Can a cyst be treated with antibiotics?
Your cyst became infected and your healthcare provider wanted to treat it with antibiotics. If the antibiotics don't clear up the infection, the cyst will need to be drained by making a small cut (incision). Local anesthesia will be used to numb the area.
Most of the time, treatment is not needed because a pilonidal cyst will go away on its own. Rarely, it may need to be drained or surgically removed if it becomes infected. What are the risks of a pilonidal cyst? Pilonidal cysts may become infected and cause an abscess.
- A pilonidal cyst is a cystic structure that develops along the tailbone (coccyx) near the cleft of the buttocks, approximately 4 cm-5 cm from the anus. These cysts usually contain hair and skin debris.
- Tailbone pain — pain that occurs in or around the bony structure at the bottom of the spine (coccyx) — can be caused by trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth. Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion.
- A tailbone injury can be very painful and slow to heal. Healing time for an injured tailbone depends on the severity of the injury. If you have a fracture, healing can take between 8 to 12 weeks. If your tailbone injury is a bruise, healing takes about 4 weeks.
Surgery is needed to drain and remove a pilonidal cyst that does not heal. Your doctor may recommend this procedure if you have pilonidal disease that is causing pain or infection. A pilonidal cyst that is not causing symptoms does not need treatment.
- Pilonidal disease is an infection in the crease of a person's buttocks, from the bottom of the spine to the anus. Pilonidal disease can refer to a one-time cyst or a chronic condition. If not treated, chronic pilonidal disease can lead to abscesses and sinus cavities.
- If your incision is left open, it may take from a few weeks to several months to heal. After the incision has healed, you will have a scar where the cyst was removed. This will fade and become softer with time. Most people can go back to work and most activities after 2 to 4 weeks.
- It occurs in the cleft at the top of the buttocks. A pilonidal cyst usually contains hair, dirt, and debris. It can cause severe pain and can often become infected. If it becomes infected, it may ooze pus and blood and have a foul odor.
Wound infection should be treated with broad spectrum antibiotics, such as metronidazole and erythromycin, for at least two weeks depending upon response. Chronic pilonidal sinuses are best treated with wide excision and secondary healing. Long-term recurrence is reduced by good hygiene and regular depilation.
- Sebaceous cysts are common noncancerous cysts of the skin. Cysts are abnormalities in the body that may contain liquid or semiliquid material. Sebaceous cysts are mostly found on the face, neck, or torso. They grow slowly and aren't life-threatening, but they may become uncomfortable if they go unchecked.
- The first-choice agents for treatment of uncomplicated acute cystitis in women include nitrofurantoin monohydrate/macrocrystals, trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin. Beta-lactam antibiotics may be used when other recommended agents cannot be used.
- A pilonidal cyst is almost always located near the tailbone at the top of the cleft of the buttocks. Pilonidal cysts usually occur when hair punctures the skin and then becomes embedded. Pilonidal cysts most commonly occur in young men, and the problem has a tendency to recur.
Updated: 25th September 2018