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Pilonidal Cyst

Pilonidal Cyst

A pilonidal cyst is an abscess or boils. It needs to be drained or lanced, to improve. Like other boils, it does not improve with antibiotics. If any of the following symptoms occur, consult a doctor:

  • Pain at the bottom of the spine
  • Swelling at the bottom of the spine
  • Redness at the bottom of the spine
  • Pus draining from the cyst
  • Fever   with any of the above symptoms

Self-Care at Home

Early in an infection of a pilonidal cyst  , the redness, swelling, and pain may be minimal. Sitting in a warm tub may decrease the pain and may decrease the chance that the cyst will develop to the point of requiring incision and drainage.


After surgery to drain a pilonidal cyst, follow-up includes the following:

  • Keep the wound clean and covered while it heals. Wash around the area at least once a day.
  • The doctor will want to look at the wound frequently to be sure it is healing.
  • Consult the doctor at once if it appears the cyst is returning.


A complete cure is possible, but a pilonidal cyst may reoccur. Even if surgically removed, the cyst may return.

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