Patient Comments: Pilonidal Cyst - Treatments


What was the treatment for your pilonidal cyst? Submit Your Comment

Comment from: Josh, 35-44 Male (Patient) Published: December 24

I had a pilonidal cyst about 4 years ago, and it got really swollen and infected. I couldn't even lie on my back, or on my stomach, I had to sleep on my side. I didn't have much money or insurance, so I found someone who had some Zithromax. I took the antibiotics for about a week, and then after it went down, I would take two showers a day, and apply a nice amount of Neosporin on the area around my tailbone. I did this every day for about 3 months. It never came back, and the knot went away after a while.

Comment from: BootStrapGal, 55-64 Female (Patient) Published: September 04

I'm 57 and my pilonidal cyst abscess developed spontaneously this past June. It began as a painful pimple which, within 5 days, inflamed an area of my buttocks and lower back to the size of a football and resulted in blood sepsis. I was admitted to the hospital from the emergency room for emergency surgery. Mine was the worst-case scenario: I literally lost half of my buttocks. I've been disabled since and expect to be so until January. It will take that long for this wound to heal.

Comment from: rathead80, 19-24 Male (Patient) Published: June 26

I am on my second time having a pilonidal cyst. I have been soaking 3 times per day in Epsom salts, once when I wake once before work and once before bed. The last time I did the same. The day of my surgery it was gone, my physician even saw it just before the surgery and it was nonexistent. If not healed by Saturday, I am going to see my physician, if healed take note. Posted 2019-06-24. I will post update if gone by 2019-06-29.

Comment from: Tan Nimak, 55-64 Female (Patient) Published: March 19

The nurse gave me an antibiotic for my pilonidal cyst and told me to soak twice a day with Epsom salts. She couldn't lance it, because it was hard. I also had a sore left ovary and blood in my urine. I also had a cyst 9 months ago which is healing with antibiotics.

Comment from: Michigan, 45-54 Male (Patient) Published: March 12

I cured my pilonidal cyst with Abreva. I had this in my groin and buttock, very painful and irritating. I'm a clean freak so saying this is caused by bad hygiene is definitely not the case. Not sure if this is a virus or what it is, but for me I put Abreva on it 3 times a day heavy for about a week. After the first day I had no more pain and I stopped after a week. It's been a full year and I've had no occurrence and I haven't put Abreva on it since.

Comment from: SmurfInPain, 25-34 Female (Patient) Published: December 06

I self-diagnosed a pilonidal cyst after feeling moderate pain in my lower back and researching. Felt like I had broken my coccyx. Also felt a small bump. By Monday, the cyst had grown. I was taking 2 Advil tablets every 2 hours because the pain was unbearable. On Tuesday, I went to the emergency room. I got it drained. Feels way better. Follow up on Thursday; will possibly undergo surgery. Anyhow, I am here to say if you are feeling this pain, do something immediately. It will get worse. No one should endure that pain.

Comment from: Àrshàd arshu, 19-24 Male (Patient) Published: June 27

I am 18 years old and I had my pilonidal cyst operation open 17 days ago. This is very bad situation to me. I couldn't get up and walk for 3 days. I felt better in morning times, but soon after dressing my wound I would to the same position. There was a lot of pain. I couldn't shut my mouth, I cried for 2 weeks till the wound got healed. My wound is 5 inch length 1 inch breadth and 3 inch depth. It's very bad to have it. I ate only vitamin C items. And mainly guava.

Comment from: Guest, 13-18 Male (Caregiver) Published: June 26

My son had a pilonidal cyst. We went with the Karydakis flap procedure. Much easier to heal from than the typical surgery, and much less chance of recurrence. They basically remove the cyst and restructure the crack. He's just over 2 weeks post-operation and doing very well, and we didn't have to deal with packing the wound.

Comment from: wienerline, 65-74 Male (Patient) Published: April 03

I tried applying tea tree oil with a Q-tip 3 times daily. It remarkably calmed the pilonidal cyst down in a fast 12 hours and it was gone in 2 days (may vary). An amazing non-surgical result. It's the only remedy, out of many I tried, that worked, and fast! When healed, use alcohol swab for maintenance opposite your shower (If showering in the morning, swab at night and vice versa}. Try not to use on an open cyst. Good luck.

Comment from: MK, 25-34 Male (Patient) Published: September 27

I am in my late 30s. I had a small operation 2 years ago for pilonidal cyst, it came back, and I noticed the symptoms of discharge. The 2nd operation was large, 3 cm x 3 cm deep, laid open. I was off work 6 weeks and had daily dressings, but it has actually taken around 9 months to heal. It slowed right down, due to the area I think. So I would like to share things that have helped the healing. My wife now cleans the area minimum once per week and removes any hair in particular. I take lots of vitamins, mine sped up when I took ZMA (zinc, magnesium and B12) When it was healed, it kept splitting open as skin was fragile, Bio oil has helped get the elasticity back. I have found the supplement Protandim has helped in the healing. I cannot stress enough, keep it clean of debris and hair; that is the key to healing successfully. My opinions only, but I am out the end of the tunnel now and very relieved it appears to be fixed and the wound is solid. As it took so long to heal, I was depressed at times, but it will get there! And it will be worth it.


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Comment from: Miguele, 35-44 Male (Patient) Published: September 21

I've had the pilonidal cyst since I was 26. It's ruptured many times and I was always able to maintain it with a good wash and some Neosporin on it. I have pain now when I go to sit down or get up, and sit in certain chairs. I am 42 now and having surgery tomorrow. It's an annoying pain and I am hopeful it will be rectified. All I have to say is oy vey!

Comment from: Belinda, 19-24 Female (Patient) Published: August 26

I developed a pilonidal cyst when I was 20 and it was the worst pain I had ever experienced. They drained it and boy, was that a relief! I had surgery to remove it and it had to heal from the inside out. I am not sure it ever healed. I get irritation and drainage a lot. I wonder if it just keeps rupturing before getting too big and that's what it is.

Comment from: odracir, Male (Caregiver) Published: July 08

I had surgery ten years ago and my pilonidal cyst in my tail bone never came back there again, but a few years later it appeared under my arm pits. I'm going to see a doctor. I never believed it could appear there, I hope, if surgery is necessary it doesn't hurt so badly and the healing is fast.

Comment from: HurtsLikeHeck, 45-54 Male (Patient) Published: February 24

I am 53 now, I had pilonidal cyst at 19. It was first lanced and then one month later removed surgically. It was the most severe pain I ever experienced. Different, but just as bad as when 20 years later my gall bladder was ready to burst. A few years ago the cyst seemed to start acting up again, but it drained easily. I take bleach baths and use antibacterial soaps always for eczema and I believe it helps the cyst from acting up most of the time as my surgery did create a crevice where bacteria can accumulate. It hasn"t done anything in about 3 years and I keep my fingers crossed because my doctor says if it continues I will need another surgery. Good luck to all that are suffering.

Comment from: Mike, 25-34 Male (Patient) Published: July 31

I had the operation pilonidal cyst in February this year. I had a couple of stitches for the last month and a half, before they took off all the stitches. But in the area between the two cheeks it didn't close so they left it open and it took 3 months for the wound to close. Now it has been a month since then but I still feel pain when I sit and get up and I am starting to get worried because it has been a while. I still can't work because I am a truck driver and I gave up. I don't know what to do and don't know how long it needs to be fully cured.

Comment from: anxiey eating, 45-54 Published: January 09

Here is the life style you need to follow for depression. Clinical depression needs medication. First of all drink only mineral water or boiled water or reverse osmosis filtered water. Sleep before 12 am and wake up between 6 am and 7:30 and have a warm water bath. At 8 am take a glass of milk and add 4 dates in it and make a shake of it, then drink it slowly. At 10 am eat 1 egg white plus 3 slices of brown bread and a cup of green tea. At 3 pm eat a meal full of fiber. At 6 pm go for a 20 minute walk and then do some exercise like sit-ups, stands and pushups. At 7 pm drink a nutrition shake or meal replacement. At 9 pm eat a light dinner and take a 10 minutes' walk after. You have to follow all these steps specially sleeping and waking routine is required.

Comment from: JDub1371, 13-18 Female (Caregiver) Published: December 22

My wife has been running a fever since July 2014. We have been to all sorts of specialists and no one can figure it out. It has taken a serious toll on our marriage and I am fed up with her feeling horrible all the time.

Comment from: Trevor, 19-24 Male (Patient) Published: March 27

I had my first pilonidal cyst back in 2012, my freshman year of college. The experience remains one of the most agonizing and embarrassing in my memory. That time around, it ruptured right when I finally got around to seeking medical attention. There was just pus cleanup, no lancing. Small wonder, then, that it has now recurred, three years later. I felt the old familiar tenderness forming above my buttocks two nights ago and knew almost at once that it was my old adversary: the pilonidal cyst. I spent all of today sitting on the edge of my chair at work, contorting my body unnaturally so as to avoid even the slightest amount of pressure to that impossibly sensitive, accursed, little node of evil. Tonight the pain was so bad that I could barely walk home from the subway. Tomorrow I will try to get this thing fixed up once and for all. I am not looking forward to it, but that's the cost of having a hairy lower backside, I suppose.

Comment from: tom, 55-64 Male (Patient) Published: June 12

I've had pilonidal cyst for years, I'm too much of a baby for surgery. After a few emergency room visits I started using an iodine and Vaseline mix, Iodex is tough to find but there are other types that contain iodine and a paraffin mix. It works wonders and I've had no flare ups in years.


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Comment from: Mark, 19-24 Male (Patient) Published: November 22

At the age of 20 years I've been dealing with this for 7 years, I have had 3 surgeries for it. I have done my best to keep it clean but because of where it is at it's kind of hard. It is better to shave the area every 3 days and I do this while in the shower to help keep hair out of the cyst. That helps to some extent and I keep the shaven hair away from the opening, shave away from the cyst and not shave towards it or you risk getting hair into the opening. I use anti-bacterial soap, and while it may or may not help it does help when it flares up.

Comment from: caring wife, 35-44 Male (Caregiver) Published: May 01

My husband came out of the shower one day and said his tail bone hurt real bad and asked me to look at it. I had him lay down on the bed face down. I gently pulled apart his buttock cheeks to try to look at the area he said was painful when this thing burst all of a sudden. I have never seen anything like this. Horrible putrid smelling greenish brownish yellow pus came shooting out up into the air. I then pressed on the area and more of this nasty smelling stuff came out. It left a little hole. I swabbed it with rubbing alcohol and it has never produced any more pus or given him any more problems. It was such a shock that all that pus came shooting out with such force and I guess we were lucky it happened this way and he did not have to have it surgically removed.

Comment from: 25-34 Female (Patient) Published: February 14

Horrible abscess with even more horrible infection and fever. Oral and IV antibiotics, morphine for pain (could barely walk) as I had to wait for the abscess to be drained. Once drained, packed/re-packed with ribbon gauze twice a day, needed surgery ASAP. Finally made it to surgery, after 4 hours in operating room, surgeon came out to tell my family the actual cyst was the size of grapefruit! Wound was left open, and looked HUGE (could probably fit a cell phone in there), but the upside was the IMMEDIATE relief!! 3 years later, no signs of reoccurrence :)

Comment from: AZ man, 35-44 Male (Patient) Published: February 07

In 2004 had my first surgery to remove the cyst. Took 3 months to heal. thought it was over with, it came back with a vengeance. Started to feel back pain again with drainage, and then stopped for a few weeks. Went to ER after it ruptured suddenly. They drained and cleaned it, but the hole would not close. After a 5 months of draining, had surgery again. Doctor told me not to change the dressing for until after 10 days. It got infected and started to smell. Took a few visits for the nurses to scrape the infected parts off, very painful. Now a month after surgery, wound is finally closing up some. Need to take showers 3 times a day. Worst part is using the toilet.

Comment from: Ankit Patel, 25-34 Male (Patient) Published: November 30

I am suffering from pilonidal cyst since last six months. Every doctor give me a suggestion for operation, but this has been recurring. But I am not feeling any problem or pain. I will feel a little pain when it will open. So homeopathy can treat me for permanent, because I have no I have a more Time.

Comment from: 55-64 Female (Patient) Published: July 24

I've had 2 extensive pilonidal cyst surgeries in the past 2 years, by 2 different doctors. Still not healing--blood and pain. Neither surgeon left it open, to heal from the inside out. And in both cases the very large closed wounds opened in numerous places. Am so discouraged and don't know what to do next. Have been pretty much housebound.

Comment from: firsttimecyster, 19-24 Female (Patient) Published: April 22

I had some terrible lower back pain and what seemed like swelling down there. I went to the ER and had to have it removed that day. I went with wound care for the first week or so, but then had to move out of state and my insurance didn't take it. Everything is closing up fast; I didn't follow through with my antibiotic, but everything looks good. I'm just worried it will reoccur. I had it drained but not removed.

Comment from: ahall, 35-44 Female (Patient) Published: October 17

I am a 39 year old female and have just encountered my first pilonidal cyst. I have had to have surgery for it and am 2 weeks post-op. I'm doing a twice a day packing of the 7 inch deep wound and it hasn't healed one bit so tomorrow I am being evaluated for a wound vac. This has been a nightmare and very painful. Hopefully it will start to heal soon. The wound is about the size of a golf ball. Good luck to everyone.

Comment from: Queenie1955, 55-64 Female (Patient) Published: May 01

I feel everyone's pain :( I am in my mid-50's now but when I was growing up on Long Island I had my first pilonidal cyst when I was 14 years old. I also developed cysts in my armpits around that time. I was in constant pain, especially during times of inflammation. I was taken to a doctor who just drained the cysts but the hygiene and follow-up with the drains and bandages, ugh, what a mess! When I was in college I got my last pilonidal cyst because while home on a school break my grandmother took me to her NYC doctor who operated and removed the cyst and the "sac" as he said. I never, ever had another. Thank God for that surgeon!


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Comment from: reevejdh, 25-34 Female (Patient) Published: January 06

I went to the ER because the pain was so severe. The doctor and nurse drained the cyst, packed it with ribbon gauze and required me to return every day for at least two weeks to have it checked, cleaned and repacked. They packed it with gauze to allow it to heal from the bottom of the opening/abscess up to the surface of the skin. The area continues to get irritated or flare up, but no new openings or bumps have returned so far.

Comment from: Gorgeoustxwoman, 55-64 Female (Patient) Published: July 05

I first noticed symptoms when I was about 13. Sit-ups in school caused bleeding. In my early 20's it became infected for the first time. Terrible pain. Antibiotics were prescribed. It would often get infected after long car rides. Several infections, after the first, occurred. Finally, I had surgery. Doctor said cyst was big with many fingers. He got it all and it has not reoccurred, in over 30 years. My son has the dimple and I have told him to watch for symptoms. He is 18 and none so far.

Comment from: 25-34 Male (Patient) Published: June 03

I had to have surgery to remove my pilonidal cyst. Had mine for almost a year. The pain is gone...However I still have some drainage and the doctor said I will have that for years until it "fully heals." However I will say that this is so much better than with it.

Comment from: Daybabee, 55-64 Female (Caregiver) Published: April 13

I had plionidal cyst when I was in high school. Mine came back three times. The doctor said that it had a core. I had surgery to remove the core.

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