Pilonidal sinus home treatment: Home Remedies, When to See a Doctor

30.08.202215.07.2023 by alexxlab

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Home Remedies, When to See a Doctor

Pilonidal Cyst Home Treatment: Home Remedies, When to See a Doctor

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Medically reviewed by Debra Rose Wilson, Ph. D., MSN, R.N., IBCLC, AHN-BC, CHT — By Stephanie Watson — Updated on October 29, 2018

What is a pilonidal cyst?

A pilonidal cyst is a sac filled with hair, skin, and other debris. It typically forms at the top of the buttocks, right between the cleft, which separates the two cheeks.

You can get a pilonidal cyst when a hair gets lodged inside your skin. Friction on the ingrown hair from sitting or rubbing can irritate your skin and cause the cyst to form.

Sometimes, these cysts become infected and a pocket of pus called an abscess forms.

Pilonidal cysts are more common in men and people who sit for long periods of time, such as office workers are truck drivers. You’re also more likely to get one of these cysts if you have thick, stiff body hair.

The only way to get rid of a pilonidal cyst is through a minor surgical procedure. But there are a few things you can do at home to ease pain and discomfort in the meantime.

Try applying a hot, wet compress to the cyst a few times a day. The heat will help pull out the pus, allowing the cyst to drain. This can relieve pain and itching.

You might also try soaking the area in a warm, shallow bath. You can also try taking a sitz bath.

If the cyst hurts, you can take a nonsteroidal anti-inflammatory, such as ibuprofen (Advil).

A pilonidal cyst can look similar to a pimple, tempting some to pop them with their fingers. But popping a pilonidal cyst won’t fix the problem. Remember pilonidal cysts are filled with hair and other debris in addition to pus, and you won’t be able to get it all out by squeezing.

The location of pilonidal cysts can make it hard to see what you’re doing. You also run the risk of developing an infection or leaving a scar.

Pilonidal cysts are treated with a simple in-office procedure. A doctor will start by numbing the area with an injection of a local anesthetic. Next, they’ll use a surgical knife to make a small incision to help drain the pus and debris from the cyst.

Once everything has been removed from the cyst, they’ll pack the wound with sterile gauze or close it with stitches, depending on the location. Make sure to follow the wound care instructions from your doctor as you recover.

Sometimes, a pilonidal cyst will reappear in the same area, even if you recently had one drained. When this happens, you may need a more extensive surgical procedure to remove the entire cyst, not just the internal contents.

Once you’ve had a pilonidal cyst surgically drained, there are several things you can do to reduce your risk of developing another one.

First, try to avoid sitting for long periods of time, which places pressure on the area where pilonidal cysts develop. If you’re job requires you to sit for most of the day, try to set aside a few minutes every hour to stand up and take a quick walk.

Carrying extra weight can also make you more prone to developing pilonidal cysts. Your doctor can give you a better idea of whether your weight may be playing a role in your cysts.

Finally, try to keep the area between the cheeks of your buttocks as clean and dry as possible. Wearing correct-fitting clothes can help to prevent sweat from collecting there. In addition, consider removing any hair you have growing near the top of your buttocks.

Home treatments can relieve discomfort from a pilonidal cyst. But to get rid of it for good, you’ll need to see a doctor. To prevent cysts from forming again in the future, avoid prolonged sitting. Keep the area above your buttocks clean, dry, and free from hair.

Last medically reviewed on October 29, 2018

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Mayo Clinic Staff. (2015). Pilonidal cyst.
mayoclinic.org/diseases-conditions/pilonidal-cyst/symptoms-causes/syc-20376329
Pilonidal cyst. (n.d.).
uvahealth.com/services/dermatology/pilonidal-cyst
Pilonidal cyst. (n.d.).
healthyhorns.utexas.edu/HT/HT_pilonidalcyst.html
Pilonidal cyst. (n.d.).
shs.uncg.edu/pilonidal-cyst
Pilonidal disease. (n.d.).
fascrs.org/patients/disease-condition/pilonidal-disease

Share this article

Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT — By Stephanie Watson — Updated on October 29, 2018

Home Remedies, When to See a Doctor

Pilonidal Cyst Home Treatment: Home Remedies, When to See a Doctor

Health Conditions
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  - Alzheimer’s & Dementia
  - Bipolar Disorder
  - Cancer
  - Crohn’s Disease
  - Chronic Pain
  - Cold & Flu
  - COPD
  - Depression
  - Fibromyalgia
  - Heart Disease
  - High Cholesterol
  - HIV
  - Hypertension
  - IPF
  - Osteoarthritis
  - Psoriasis
  - Skin Disorders and Care
  - STDs
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- Wellness Topics
  - Nutrition
  - Fitness
  - Skin Care
  - Sexual Health
  - Women’s Health
  - Mental Well-Being
  - Sleep
- Product Reviews
  - Vitamins & Supplements
  - Sleep
  - Mental Health
  - Nutrition
  - At-Home Testing
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- Find Care
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  - Neurologists
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Connect
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  - Migraine
  - Multiple Sclerosis
  - Psoriasis

Medically reviewed by Debra Rose Wilson, Ph. D., MSN, R.N., IBCLC, AHN-BC, CHT — By Stephanie Watson — Updated on October 29, 2018

What is a pilonidal cyst?

A pilonidal cyst is a sac filled with hair, skin, and other debris. It typically forms at the top of the buttocks, right between the cleft, which separates the two cheeks.

You can get a pilonidal cyst when a hair gets lodged inside your skin. Friction on the ingrown hair from sitting or rubbing can irritate your skin and cause the cyst to form.

Sometimes, these cysts become infected and a pocket of pus called an abscess forms.

The only way to get rid of a pilonidal cyst is through a minor surgical procedure. But there are a few things you can do at home to ease pain and discomfort in the meantime.

Try applying a hot, wet compress to the cyst a few times a day. The heat will help pull out the pus, allowing the cyst to drain. This can relieve pain and itching.

You might also try soaking the area in a warm, shallow bath. You can also try taking a sitz bath.

If the cyst hurts, you can take a nonsteroidal anti-inflammatory, such as ibuprofen (Advil).

The location of pilonidal cysts can make it hard to see what you’re doing. You also run the risk of developing an infection or leaving a scar.

Once you’ve had a pilonidal cyst surgically drained, there are several things you can do to reduce your risk of developing another one.

Carrying extra weight can also make you more prone to developing pilonidal cysts. Your doctor can give you a better idea of whether your weight may be playing a role in your cysts.

Last medically reviewed on October 29, 2018

How we reviewed this article:

Mayo Clinic Staff. (2015). Pilonidal cyst.
mayoclinic.org/diseases-conditions/pilonidal-cyst/symptoms-causes/syc-20376329
Pilonidal cyst. (n.d.).
uvahealth.com/services/dermatology/pilonidal-cyst
Pilonidal cyst. (n.d.).
healthyhorns.utexas.edu/HT/HT_pilonidalcyst.html
Pilonidal cyst. (n.d.).
shs.uncg.edu/pilonidal-cyst
Pilonidal disease. (n.d.).
fascrs.org/patients/disease-condition/pilonidal-disease

Share this article

Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT — By Stephanie Watson — Updated on October 29, 2018

Epithelial coccygeal tract (ECC) symptoms and treatment in Nikolaev

Epithelial coccygeal tract (ECC) is a congenital disease that is associated with impaired development of soft tissues in the embryonic period. Pathology is quite common and mainly occurs at a young age (15-30 years), taking into account statistics, men are more susceptible to it.

Causes of ECC development

Epithelial coccygeal tract (dermoid cyst, ECC, pilonidal sinus) is a small canal lined from the inside with epithelium. It contains hair follicles, sweat, sebaceous glands.

The pathological process begins in the embryonic period. Against the background of developmental disorders, a cavity appears under the skin in the region of the gluteal fold, which is lined with epithelium. Often this disease is called a hair cyst, since there is a version that its appearance is associated with abnormal hair growth, that is, their ingrowth under the skin. There are a number of risk factors that can provoke the disease:

injury to the sacrococcygeal region;
hypothermia;
poor hygiene, scratching in the area of the intergluteal fold;
excessive hair growth;
passive lifestyle;
wearing tight, tight clothing.

Overweight is also a predisposing factor.

Acute and chronic inflammation

The primary coccygeal duct opens on the skin as one or more small openings. Sometimes a secret of the epithelium is released through the point exits, when an infection penetrates into them, inflammation begins.

In the absence of treatment, pain gradually increases, when the holes are blocked, the contents inside stagnate. Favorable conditions appear for the active reproduction of microorganisms, which as a result leads to the development of a full-fledged abscess (abscess). Further, several scenarios are possible.

The cavity may continue to grow in size, causing the person to seek urgent medical attention due to severe pain. Another option is self-opening and outflow of pus in the area of the interberry fold. In this case, the pain subsides, a person may regard this as a cure, but in fact the problem will again make itself felt. Despite the fact that the pus has come out, the purulent cavity remains, prerequisites are created for the re-accumulation of the discharge, the repetition of the process.

Symptoms of the disease

Most often, the coccyx cyst develops asymptomatically for a long time. During puberty, hair growth and the secretion of sebaceous, sweat glands begin, which may be accompanied by itching, weeping due to discharge from the ECC.

The manifestation of the disease can be only the presence of one or more holes, from which a tuft of hair is sometimes visible. Due to the absence of other signs of the disease, people often do not go to the doctor.

If bacteria enter the lumen of the skin canal, inflammation inevitably occurs, an abscess is formed, which causes:

purulent, bloody discharge from formed passage holes;
pain in the coccygeal region;
temperature increase;
general weakness;
thickening, redness of the skin in the area of the abscess.

Because of the cyst, a person cannot carry out normal labor, physical activity. If he does not go to the doctor, an abscess is opened, but the infectious focus persists, relapses of suppuration occur. Chronic inflammation covers an increasing area, intoxication is growing.

Possible complications

When ignoring the disease, refusing radical treatment, a number of complications may occur. The inflammatory process that occurs in the surrounding tissue eventually leads to the formation of secondary fistulas with a complex structure, which can open into the scrotum, sacrum, and anus.

Often, patients develop pyoderma – purulent-inflammatory skin diseases, actinomycosis – an infectious lesion caused by fungi, which significantly worsen the condition. Treatment in these cases is much more complicated and requires more time, and surgery is carried out in a larger volume and requires long-term rehabilitation.

Diagnosis of ECX

Detection of the disease does not cause difficulties, it is enough to detect characteristic holes, signs of the disease, which are established during:

Visual examination, probing of the passage to assess its size, localization.
Digital examination of the rectum to rule out fistulas.
Anoscopy – an instrumental diagnostic method for studying the condition of the anus, rectum using an anoscope.
Fistulography – the introduction of a contrast agent into the formed course, followed by radiography. The method allows you to accurately determine the direction of purulent passages, plan the surgical treatment in detail.

When making a diagnosis, the complex takes into account the patient’s complaints, the history of the disease, as well as the hereditary factor (the presence of this pathology in relatives). In some situations, when symptoms are unclear, a colonoscopy may be necessary.

Differential diagnosis of ECC is carried out with a fistula of the rectum with paraproctitis, osteomyelitis of the coccyx, sacrum, presacral teratoma.

Methods of treatment of epithelial coccygeal passage

The only effective method of treatment is surgery, which involves the complete removal of the pathological canal along with holes. There are many methods of surgical treatment of ECC, which are selected taking into account the clinical situation.

Often patients turn to proctologists with an acute form of the disease, when the process is already running. In this case, the operation includes two stages:

at the first stage, the surgeon opens the cavity of the abscess, cleans it of the contents, rinses the wound with antiseptics, applies bandages with ointment;
at the second stage performs a complete excision of the pathological course.

Surgery is possible on an outpatient basis. If the patient has a complicated form of the disease, hospitalization is required, followed by monitoring of the wound and daily dressings.

In some situations, doctors may perform laser removal of a coccyx cyst. This is a modern, safe and effective method of treatment.

Post-op

After surgery, patients may be given broad-spectrum antibiotics and physiotherapy to speed up the wound healing process. Recommendations after surgery:

observe the rules of personal hygiene;
do not wear tight clothing with coarse midline seams to avoid injury to the wound;
limit physical activity.

The duration of the rehabilitation period may vary from patient to patient. Recovery can take from 3 weeks to 3 months, taking into account the extent of the pathological process, the presence of complications, concomitant diseases, age, etc.

ECX operations are considered technically simple, but still require special knowledge and skills. Doctors of the proctology department of hospital No. 3 in Nikolaev work on modern equipment, have extensive experience, which allows them to take on complex clinical cases and perform operations on an outpatient basis.

causes of inflammation, treatment, surgery to excise the passage

Medicine and health

26.07.21

And spend 17,500 rubles on it

In 2019, the surgeon diagnosed me with epithelial coccygeal tract.

Valery Trusevich

cured the epithelial coccygeal tract

Author’s profile

I was going to study at the university, and for admission I had to pass the military medical commission – VVK.

The last doctor on my list was a surgeon. She noticed a large pimple just below the sacrum. I myself noticed it three months before the physical examination, and after that the pimple either disappeared for several weeks, then appeared again. He didn’t particularly bother: I have had problem skin since childhood, so even when blood flowed from a pimple, I didn’t attach any importance to it. The doctor said that it was possibly an epithelial coccygeal passage and advised me to contact a proctologist for advice.

As a result, in order to cure the epithelial coccygeal passage, I went through five operations. I’ll tell you why some pimple has become such a big problem and what mistakes could have been avoided.

With this paper, the VVK doctor sent me to clarify the diagnosis

What is the epithelial coccygeal tract

Epithelial coccygeal duct – ECC – a disease of the skin and subcutaneous tissue in the upper part of the intergluteal fold. With ECC, an inflamed passage appears in this area, from which mucus, pus or blood can be released. The move ends blindly in soft tissues. Sometimes additional ones are separated from the main course, they can also blindly end under the skin or open onto its surface.

Epithelial coccygeal tract, PubMed article

ECC occurs in about three out of 10,000 people: this is a fairly rare disease. Men get sick two to four times more often than women. The average age of patients is about 20 years.

Causes of the coccygeal duct

The causes of the epithelial coccygeal tract are not fully known.

It is believed that the disease occurs due to accidental detachment of hairs in the intergluteal region. Other hairs and skin particles get into the wounds that form at the place of separation. Friction and increased pressure on the skin in this area pushes the debris deep into the subcutaneous tissue, which increases the depth of the stroke over time. If an infection gets into this funnel, inflammation occurs.

Factors predisposing to the appearance of an epithelial coccygeal passage:

Overweight.
Injuries in the upper part of the intergluteal fold.
Sedentary lifestyle.
Coarse hair in the crease between the buttocks.
Cases of illness in the family.

Epithelial coccygeal passage, article in UpToDate

ECX on and inside the skin. Source: UpToDate Source: Coloproctology Clinic of PMSMU. I. M. Sechenov

Symptoms of the coccygeal passage

The disease can be asymptomatic, acute or chronic.

Asymptomatic. ECX does not disturb the patient: the passage does not hurt, no contents are emitted from it.

Sharp shape. During movement or sitting there is a sudden severe pain in the intergluteal region. Mucus, pus or blood may come out of the coccygeal passage. Sometimes the temperature rises.

Chronic form. Patients experience persistent or recurring pain in the intergluteal region. Fluid is periodically released from the coccygeal passage, sometimes several passages open on the skin surface at once. It was the same in my case, but I found out about it only in the course of treatment.

The chronic form may be complicated by squamous cell carcinoma. This is a malignant neoplasm of the skin. Therefore, in some cases, doctors take some of the contents of the ECC to rule out a tumor.

How to identify cancer at an early stage

Diagnosis of the coccygeal passage

As in my case, the disease is usually detected by the surgeon during the examination. No additional examinations are usually required.

ECXs that do not disturb the patient do not cure. It is believed that operating in this case is more dangerous than living with ECC without symptoms.

Acute and chronic forms of ECC are treated only surgically. The doctor cuts the skin of the intergluteal fold and cleans the contents of the coccygeal passage. The wound is usually not immediately sutured – after the operation it must be washed and bandaged. Within two to three weeks, new skin appears at the incision site – healing occurs.

Can ECC reappear

Epithelial coccygeal passage is difficult to treat and often reappears. In 40% of cases, a second operation is needed immediately after the first one. This happens if an excessive amount of skin appears in the wound area – it has to be removed additionally.

In this case, even some time after the operation, the coccygeal passage may occur again. This happens in 10-50% of cases.

How to get a quota for surgery

To reduce the risk of recurrence, doctors advise removing hair in the intergluteal area in any convenient way and be sure to wash yourself once every one or two days.

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How to treat the coccygeal passage

I realized that the disease should be treated as soon as possible: the problem so far was only of an aesthetic nature, but I didn’t want the ECC to become very inflamed and get sick. I turned for help to my relative, who works as a head in a polyclinic. She assured me that the problem was a trifle, and her subordinate surgeon would be able to perform the operation without general anesthesia.

I was admitted to the polyclinic without a queue, the surgeon examined the neoplasm and confirmed the diagnosis of a doctor with VVC. An operation was scheduled.

How to perform an operation under the CHI policy

I can’t judge the doctor’s competence, but in one day I ended up on the operating table three times. The first time they damaged a blood vessel, which was sewn up only the third time. I almost fainted from blood loss.

One of the passages was removed and cleaned for me. There was hope that everything would be back to normal. It was necessary to go for dressings every day, and at the same time to reduce any active movements of the legs to a minimum. It turned out to be hard: I really couldn’t do anything, I had to lie on my side a lot. Every movement was painful and stiff.

Conclusion of a doctor from a polyclinic. In it, he indicated the diagnosis and the operation he performed – excision of the coccygeal passage

For dressings, I used surgical plasters, bandages and Levomekol ointment. In total, it took 350 R, of which Levomekol took 150 R. One tube of it was enough for one and a half to two weeks.

350 R

I spent on dressings

I spent two and a half weeks in this state. When the surgeon removed the stitches, it didn’t hurt, but I couldn’t walk normally for another three or four days: in the time since the operation, I had already got used to moving like a penguin.

Another week later, I went for a follow-up appointment with an IHC surgeon. She disappointed me: a characteristic small pimple began to ripen on the skin again. The doctor advised me to go to a specialized coloproctology hospital.

How I prepared for a second operation

The new coccygeal tract did not bother me, so I made an appointment with the doctor by phone. I was scheduled for a checkup in two weeks.

For a consultation, I took a standard set of documents for issuing a medical card: a passport, SNILS and a medical policy.

Coloproctological hospital No. 9 in St. Petersburg looks like this

The proctologist at the hospital listened carefully to my story and was surprised that the surgeon at the polyclinic agreed to the operation. According to this doctor, the recurrence occurred because it was not enough to remove the tissues lying on the surface. During the illness, an extensive network of passages formed under the skin. To cure ECX, you need to remove them all.

What to do? 17.02.20

How to insure against medical errors before surgery?

Before the second operation, I had to pass a standard set of tests: biochemical and general blood tests, blood clotting, hepatitis, urine, feces, and determine the blood group. I also did an ECG and fluorography. I also had to get a referral to the hospital from a therapist. Since I already had a conclusion, I just made an appointment with the local doctor at the clinic for the next free time and took a referral without any problems.

To save time, I took biochemical and general blood tests in a private laboratory. He passed the rest of the tests in his clinic on a first-come, first-served basis, except for ECG and fluorography. I decided to pay for the ECG at the clinic, because there was a queue two weeks ahead, and I didn’t want to wait that long. I paid 600 R for an ECG, and 450 R for a fluorography at a tuberculosis dispensary. The results were handed out immediately. I spent 4020 R on blood tests in the laboratory, in total the preparation for the operation cost me 5070 R.

5070 Р

I spent on preparing for the operation

How I went to the hospital

A couple of hours after I arrived at the hospital and settled in the ward, a surgeon came to us. It was he who performed the operation on me and accompanied me until recovery. The doctor examined me and said that after some time the anesthesiologist would come, and the operation would be the next day in the morning.

The anesthetist showed up an hour later and asked if I was allergic to any medications. I tried to give him 5000 R as a thank you, because my mother considers it a good omen, but the doctor politely refused.

What to do? 07/10/18

How to give gifts so that they are not considered a bribe?

After dinner, I stuck to my laptop and got ready for bed. In the evening, a nurse came into the room. She reminded me that I had an operation tomorrow and I had to refuse breakfast, took my temperature, gave me some pills, and I went to bed.

This is what each meal looked like. It turned out to be torture: I didn’t need a special diet, and a complex lunch in the hospital buffet cost as much as 350 R

How was the operation to excise the epithelial coccygeal passage

The next morning the doctor gave me an injection, asked me to undress and lie down on a gurney. I was taken to the operating room. They put a catheter in my arm, connected a tube with some kind of solution, and I slowly fell into a drug-induced sleep.

The operation lasted only 15-20 minutes, but I watched scary cartoons. There was a feeling that the brain was resisting the state it was in. I felt pain and fatigue, but not physically, but mentally. For half a day after the operation, I lay in a cloudy state, barely moving my limbs.

9 problems of free medicine in Russia

How I recovered after the operation

After the operation, a long road of recovery awaited me. The wound healed for about six weeks. To prevent infection from getting there, the nurses bandaged her every day. Almost all the time I was lying on my stomach or on my side.

In the first days I practically did not feel pain, but after three days the wound began to bother me. At night I was injected with painkillers. Liquid was constantly coming out of the wound, and I had to walk around with a thick gauze bandage and put oilcloth on the bed.

In this mode, I spent a little over two weeks in the hospital. After that, the doctor said that the condition of the wound was stable and I could be discharged. I had to make an appointment with a surgeon at the clinic and go for dressings every day. It took me a total of six weeks to recover from the operation: two in the hospital and four at home.

All this time I worked from home, every morning I went to the clinic for examination and dressings to the surgeon.

Two weeks later, I realized that the healing process was being delayed, and I turned to a physiotherapist. She advised me to go to her for laser physiotherapy three times a week. I paid her 3000 R for eight sessions. After every two or three sessions, the physiotherapist noted that the wound looked better. Whether she could have healed in the same time without physiotherapy, I don’t know.

3000 R

I paid for 8 sessions of laser physiotherapy

The rest I spent money on Levomekol, postoperative patches and dressings. “Levomekol” in a pharmacy near the house cost 185 R for a tube of 40 g. It took 400 R a week for a pack of plasters and bandages.

During this period, my family helped me a lot. Relatives bought the necessary funds, food and so on. It was hard for me to cover long distances, each trip to the clinic took a lot of time and effort, so I rode a taxi lying in the back seat.

They didn’t add to my joy at work either: I worked four or five hours a day lying down, because I couldn’t sit. When the money for the sick leave came, I was even more saddened: it turned out to be only 897 R per month. If not for my family, it would be hard for me to get out of this situation.

How sick leave is paid and how to calculate it

Discharge statement from the hospital. With it, you can visit the surgeon without a queue at the polyclinic

Complications of ECX after surgery

When the wound healed and stopped bothering, a furuncle appeared next to it. At first I wasn’t too worried because he was alone and small. After a couple of days, the boil went away, but two days later another one appeared. The temperature has risen. Luckily, it was Sunday morning. I decided not to wait for a miracle and went to a private clinic to see a surgeon.

The surgeon’s examination cost me 3000 R. He said that furunculosis could be a symptom of ECC recurrence and offered to cut out the boils. At the same time, the surgeon offered to perform the operation immediately and free of charge. I agreed, and within five minutes I was lying on the operating table. It turned out that two boils appeared around the scar at once, a large one and a smaller one. The doctor gave a painful injection of an anesthetic, after which he began to cut out the first boil. To say that it was painful is to say nothing: my girlfriend, who was waiting in the corridor, heard the screams.

3000 R

I paid for the surgeon’s examination

After finishing with the first boil, the surgeon asked if I could give another injection of painkillers. I refused, because I could not understand what hurt more: an injection or an incision. Perhaps it was the wrong decision, because then it still hurt a lot, I screamed again. After that, the doctor issued a conclusion and advised him to go to the hospital to rule out another relapse.

The surgeon at the polyclinic prescribed dressings with turundas for me every day for a week. It was a very painful procedure: under great pressure, disinfecting solutions were injected into a deep wound, and then a cotton swab folded into a tube was thrust into it. By the end of the week, I prayed to all the gods that the torment would end soon.

During the recovery period after the operation, there were no new boils. It pleased.

How it all ended

After a week of dressings, I went to a follow-up appointment at the coloproctology hospital. An examination by a coloproctologist and a sigmoidoscopy cost me 2100 R. They could see me for free only after two weeks, but I did not want to wait.

The doctor examined the scars from the operation, assured me that there were no new boils, and performed a sigmoidoscopy on me. As the doctor said, this is a mandatory procedure at the control examination, which allows you to determine whether new formations have appeared in the walls of the rectum. You need to prepare for it – I bought the laxative Microlax in advance for 393 R. There were four enemas in the pack, I did two with an interval of a couple of hours before going to bed.

How to return money for treatment

Sigmoidoscope – a device for examining the rectum. This tube is inserted into the anus and the walls of the rectum are examined. It’s unpleasant, but I didn’t experience pain. Source: review of equipment for sigmoidoscopy (rectoscopes)

The doctor did not find hints of a recurrence of the epithelial coccygeal tract. He said that it was necessary to monitor for new boils, carefully monitor hygiene in this area, and in which case, immediately go to the hospital.

A year has passed, and during this time I have not had any new symptoms. The incisions from boils are overgrown, three scars have formed in the intergluteal fold, which remind me that I need to be attentive to my health.

The final conclusion of a doctor from the hospital. Now I have to do sigmoidoscopy once a year, as a ritual, I also try not to sit on a chair for a long time, sometimes I work standing up. I wear only cotton underwear and always wash myself with cold water

I spent 17,563 R in total on treatment

Examinations and tests for admission to surgery	5070 R
Dressings, plasters and Levomekol	4000 R
Physiotherapy in the polyclinic	3000 R
Medical examination and removal of boils	3000 R
Coloproctologist examination and sigmoidoscopy in hospital	2100 R
Enemas for sigmoidoscopy	393 Р
Total	17563 Р

Examinations and analyzes for admission to surgery

5070 R

Dressings, plasters and Levomekol

4000 R

Physical iotherapy in polyclinic

3000 Р

Doctor’s examination and removal of boils

3000 Р

Coloproctologist examination and sigmoidoscopy in hospital

2100 R

Enemas for sigmoidoscopy

393 R

Total

17563 R

Pilonidal sinus home treatment: Home Remedies, When to See a Doctor

Home Remedies, When to See a Doctor

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Home Remedies, When to See a Doctor

How we reviewed this article:

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Epithelial coccygeal tract (ECC) symptoms and treatment in Nikolaev

Causes of ECC development

Acute and chronic inflammation

Symptoms of the disease

Possible complications

Diagnosis of ECX

Methods of treatment of epithelial coccygeal passage

Post-op

causes of inflammation, treatment, surgery to excise the passage

And spend 17,500 rubles on it

What is the epithelial coccygeal tract

Causes of the coccygeal duct

Symptoms of the coccygeal passage

Diagnosis of the coccygeal passage

Can ECC reappear

How to treat the coccygeal passage

How I prepared for a second operation

How I went to the hospital

How was the operation to excise the epithelial coccygeal passage

How I recovered after the operation

Complications of ECX after surgery

How it all ended

I spent 17,563 R in total on treatment

paid with nerves, pain and money.

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