Doctors think that pilonidal cysts form when loose hair and dead skin cells get trapped under the skin. When we sit or bend, skin in the tailbone area stretches. This can cause hairs to break off. As a person moves, the broken hairs and dead skin cells can get pushed under the skin. The immune system treats the hair and dead skin cells as foreign, and forms a cyst around them that fills with fluid.
Who Gets Pilonidal Cysts?
Anyone can get a pilonidal cyst, but they're most common in young men.
A person can be more likely to develop a pilonidal cyst if they:
are born with a dimple or pit in their tailbone area
have a lot of body hair, especially if it's thick or coarse
wear tight clothing that presses on the tailbone area
have family members with a pilonidal cyst
How Is a Pilonidal Cyst Diagnosed?
Doctors usually diagnose a pilonidal cyst based on where it is and how it looks and feels.
How Is a Pilonidal Cyst Treated?
A cyst that doesn't cause symptoms might not need treatment.
Treatment for a pilonidal abscess depends on how severe the infection is. Home care with sitz baths and warm compresses can treat mild infections. If home care doesn't work or the infection is more serious, doctors might make do the Gips procedure. This involves making a small cut to drain the abscess. They might prescribe antibiotics if the infection spreads to skin around the cyst.
How Can Parents Help?
To care for a pilonidal cyst at home:
Clean the area as directed.
If the doctor tells you to, regularly remove hair from the area by shaving or using a hair removal product. Permanent hair removal, such as laser hair removal, also might be an option.
Remind your child to avoid sitting for long periods of time.
Suggest that your child sleep on their side or stomach, which can be more comfortable.
If your child had a pilonidal cyst drained:
If the doctor prescribed antibiotics, give them as directed.
Change or remove the bandage as recommended.
Your child shouldn't take a bath or swim until the doctor says it's OK.
What Else Should I Know?
After the infection heals, the doctor may suggest surgery to remove the cyst. Even after surgery, pilonidal cysts sometimes come back. Keeping the area clean and free of hair can help prevent an infection and new cysts.