonidal Cyst as follows:

1. Excessive body hair (especially thick and stiff) on the back

2. Inactive lifestyle, excessive sitting (as office workers, drivers) that puts pressure on the coccyx area

3. Obesity

4. The age group most prone to developing a Pilonidal Cyst is between 20 – 35 years

5. Pilonidal Sinus is more common in men compared to women. Men are three to four times more likely to get Pilonidal Cyst as compared to women.

6. Having a family history of Pilonidal Cyst (if thick, rough body hair runs in family)

7. Having congenital Pilonidal dimple

8. Excessive sweating

Complications Of Pilonidal Cyst

The main complication of a Pilonidal Cyst is getting infection in the cyst. Secondly, if left untreated the sufferer may be at risk of squamous cell carcinoma.


Pilonidal Cyst can be easily diagnosed by having a look at the buttock cleft area. So usually no investigations are required to confirm the diagnosis of Pilonidal Cyst.

Preventive measures

1. Keep the buttock area clean, and dry

2. Avoid sitting constantly for prolonged hours if possible

3. If obese consider losing weight

4. Shave the hair around the buttocks at regular intervals or use some hair removal products to remove excessive hair.

Write To Dr . Sharma

Write to Dr. Sharma and get a reply on how homeopathy can help you in treating your disease condition .



  1. Syed Jaaveed Ahmed says:

    Honorable Sir, your precious and golden and elaborated information is always peculiar and favorable from others. Our prayers always in favour with. Thanking You, Your’s truly.

  2. Pushpinder singh says:

    Hello doctor. My daughter is 24 years old. She had gone surgery for pilonidal sinus three years ago. She recovered well, but now a days her sitting time has increased a lot as she teaches. From few days she is feeling pain at the end of tailbone,. We got it checked from doctor, there is no pus only pain in bone.
    We r worried that it may occur again. So u suggest some good single homoeopathic medicine that can be taken to eliminate pain and that sinus also does not occur again.

    • Helen Sandry says:

      Hello. I have a painful swelling in my cleft, just below my tailbone. There is nothing on the skin, can pilondial cysts present like this and how do I treat something under the skin if so? Thank you.

  3. Jamshed Khan says:

    Contact me for treatment homiopath. I m Dr Jamshed khan MD homiopath consultant physician please contact 9839715758 only Indian patients allowed

  4. My son is 22 years old. He is in Canada. Please tell me which medicine he takes n from where he can buy medicine

  5. QAYSSAR DAHAM says:

    Hi, I just got pilonidal cyst and I live with it since 7 months
    Is there is any best treatment in homeopathy which can i get rid of this cyst? I have Fobia from surgeries plus I need to work daily to support my family since surgon said wound will need 6 weeks to heal. Please advice..

  6. Hi Dr. Sharma,
    My son is 18 yrs old and suffering from pilonidal Sinus since 18 months. He was recovered first time with Cyphalexin antibiotics and since second time no antibiotics are effective to completely control it.
    He gets yellow and red discharge.
    Can you please treat his problem with Homeopathic medicine as doctors has suggested him for surgery.

  7. Bushra Yousaf says:

    Hello Dr. Sharma, my son is 15 years old. He has got pilonidal cyst with bleeding and bad smell. Kindly suggest homeopathic medicine for him. I dont want to go for his surgery. He has not any pain.

  8. How much time it will take to cure pilonidal cyst by homeopathy medicine

  9. jayne ollin says:

    Hello Dr. Sharma
    I hope you can respond. I believe I have a Pilonidal cyst. It is located on the cleft of the left buttock. It is about the size of a small bean. I have an appt with my ND/Homeopath, but not for a week and a half and it is painful. There doesn’t seem to be any sign of discharge, pus or blood. Just painful to sit. I tried castor oil and heat, tried drawing it out with Agrimony (I am an herbalist of 5 decades and this plant has been miraculous for drawing objects out of the skin), but nothing seems to be working. It does seem to be triggering an inflammation in the left groin/vaginal area, but I think more likely due to the stress of trying topical treatments. I have had a history of bartholen cysts on the left side, all my life. Alternating silicia and phospherous has been very helpful, and in fact in the past years I have had no re occurrence, I believe largely due to a long kitcheri fast last summer. I have read your article and think that hepar sulph and silicia might be the right thing. If you would care to comment that would be much appreciated. I did just come off of a road trip, so the long hours sitting could be the cause, however, I was surprised to find the cyst at first as there was no pain.

  10. Hi! My son is 18 and had 3 surgeries in 2.5 years for pilonidal cyst. It was finally healed according to doctor last week and now it is back – bleeding. Any suggestions would be greatly appreciated. Thank you

  11. Hello sir
    My daughter has taken the surgery twice for pionodial abcess kindly suggest best homeopathic medicine for her so that it shouldn’t reoccur.

  12. Gautam Kumar says:

    My Symptoms for Pilonidal sinus is that outfow of blood at irregular intervals and growth of hair inside the cavity and a gap between two buttocks outside the hole.
    Please suggest me medicine
    7992475776 my phone number

  13. I hv got traced pilonidal sinus by a doctor sir he has recommended some tests I dont want any surgery can it be cured in homeopathy without surgery

    • I hv got traced pilonidal sinus by a doctor sir he has recommended some tests I dont want any surgery can it be cured in homeopathy without surgery

  14. Sahil kalra says:

    Hi, I’m Sahil i suffer from pilonidal sinus for past 1year.
    Is there is any best treatment in homeopathy which can i get rid of theses diseases.

  15. jaswanth says:

    Hey Sharma,

    Hope you are doing good! I am suffering from pilonidal cyst from one year I use to take antibiotics and allopathy doctor suggested me take surgery I am not willing to take surgery Is there any way to get rid of this.


  16. Shahzad Nazir says:

    Dear Dr. Sharma

    please suggest how to take homeopathic medicine for Pilonidal sinus.

  17. RENU SINDHU says:

    Hello Dr.Sharma,

    Is there a way to prevent Pilonidal Sinus from coming back.
    My daughter has just undergone surgery and is recovering but we are scared that it might come back.
    Can you please advise.


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