Pilonidal Abscess: Care Instructions

Overview

A pilonidal abscess is an infection in a pilonidal cyst. The abscess occurs at the top of the crease between the buttocks. The infection causes a pocket of pus to form. It can be quite painful.

Your doctor may have opened and drained the abscess. You can take care of yourself at home to help the area heal. In some cases, the abscess has problems healing or returns. Your doctor may suggest other ways to treat or remove the cyst.

You may have had a sedative to help you relax. You may be unsteady after having sedation. It can take a few hours for the medicine's effects to wear off. Common side effects of sedation include nausea, vomiting, and feeling sleepy or tired.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• If the doctor gave you a sedative:

  • For 24 hours, don't do anything that requires attention to detail. This includes going to work, making important decisions, or signing any legal documents. It takes time for the medicine's effects to completely wear off.

  • For your safety, do not drive or operate any machinery that could be dangerous. Wait until the medicine wears off and you can think clearly and react easily.

• If your doctor prescribed antibiotics, take them exactly as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

• Be safe with medicines. Take pain medicines exactly as directed.

  • If the doctor gave you a prescription medicine for pain, take it as prescribed.

  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

• If your doctor opened and drained your abscess, you may have gauze or other packing material inside your wound. Follow all instructions from your doctor on how to care for your wound.

• Keep the area of your wound very clean. Use wet cotton balls, a warm washcloth, or baby wipes. Clean the area gently, especially after a bowel movement.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

Call your doctor now or seek immediate medical care if:

Watch closely for changes in your health, and be sure to contact your doctor if:

Current as of: November 16, 2023

Content Version: 14.0

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.