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Pilonidal Cyst Discharge Instructions


About this topic


A pilonidal cyst happens at the base of the tailbone. This is where the crack in the buttocks begins. The cyst is most often filled with pieces of hair and skin. The area may become sore and swollen. Fluid may drain from the cyst. If the cyst is infected, it is called a pilonidal abscess. Then, it also fills with pus. The area may be more painful and red. You may have a fever and upset stomach. ‚  
To treat an infected cyst, your doctor will make a small cut in the skin to drain it. Sometimes, the doctor will remove the whole cyst at one time. The doctor will also remove any hair and pus. More surgery may be needed to treat a problem that keeps coming back. ‚  

What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • If you had a procedure to done, talk to your doctor about how to care for your cut site. Ask your doctor about:
    • When you should change your bandages
    • If you have packing in place, how to care for it
    • When you may take a bath or shower
  • Be sure to wash your hands before and after touching your wound or dressing.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. ‚  

What drugs may be needed?


Your doctor may order drugs to: ‚  
  • Help with pain and swelling
  • Prevent or fight an infection

Will physical activity be limited?


You may have to limit your activity based on your treatment. Talk with your doctor about the right amount of activity for you. ‚  

What problems could happen?


  • Infection
  • Cyst may come back

When do I need to call the doctor?


  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills.
  • Signs of wound infection. These include swelling, redness, warmth around the wound; too much pain when touched; yellowish, greenish, or bloody discharge; foul smell coming from the cut site; cut site opens up.
  • Signs that the cyst is returning, such as redness, swelling, drainage from the skin, or pain when you put pressure on the area

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my condition.
  • I can tell you how to care for my cut site.
  • I can tell you what I will do if I have swelling, redness, or warmth around my wound.
  • I can tell you what I will do if I think the cyst is returning.

Where can I learn more?


American Society of Colon and Rectal Surgeons ‚  
http://www.fascrs.org/patients/conditions/pilonidal_disease/ ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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