I honestly don't even know much about this.. I've only begun researching this issue that I have been enduring for the past 1 1/2 year. When I first started noticing things, it was because the crack of my butt was beginning to itch and always felt.. wet? And it smelled. Looking in a mirror I realized it was red but I thought nothing of it.. I just continued to shower everyday, and really really really scrubbed down there (even if it hurt quite a bit..) I let it go. But then I started to notice my stool would contain blood in it from time to time.. I went to a doctor who had me go to the hospital but they saw nothing wrong.. BUT! he did point out that I had a 'dimple' in my crack which he'd never seen before.. he shrugged it off and just said it was unusual but there was no issue that he could see or feel. He'd test the stool and they'd get back to me.. and they did. Everything was fine. A few months passed and at one point being unable to shower after being itchy down there, I took a wipe and hoped that would do.. but this is when I noticed the blood was never coming from my stool.. it was leaking/coming from this little hole! The dimple this doctor said was no issue.. I told my mom and she even had a look at it but she blew it off.. she thought it was weird but didn't think it was anything serious.. so I didn't either.. Since then, it has continued to bleed.. sometimes a lot more than other times and sometimes it will bleed all day! (Or so it seems? Having to continually wipe there...) I recently took a BATH for the first time in years and after bending forward in the bath filled with soaps and suds, the 'dimple' stung so incredibly bad.. ugh. I finally decided I had to do some 'research' on this.. I've seen pictures thanks to Google and, I'm not even sure how I should go about bringing this up to a doctor again. It looks like a pilonidal sinus tract.. I mean, it is an EXTREMELY tiny hole BUT!!! I do not have any other bumps around it or above it or below it, nothing. No cyst just that little hole.. is that weird? Why does everyone else in the pictures I come across have a cyst?? I asked someone else and this is what they said: "You could have Pilonidal sinus, but instead of a cyst you’ve got an open sinus tract that is uninfected. There’s two things that PSD can do to show that it’s there, it can swell up and be really painful and be a cyst, or it can be a simple small hole that might be itchy and sometimes oozes stuff you really don’t want it to." It IS the simple small hole that itches and sometime oozes. They continued to say if any hairs or anything gets in it, it can cause a cyst? Is this correct? I want to prevent this and rid of this hole completely.. I plan to call the doctor within the next hour.. So although I do not have a cyst, is what I have still called pilonidal whatever? I'm sorry I'm coming off so dumb about it.. but I join this in hopes for answers and your guys' take on it all. Also -- I watched surgery videos on this too.. am I going to need surgery do you guys think? Let me know.. thank you all in advance xx
Sounds like a pilonidal issue to me. In one respect consider yourself unlucky because you have this condition. In another respect consider yourself lucky because you have an open draining tract that is not causing you much pain. In my opinion you do not NEED surgery for this condition. I personally went without surgery for many years with painful cysts occurring every 3 months or so. On the other hand I really wish I would have had surgery much sooner. If your lucky you can have a pit picking done and it will solve your problem. It is a relatively simple outpatient procedure that several doctors will perform in their office. I had it done and experienced very little pain and only one or two days of down time. It didn't work for me and I ended up having two more operations. I attribute this to me not taking care of the issue sooner. So my advise would be to find a qualified colo/rectal surgeon who performs pit picking and cleft lift and get this dealt with asap. There is a list of qualified surgeons on this website. Good luck and I wish you the best.
Thank you so much for responding. I scheduled a doctors appointment after posting this and am actually going at 4 today. I'm so nervous.. Will pit picking definitely solve it? I don't want it to get infected like I've been told it could.. I really, really would like to prevent getting a cyst as is. Is it true that I COULD get the full surgery done to prevent this or is that not possible and only for cases that include cysts? I hope I'm making sense.. I'll let you know what my doctor says after the appointment in a few hours (since I'll have no one else to talk to about it anyway). Thanks so much again!!
Just returned.. the doctor said That it looks like a pilonidal BLIND sinus? I tried searching blind sinus and got nothing.. but he placed a q-tip in it and then shone a light on it and said he couldn't see inside.. I don't know, I'm a little confused by it but he told me to schedule an appointment with a surgeon so..
I dont see how you can get a cyst if you kep your ass clean so just use some kind of medecine and hope the holes close, thats what im going to be doing anyway. Surgery just does more bad than it does good.
Yeah, doc said for the time being to just keep cleaning very well.. make sure to keep the area dry with baby powder and to get this over the counter ointment to put on/in it as best I can.. although he did say it won't help it close at all but, hey, we'll see what my options end up being
