What a pilonidal cyst is
It is a small tract or pocket in the skin at the top of the buttock crease, usually caused by hair working its way under the skin. It can stay quiet for long periods, then become infected and form a painful abscess.
Why it tends to come back
Even when an infection settles, with or without antibiotics, the tract usually remains. Hair and debris can collect again, leading to another flare-up. Many people have repeated episodes until the tract is treated.
What you can do at home
- Keep the area clean and dry
- Avoid long periods of sitting when possible
- Remove hair from the area, for example with clippers or laser hair removal
- Use warm compresses for mild discomfort
Talk with Dr. Arsenous about your options.
When treatment is needed
A painful, swollen, red area usually means an abscess that needs to be drained. For repeated flare-ups or chronic drainage, removing the tract offers the best chance of a lasting cure. See pilonidal cyst surgery and abscess drainage.
Seek prompt care for fever, rapidly increasing pain or swelling, or redness spreading away from the area.