Pilonidal Abscess Treatment
Treatment for a pilonidal abscess may include warm baths, antibiotics, narcotic pain medications, and nonsteroidal anti-inflammatory medications. A pilonidal cyst may also require incision and drainage.
Treatment for a pilonidal abscess may include:
- Antibiotics for pilonidal abscess
- Warm baths
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Narcotic pain medication:
- For moderate to severe pain
- For short term use only
- Incision and drainage for perianal abscess
- Surgery for pilonidal cyst:
- To remove the cyst
Incision and drainage includes:
- The skin is sterilized using rubbing alcohol or an antibacterial soap.
- A local anesthetic is injected into the tissues surrounding the abscess.
- An incision is made with a scalpel.
- Pus is drained from the abscess.
- The abscess cavity is flushed clean.
- In some cases, a rubber drain or a strip of sterile gauze is packed inside the abscess cavity.
- The gauze or drain placed inside the abscess cavity is usually removed 24-36 hours later.
Pilonidal Abscess Questions For Doctor
The following are some important questions to ask before and after the treatment of pilonidal abscess.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for another pilonidal abscess?
- Will I need to see my doctor for a checkup?
Pilonidal Abscess Specialist
Continue to Pilonidal Abscess Home Care
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- Gupta PJ. A randomized study between excision and marsupialization and radiofrequency sinus excision in sacro-coccygeal pilonidal disease. Curr Surg. 2004 May-Jun;61(3):307-12. 
- Landa N, Aller O, Landa-Gundin N, Torrontegui J, Azpiazu JL. Successful treatment of recurrent pilonidal sinus with laser epilation. Dermatol Surg. 2005 Jun;31(6):726-8.