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HELP! Pilonidal Cyst patient from India

Hello all,
My name is Nihal. I am 28 years old and hail from India. For the last 4 years, I have been suffering from pilonidal cyst. For the initial year or two, there was some bleeding and pus discharge from the opening. After that, a lump started forming on top of it. This soft but thick skin tissue has protruded out of the cavity now. It looks like a vertical, elongated, oval shaped lump of thick skin joined to the cyst area via some skin. I think it's more of an overgrowth of skin. There no is bleeding but the pus discharge happens regularly. The pain is very little too, only some discomfort. I NEED URGENT HELP BEFORE MY MARRIAGE. So please help!!!! SOS!!!!

NOTE: I also suffer from palmar-plantar hyperhidrosis since childhood for which I use the Iontophoresis machine. The sweating got cured in the palmar-plantar area but there was some compensatory sweating in the armpits. For that, I have been taking homeopathic medication. I have been taking weekly doses of Silicea 10M for some weeks. It is my inkling (thought this could just be my imagination) that the pus discharge has increased slightly since I started taking it. Just FYI.

NOTE 2: I only need treatment for the cyst as my palmar-plantar hyperhidrosis is under control with the Iontophoresis machine.

I have also filled the questionnaire below:

Patient ID: nihalahluwalia
Sex: M
Age: 28

1. Describe your main suffering?
For the last 4 years, I have been suffering from pilonidal cyst. For the initial year or two, there was some bleeding and pus discharge from the opening. After that, a lump started forming on top of it. This soft but thick skin tissue has protruded out of the cavity. It looks like an elongated, oval shaped lump of thick skin joined to the cyst area via some skin. I think it's more of an overgrowth of skin. There no is bleeding but the pus discharge happens regularly. The pain is very little too, only some discomfort.

2. What other physical sufferings do you have in your body?
I also suffer from palmar-plantar hyperhidrosis since childhood for which I use the Iontophoresis machine. The sweating got cured in the palmar-plantar area but there was some compensatory sweating in the armpits. For that, I have been taking some homeopathic medication. I have been taking weekly doses of Silicea 10M for some weeks. It is my inkling (thought this could just be my imagination) that the pus discharge has increased since I started taking it. I only need treatment for the cyst as my palmar-plantar hyperhidrosis is under control with iontophoresis.

3. What mental sufferings / feelings do you have associated with your physical sufferings?
I think I went through minor depression and social anxiety due to these embarrassing problems. But not that much!

4. What exactly do you feel when you are at your worst?
Just a little upset and angry.

5. When did it all start? Can you connect it to any past event or disease?
The pilondial cyst started when I was Canada, 4 years ago. I used to sit in the bed for long hours during the winters. I think it strained my lower back as my buttocks were a little thin at the top and caused the cyst.

6. Which time of the day you are worst?
No specific time as such.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
An injury might aggravate it. A shower always help clean the cyst.

8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
No. Not really.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
No relation to the weather.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
I used to be a little restless and aggressive. Now, with age I have matured. I am more calm and at peace. I think I am a nice and hospitable guy.

- How do you feel before or during a thunderstorm?
Nothing specific.

- Do you like being consoled during your tough times?
Not really.

- Are you sensitive to external stimuli like smell, noise, light etc?
No.

- Do you have any typical habit or gesture like nail biting, causeless weeping, talking to one self etc?
No.

- How do you feel about your friends, family, your children and especially your husband / wife?
I feel like normal people do. Decently attached to my parents, etc.

11. What are your fears and do you dream of any situation repeatedly?
I sometimes have some social anxiety that my ailment may embarrass me in front my partner. Apart from that, nothing specific.

12. What do you crave for in food items and what are your aversions?
No specific choice as such.

13. How is your thirst: Less, Normal or Excessive?
Normal.

14. How if your hunger: Less, Normal or Excessive?
Normal

15. Is there any kind of food which your body can’t stand?
N/A

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
More. I also suffer from palmar-plantar hyperhidrosis since childhood for which I use the Iontophoresis machine. The sweating got cured in the palmar-plantar area but there was some compensatory sweating in the armpits. For that, I have been taking some homeopathic medication. I have been taking weekly doses of Silicea 10M for some weeks. It is my inkling (thought this could just be my imagination) that the pus discharge has increased since I started taking it. I only need treatment for the cyst as my palmar-plantar hyperhidrosis is under control with iontophoresis.

17. How is your bowel movement and stool type?
Normal

18. How well do you sleep? Do you have a particular posture of sleeping?
I sleep a lot. I enjoy it. I am a bit lazy. Mostly I sleep upside down, hugging the pillow.

19. Do you think you are able to satisfy your sexual desires in general?
I think so, yes.

20. How do you think you are different from others, if at all?
Not really. I feel normal, maybe a little intelligent and well-read than others.

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
Silicea 10M for hyperhidrosis.

22. What major diseases are running in your family?
None.

23. Describe, how do you look like? Describe your overall appearance
I am 5'11'. Weighing 82 kgs. Decent build. Wheatish. Black hair. Black eyes. Good looks. My body skin (in the back) is a little rough, dark and pockmarked though.
 
  nihalahluwalia on 2012-04-25
This is just a forum. Assume posts are not from medical professionals.
I think Silicea alone is good enough for u with a good selection of medicine but I do not agree with the potency 10M of it. But as u r using it and the medicine selection is perfect seems to me except the potency! I hope it will give u some benefit near future. But I will recommend u to take Calc Sulph 200X 3 tablets daily once at morning or night before or after 30 min from meal except the day gap of Silicea untill its gone. It often boosts up the power of Silicea to dry up and heal those wounds which gains pus cells.

Avoid taking tea, coffee, chocolate, sour and salty foods.

Report me after 10 days pls.

Dr. Showrav
Bangladesh
 
Dr. Showrav 8 years ago
Thanks a lot, Dr. Showrav. Will report back to you after 10 days! My doctor has been giving me medication for hyperhidrosis for more than an year. Lot of trial and experimentation! It is only recently that he has increased the potency.
 
nihalahluwalia 8 years ago
Hello Dr. Showrav,

I sincerely apologize for the delay in replying. As prescribed by you, I followed the above-mentioned medication routine regularly. Here are the observations:

1. During the course of the medication (it took me 1.5 months to finish a small bottle of Calc Sulph 200X while taking the dosage without a break), I found that the size of the lump of skin (shaped like a balloon) on top of the cyst had started decreasing. There was regular pus discharge but the size did decrease a little, slowly.

2. Once the medication got over (which was a month ago), the pus discharge is still taking place, though the size of the lump seems to have remained same or have increased by only a little.

3. How can it be cured further? How can I stop the pus discharge or puncture this lump? How can the cyst be closed? Should I continue the medication further as the cyst had prolonged for some years and may take time to heal?

Best,
Nihal
 
nihalahluwalia 8 years ago
What is the exact color of pus now? I am just curious.
 
nawazkhan 8 years ago
Dr. Nawaz,

EDITED POST:It's liquid discharge with white residue left on the undergarment.

Thanks,
Nihal
[message edited by nihalahluwalia on Tue, 24 Jul 2012 15:22:12 BST]
 
nihalahluwalia 8 years ago
Hi Nihal,

Thanks.

Please wait for Dr. Showrav to get further instructions.

Many prayers for your good health.
 
nawazkhan 8 years ago
Dear Dr. Nawaz,

Since Dr. Showrav seems to be indisposed, can you please look at my case?

Best,
Nihal
 
nihalahluwalia 8 years ago
Please send him an email.
 
nawazkhan 8 years ago
Thanks to brother Nawaz Khan for guiding the patient.

To Nihal,

Use Calendula Q with cotton at the opening face of the discharging twice a day at after bath and before sleep. Let the cotton stay for at least for 3 -4 hours each time.

Take 3 doses of Sulpher 1M at 3 days as one dose each day at night before 20 min from sleep.

report me after a week from the First dose of Sulpher. Continue the Calc Sulph 200X as before.

Dr. Showrav
Bangladesh
 
Dr. Showrav 8 years ago
Thanks a lot, Dr. Showrav. Will be getting the medication and reporting back to you with the progress. Just fyi, the lump is like a small tail over the tailbone.
 
nihalahluwalia 8 years ago

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