Pilonidal cysts are sac-like structures that form in the groove between the buttocks. Often filled with hair and debris, they may resemble small pores in the skin with noticeable dark spots. When infected, abscesses develop, which can cause mild to severe pain, swelling, and purulent drainage. For some individuals, a fever may accompany the infection. While pilonidal cysts are not medically serious, doctors often recommend treatment as they are inconvenient and uncomfortable.
Doctors often prescribe oral antibiotics if pilonidal cysts become infected (turn into abscesses). If the infection worsens over time, the cyst will likely require surgical treatment. Should this be the case, physicians usually recommend antibacterials following the procedure, to reduce healing time. To prevent the bacteria from becoming drug-resistant, individuals with such prescriptions should complete their full course of antibiotics.
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