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Pilonidal cyst

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Pilonidal cyst

Posted by Marty on July 11, 2002 at 11:49:18:

Dr. Stoll, thank you for answering my questions that I
sent yesterday. I do have to ask some more reguarding
your advice on getting it lanced. First, I am confused as
to the actual info on what lancing is. Some say it is a 2
week healing in which the packed gauze falls out over 3
days and then takes 2 weeks to heal. Then I read that
this is a long 2 month packing process that involves a
lot of pain. Am I going to be putting myself into a future
problem by getting the lancing done? Do you have
another recomendation if this does not drain on its
own. I've read about some people popping it with a pin
to get it to drain. Or some using the ichthamol 20%
ointment. I had mentioned that the doctor who I had
seen 6 months ago took a scalpel and put a small
incision in it to get it to drain. Is that a solution? I really
would like to avoid the lancing if possible considering
the horror stories assiciated with it. Pleases let me
know. Thank you so very much.



Re: Pilonidal cyst

Posted by Hope on July 11, 2002 at 17:12:38:

In Reply to: Pilonidal cyst posted by Marty on July 11, 2002 at 11:49:18:

I have been suffering with a cyst for about 8 years now. The first few years I had it, I would have it lanced, on average, every 4-6 months. No fun at all and I will never do it again unless it was the only option I had. For me it isnt the shot you get to numb it, it isnt the small cut they make, but it is the packing that they do to let it drain. The pressing doesnt even bother me. I have also seen where it says the lancing takes that long to heal, but in the 15 or so times that I have had it done, I was better and totally healed in 3-5 days. Maybe it depends on how fast your body heals or how big and deep the actual pocket is. I am not really sure. Unless somebody comes up with a cure for these horrible things, you are going to have to have the surgery or live with it. Not very good options I am afraid :( I have discovered many things in the archives that you can do. The hot wash clothes with epsom salt work great. I use the draw out salve on mine if the epsom doesnt work after a few days and it works great. I wish there was more good news I could give you :( Take care and good luck :)

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Re: Pilonidal cyst

Posted by
Terra on July 11, 2002 at 21:49:58:

In Reply to: Pilonidal cyst posted by Marty on July 11, 2002 at 11:49:18:

Could you email me directly please at terrajpaige@aol.com. I just was diagnosed with the cyst and have questions. I can't offer you much in the way of help, but maybe we could become information buddies!

Terra

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Re: Pilonidal cyst (Archive.)

Posted by Walt Stoll on July 12, 2002 at 08:15:45:

In Reply to: Pilonidal cyst posted by Marty on July 11, 2002 at 11:49:18:

Hi, Marty.

The doctor with the scalpel was a minor lancing, which may resolve your present condition again. The short term packing "lancing" is the next step. The long term packing is the definitive surgery.

I do not think that a lancing creates future problems like the failed definitive surgery can.

Hope this helps.

Walt

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Re: Pilonidal cyst

Posted by just another suffer on July 12, 2002 at 12:23:02:

In Reply to: Pilonidal cyst posted by Marty on July 11, 2002 at 11:49:18:

A lancing is anytime you open the cyst up to drain the infected fluid. In reality even popping it yourself is a lancing in a way. The term lancing is generally used when a doctor cuts the cyst open to drain the fluid inside. Some people have cysts that drain on their own.

My cyst only opened up the first time with the hot compresses and espon salt after that no matter what I did it would not open to drain and let me tell you the packing pain is not even close to how bad the pain of an infected unopened cyst is.

I had my cyst lanced four times and packed four times, the packing is only painful the first week of packing after that is more uncomfortable than painful. And the doctor will prescribe pain meds so that you can take them 45 mins before packing it will help alot. Taking antibotic's every time you get a flare-up might work. For me I didn't want to take that much antibotic's I didn't want my body becoming immune to them. I save antibotic's for when I really need them.

As for whether or not you need a lancing the question is yes yes yes. Do not live with that kind of pain! It's horrible get it lanced. Not to mention that infection does get into your bloodstream. Twice I ran fevers before I could get my infected cyst lanced. The lancing is only a temp fix it's only to drain infected fluid the sack the infection makes i.e the cyst is still inside and can get reinfected easily that's why you get more flare-ups.

Surgery is where you are taken to the hosiptal, knocked out and the cyst is fully removed. You can not have surgery on an infected cyst. Surgery is the only way to remove the cyst. If you have alot of cysts inside that is where surgery may not be able to removal all the cysts. Some people have one surgery and then are done some need two or three. Even if it takes me three surgeries to be done with it then I'll do it. Because living with the painful flare-ups and packing and healing for two to four months for me was not exceptable. I had at least two flare-ups in a year.

I've heard of people healing from a lancing in 3-5 days but not me it would take two to four months to heal.

I hope this gives you some ideas. Everyone is different and heal different but believe it or not a lancing is nothing to be scared of it just drains the fluids. You have to pack so the body heals from the inside otherwise if you don't you leave open space in the cyst's sack that gets infected. That's way some people will have alot more flare-ups.

Good luck
just another suffer

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