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what antibiotic if any might be useful in preventing ...

Sent to Health Experts October 4 2006 at 11:38 AM
   

what antibiotic if any might be useful in preventing or treating a pilonidal cyst or boil? understanding that antibiotics really do not always help of course,and that warm compresses and eventually an ID procedure are the best treatment(s).thank you for your time!!! can you clasify the type of possible antibiotics please??

 

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Female , Age: 29

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warm compresses

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October 4 2006 at 11:44 AM (5 minutes and 26 seconds later)
         
REPLIED to Info RequestCheck Mark

Hello

Is there a sinus formation or only a pus collection?

Is there a external opening in the cleavage between buttocks?



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October 4 2006 at 11:49 AM (5 minutes and 47 seconds later)
         
Reply to Dr AMIT MUNJAL's Post: at this time there is a small area of redness,but you can feel undeerneath the skin some hardening area,it is not boggy and it has no head with signs of pus formation where you would I&D it at this time.it is becoming more painful as the days go by.very tender to touch!
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October 4 2006 at 12:00 PM (10 minutes and 13 seconds later)
         
REPLIEDCheck Mark

Hello

I suspect there is sinus formation inside(there is underneath hardening area).. A sinus tract typically goes between a focus of infection in deeper tissues to the skin surface.So if you treat it with antibiotics systemic or local application the deep seated infection persists and causes a reoccurence of the symptoms from time to time

Well i would recommend a surgical consultation to rule out sinus formation before self medication.
Check this link

http://www.pilonidal.org/whatitis.htm



Edited by dr_amitmunjal on October 4 2006 at 12:01 PM

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The information provided herein is for educational purposes only .
Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
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October 4 2006 at 12:05 PM (5 minutes and 31 seconds later)
         
Reply to Dr AMIT MUNJAL's Post: are you saying that if there is a sinus formation that an I&D procedure should then be done at this time instead of antibiotic treatment,because the antibiotics would not reach down far enough to eliminate the bacteria and destroy the cell wall? there is definetly hardening underneath the skin,are we talking about an I&D procedure,or complete surgical procedure to eliminate the capsule completely? which would then entail possibly two weeks of trewatment and no work/school,am i correct in my assumption?
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October 4 2006 at 12:14 PM (9 minutes and 16 seconds later)
         
REPLIEDCheck Mark

Well without clinical examination exact assessment is not possible but your symptoms needs a surgical consultation to rule out an underlying sinus tract.When a pilonidal sinus becomes infected, it can be sore, red and swollen.Well depending if there is a tract inside than a surgical procedure.

  • Wide excision - removing the skin from wide area around the sinus, and allowing it to heal without stitches. This method takes some time to heal, and dressings need to be changed regularly, but it means there's a low chance of the infection coming back .The time of healing depends upon the lenght of tract but more than two weeks at least.This is not a emergency operation.

    • For immediate relief you can soak the area in warm water and take painkillers such as ibuprofen(Motrin 200mg SOS), which will also help ease the swelling. If you have a lot of hair in this area, remove some of the excess.

    My point is it is better to rule out the possibility of sinus tract there before self treatment.

    Check this link

    http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=285&sectionId=1180



    Please press the accept button if you find my comments useful.
    The information provided herein is for educational purposes only .
    Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
    B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
    Reply
    October 4 2006 at 12:23 PM (8 minutes and 51 seconds later)
             
    Reply to Dr AMIT MUNJAL's Post: if there is a sinus tract do you then perform the surgical procedue and also place on antibiotics or are no antibiotics then needed? it does feel like the area of hardening is possibly getting bigger,is this what you mean by tract?for my information not for self treating,can you name some possible antibiotics that would be used in case the cysts might be able to be treated with such?just for my infomation.
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    October 4 2006 at 12:31 PM (7 minutes and 31 seconds later)
             
    ACCEPTEDCheck Mark

    Hello

    Yes they can place you on prophylactic antibiotic like gatifloxacin or levo floxacin or ciprofloxacin.

    Pilonidal sinus is a blind tract lined by granulation tissue rather than epithelium .A pilonidal sinus is an infected tract under the skin between the buttocks.

  • A sinus tract is a small abnormal channel (like a narrow tunnel) in the body. A sinus tract typically goes between a focus of infection in deeper tissues to the skin surface. So the tract may discharge pus from time to time onto the skin.

    • source- http://www.patient.co.uk/showdoc/27000662/



    Please press the accept button if you find my comments useful.
    The information provided herein is for educational purposes only .
    Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
    B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
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