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Pilonidal 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.
Diagnosis
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.
i have Pilonidal Cyst which is more than 40 years old. Recently it flared and I had to take Phexin (
Antibiotic Chlorophenicol capsules 500 mg.) It has dried up but I want to get rid of it. What Homeopathic medicine will help me to get rid of the same ?
thank u very much. i read this very productive article for treatment of pilonidul sinus…. ple let me know hot use these homeopathic medicines.. oral or local? ?
as myricstica, silicea and hepar sulph etc
my son age 15 years has pilonidul sinus open micro hole with white discharge.
regards
dr sabir butt
M.b.b.s
Ph.D
Dear doctor sharma.i have done this sergury for about three times. And I Think it has come back agaim.i dont know what to do.i m affraid of this surgery again.it pains alot as you know.what should I do? I have a lot of stress. It so kind of you if you help me
Sir I have this problem from last 2years age is just 19@ present I am badly feddup with his sinus now I need ur help sir plzzz suggest me something
Hello Dr i have also this pilonidal sinus problem bhahut pain hota h mai lucknow m rahti hu and mai ek ache dr se iska ilaaz bhi krva rahi hu but tabhi aaram aajata h uske baad phir se hojata hai mai bhahut pareshaan hu iss problem se dr ne myjhe surgary krvne ka option diya h pls help me kya mai iska humupatty ilaaz krva skti hu.
Salam sir. Dr sab mera pilonidal sinus bimari he mujy kia krna hoga.
Hello doctor …im a 44 year old feamale ..and have had two previous operations for this in the past 15 years !! …its back…this time feeling very sick …pain in lower back..fluey for weeks…more importantly the pain that feels like a constant hot wire from the small of my back ( top of the bum cheeks ) to the anus opening. I cant possibly have another operation for this !!! Please help !!!! What can i do to avoid having another operation …exercise ? Special foods..? Homeopathic ?
Hello doctor …im a 44 year old feamale ..and have had two previous operations for this in the past 15 years !! …its back…this time feeling very sick …pain in lower back..fluey for weeks…more importantly the pain that feels like a constant hot wire from the small of my back ( top of the bum cheeks ) to the anus opening. I cant possibly have another operation for this !!! Please help !!!! What can i do to avoid having another operation …exercise ? Special foods..? Homeopathic ?
How much time need to heal polonidal cyst through homeopathy medicine
Dear doctor sharma
Can you tell me that how long does it take for the pilonidal cyst to heal with homeopathic medicines
Hello Dr. Sharma,
Around 5 months back we detected our son infected with pilonidal cyst. Since Allopathic Doctors suggested surgery, I put my son on homeopathic medication from a Homeopathic Doctor in Faridabad. But after around 1 month of medication also there isn’t any noticeable improvement.
Pls guide me if it will get cured through homeopathy or I should go for surgery.
Thanks
Regards
Dear Sir
My son, aged 18 years,, is suffering from Pilonidal Synus for the last 9 months. It bleeds and sometimes the puss discharges. It is infalamatry and irritant. For complete cure and treatment, what medicine and precautions would you kindly suggest..?
Respectful regards
Maqbool Ahmad
My husband has had ongoing problems with pilonidal cyst and sinus with pinky sized cyst right now. Could you please tell me the strength of myristica, silicea and hepar sulph to buy. I see like c or ck & 6x & 30X. what strength & how many doses do you suggest I buy. We really want to get this cured preferably without surgery. He been fighting this for over a year with varying degrees of severity. A doctor has prescribed antibiotics in the past without resolving it. First only prescribed a 7or 10 day supply which I’ve been read really a 14 day supply would of been needed. Want to cure it homeopathically now. Thank you so much, conniejlambert869@gmail.com
I am suffering from the same problem from 2 years ..can u please tel me the strength of these medicine
Hello Doctor,
I keep getting pimple like thing on one side of buttock. It’s not at where Pilonidal sinus occurs. Rather it’s down side and 2 inch away from rectum. It occurs almost every week and gets burst in one day time. Going on this since last five months.
I took advice of local dermatologist and they advised me to meet surgeons and get it operated.
What’s this exactly? What should I do?
I’m male, 36 year old from Hyderabad.
Hi Dr Sharma – I am writing to you on behalf of my daughter who has been suffering from pilonidal cyst for some time now. She has had 2 surgeries so far and seems like it is coming back again.
We are now looking at additional options with homeopathy. I am a strong believer in Homeopathy and reading the article on Homeo treatment for this problem has given me hope that maybe there is a way around surgery to treat this problem.
Appreciate your input and thoughts
Dear Dr.
My daughter is of age of 16 years.Last month she diagnosed pilonidal sinus .Through MRI it measure 1.5 cm.
Continuously 40 days on antibiotics, the hole size although reduced but pus is still continue. Now she complain adount pain.
Please recommend me
Allopathic dr recommend surgery only
Hello Dr Sharma my name is Igor. I have been suffering from Pilonidal Abscess/Cysts for at least 1 year now after driving trucks for years , it started as one abscess but has now made a sinus across my buttocks and formed another abscess. I have had it cut drained and packed 2 months ago and have been to see many surgeons about getting it cut out but the chances of infection and recurrence are to great to go ahead with surgery. What dosage of Myristica/Silicea/Hepar Sulph would you recommend me to take?
Hello Dr. I have for the third time had a rectal cyst occur in the same spot and in the same location being the Bahamas.The first time it was so infected that it made my body septic and had to do surgery in the OR.The last two times including last night the seorgons did the draining procedure in the ER .Im asking why this keeps read curing and how can I prevent it through diet.The after surgery healing is very painful .What can I do to prevent this from ever returning.It has happened three times in the last four years.
Hello Dr. Sharma,
Around 5 months back we detected our son infected with pilonidal cyst. Since Allopathic Doctors suggested surgery, I put my son on homeopathic medication from a Homeopathic Doctor in Faridabad. But after around 1 month of medication also there isn’t any noticeable improvement.
Pls guide me if it will get cured through homeopathy or I should go for surgery.
Thanks
Regards
Respected Dr. Sharma,
My son aged 15 years has been diagnosed pilonidal sinus 3 days before.He is on antibiotics at present.
Sonogram report shows a small tract divided into 2 irregular branches,2 external markers are interconnected,no evidence of OSTEOMYELITIS,tract seen in median line. Doctors have advised surgery.
We are looking treatment without surgery. He is a
*G6PD deficient patient. Please advise suitable homeopathy treatment.
Thanks
My son has had surgery on pilonidal cyst and supposedly they removed sinus, but cyst reaccured. He had one laser treatment and is fighting insurance to get more done. In the mean time, it can be painful and dibilitating. What dosage of homeopath med would you suggest and is there any med patch he could put on it to help with healing?
Dear Dr Sharma,
for me suddenly developed a large pinonidal Sinus, i don’t want to go for surgery
need your advice on the same
My husband has suddenly developed a large sinus that is mainly bleeding. Not seeing a lot of. Pus. I have done some research on your recommended remedies and was wondering what the best course of action is with these remedies, and in what doses they should be used and when?
Respected doctor
I am having a sinus track near anus that ends at spinder as per mri report and taking antibiotic .Is there any sure shot treatment in homeopathy for this problem