After Pilonidal Abscess Drainage Operation?

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Hi

I am new here so please be gentle with me 😊

I had been suffering with lower back ache for around a year or so and occasional tailbone pain. I had injured my coccyx around 6 years ago in a fall and put it down to this.

Two weeks ago a back ache flair up lead to severe tailbone / coccyx pain to the extent that I could barely sit down. On Sunday, the pain was horrendous, I felt genuinely unwell and I noticed a swelling at the base of my spine at the top of my bottom crack which seemed to go inot both buttocks. I went to A & E after much nagging by my husband and after seeing a surgical doctor was booked in as an emergency case on Monday morning for an operation to cut and drain a pilonidal abscess.

The operation went well and I was advised I would need to go to my local surgery every day this week to have the wound re-dressed which I have done. Things have been going well and the nurse said my wound was healing well. Then today I starting to feel rubbish again. Have aching in my left buttock, feel generally unwell like I am getting a bug or something. Thr nurse said that there was a bit of weeping still from the wound and it was a little bit inflamed but said she wasn't concerned about it. I saw my GP and she also said it looked fine and she didn't believe I needed antibiotics. My temperature and blood pressure were both fine.

Basically I just wondered if anyone else went from great relief after the drainage operation, to feeling unwell again in a few days. This whole diagnosis was a shock to me as a 45 year old pretty much hairless female so would never have thought I was a candidate for this from the stereotypical description online.

My main worry is that I going on holiday in just over a week and really want to be feeling better and not to have to worry about infection or the wound getting worse.

Any tips or advice would be greatly appreciated.

Many thanks

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  • Posted

    Hey I understand this completely I am still going through my pilonidal healing process. This is my second time getting the surgery and from this I've realized that yes you feel fine after the surgery but after a few days it starts to hurt again. From my experience this was nothing to worry about because the reason it kept hitting was because the antibiotics from the surgery to numb the area were wearing off. Within another week and a bit you'll be able to deal with it and it'll eventually feel like it's not even there. hope this helped smile
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    • Posted

      Hiya

      Thank you so much for your reply 😊

      I'm glad to hear there doesn't appear to be too much to worry about. This is all so new to me and I find it worrying to read how many ops people end up having, so am guessing this isn't going to go away?

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    • Posted

      Sorry pressed reply before I finished!

      Did you have antibiotics after the surgery?

      My surgery, although under general anaethseptic, was quite minor and I apparently only have a very tiny hole there. The wound is not big enough to be packed, so the nurse is just putting saline over it, some wound gel and then a dressing.

      I keep getting conflicting reports on whether I will be able to go swimming by the time I go on holiday on 28th April? One GP said yes in sea but not in pool, another GP said no not at all and a nurse said yeah should be fine in sea and pool! So confused so am very grateful for any advice going 😊 thank you.

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    • Posted

      I don't think you'll be able to swim by that time since you just go the surgery but it all depends on what the surgeon says. Try to schedule an appointment with your surgeon before you go on holiday.
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    • Posted

      Please please do not go swimming. I am on operation number 11 awaiting surgery due to infection. My surgeon says due to the area it is so easy to get it infected, and thats without going in a pool where others have been in! Inonly say this as i am now suffering nerve pain due to multiple operations all that have failed due to infection even tho nurses followed protacol and it was kept clwan and patched thro the whole healing process each time. Once infection sets in it is very painful and draining, trust me u do not want infection. Xx
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  • Posted

    Ive dealt with this many times! If your wound is hurting alot after several weeks from the day of the surgery, something is wrong. It is possible that you have an infection. Please urge your surgeon to give you antibiotics.  They will act faster if they are administered intravenously than orally. Don't go swimming or do exercise until your wound is completley healed. I wish you the best.
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    • Posted

      Hiya

      Thanks so much for all your replies. I only had the drainage surgery the Monday just gone. It was great for a couple of days (the pain prior to the op was horrible). It still feels much better than before the op, just not as good as the last few days. I accept that it would be best not to go swimming which is a shame, but I don't want to risk getting it infected. I asked my GP about antibiotics and she said I didn't need them as it wasn't infected.

      I'm just hoping it doesn't ruin my holiday as we have been saving 3 years for it and we will be celebrating our 8th wedding anniversary! It's a 9 hour flight too which worries me if the pain gets really bad (tho will be ok if it stays how it is now).

      I guess I just keep hearing and reading conflicting reports about the drainage and recovery. Like I said, the hole is tiny and not even big enough to be packed so can only be covered with flaminal gel and dressed, which I assume means I got off quite lightly compared to some of you poor people.

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  • Posted

    Hi, when you are on holiday will there be somebody that could learn to clean and pack the wound?  Becuase of the amount of dressing changes I require my wife learned to do my dressings after being shown by the nurse as I have had one continually open for the last 9 years and had my 16th surgery on it back in August.

    I can't tell you how carefull you must be with these as after my Outpatient appointment yesterday I have been told that this could go on for the rest of my life. I hope that doesn't happen as I have had this since 2007 and I am not sure how much more my body can take, especially after the way some of the larger procedures.

    Good luck though and don't loose faith.

     

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  • Posted

    Hi, I am new to this site but conversate and read others stories and tell my own. These sites are so helpful because I'm a 43 yr. old female with peach fuzz on my butt, like most girls, women who get this awful disease. I noticed at first it felt like my butt crack was splitting open or someone sliced it with a razor blade. I asked my primary Dr. Which is also my OBGYN to look at it, I told him it hurt so bad sometimes when I showered I would scrape the skin off because it would actually feel better after even though it's bleeding, he looked and said there is nothing, he felt and looked and said maybe it's a yeast infection, I would know I think and so should he have if it was yeast. 4 yrs. pass with same irritated skin but my tail bone ( I fell and injured mine also ) was hurting in a different way than just back pain, then, and don't laugh, you can, I woke up with a human tail, it hurt so bad and was hard, I went to my moms house because my husband is the type to not deal with anything bloody or gross. My mom took me to the ER they put me all the way under and when I was in a room the Nurse came in with 7 student Dr. Or Nurses and asked if they could watch, I said sure. I flipped on my stomach ( forgot to tell you they gave me 1 Vicodin ? Mg about an hour before this ) and she just starts removing the packing and all the gauze, it felt like they were tearing me apart, I always removing packing in the shower, you feel nothing. I cried so hard into the pillow there and then they repacked me and left me for over a half Hr. Crying into my pillow, I felt violated and assaulted all at once and I never moved until they brought me a shot of Morphine, I relaxed and slept and was discharged the next morning. My insurance covered a nurse to my home 3 days a week but it needs changing everyday and I could do it myself when the wound wasent as deep. It healed in 6 weeks but I was tender for awhile. I worked hard Bartending and serving at a resturant and my pants would rub my newly healed wound plus we ran for 12 hrs. Straight so we all were sweaty, I worked for about 3 more months I believe then it just got swollen, hot and I was showing signs of cellulitis and I had a fever so went to the ER and same surgery but they put a drain tube, nothing really drained from the tube but when they removed the tube the very very small hole stayed open and slowly drained everyday. I had to clean back there 3 to 4 times a day, my panties never got blood or drainage on them even without a pad or ABD pad. This held up for a year but I always get infected and I skip the ER and soak in a hot Epsome Salt bath then sit on a heating pad with a not good towel or I use a trash bag, I want to see what comes out and not ruin my heating pad. So 10 days ago I went to see a Colon Rectal Specialist and that day he told me he would remove the cyst in 6 days, I started crying in front of everyone including the waiting room. I told this Dr. That I am on Norco 7.5 for disk problems and sciatica and begged him not to let me suffer. I woke up stitched up and was very happy and in a lot of pain so they kept me and gave me Dilauted but I swear It was watered down or there is something wrong with me, I didn't sleep the whole night and was in constant pain, including my other problems, the one nurse made me feel weird about asking for pain relief, I told her give me a sleep pill so I can sleep and not think about it but they wouldn't. So I came home 4/15/16 and I got really board and picked up around my house carefully I though and the next morning I woke up in REAL pain, the Dr. Gave me the same pain meds. I was already being RX but instead of 7.5 he gave me 40 10mg Norco, so enough for 3 a day, if we're up 16 hrs. And it says take every 4 hrs. I'm very unhappy for 4 hrs. During the day and wake up a mess. So my light house work broke my stitched wound open and I've been bleeding like crazy but all the stitches are all in tact it's stitch, hole, stitch you get the picture. Believe it or not I felt so much better when it opened up and has been draining, I started getting bruising up my back and it felt really swollen and hot, no fever. I've been cleaning it off everyday all day and changing my ABD pads and washing with antibacterial soap and just kind of praying a lot. My regular Dr. Said its fine, that's when I was swollen before it opened, so I said ok fine. I don't want to go to the ER because they will pack my wound I know it. I have decided to go tommorow because if it needs to be packed to heal right and not deform me for life It's just something I have to do. I have faith this is it, cyst removed, a couple set backs and then I almost forget all about all of this. Make sure you study your Dr. And read reviews from other patients whom have had surgerys with him/her. I wish you the very best of luck. With a lot of us they just keep coming back until you remove it, it's not much different than what we go through just to drain it right. Sorry so long, Ive been kind of dealing with this alone and haven't reached out to anyone since I messed myself up, so thank you kindly for your time. Nicole from the U.S
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    • Posted

      Good luck to all who have undergone recent surgery, such a horrid condition. My son has had to fly back to the UK urgently 3

      months into a 12 month backpacking trip. He underwent surgery number 3 yesterday. The surgeon has deroofed and debrided his previous large excision partially healed wound undertaken 5 months ago.

      Am wondering if there is any recent evidence in the recurrence of pilonidal sinuses from the post op wound dressings used e.g Aquacell, Durafibre?

      Would be great to have any advice or comments from Colorectal Consultants or Tissue Viability Specialist Nurses.

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    • Posted

      How did everything go? I had mine 4/14/16 and I'm getting my stitches out at  2:30 today, it really doesn't matter though because a week into my recovery my " back " 😉 Started feeling bumpy and deformed and swollen and just not right to me and even a little hot to the touch. I called my surgeon but he has several offices and he was so far I just said I can't get there and went to my primary Dr. WELL.. He said I look just fine. I woke up the next morning soaked in blood stitches except on the bottom all busted open. I knew my own body. When I look back I wonder why a surgeon would close up a wound completely without a drain tube of some sort. I've been bleeding since. I went to the ER about four days later because I was scared of being packed for the third time, putting off the inevitable, lol, but they left it open, weird huh??? So I canceled my original appt. to have my stitches out so my wound doesn't just open all the way. This is where I am at. I really hope your in a better place. Oh yea, the Hospital told me I'm missing stitches, I have no idea what I was doing, I was trying to relax, with a husband and teenager. Thank you for getting back to me, sorry it took me so long. Good luck.
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  • Posted

    I've had a operation February was healing fine but now May and was Thursday started getting pains I said to nurse she never checked or anything then Friday a was in that much pain I never got any sleep up all night crying trying to cope with the throbbing pain I had shower early hours and then hot water bottle went hours with the pain then half 8 Saturday morning all this gunge came out and was a relief but I thort my wound was infected it's still throbbing abit but not as bad as it was the nurse came out and said I think you've had a build up of a abcess that's burst again my wound still not healed but I feel like am back to square one it was drying up now it's back to fluid
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