I Believe I Have A Pilonidal Cyst And Can't Go To The Dr Until Monday Should I Go To The Er? Pain Is Not Bad But When I Sit Its A Little Uncomfortable Its Been Like A Week And The Pain Is A LOT Better?


3 Answers

Anonymous Profile
Anonymous answered
Wow, do I feel for you! I have dealt with a pilonidal cyst since I was 15 (2 unsuccessful surgeries). I would try to wait until Monday if you can, just to save yourself a lot of money. They can't really do anything for you at the ER except maybe give you pain meds, and they probably won't even do that. I know it is uncomfortable to sit, but try taking Advil or, if it works for you, Tylenol for pain. Also, the best thing you can do is keep this area clean and dry. Are you having any drainage? My doctor recommends that I clean the area well with hydrogen peroxide, then place a small piece of gauze (I recommend the Topper kind by Johnson and Johnson, you can get it at pretty much any grocery or drug store) in the area where the cyst is. (To be clear, kind of fold it in half and then place it between the "cheeks" where the cyst is near the top of your bottom). Do not apply neosporin or topical ointments, and just keep it dry!

Also, I hope that you are seeing a colon/rectal surgeon on monday. Pilonidal cysts are hard to treat, and many doctors do not even know what it is. I know this from years of going to doctors and mentioning pilonidal cyst excision in my medical history, and most of them ask me what it is.

If you truly have a pilonidal cyst, your doctor will recommend surgery. I have known one person who had the surgery and never had a problem again, but it is not uncommon for it to flare up again---it is in an area that is very hard to heal and keep clean. Also, when I was getting ready for my first surgery, my doctor acted like it was going to be a piece of cake to heal. I wish I had been better prepared. I was out of school for 2 weeks, and in an extreme amount of pain. I had to take narcotics for a solid month everyday and I was only 15 at the time. The cyst was the size of an orange at the time, according to the surgeon. My 2nd surgery was 3 years ago when I was 21, and the doc said it was about the size of a golf ball then, and my pain was being caused mainly by scar tissue at that point. So, if you do have surgery, be prepared to take time off of work. I was only out for a week the second time around.

I know this is a lot of info, but I hope it helps---I wish I had been able to find support from others who experienced this when I did!
Steven Vakula Profile
Steven Vakula answered
If you have insurance that will cover the ER and don't mind the wait for the ER service. If you can deal with it I would wait. I had one removed several years ago so can empathize with your condition and know how uncomfortable this can be to maintain until it is remedied.
Daisy Ellis Profile
Daisy Ellis answered

Well, I suppose you should make an appointment with your doctor as soon as possible, if some natural remedies I'll suggest below do not work for you (They worked for me).

By using Aloe vera:

In order to encourage the process of healing as well as swelling and pain, aloe vera can be a powerful pilonidal cysts home treatment that you should not look down on. The anti-inflammatory and anti- bacterial agents found in this healthy plant have been shown to be effective for easing the discomfort and fostering the process healing of pilonidal cysts.

How to apply:

  • Take a fresh aloe vera leave to extract its gel
  • Rub it directly on the infected area
  • Leave it on for 20 minutes and wash it off with warm water
  • Do the same process for up to 4 times per day


  • Dip a cotton ball in raw aloe vera gel and wait for about 5 minutes
  • Rub the gel on the infected skin area
  • Leave it on for 30 minutes
  • Wait until 2 hours and then do the process again with a new soaked cotton ball
  • Apply the remedy for a week
You can consult more methods at Home Remedies for Pilonidal Cysts

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