Pilonidal Cyst Surgery? Know About Diseases With Similar Symptoms

Female surgeon in surgical uniform taking surgical instruments at operating room. Young woman doctor in hospital operation theater

Do you try to diagnose a disease on your own? Some people make the same mistake when they feel the pain of pilonidal cysts. They want to research symptoms of the disease and determine the treatment for their condition. However, remember that pilonidal cyst symptoms often match the symptoms of some other diseases. So, without the help of pilonidal experts, you cannot confirm the disease. The healthcare specialist will diagnose your condition in different ways before recommending medications or pilonidal cyst surgery.

Different health issues with symptoms similar to pilonidal cysts

Sometimes, it is not easy to differentiate pilonidal sinus from other health disorders.

1. Perirectal Abscess

Like pilonidal abscess, perirectal abscess leads to the development of a painful lump. But, the location of these abscesses is different. The perirectal abscess appears close to your anus. On the contrary, the pilonidal abscess is found higher up in your buttock crease. You can notice it on a particular side of the crease. The primary treatment for both these diseases is the same. The surgeon will consider drainage and prescribe antibiotics.

2. Anal fistula

The skin adjacent to your anal opening may have an anal fistula. However, it is more anterior than the tracts for the pilonidal sinus. But, the areas where these diseases occur may overlap. The term ‘fistula’ refers to an abnormal passage between your body surface and a hollow organ. The anal gland is the source of the fistula, and it may lead to an infection in your peri-anal part. Initially, your buttock may have a painful lump, and it drains a lot. However, the draining continues only for a few weeks. It happens because of the improper connection between your skin and the rectum. Nevertheless, the pilonidal cyst surgery is different from the surgery for anal fistula.

3. Sacral Osteomyelitis

Sacral osteomyelitis is a type of infection. The sacrum is the lower section of your spine, and the bone infection symptoms appear in this part. As there is a minimal gap between the rectum and sacrum, people mistakenly consider sacral osteomyelitis as pilonidal sinus. These conditions also have some similar symptoms like swelling and pain. If you have sacral osteomyelitis, you need highly effective antibiotics or surgery.

4. Anal fissure

You must not confuse pilonidal disorder with anal fissure. If your anal canal’s lining has a tear, it leads to anal fissure. Hard bowel movement is one of the major risk factors for anal fissures. Your anus will feel sharp pain. During bowel movement, you may also notice some bleeding. But, anal fissures may cure naturally. Still, if they do not go away for a month, you will need surgery.

5. Pyoderma Gangrenosum

Some symptoms initially look like pilonidal sinus, but when they become more serious, doctors diagnose it as pyoderma gangrenosum. It is a dreadful issue causing skin ulcers. At first, you will find multiple small ulcers, which then join together to create a larger wound. A blue rim is also noticed around it.

The disease can cause an aching sensation, and it leads to scarring. Most commonly, this disease affects your legs though it may also occur in your anal part. With early diagnosis and proper treatment, you can reduce scarring.

6. Hemorrhoids

It is another condition often confused with pilonidal cyst infection. It appears near your anus and causes a lump at that part. Your bowel movements will become uncomfortable if you have hemorrhoids. You can notice bleeding due to hemorrhoids. If your symptoms are severe, you need surgery to remove hemorrhoids. Antibiotics may not be effective in treating this disease.

7. Hidradenitis Suppurativa 

Some people mistakenly think of hidradenitis suppurativa as the pilonidal cyst. The disease affects mainly the groin creases and armpits. You may experience infection or skin abscesses repeatedly if you have this disease. It mainly affects the part near your anus. 

Get your pilonidal disease diagnosed- Consider pilonidal cyst surgery

The specialist will conduct a physical examination to confirm if you have a pilonidal disease. He will check the opening of your skin to find if there is a mass beneath it. You need to provide your detailed health history to help your doctor with the diagnosis process. The most important details are-

  • Blood from the opening
  • Nausea or fever
  • Discomfort and pain

Sometimes, the doctor recommends a CT scan to differentiate pilonidal sinus from other health issues. You may not need surgery to treat pilonidal disease. Modern laser treatment is effective in healing the symptoms of pilonidal sinus. Besides, your specialist may prescribe medications to manage your pain.

Find the most experienced surgeon for the pilonidal cyst surgery

If you are searching for the most experienced surgeon for pilonidal cyst surgery, you can contact Let your surgeon diagnose the disease by analyzing the symptoms. He may also recommend some medical tests to make the right decision. If you experience the cyst repeatedly, you will need surgical treatment. The reputed pilonidal specialist applies different treatment techniques to heal the symptoms. However, do not try to cure the disease on your own. If you do not consider the best treatment, the pilonidal cyst may cause several other complications.

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