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Pilonidal Cyst is the formation of a cyst at the cleft of the buttocks near the tailbone. The term Pilonidal means ‘nest of the hair’. The pilonidal cyst contains skin and hair debris. It develops when hair penetrates the skin due to friction, and the body that considers it as 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.
Gentle Homeopathic Care for Pilonidal Cyst
Homeopathy provides perfect treatment for cases of pilonidal cyst/sinus. These medicines help manage its symptoms like swelling, pain, itching and supports absorption of the pus discharge from the pilonidal sinus. It follows a curative approach to treat Pilonidal Cyst, rather than just provide initial relief from the symptoms. They help in dissolving the cyst. Homeopathy provides treatment for recent, long term as well as recurrent cases of pilonidal cyst. Under the conventional mode of treatment, a surgical incision of the Pilonidal Cyst is advised (which is painful, and temporary, and the cyst may recur even after surgery). However, homeopathy is a safe and efficient alternative treatment process. These cases respond exceedingly well to natural homeopathic treatment that treats it in a very safe and gentle manner and prevents the need for surgical procedures.
Individualized treatment
There are several medicines in homeopathy that helps treat cases of Pilonidal Cyst, but the prescription varies from one person to the other. The medicine selection is based on symptoms presenting signs and symptoms in every individual case. Such individualized treatment proves very effective and gives best possible results.
Homeopathy promotes self-healing
Our body has an inbuilt self-healing process that can heal health issues naturally. Homeopathic medicines boost the body’s self-healing powers to fight the infection.
Safe and natural medicines
Homeopathy uses natural medicines in treating Pilonidal Cyst cases which is its biggest strength since it has zero side effects. Homeopathic medicines do not contain any harmful chemicals. Therefore, no immediate or long term side effects are felt by using homeopathic medicines.
Top 8 Homeopathic Medicines for Pilonidal Cyst/Sinus
In the list of therapeutic medicines for treating Pilonidal Cysts, the top-rated homeopathic medicines are Silicea Terra, Myristica, Hepar Sulph, Calcarea Sulphurica, Calendula, Mercuris Solubils ,Phosphorus and Sulphur.
1. Silicea Terra – Top Remedy For Pilonidal Cyst
Silicea is the most prescribed medicine for Pilonidal Cyst. It is usually the doctor’s first choice of medicine to treat such 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 smelly and fetid. The pus may be scanty or copious, thin, watery, or thick, jelly-like, and sticky. Hardness, and swelling at the cleft of the buttock are also present. Itching may also appears mostly in the daytime. Silicea helps reduce the swelling and aids the expulsion of hair and pus from the cyst.
When to use Silicea?
Silicea can be administered in cases of pilonidal cyst/sinus with passage of pus discharge whether scanty or copious that may be foul smelling.
How to use Silicea?
Its use is mostly preferred in 6X potency that can be repeated up to four times daily.
2. Myristica Sebifera – Effective in Pilonidal Sinus with pus discharge
‘Myristica Sebifera’ is of great value when it comes to curing pilonidal sinus with pus discharge. This medicine hasten the process of suppuration (pus formation) and aids in complete recovery. Myristica speeds up pus discharge from the sinus and reduces the time of complete recovery. Its use prevents surgical intervention in most of the cases of pilonidal sinus. Apart from Pilonidal Cysts, Myristica works wonders in treating suppurative diseases like abscesses, boils, carbuncles, and anal fistula.
When to use Myristica Sebifera?
This medicine is highly recommended in cases of pilonidal sinus to hasten pus discharge from sinus and shortens the recovery period.
How to use Myristica Sebifera?
The prescription of this medicine differs depending from one case to another. Low potencies like 30C can be administered two to three times a day. The use of high potency like 200C should be restricted to once daily.
3. Hepar Sulph – For Pilonidal Cyst With Pain And Pus Formation
Hepar Sulph is administered when there is pain in the cyst along with the formation of pus due to an infection. However, the pus isn’t in the stage of oozing yet. The pain is beating, throbbing, stinging, or pricking in nature. Hepar Sulph aids the drainage of pus from the cyst. Once pus begins to come out there is relief from the pain. The pus discharge is mostly blood-stained and watery. It has an offensive odour and appears like old cheese coming out from the pus. The skin above the cyst is highly inflamed, and hot. It is also very sensitive and sore to touch. In a majority of the cases, the pain aggravates at night. Exposure to cold air also aggravates the pain in some cases.
When to use Hepar Sulph?
It is mostly administered for managing throbbing, stinging, pricking, beating type of pains in the pilonidal cyst and also when there is watery blood-stained pus discharge from the pilonidal sinus.
How to use Hepar Sulph?
This medicine can be administered in 30C potency one to three times daily.
4. Calcarea Sulphurica – For Pilonidal Cyst With Yellow Pus
Calcarea Sulphurica is a very effective medicine for Pilonidal Cyst when pus discharge has started oozing from the opening. The pus is yellowish. The discharge is thick, and lumpy and may carry some bloody bits in some cases. Calcarea Sulph hastens pus discharge and aids the effective healing of the cyst.
When to use Calcarea Sulphurica?
Calcarea Sulph is a very effective medicine for managing thick, yellowish lumpy sometimes blood-stained pus discharge from pilonidal sinus.
How to use Calcarea Sulphurica?
Usually its biochemic form in 6X potency is administered in most of the cases. Calcarea Sulph 6X can be used twice or thrice daily.
5. Calendula – For Sore, Painful Pilonidal Cyst And Pus Discharge
Calendula is a natural herbal homeopathic medicine that can be prescribed when the infected area over the buttock cleft is sore, and painful along with the pus discharge. One feels pain as if the affected area has suffered a beating. The area surrounding the pus discharge point is red. There may be fever with stinging pain in the cyst. Complaints worsen at night. It is a great healing agent that heals skin infections with marked brilliance.
When to use Calendula?
One can consider its use for cases of painful, sore pilonidal cyst with pus discharge accompanied by redness around the point of the discharge of pus.
How to use Calendula?
It can be used in both low and high potencies among which the most commonly used is 30C potency once to thrice daily, depending on the intensity of the symptoms.
6. Mercurius Solubilis – For Pus Discharge with Burning, Stinging Pain
Mercurius Solubilis is administered when pus releases from the cyst, accompanied by burning and stinging pain. The pus discharge is profuse, greenish in color, and may be blood-stained and sticky. The affected area is painful and sore to touch. Itching may also be an accompanying factor. An increased amount of offensive sweat on the body is present. The symptoms get worse at night, and warmth tends to aggravate all these symptoms.
.When to use Mercurius Solubilis?
It is the best choice of medicine to treat pilonidal sinus cases with pus discharge attended by stinging and burning pains. Pus is greenish, sticky and blood stained.
How to use Mercurius Solubilis?
It provides remarkable results in 30C potency that can be administered one to two times daily.
7. Phosphorus – For Pilonidal Cyst with Bloody Discharge
Phosphorus is recommended when the discharge from the cyst is bloody. The blood is thin and profuse. Burning sensation in the surrounding skin may also surface. Phosphorus is a wonderful anti-hemorrhagic remedy. It helps in controlling the bloody discharge and also contributes towards healing the Pilonidal Sinus. It is also useful in those cases where healing has taken place in the past, and the problem has arisen again with a bloody discharge.
When to use Phosphorus?
This medicine can be administered for managing Pilonidal Cyst with bloody discharge.
How to use Phosphorus?
Phosphorus 30C can be used once or twice times daily.
8. Sulphur– for Chronic and Non-Healing Pilonidal Cyst
Sulphur is administered in pilonidal cyst or sinus when the surrounding skin appears dry, unhealthy, and prone to irritation, with a tendency for even minor injuries to suppurate. There is noticeable itching and burning sensation around the natal cleft that aggravates from warmth, scratching, sweating, or washing. The skin may show excoriation, cracks, or small pustular eruptions, especially in the skin folds, with delayed or imperfect healing. Sulphur is particularly useful in recurrent or chronic pilonidal sinuses, especially when complaints flare up in damp, warm weather or after the use of local applications that have suppressed normal healing.
When to use Sulphur?
Sulphur works well in pilonidal cyst or sinus when the condition is chronic or recurrent, with poor healing and a tendency to repeated suppuration.
How to use Sulphur?
It can be initiated in 30C potency once a day.
Signs and Symptoms of Pilonidal Cyst/Sinus
Sometimes Pilonidal Cysts do not give out any overt signs or symptoms. However, if it gets infected the 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 However, the cleft of the buttocks is the major location where ‘Pilonidal Cyst’ forms. It may, rarely, form in some other areas as well like the armpit, between the fingers, cheek, navel, 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. Itching, redness, and tenderness in the swollen
4. Discomfort while sitting also arises from this
5. Formation of sinus tract/holes in the 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 whitish or yellowish or may have an offensive odor.
6. Hair protruding from the affected area may be
7. Tiredness, nausea 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 suffer from 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
2. Inactive lifestyle, excessive sitting (as office workers, drivers) that puts pressure on the coccyx area.
3. The age group most prone to developing a Pilonidal Cyst is between 20–35
4. Pilonidal Sinus is more common among men compared to Men are three to four times more likely to get Pilonidal Cyst than women.
5. Having a family history of Pilonidal Cyst (if thick, rough body hair runs in the family).
6. Having congenital Pilonidal
7. Excessive
How to Diagnose Pilonidal cyst/sinus?
A pilonidal cyst is diagnosed mainly on the basis of history and physical examination. On inspection, midline pits, openings, or inflamed nodules may be seen, sometimes with pus, blood-stained, or foul-smelling discharge. Tenderness and local warmth suggest active infection or abscess formation. Imaging studies such as ultrasound or MRI are advised only in recurrent, chronic, or complicated cases to determine the depth and branching of sinus tracts.
Complications of Pilonidal Cyst/sinus:
1. Recurrent acute abscesses with intense inflammation and suppuration.
2. Surrounding cellulitis with local edema, erythema, and tenderness.
3. Delayed or impaired wound healing with fibrosis and scar formation.
4. Extension of infection to deeper tissues, rarely causing necrotizing infection.
5. Formation of multiple branching sinus tracts and lateral secondary openings.
6. Systemic infection (fever, sepsis) in severe untreated cases.
Frequently Asked Questions
1. Can a pilonidal cyst heal on its own?
Small, non-infected cysts may remain asymptomatic, but infected or recurrent pilonidal cysts usually do not heal permanently without proper treatment.
2. What is a pilonidal sinus?
A pilonidal sinus is a small tunnel under the skin that connects the cyst to the skin surface, often causing recurrent discharge and infection.
3. Is surgery always required for pilonidal cyst?
No. Early, mild, or uncomplicated cases may be managed conservatively. Surgery is considered for chronic, recurrent, or complicated cases.
4. Can pilonidal cyst recur after treatment?
Yes, recurrence is common, especially if preventive measures like hair removal, hygiene, and avoiding prolonged sitting are not followed.
5. Is pilonidal cyst contagious?
No. It is not contagious and cannot spread from person to person.
6. What is the difference between a pilonidal cyst and an abscess?
A pilonidal cyst is a sac under the skin, while an abscess occurs when the cyst becomes infected and filled with pus, causing increased pain and swelling.
7. Can pilonidal cyst occur again after surgery?
Yes. Recurrence can occur if hair re-enters the skin or proper post-operative care is not followed.
8. Can homeopathy prevent surgery in pilonidal cyst?
Among the cases detected early or in mild cases, homeopathic treatment may reduce infection and encourage drainage, potentially avoiding surgery.
9. Can homeopathy stop recurrence of pilonidal cyst?
Yes. Constitutional treatment in homeopathy aims to boost immunity and reduce the tendency for sinus formation, thereby minimizing recurrence.
10. Are homeopathic medicines safe for long-term use?
Yes. Homeopathic medicines are non-toxic and thus can be safely administered over extended periods to prevent recurrence.
Hello Doctor,
I am an army officer who was diagnosed with fistula in ano however the Homeopathic Doctor diagnosed it as pilonidal disease. Since last one month the Homeopathic medicine has brought lot of relief but the pus has not stopped.. please guide.I am taking sitz bath with potassium permanganate . Whenever it pains I go to the washroom and try and clear the pus which brings relief. The pain and pus are generally there one hour after passing stools both in the morning and evening. I exercise everyday which brings relief.I am a pure vegetarian. Please help as I do not want to get operated.Regards
Respected sir,
I have undergone surgery for pilonidal sinus in march 2016,
Now it reaccuring again at the same place again, .
Surgeon has adviced again to go for the surgery.
Can it be treated by homeopathy.
Waiting for your kind reply
Thank you
Hello Dr Sharma,
I am desperate need of your help .My son who is 17 years old and has Pilonidal sinus, for last 6 months, it bleeds now. I did some research and got him started on on curcumin capsules once a day…..some days he barely bleeds but some days alot. Doctors have suggested surgery but it’s going to be open wound and may reoccurr. Could you please help us out. I will be grateful.
Thanks.
Rather than having 1 curcimin tablet , go for 2to3 tablets per day. It will help. I 17 year old guy is also suffering from the same problem. I have gone under surgery [method was excision and primary closure] It recurred again after 2months. Now i am going under dressing of powder named Biofil- AB. I am also taking 2 tablets a day of curcumin. It has helped me
Dear Sir,
I have pilodinal cyst since last 4 yrs & i do not want surgery.. plz help me sir
Sir i am having the problem of pilonidal sinus since 2007 and i was operated in 2008. In next two years there was everything ok. But since last 3-4 years it again reoccured. Now i should go for once again for surgery or go for homeopathic treatment
Sir/Mam,
I am suffering from this disease called Pilonidal Sinus. The MRI reports say its 11mm x 11mm cyst. Its not excruciatingly painful, but as a student it doesn’t help out sitting for long on study or class hours. Doctors suggest that permanent treatment that ensures “the never coming back of Pilonidal Sinus is Limberg’s Flap Surgery”. But I would like to have a second opinion as of can Homeopathic treatment be better than Surgery in this case? Also does it ensure that it won’t happen again in life?
Remedy for reaccured pilonidal sinus with pus and blood. He has keloids too. Plz help.
TeChnique:- Axial T1W, T2W, STtR; coronal T1W, T2W, STIR; Sagittal STIR images were obtained.
There is evidence of T2W hyperintense linear track with two distinct skin opening one in left gluteal
region close to anal verge and another close to scrotum, communicating with each other measuring
oproximately 72 mm in length. There is cranial extension of T2W hyperintense signal track in left
-perianal region / ischioanal fat to open in anat canal at 2’O’ clock position. Another small posterior
extension of track is seen to pierce externalsphincterat 6’0′ clock position, internal opening however is
not well detineated. There are multiple blind ending side tracks seen extending till left periprostatic
region, left side of root of penis and in left ischioanal fat.
There is thickening and edema of left levator ani also, representing involvement.
No supralevator extension of fistulous track or evidence of any ischiorectal fossa abscess is seen. ,
Bowel loops in the scan region othenvise appear unremarkable.
f.ic significant lymphalenopathy by size criteria.
l.lo significant ascites.
Ulnary bladder appears unremarkable. Prostate and seminal vesicles appear unremarkable.
ifr,!PRESSION:
T2W hyperintense linear track with two distinct skin
opening one in left gluteal region close to anal verge and another close to scrotum,
communicating with each other measuring approximatelyT2 mm in length.
-. “Cranial extension of T2W hyperintense signal track in left perianal region / ischioanal fat to open
* in anal canal at2’O’ clock position.
3. Another small posterior extension of track piercing the external sphincter at 6’0′ clock position
with no definite internal opening.
4. Multiple blind ending side tracks seen extending till left periprostatic region, left side of root of
penis and in left ischioanal fat.
5. Thickening and edema of left levator ani, representing involvement.
6. No supralevator extension of fistulous track or evidence of any ischiorectal fossa abscess.
Hello sir,
May I know I can I get the medicine for pilonidal sinus.I am having this problem last 2.5 years and I’m 28 years old.
Hello sir..
My cousin is suffering from pilonidal sinus. She has undergone surgery one time, and second time when it was recurred, she had undergone plastic surgery. But now it is occuring once again. Please help me to solve this problem permanently.
Hello,
This is my third cyst in 6 years. I have had two surgeries, the first two times I had the cyst and am trying to look for other options. Currently, I have a hole that is bleeding and there is pus coming out of the area as well. I don’t want to do surgery again and would like to get rid of this thing for good. I don’t want to have to deal with this ever again. Please help!
Dr, i am suffering from this problem from 2.5 years , i am from nepal but now i am living in china, i am a MBBS student, I want to cure permanently this problem….. i am 21 years old,
Gauri bro. I am also from nepal. And i think i am suffering from the same disease.
I want to talk with you about how you got it and where you treated it.. please reply me in my gmail with your facebook id.
Sir, How i can curse permanently . i have constipatation from 2.5 years, i am suffering this problem from 2.5 years,
Dear Dr.Sharma,
My father who is 79 years has pilonidal sinus. Doctors diagnised it as skin infection, and it was treated with ointments and antibiotics for a long time. It looked as if it was cured, but reappeared after a week each time the medicines were stopped. Now we know it is pionidal sinus. Please advise. Thank you.
Sir. I have problem of pilonidle synus . plz suggest me homeopathy medicines
Hi Doc,my son has Pilonidal Cyst but not open just pain.Can I give him Myristica,if so what potency and how often and how many days.Please help Kak
Dear Sir,
I have been suggested by Coloractoral / General Surgeon to go for surgery to remove the Cyst, will Homoeopathy be able to cure it without Surgery?
If yes, so can you please advice the treatment duration?
Thanks
Sam
Hello Dr sharma
I am in singapore now
Can you tell me your address so that i can cum to you and discuss about my problem “pilonidal sinus”
Please reply as soon as possible
I will be returning back to my country very soon
Sir mujhe feb 2015 se scrotum me bharee feel hua ultrasound karane par left me minimal hydrocil aur left me hi small epidymal cyst thi jiska size 2.5 mm tha ,mene do mahine tak ayurvedica medicines khai fir ultrasound karaya to left me hydrocil nahi tha lekin cyst thi jiska size 3mm tha mene 2 mahine tak homeopathic medicines khai phir ultrasound karvaya to left testical bilkul normal na cyst thi na hi hydrocil us samay se hi mere dono shoulders par prresure feel hone laga aur mera right testicle shuru se hi sahi tha lekin usme bhi pulling feel hone laga lagbhag mene 2.5 mahine bad ultrasound karvaya to report me left testicle me minimal hydrocil aur left me hi cyst 3mmaayi sir please suggest and help me
I m suffering from depression and treatment is going on. I m suffering from pilonoidal sinus last 3yr. What to do. Which medicine to take.
Dear sir i have pilonidal cyst since last two months.. from last two months i have used alopathic medicine but still pus is coming out.. plz advice
Dear sir ihave pilonidal sinus for last six months after spine surgery on31 january.It is dry but discomfort in siting for long time.Pls advise .
I am suffering from the pinodial sinus/cyst from last 30 days doctor suggested for surgery but I don’t want the same to be done .
I want to know the treatment in the homeopath
Also it secretion of white pus and blood
mujhe multiples palonidal sinus h
me kya kru