Pilonidal sinus refers to a medical condition of a dimple in the skin in the crease of children buttocks. The term of Pilonidal itself comes from the Latin which is mean ‘nest of hair’. The condition may be noted at birth as a hairy dimple or depression and it may exist for many years without any signs. One of the causes of Pilonidal sinus is a blockage in the hair follicles or in several cases it related to an ingrow hair.
The condition above could be triggered an infection. Anaerobic bacteria such as Enterococci and Bacteroides are more common to cause infection rather than aerobic bacteria such as Haemolytic Streptococci and Staphylococci. The infection that occurs may spread into nearby tissues and produce an abscess that contains pus under the skin layer.
Pilonidal sinus symptoms
Someone with severe infection usually will experience a persistent pain in the tailbone region as a result of an abscess within the crease of the buttock. Once the abscess leaks, pus may clearly seen. A chronic and severe infection may spread to nearby and beyond tissue. The symptoms of this stage are including cloudy drainage contain excess pus or blood strain from the leak.
Pilonidal sinus diagnose and treatments
Using the physical exam, a doctor will be able to diagnose the Pilonidal sinus condition. Using with the same technique, the doctor also will be able to tell about the severity of the infection, if it available.
To deal with Pilonidal sinus, first the doctor will handle the infection first (if any). The doctor wil clean and open and drain the abscess and let it heal. Doctor may give the patient antibiotic to maintain the infection. After the abscess is healed, the next treatment that can be chosen is a surgery. This technique may need to taking out the chronically infected tissue or the fistula track.