Pilonidal Cyst Questions..

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AR90

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Wasn't quite sure where to put this, but I'm guessing this would be the best section since its around the tail bone..

Anyways I was diagnosed with a pilonidal cyst about a year and a half ago, It began as a mild pain while sitting with no swelling and progressed to an extremely swollen (felt like I was sitting on a tennis ball) and extremely painful state within a couple of weeks. I went to my doctor multiple times.

The first time, I was just examined and he had confirmed it was a Pilonidal cyst and just prescribed a 10 day supply of antibiotics which truly did nothing for me. After the first visit, the pain only got worse and more swollen. After about 3 or 4 days of being in complete agony. I decided to go back, This time the doctor decided to lance it. After the lancing, I was nearly 100% pain free, the only thing that was bothersome was the swelling, which went away completely after a week.

I had gone for a follow up exam to schedule surgery, but me being my durab young self I decided, "Oh well, its been a month now and I'm pain free why would I want surgery"... Well that was a mistake.. now a year and a half later it returns.. But this time its different.. A few days ago I began to feel swelling in the same area, which was weird because last time pain came WAY before swelling, nearly a week before to be exact.

I've had swelling now since probably Monday or so? It's become progressively worse everyday, more and more swollen. But the pain just isn't there that I had endured last time. I once again immediately made a doctors appointment and had a talk with him yesterday. Now this isn't the same doctor as last time. Once I was examined, he confirmed that it was a Pilonidal cyst and said that there was nothing to drain as of yet.

Thats what has me confused, If I'm feeling swelling, that must mean that an abcess has formed meaning there must be something to drain right? Why else would it be swollen. I've been taking the antibiotics as prescribed, only since yesterday though. But I already know that they won't do a single thing, just like they did nothing for the cyst last time.

My first question is, Why would my doctor say there is nothing to drain, even though I told him that I feel swelling there, and its definitely slowly swelling as time goes on.

And my second question is, where is the pain? Last time I could barley sit without cringing in pain. This time it just feels like Im sitting on a golf ball (because of the swelling) but the pain is minimal to none, literally on a scale of 1 to 10 my pain is a 1, maybe a 2. This is nothing like last time..
 
Many years ago I had this and was told that I might have to have surgery if they didn't get rid of what was causing the problem by draining. Apparently they did since I never had another problem but I have heard that is very rare so maybe you need to think about surgery again.
 
I had surgery for a pilonidal cyst at age 19 and my hubby had his surgically removed at age 29. His was like yours....swollen and in need of lancing. Now you sound like your cyst has become like the one I had. I had no pain and no obvious swelling but I did have drainage and that was how I found out. It was so deep that it didn't hurt and they couldn't drain it also because it was so deep.

So I would hazard a guess that by not having it surgically removed, it has gone deeper, into tissues with not that many pain nerves(or has killed the pain nerves...my area is totally nurab now) and too deep to drain from the surface.

I'd ask for a referral to a surgeon and get the darn thing removed for good. It's not that painful. In fact, I don't think I took anything other than Tylenol for it. And since that was 40 years ago, I bet they have even better ways of removing them and treating you after ward. I bet it's now day surgery.

These cysts form because when you were forming, your spine did not close completely and you were left with a small sack at the base of your spine and it slowly but surely grew and became infected. Can it grow so big it infects the spinal canal....yes. That is why they remove them. And it sounRAB as if yours is growing inward and going deeper.

Get it out before it goes really deep.

Good luck..............Jenny
 
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