A pilonidal cyst is an uncommon pocket of tissue that contains hair, skin debris, or fluid. It typically affects the lower back near the tailbone or anus. These cysts can cause severe pain and require treatment. Early intervention can prevent their recurrence. If left untreated, they may lead to the risk of abscesses (swollen, round pockets of infection). Every year, thousands of people worldwide report this condition. However, many do not discuss it with their healthcare providers due to embarrassment. Let’s explore the following informative article to learn more about this condition.
Causes

Despite advancements in medical science, the causes of pilonidal cysts remain unknown to researchers. However, the most common reason for this condition is ingrown hairs in the lower part of the buttocks. Often, these hairs cause skin infections and lead to the formation of cysts. In addition, tight clothing, cycling, or prolonged sitting can push hair from the skin. Furthermore, people who groom animals may develop cysts between their fingers.
Risk factors
- Tight clothing
- Cycling
- Friction and pressure due to rubbing the skin
- Being overweight
- Poor hygiene
- Excessive or rough body hair
- Family history of cysts
- Prolonged hours of sitting due to office work
- People between 20 and 35 years of age
- Having a sedentary lifestyle
Symptoms
A pilonidal cyst does not show symptoms until it is infected. If the skin is infected, the area around the cyst may appear swollen and painful. Check out the following symptoms of a pilonidal cyst:
- Pain (Gets worse while you are sitting)
- Swollen skin
- Nausea, fever, and fatigue
- A draining pus with blood or odour
A large red or inflamed area between your buttocks resembles a pilonidal cyst.
Diagnosis
Your doctor will do a full examination of your pilonidal cyst. For this, they will check the buttocks to identify whether or not the dimple is an oozing cyst. Additionally, they may ask a few questions:
- Is your pus draining fluid?
- Has the cyst changed in appearance in any way?
- What do you experience because of the cyst?
Treatment
If you are diagnosed with one or more pilonidal cysts, your doctor will recommend a tailored plan. They may recommend surgery for its permanent removal, depending on the severity of symptoms. However, there are some other treatment options your doctor may recommend:
- Draining the fluid from the cyst
- Injections to treat cysts
- Antibiotics to reduce skin inflammation
- Laser therapy for hair removal, otherwise, they might become ingrown hairs and cause the recurrence of the pilonidal cyst.
End Note
In conclusion, a pilonidal cyst is not a serious condition until a skin infection affects it. If not treated on time, it may escalate the risk of serious abscesses or sinus cavities. Book an appointment with Dr. Patta’s Gastro Center for the permanent solution of a pilonidal cyst.
