pilonidal sinus+1??

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Hi, I recently experienced the pleasure of my first acute pilonidal abscess-located at the bottom of my coccyx not far from my anus!!!.....holy cow that was painful..after 3 days it started to drain and my fever immediately started to subside....along with the most severe pain ive ever experienced!!!!.....on inspection it had left a perfect hole..(which i now presume is a sinus) a few centimeters from my abscess. Today is my 5th day after it started, and having just checked again it seems i have another hole now...about 5mm below the other!!!! is this normal??? does anyone know?

im back at the quacks on tues when my anti-biotics run out!!( he doesnt know it has drained yet either)........but what ive explained..ie the 2 hole buisness..is this normal..and what likely to happen next???

thanks

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  • Posted

    Hi, If I were you i'd get down to the doctors today because these holes may need dressing if they are left to heal up on there own they may cause another abcess to reaccur, also make sure the doctor takes a swab if there is any fluid coming from the holes so he can make sure you are on the correct antibiotics. Hope all goes well for you. smile
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  • Posted

    hi, been to the docs this morning, he said come back in 2 weeks to see if it has healed---if it hasnt then i will need surgery.! Thats it! thanks very much!

    Its a good job I have this tinternet thingy :D and all the invaluable advice and information. It was me asking him all the questions..telling him..about the PILONIDAL stuff ive learnt, but he still said sometimes they heal on their own so go away and come back in 2 weeks!!!!!!!!!!!!more like we have a budget here..and if i can help it..i aint spending any of it on you :evil:

    he hasnt even gave advice on how to clean etc...and it right next to my anus...NICE.

    Does anyone think i should go back....or just see how it goes???

    Thanks

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  • Posted

    Hi, I think you should keep a real close eye on the holes, try to bath in warm salty water to keep them clean. Any hint of pus, fluid, pain tenderness can mean you have infection there and you must get yourself back to doctors, dont get fobbed off with antibiotics as they are not always affective against abcesses as the walls are to thick to penetrate.

    You do not want to go through surgery if you can help it as it often takes a long time to heal up afterwards keeping you from work and daily activities.

    Hope all goes well you must let us all know if it does so we can have a sucess story to keep us sane. smile

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  • Posted

    I had my second PS operation on Friday (11th Jan) - the first one was in December 2005 and it was evident after a month that it was not a success.

    I was in the hospital for day surgery and moved around various wards as i tried to recover as there were no spare spaces within the hospital - im in London.

    As I had received no Nurse visits after the first op I specifically asked for this this time - I was assured that this would happen ... but needless to say it hasn't and I / my partner has made a number of calls to try and set this up now - without success.

    I have therefore had to go to a local walk in centre on a daily basis for re dressing. When I went yesterday I was told I had an infection and two sutchures have split. I have been so careful in limiting movement, not sitting, lying on my front etc so was so disappointed to hear thus is the case.

    Due to the infection my sutchures require to be in place for an extra 12 days to allow the infection to clear first and then the post op recovery to happen.

    I will be so frustrated if I have to go through this pain and inconvenience for a third time.

    Being off wotk is such a pain and i feel so useless unable to do anything without assistance - as i'm so afraid of reoccurance.

    Therefore if you are going to get the operation please ensure that the necesary Nurse is set up before you commit to the operation in order to avoid the inconvenice of having to get yourself to a surgery and potentially causing damage - when you are meant to be resting.

    Good luck

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  • Posted

    My husband has today been admitted to hospital with a pilonidal sinus - again. He had the first one 5 years ago and had it completely removed staying in hospital for around 3 days. But it took 3 months before he could return to work (he's a butcher). District nurses had to come twice a day every day for around 10 weeks to repack and redress it. It got to the stage where he was dropping his trousers as the doorbell rang! Anyway that was 5 years ago and he has not had many problems since until just before Christmas when it started to raise again and he was having discomfort sitting down. Having only recently undergone major spine surgery he was well teed off. He went to see his GP 2 weeks ago and was given a course of 10 days very strong antibiotics - didn't work and as I said today he has back in hospital to have the thing cut out again tomorrow. So another 3 months at least off work. But the hospital did say that 5 years before recurrence was \"very good\". I don't think the drain thing works very well as Mike's nephew has had that and he's had to have the same thing every 6 months so I would say insist on the whole thing cut out and you may have 3-5 years free of them. You must keep the whole are hair free after though - that means waxing!!!!! Good luck
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  • Posted

    Hey...how strange!, i didnt mention earlier in my thread.....but i too have just had major spine surgery...and i was just getting back onto my feet (so to speak) in fact it was after my first visit to the gym after my surgery (6 weeks post-operative) that my pilonidal started!!!!!!

    well mine is still leaking a small amount of puss, so i suspect when i go back to the docs on monday--i will start the ball rolling to have this menace removed!!!!!

    are you given the choice of closed or open healing???as ive read open healing is best!!

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