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Upon Stressed Or Anxiety Pilonidal Cyst Symptoms Are Showing Up
Posted on
Sun, 17 Dec 2023
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 17 Dec 2023
Answered on
Wed, 10 Jan 2024
Last reviewed on
Question : I dealt with a Pilonidal cyst months ago like in may but my last one I got it under control after it burst and every since then I've had it packed with gauze everyday to let it properly heal and it hasn't come back but recently I traveled out of town and came back home and the area was tender but the cyst never came back now up to this day I have been dealing with a come and go shock itch feeling is the way I can describe it but there is no infection , I also still have been keeping gauze in it everyday and showering with hibiclens everyday I'm wondering why is it feeling like this , it also happens when I start feeling stressed or anxiety
Brief Answer:
Please see detailed answer
Detailed Answer:
Hi,
I understand your concerns about the persistent itching and tenderness in the area of your previous pilonidal cyst.
**Itching and tenderness:**
* **Residual inflammation:** Sometimes, even after the cyst itself is gone, some lingering inflammation can persist in the tissue, leading to irritation and itching.
* **Scarring:** Scar tissue formation after healing can also contribute to itching and tenderness in the area.
* **Skin irritation:** Frequent gauze packing and use of hibiclens, though helpful for hygiene, can sometimes irritate the skin, leading to itching and discomfort.
* **Pilonidal cyst recurrence:** Although you haven't mentioned any visible signs of recurrence, keep in mind that pilonidal cysts can recur, especially without proper wound care and management of risk factors.
* **Hibiclens usage:** While hibiclens is effective for hygiene, avoid excessive use as it can disrupt the skin's natural microbiome and potentially worsen irritation.
Anxiolytic like clonazepam would help to reduce anxiety.
I Hope Your Query is clear now.
Thank You
Please see detailed answer
Detailed Answer:
Hi,
I understand your concerns about the persistent itching and tenderness in the area of your previous pilonidal cyst.
**Itching and tenderness:**
* **Residual inflammation:** Sometimes, even after the cyst itself is gone, some lingering inflammation can persist in the tissue, leading to irritation and itching.
* **Scarring:** Scar tissue formation after healing can also contribute to itching and tenderness in the area.
* **Skin irritation:** Frequent gauze packing and use of hibiclens, though helpful for hygiene, can sometimes irritate the skin, leading to itching and discomfort.
* **Pilonidal cyst recurrence:** Although you haven't mentioned any visible signs of recurrence, keep in mind that pilonidal cysts can recur, especially without proper wound care and management of risk factors.
* **Hibiclens usage:** While hibiclens is effective for hygiene, avoid excessive use as it can disrupt the skin's natural microbiome and potentially worsen irritation.
Anxiolytic like clonazepam would help to reduce anxiety.
I Hope Your Query is clear now.
Thank You
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Above answer was peer-reviewed by :
Dr. LAKSHMI
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