Pilonidal Sinus / abcess surgery after - #20017

Amal Krishna

I finished my pilonidal sinus abcess surgery onJuly2025 but tillJanuary 2026the area thereis pore stil not closed liquid coming from that sometimes it close while dry after a week it again open my docto told me to take antibiotics and ointment but it comes again

Age: 24

Chronic illnesses: No dieseases finished pilonidal sinus abcess surgery

Pilonidal sinus

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

97 days ago

Hello dear
I think there is some infection or chances of delayed healing.
Please get in person consultation with concerned physician only for better clarity
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

97 days ago

You likely need surgical reassessment
Imaging such as ultrasound or MRI of the sinus tract may be required
A definitive procedure (excision, cleft-lift, or flap surgery) may be needed depending on tract depth

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

95 days ago

Pilonidal sinus issues, like what you’re describing, can sometimes be pretty stubborn even after surgery. It’s not uncommon for the wound to take some time to fully heal, especially if there’s still moisture or drainage. Since you’ve been dealing with persistent discharge and reopening of the area, it’s important to evaluate any factors that might be interfering with healing. There are a few things you could consider to help improve the situation. First, hygiene is key. Keeping the area clean and dry can help prevent infection and promote healing. After gently washing the area with mild soap and water, make sure to pat it dry completely. Consider wearing loose-fitting, breathable clothing to reduce friction and allow air circulation, which can aid healing. Your doctor’s recommendation of antibiotics and ointment is standard, but if you’ve seen little progress, they might need to reassess the infection type or consider different antibiotics based on potential resistance. Another thing to think about is whether sinus tracts have fully closed. Sometimes additional surgical intervention might be necessary to ensure complete closure or remove any persistent tracts. If you’ve been on antibiotics continuously without improvement, it might be worth discussing with your doctor whether imaging or further examination is needed to rule out an undetected abscess or secondary sinus. Additionally, proper nutrition and avoiding prolonged sitting can support your recovery. However, it’s crucial you keep your healthcare provider updated on any changes or lack of healing so they can provide specific advice tailored to your case or refer you to a specialist if needed. If you ever notice increased pain, swelling, redness, or any signs of a more serious infection, reach out to your doctor promptly. Wound healing can sometimes take time and multiple interventions, but ensuring appropriate care and following medical guidance will be essential.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

97 days ago

Hello,
If the wound still opens and drains after 6+ months, it usually means:
Persistent sinus tract or
Recurrent pilonidal disease
Antibiotics/ointments alone won’t cure it because it’s a structural tract.
Please consult your surgeon in person.
Need Re-evaluation and cleaning/curettage
I trust this helps
Thank you

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