تجربتي مع الناسور العصعصي , مما لا شك فيه أن هذا الموضوع من أهم وأفضل الموضوعات التي يمكن أن أتحدث عنها اليوم، حيث أنه موضوع شيق ويتناول نقاط حيوية، تخص كل فرد في المجتمع، وأتمنى من الله عز وجل أن يوفقني في عرض جميع النقاط والعناصر التي تتعلق بهذا الموضوع.
My experience with Pilonidal Sinus, far from the presence of many common diseases among people that many suffer from, but there are several diseases that may be strange to some, such as Pilonidal Sinus disease. The urinary tract or the excretory area completely, but the place of its appearance is the reason for that suspicion, and through the reference site we will present to me my experience with the pilonidal sinus.
My experience with Pilonidal Sinus
Many experiments related to the Pilonidal Sinus disease were monitored, and through those experiments, it was found that 98% of patients do not recognize this disease at the onset of its symptoms, and the matter is very similar to them, which causes the deterioration of some cases, and among those experiments are the following:
Experience of someone from the UAE
This experience relates to the beginnings of the symptoms of the disease and the great similarity between it and hemorrhoids. Ali, whose work requires sitting for long periods as a bank accountant, says:[1]
- For a while, he felt a slight pain when sitting, but he did not give it any importance, thinking that this pain was caused by sitting for long periods, but that pain began to increase continuously, which made sitting difficult and annoying for him.
- He also said that the pain increased as soon as he sat down, and that bothered him a lot because the nature of his office work required him to sit for long periods, and he began to notice bloody secretions inside his underwear, and he believed that these symptoms were the beginning of hemorrhoids.
- Ali says that he did not go to the specialist doctor directly at first, as he went to consult a pharmacist to request a topical treatment from him, but after explaining the symptoms that bother him, he told him that what he is complaining about is not hemorrhoids or even an abscess, but rather a disease called a pilonidal sinus, Ali did not understand in At the beginning of the matter what that disease was, so that he asked the pharmacist for a topical treatment for him, so the pharmacist told him that he should consult a doctor for surgery to get rid of that fistula.
- Ali went to see a doctor and after the examination it was found that the pharmacist’s description was correct and that he suffers from a pilonidal sinus and that the stage he has reached requires a simple surgery to get rid of it.
- Ali asked the doctor about the cause of this submerged disease and the doctor explained to him that this disease affects men more than women, especially hairy men, and it becomes more difficult when sitting for long periods without moving, and that neglect in treatment leads to many negative effects that are indispensable.
- Ali underwent surgery and continued for a short period of time on some medical subject matter until he completely improved. He said that despite the simplicity of the disease and the simplicity of the treatment, it is very annoying and hinders movement and sitting.
The experience of a woman in the sixth month of her pregnancy with a Pilonidal Sinus
Although this disease affects men more than it affects women, this unfortunate lady contracted this disease during the third trimester of her pregnancy and says:
- She began to notice a painful tingling in the lower back, which was constantly increasing, especially when she was sitting or sleeping on her back. At first, she thought that this was a symptom of pregnancy due to her weight gain, but she did not pay any attention to the matter.
- Starting in the middle of the sixth month, she noticed the presence of bloody secretions, so she was worried and confirmed that this blood had nothing to do with pregnancy, so she visited a urologist and after examining her condition, it was found that she had a pilonidal sinus.
- At first, the woman did not understand what this disease means, but after the doctor explained what the disease was, the patient began to understand that it had nothing to do with the urinary tract.
- The doctor advised her to undergo a simple operation to remove this fistula with a laser, and also advised her to undergo that procedure before starting her seventh month, and indeed she underwent the operation and got rid of that fistula and began to recover and had a good baby.
Swimming instructor experience with Pilonidal Sinus
This disease hinders exercise in its normal form due to the severe pain and tingling in the lower back, and a swimming coach from Saudi Arabia says about his experience with Pilonidal Sinus that:
- The most annoying pathological experience he had been through was because the tingling and pain he was going through were causing him to hinder him from performing his work and practicing his normal day. At first he thought that it was a symptom of a herniated disc, but he noticed bloody secretions in his underwear, so he thought it was hemorrhoids.
- He went to a urologist to prescribe the appropriate treatment for his condition, but he was surprised by the doctor when he told him that he does not have hemorrhoids and that he suffers from a pilonidal sinus. The coach thought that this disease was dangerous because he had not heard about it before, but the doctor reassured him and told him that this disease comes to hairy men and rarely affects hairy men. Women and that its treatment is just a simple surgery.
- The patient underwent the operation with adherence to the doctor’s teachings and the use of topical medications and completely recovered from that fistula and began to lead a normal life again.
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What is a pilonidal sinus
Pilonidal fistula is a rare disease that affects men more than women, and it is a cyst that contains a group of falling hair, and the location of that cyst is in the lower back in the area called the coccyx, where the hair gathers in that cyst located at the coccyx, and then turns into Small mass over time.
Pilonidal sinus is painful and very annoying and is always accompanied by bloody secretions due to the presence of a cyst inside the skin, and this disease causes swelling and swelling in the area in which it is located, and it affects patients at an advanced age and the chances of men getting it more than women because men are more hairy than women.
That cyst located on the coccyx is considered by the immune system as a foreign body, and it begins to resist it, so the white blood cells work to go to that area, especially that channel in order to try to get rid of those capillaries, which results in the formation of pus and bloody secretions that the patient notices in his underwear. One of the reasons for feeling pain.
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What is the shape of a pilonidal sinus?
Pilonidal fistula can be easily identified as shown in the picture, as it is a small red pimple or pimple as soon as it is touched or pressed, the patient feels severe pain that increases by sitting on it, and by simply pressing that pimple with a clean cotton, the cotton is soiled with secretions Purulent and bloody foul-smelling.
Also, neglecting that pimple without treating it causes the patient to develop blood poisoning as a result of a bacterial infection, which may cause death.
Causes of Pilonidal Sinus
There are several causes that lead to a pilonidal sinus, some of which are related to the daily lifestyle, and some are related to several other things. These reasons focus on the following:
- Sitting a lot without moving: Sitting without any movement for long periods causes the formation of a pilonidal sinus, and this results in annoying and severe pain that constantly haunts the patient, and a lot of pressure on him, such as sitting for long periods, erodes the skin, and lack of exercise and activities increases the incidence of this the disease.
- A collection of dead skin cells: the presence of bacteria with hair loss and the accumulation of dead skin causes the formation of a pilonidal sinus.
- Injury to the lower back in the coccyx area: When that area hits something hard or gets something similar, that hair-containing sac is formed, causing the coccyx disease.
- Hair density in the patient: Hair density is a key factor in the occurrence of coccygeal fistula, as the density and thickness of the hair in the back area increases the chances of hair gathering in that sac of us, which is what is called a coccygeal fistula.
- Birth with this disease: In most cases, a child is born with this disease because of its inheritance from one of the grandparents or parents, and this disease appears in greater proportions in people in their genetic record of incidents of that disease.
What are the symptoms of pilonidal sinus disease?
Pilonidal sinus disease has some symptoms that are similar to the symptoms of urinary tract diseases. It also has some symptoms that distinguish it from others. These symptoms are as follows:
- Acute lower back pain: This pain in the lower back is accompanied by blood pooling as soon as it is touched. The patient suffers from severe pain that cannot be tolerated, so patients with pilonidal sinus find it very difficult to sit.
- Infections, swelling and swelling in the affected area: These swellings can be noticed by simply looking at or touching them, and their color is always red with a tumor below the spine.
- The appearance of bloody secretions and pus: This symptom is among the late symptoms, due to the deterioration of the condition of the cyst located under the skin with the body’s resistance to it. Bloody pus with a foul smell is secreted, and the color of these secretions may be yellowish brown or white.
How to treat a pilonidal sinus
When any symptom of a pilonidal sinus appears, it is necessary to go directly to the doctor to receive the appropriate treatment so as not to cause any complications that cause death.
Performing a traditional surgical procedure
This procedure is the most common among cases of infection, as there is no cure for this cyst except by removing it, and this process is as follows:
- The doctor begins by cleaning the area in the lower back where the fistula is, removing that sac under the skin and getting rid of all the fallen hair, as well as removing all the accumulated dead skin.
- If the case requires medical stitching, the wound is sutured and then covered with the necessary medical tools. If the case does not require that stitching, the wound resulting from removing the cyst is covered with medical wick.
- The wound must be changed continuously under the supervision of a specialized doctor to ensure hygiene and non-contamination until the wound is healed, and it is also necessary to take the medicines that have been prescribed by the doctor in order to help the wound heal.
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Laser removal of pilonidal sinus
Laser is a modern technology that is widely used in surgeries today due to the ease of performing operations with it, and the pilonidal sinus is eliminated through it as follows:
- The location of the cyst is cauterized with a laser by the specialist doctor until all the damaged tissue is completely removed, this process requires the patient to be sedated with local anesthesia.
- During the laser operation, the doctor opens two holes from the right and left sides of the fistula in order to remove the channel that makes up that fistula, and the needle used to remove this fistula is a radiofrequency needle, and this process is done under endoscopic examination.
- The site of the fistula is completely cleaned, and all the hair and dead skin remains are removed, and the wound resulting from this process does not require long time to heal.
Treatment of pilonidal sinus with salt
English salt, or what is called magnesium sulfate, can be used to get rid of the pilonidal sinus, because of what magnesium contains that salt reduces inflammation, and English salt can be used to get rid of the pilonidal sinus as follows:
- Fill the bathtub with warm water without putting any hygiene products in the water.
- Bring a large cup of Epsom salt “English salt” and put it in warm water and make sure that all the quantity is dissolved and the whole body is immersed in the water for a third of an hour, and this process can be repeated as necessary.
Pilonidal sinus treatment by cupping
The use of cupping in general is very beneficial for the body, because it rids the body of corrupt and stagnant blood. As for the pilonidal sinus, there is no tangible benefit from using it in its treatment, because the coccygeal sinus is a disease similar to skin diseases in terms of its superficial appearance, and is not related to blood until cupping affects it. And help get rid of it.
After laser surgery of pilonidal sinus
After completing the operation of the pilonidal sinus, whether it is a laser or a traditional surgery, there are some procedures that must be followed by the patient, these procedures are as follows:
- The substance that is injected during the laser process helps in speeding up the clotting of the blood in the area where the fistula is located. Within a few days after getting rid of the fistula, this substance dissolves and exits the body in the form of brown secretions.
- The doctor places a bandage over the wound to absorb the secretions resulting from the operation during the first two days after the procedure. This bandage must be thick, and it can only be removed by the specialist doctor.
- You can wear normal clothes two days after the surgery and take painkillers that were prescribed by the doctor, such as ibuprofen.
- Vigorous exertion causes slight bleeding that can be stopped by applying pressure with a bandage.
How to prevent pilonidal sinus
Pilonidal sinus is a disease like any disease that can be prevented by following several specific things, which are summarized as follows:
- Exercising and not necessarily strenuous exercise. It is possible to exercise daily in a light manner, such as walking for a quarter of an hour a day, as sports are beneficial for the general health and body and are not only related to the prevention of pilonidal sinus, and sitting for long periods should be avoided.
- Taking care of personal hygiene with periodically removing excess hair from the lower back area.
- Rinse with water while avoiding the use of paper towels alone, especially the elderly, and they must move constantly so that their sitting does not cause a pilonidal sinus or any other diseases such as diseases of the spine.
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In an article about my experience with a pilonidal sinus, we talked about some experiences related to this disease, clarifying its nature, its form, the causes of its infection, how to treat it in different ways, and ways to prevent it.
خاتمة لموضوعنا تجربتي مع الناسور العصعصي ,وفي نهاية الموضوع، أتمنى من الله تعالى أن أكون قد استطعت توضيح كافة الجوانب التي تتعلق بهذا الموضوع، وأن أكون قدمت معلومات مفيدة وقيمة.