Pilonidal Cyst: Causes, Symptoms, and Homeopathic Treatments

Published On13 February, 2022

Dr. Vaseem Choudhary M.D
Pilonidal cyst Treatment

Pilonidal cyst is a small pouch or sac within the skin, normally at the apex of the cleft of the buttocks and close to the tailbone. It may contain hair, debris from the skin, and fluid.

Reasons for Pilonidal Cyst

Ingrown hairs

Friction or prolonged sitting

Hormonal changes (usual after puberty)

Hereditary history

Common Symptoms of Pilonidal

Pain and swelling near the tailbone

Redness and tenderness over the area

Drainage of pus or blood (it may have foul odor)

Fever (if infected)

Common Risk Factors:

Young adults (most common in men)

Sedentary for long hours (drivers, office-going persons)

Coarse or excess body hair

Obesity

Treatment of Pilonidal cysts

Conservative: Warm compresses, cleanliness, removal of hair in the involved area, antibiotics (if infected).

Drainage: If an abscess forms, a doctor can opt for an incision and drainage.

Surgery: Operation (excision of pilonidal sinus) of recurrent or chronic pilonidal cysts is generally required.

Homeopathic Treatment of Pilonidal Cyst

Homeopathy is directed toward reducing infection, preventing recurrence, and stimulating the healing process of the body. It can be used in both acute abscess formation as well as in chronic/recurrent cysts.

Homeopathic Remedies for Pilonidal Cyst

  1. Silicea

Ideally suited in the event of recurrent cyst leading to development of pus.

Helps in removing imbedded hairs and foreign bodies.

Helpful when discharge is offensive, thin, or blood-contaminated.

  1. Hepar sulphuris

Employed in painful, extremely sensitive abscesses.

Pus yellow, thick, offensive.

Patient is cold and worse from slightest touch.

  1. Myristica sebifera

Referred to as the “homeopathic knife.”

Rapidly increases suppuration and induces natural draining of pus.

Prevents surgical removal in some cases.

  1. Calcarea sulphurica

Employed in cysts with yellow pus and slow healing.

Helpful after lancing an abscess that still discharges.

  1. Lachesis

For bluish, inflamed, or septic cysts with foul pus.

Worse on waking.

  1. Sulphur

For recurrent and chronic pilonidal cysts.

Sufficient for patients with itching, burning, and tendency to suppuration.

FAQ’s on Pilonidal Cyst:

Q1. What is a pilonidal cyst?

A pilonidal cyst is a small sac beneath the skin, typically at the base of the tailbone, and typically containing hair and skin debris. It may become infected and form an abscess.

Q2. Why does a pilonidal cyst occur?

The main cause is hair invading the skin and becoming trapped. Risk factors include prolonged sitting, body hair that is heavy, poor hygiene, obesity, and rubbing against the skin.

Q3. What are the common symptoms of a pilonidal cyst?

Aching and swelling near the tailbone

Redness and tenderness

Discharge of pus or blood (sometimes with an unpleasant smell)

Fever if infection is severe

Q4. Who is at risk of developing it?

It typically happens in young adults, more in men than in women, those with body hair being coarse, motorists, office workers, and obese individuals.

Q5. Do pilonidal cysts resolve by themselves?

Small cysts sometimes may be symptomless without any disturbance. But after infection, treatment needs to be done for preventing abscess or recurrence.

Q6. Is surgery the only treatment for pilonidal cyst?

Not always. Small or initial cysts can be treated with conservative management or homeopathy. Surgery is reserved for recurrent or chronic conditions in which the cysts keep on getting infected.

Q7. Can homeopathy treat pilonidal cyst?

Yes. Medicines such as Silicea, Hepar sulph, Myristica sebifera, Calcarea sulphurica, etc. reduce infection, promote pus drainage, and prevent recurrence. Individualized prescription is crucial.

Q8. How is pilonidal cyst prevented?

Practice good hygiene

Shave the area clean of excess hair

Avoid prolonged periods of sitting on your bottom

Have a healthy weight

Wear loose, loose-fitting attire

Q9. What to do if pilonidal cyst pops?

If one bursts and drains spontaneously:

Clean the affected area gently with mild soap and warm water

Use clean gauze or dressing to absorb drainage

Do not squeeze it again

Keep the area dry and clean-shaven

See a doctor for proper evaluation and to avoid recurrence or infection deeper in tissues

Q10. Is pilonidal cyst life-threatening?

No, but if left untreated, it can produce repeated painful abscesses, sinus tracts, and chronic infection. In a few instances, long-standing untreated infections can produce complications.

Start your journey towards better focus today.

Homeo Care Clinic offers a holistic approach to treating the disease. The remedies mentioned above can treat the underlying causes of the condition and offer relief from the discomfort. However, it is important to consult a qualified homeopathic practitioner for the correct dosage and duration of treatment. Homeo Care Clinic provides comprehensive care for various ailments, and offers customized treatment plans based on individual requirements.

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Dr. Vaseem Choudhary, is a seasoned classical homeopath with over 16 years of experience, dedicated to treating patients with compassion, precision and holistic care. Mainly in Pune & Mumbai, serving both national and international patients from UK, USA, Germany, France, Canada, Bhutan, Dubai & China. With a wide range of acute and chronic conditions—from skin disorders, hormonal issues, and digestive problems to autoimmune diseases and mental health concerns.

Dr. Vaseem is widely respected for his unique approach that combines classical homeopathy, personalized diet planning, lifestyle guidance, and a spiritual perspective on healing. He is known for his detailed and empathetic case-taking process, which focuses on treating the root cause rather than just symptoms.

In recognition of his dedication and clinical excellence, Dr. Vaseem has been honored with the Best Homeopathic Doctor in Pune award by leading platforms such as:

  • Hindustan Times
  • National Health Care Awards
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He is also a contributing author to the International Journal of Homeopathy and Natural Medicines (IJHNM), where he shares his research and clinical experiences with the global medical community.

With a passion to take homeopathy to new heights, Dr. Vaseem continues to guide patients towards natural, safe, and sustainable healing.