Nishtha Wellness

Pilonidal Sinus


Nishtha Wellness offers a highly effective and safe treatment of the pilonidal sinus to make you free from pain, discomfort, and embarrassment.

pilonidal sinus

Various factors can cause skin irritation which can lead to a health condition like a pilonidal sinus. A pilonidal sinus is a small hole in the skin near the tailbone which can get infected when the hair becomes fixed in the skin. This cyst tends to recur and more than one cyst may develop. This can be a painful and embarrassing condition to experience that needs to be treated.

 This condition can be caused by sitting for long periods due to the rubbing that can irritate the skin. This can also be caused by hormonal changes. This condition is common in young men. You are also prone to get these cysts if you have thick body hair.

What Is A Pilonidal Sinus?

Pilonidal sinus is a dent that looks like a hole that occurs in or near the cleft of the buttocks. The pilonidal sinus gets filled with pus, hair, debris, or dirt when infected and a cyst is formed.

What Are The Symptoms?

The symptoms of a pilonidal cyst are:

If you are experiencing these symptoms then you should consult Dr. Hiren Bhatt as that is an important step towards recovery.

What To Expect At The Consultation With Dr Hiren Bhatt?

  • Dr. Hiren Bhatt will start first with a physical examination to understand the condition. He will also ask about the symptoms you are experiencing and the severity of the condition.
  • The doctor will also ask for medical history and what supplements or medications you are taking and the duration of this condition.
  • He will guide you through the procedure that is suitable for your condition and will explain all the details regarding the treatment that is to be performed. He will also answer all your questions about the treatment.
  • He will ask the pattern of the condition to understand your case completely and suggest some preventive measures.
  • The doctor will ask you to avoid smoking and stop taking certain medications 

What To Expect At The Time Of The Pilonidal Sinus Procedure?

The doctor will recommend the treatment depending upon the severity of your condition.

1. Antibiotic treatment

If you have a pilonidal sinus that is diagnosed early and doesn’t have any experience of severe pain, the doctor will prescribe you antibiotics to give you relief from the infection. He will recommend you get a follow-up exam and give attention to hygiene.

2.Lancing treatment 

If you have a pilonidal sinus that shows any signs of infection the doctor will recommend lancing a cyst. To start the procedure, the doctor will first numb the area with the help of a local anesthetic. After that, he will make a small cut by using a surgical knife to drain the pus and debris from the cyst. The doctor will pack the wound by putting the sterile gauze into the area and close it with the stitches to promote healing.


If you have a pilonidal sinus that recurs or has one or more sinus tracts, he will recommend surgery as the condition is severe and needs the surgical process.

 The procedure will start by giving you a local anesthetic. He will open the wound and remove the cyst along with the sinus tracts. This procedure is more complex than others.  After this process is done, the wound will be closed with stitches. After surgery, the doctor will recommend changing the dressings regularly.

How Long Does It Take To Recover Pilonidal sinus ?

The recovery of the pilonidal sinus depends upon the severity of the condition and the type of treatment that has been given. You can get back to your daily activities after the wound heals which usually takes 4 to 10 weeks after the surgery.

What To Expect After The Procedure of Pilonidal Sinus?

The doctor will prescribe you medicines to reduce the pain that you may need during the process of recovery. The doctor might also ask you for a follow-up for the dressing of the wound. He will also ask to avoid the bath for a few days.

The important thing after the procedure is wound care. The doctor will tell you the instructions to prevent future risks that need to be followed:

If you follow the given instructions by the doctor, you can prevent the pilonidal sinus from recurring and save yourself from pain. Dr. Hiren Bhatt, an expert surgeon will help you to manage and control your condition with the right guidance and care provided by him.

In case you have queries regarding this or any other procedures, we welcome you for a one-on-one consultation with Dr. Hiren Bhatt where he will expertly guide you on the matter.