[What is the difference between the piles, fissure, fistula, and pilonidal sinus?]

बहुत से लोगो में ये भ्रम की स्थिति होती है की पाइल्स किसे कहते हैं? , फिशर किसे कहते हैं? फिस्टुला किसे कहते हैं? और पायलोनिडल साइनस किसे कहते हैं?

समान्यतः लोगो में यही धारणा है की इन सभी बिमारिओं का नाम सिर्फ पाइल्स ही होता है। लेकिन ये चारो अलग तरह की बीमारियां होतीं हैं  इनके होने के अलग अलग कारण होते हैं और  इनका ईलाज भी अलग तरह से किया जाता है।

तो सबसे पहले जानेंगे की ,

पाइल्स किसे कहते हैं?

पाइल्स या बवासीर एक खास प्रकार की बीमारी होती है जिसमे मलद्वार (Anus) के आस पास जो रक्त वाहिकाएं (Blood Vessels) जब सूज जाती है , तब इसे  पाइल्स कहते हैं।

पाइल्स होने के मुख्य तीन कारण हैं

• आनुवांशिक कारक (Genetical factor)
• गुरुत्वाकर्षण (Gravity)
• बढ़ती उम्र  (Age)

पाइल्स होने के अन्य कारण

• पुरानी कब्ज या दस्त (Chronic constipation or diarrhea)
• लंबे समय तक टॉयलेट सीट पर बैठे रहे (Prolonged sitting on a toilet seat)
• धुम्रपान और शराब (Smoking & Alcohol)
• अस्वास्थ्यकारी आहार (Unhealthy Diet)
• अधिक वजन होना  (Being overweight)

फिशर किसे कहते हैं?

फिशर एक खास प्रकार की मलद्वार (Anus) की बीमारी है जिसमे मलद्वार (Anus) के किसी भाग में यदि कट या दरार लग जाये तो उसे फिशर कहते हैं।

• ये कट या दरार सामान्यतः 6 ‘O ‘ Clock के पोजीशन पर लगता है।
• लेकिन ये कट या दरार गर्भवती महिलााओं को ये 12 ‘O ‘ Clock पोजीशन पर लगता है।

फिशर के लक्षण

मल त्याग करते वक्त दर्द होना, जलन होना  या कभी कभी रक्ततस्राव होना 

फिशर होने के कारण

• तनाव (Stress)
• लंबे समय तक टॉयलेट सीट पर बैठे रहना  (Prolonged sitting on a toilet seat)
• कब्ज़ (Constipation)
• तथा, मल त्याग करते वक्त बहुत जोर लगाना  (Too much force during bowel movements)

भगंदर (एनल फिस्टुला) किसे कहते हैं ?

गुदा द्वार के आसपास एक छेद बन जाता है। जिससे की गुदा के अंदर संक्रमण फ़ैल जाता है , और ये मलद्वार से नितंब के रास्ते बाहर निकलने की कोशिश करता है , इसे ही भगंदर (एनल फिस्टुला) कहते हैं।

पायलोनिडल साइनस किसे कहते हैं ?

पायलोनिडल साइनस  एक छोटा सिस्ट या फोड़ा होता है, जोकि नितंबों के ऊपरी हिस्सों में या बीच में हो सकता है । यह ज्यादातर उन पुरुषों को होता है और साथ ही युवाओं में ज्यादा आम होता है जिनके नितम्बों के बीच में ज्यादा बाल होते हैं। 

पायलोनिडल साइनस होने के कारण

• नितम्बों के बीच में ज्यादा बाल होना
• घर्षण (जो लोग ज्यादा देर तक बैठे रहते हैं )
• अधिक वजन या मोटापा होना

अगर आपको इनमे से कोई समस्या है तो आप हम से मिल सकते हैं , हमे कॉल करें इस नंबर पर , +91 8882 521 281

What is Pilonidal Sinus?

A pilonidal sinus is a sack-like cyst that forms on the upper side of your butt cheeks. It is a condition where the sack is filled with puss, skin, hair, and other debris. It occurs right in between the cleft of your two butt cheeks.

When the hair starts depositing inside your skin, it gives rise to a pilonidal cyst. This ingrown hair causes friction that produces irritation while sitting; and rubbing can cause the sack to develop. It is also called as abscess when the cyst turns infected and becomes a cluster of pus.

This condition occurs largely in men and people with an overgrowth of thick and stiff hair, it can also happen to people who are obese or sit for long hours in the office. Truck drivers are highly prone to this condition.

You can treat this situation in different ways, either by pilonidal sinus laser surgery or by using some nonsurgical methods as well. More about which we will learn in this article.

Is popping the cyst a solution?

A pilonidal cyst looks exactly like a pimple, just bigger and you may feel like popping it but doing so will not treat it. Unlike a normal pimple, the pilonidal cyst is filled with hair and puss which cannot be removed entirely when you pop it or squeeze it.

Sometimes popping it will cause more irritation and development of an infection. It can also leave a scar on your body.

There is a top Proctologist & General Surgeon surgeon in Gurgaon who can treat this condition entirely.

Before learning about how you can treat or ease this condition at home, let us see how doctors treat this situation:

The doctor’s treatment

The procedure of removing the pilonidal cyst is quite simple. The doctor or surgeon will inject the patient with a local anesthetic to numb the area around the cyst to prevent a painful procedure. Then by using a surgical knife, the doctors will start making small openings or cuts to release all the puss and debris which is stored inside.

Once the cyst is fully drained, the doctor will close the wound with some stitches or sterile gauze depending on the location and how big the wound is. Ensure that you do a follow up with the doctor and obey all the instructions given by the doctor. The wound will take its time to recover completely. Also, pilonidal sinus treatment in Gurgaon is affordable and treated with the best care.

There are conditions when the cyst appears again in the same place, even after getting it treated. In such cases, it is advised to consult a surgeon and go through a surgical procedure that will remove the sack entirely from the inside and not just drain the cyst contents.

There are some of the best laparoscopy hospitals in Gurgaon which will give you top-notch services and right amenities. The experienced surgeons who are specialized in this field will nurse you with utmost care.

How can you treat it at home?

A minor surgical procedure can remove the cyst but if you want to ease the pain that is caused and get rid of the discomfort then follow the methods mentioned below.

• Apply hot cloth or a warm wet compress onto the cyst. Do this a few times a day and you will be able to drain the pus from the cyst. This can cure the itching and pain.
• Take a sitz bath and soak your lower body in warm water
• If the pain increases in the cyst then you can take ibuprofen (Advil) which is a nonsteroidal anti-inflammatory pill.

By following these steps, you may ease the pain and prevent the cyst from getting further infected.

How to prevent pilonidal sinus?

Once you get your cyst drained through a surgical procedure, there are certain things that you can do to prevent the development of another cyst. Usually, people get recurring cysts even after getting one removed before.

Firstly, do not sit for long periods and keep your body moving. When you sit at a place for too long, there is constant pressure on the upper cleft area where the cyst usually develops. If you do a job that demands sitting for long hours, then try to cut a few minutes in between hours and go for a quick stroll.

There are cases where the cyst develops because of carrying heavy weight but to validate this condition you must visit the doctor and get a better idea about it.

Lastly, try to avoid wearing tight-fitting clothes that cling to your body and creates sweat near that area. Keeping your butt cheeks clean and dry is extremely essential. If you have a situation where there is a growth of hair near the top of your buttocks, then remove them to avert further ingrown of hair.

Whether it is treating pilonidal sinus or piles treatment , there are some of the best doctors and surgeons present who will cure this condition.

Conclusion:

Pilonidal sinus can happen to anyone, it is more common in men so by following the steps mentioned above you can prevent yourself from getting a cyst, or even if you do, the home remedies and medical treatment will help you to get it treated.

But you must have some basic deterrence that will ensure that you never get one. Keep good hygiene and maintain cleanliness, do not let sweat or germs settle near the area for a longer time. Along with this, you must keep yourself healthy and fit by exercising.

Exercise helps with good blood circulation and not only pilonidal sinus but also prevents you from getting other diseases and conditions. 

Remember that home treatment can ease the pain and give you relief from some discomfort but to get fully rid of it you might need a doctor’s assistance.

Men and young adults are most likely to develop Pilonidal sinus. In fact, people who sit a lot are also more prone to get affected by a Pilonidal cyst.

Mirascare

If you or any of your loved ones have developed similar trouble, I am here to clear your doubts and tell you everything that you need to know about pilonidal sinus. Right from the symptoms, causes, and the best treatment for pilonidal sinus – this article has it all.

Causes

The exact root cause of pilonidal sinus is not yet known but there are several factors that lead to its development.

1. The change of hormones in the body is one of the primary reasons.
2. Activities that cause friction in the buttock area like prolonged sitting also leads to Pilonidal sinus. The clothes also cause friction, which further leads to hair growth.
3. The hair growth in the buttock area is another key cause of Pilonidal cysts. The body considers the hair as foreign, and then sets an immune response against it. Because of it, cysts develop around the hair.

Symptoms

Initially, there are hardly any noticeable or significant symptoms of a pilonidal sinus. There is just a tiny dimple-like depression on the top of the area of your buttocks. But, once it gets infected, a cyst develops. The cyst will appear like a closed sac filled with fluid/pus.

Below mentioned are the signs of an infected pilonidal sinus:

1. Feeling pain while sitting or standing
2. A swollen and inflamed cyst on the top of the buttocks
3. Red and swollen skin around the cyst
4. Pouring out of blood or pus from the cyst. This may also cause a foul odor
5. Hair growing from the cyst.
6. More than one holes or sinus tracts on the skin
7. A low fever is also one symptom but it is an uncommon symptom of Pilonidal sinus

Complications

Pilonidal Sinus may lead to several complications. The most common complications are:

• Wound Infection
• Recurrence of Pilonidal sinus
• Unbearable pain
• Dropping of blood and pus from the cyst/wound

Pilonidal Sinus Treatment

There are multiple treatment options depending upon the severity of the pilonidal sinus. If diagnosed early, it can be treated simply with medicines. But if it is left untreated for long, you may need surgery for sure.

Here are the treatment options for pilonidal sinus and everything you need to know about them.

The Antibiotics

• You may simply get relief from Pilonidal sinus with antibiotics if it is diagnosed at the early stage.
• The early stage is when you do not experience severe pain and there’s no inflammation.
• Your doctor will prescribe you antibiotic medicines that will treat a wide array of bacteria.
• However, this treatment does not actually treat the sinus tract. It just provides relief from the infection.
• You will need regular follow-up check-ups.
• You will also have to take precautionary measures like shaving the hair and paying the utmost attention to the hygiene of that specific area.

The Lancing

• In this procedure, the doctor will open the abscess/cyst and clean away hair, blood, pus, dirt present inside it.
• An abscess is a pus-filled sinus.
• The doctor gives you local anesthesia and then uses a scalpel to open the abscess.
• The doctor then cleans it by taking out all the malicious elements from it and then packs the wound with a sterile dressing.
• The wound heals inside out within four weeks.

Surgery

If the condition is severe or if it reoccurs, surgery is suggested. There are two kinds of surgical procedures to treat pilonidal sinus.

Incision and drainage: In this procedure, the doctor makes a cut and then drains out the cyst.

Cystectomy: This is another surgical procedure in which the doctor completely removes the cyst and tissues around it.

Both procedures are done under local anesthesia and cause minimal pain.

Recovery

As for recovery after surgery, most patients resume normal life and daily activities within 3 weeks.  It is normal to feel a little pain and experience difficulty in doing basic activities since the wounds are fresh in the first few days. However, here are a few things that can help you sail smoothly during the recovery process.

• Use a donut cushion to sit on
• Get your dressings changed regularly
• Avoid sitting on hard surfaces or for a prolonged time
• Do not do heavy physical activities
• Follow the doctor’s prescriptions

For a fuss-free surgery and a seamless recovery, you can get in touch with Dr. Mir Asif. His vast experience, uncountable successful surgeries, and the use of advanced medical technology make sure that the patient receives the right treatment with utmost care.