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Pilonidal Sinus - Symptoms, Causes and Prevention

Pilonidal Sinus in Urdu

یہ  بیماری زیادہ در تک بہٹھے رہنے والے لوگوں میں عام ہے۔ یہ جلد کے نیچے بالوں کے جلد میں مڑ جانے اور مردہ خلیات کے جمع ہو جانے کے باعث بنتی ہے۔ اس میں انفیکشن کے باعث یہ درد اور تکلیف کا سبب بن سکتی ہے۔ اس کا علاج سرجری کے ذریعے کیا جاتا ہے۔ زیادہ تر یہ کمر کے آخری حصے کو متاثر کرتی ہے۔ اس سے بچائو قدرے آسان ہے۔ جسمانی صفائی میں احتیاط اور زیادہ دیر تک بیٹھے رہنے کی عادت کو ترک کرنا مفید ثابت ہو سکتا ہے۔ یہ مرض مردوں میں زیادہ پایا جاتا ہے۔ اس کے علاوہ موٹاپے کا شکار افراد اور وہ لوگ جو جسمانی طور پر متحرک نہیں رہتے اس مرض سے دوسروں کی نسبت زیادہ متاثر ہو سکتے ہیں۔ 

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Summary about Pilonidal Sinus in English

A pilonidal sinus is basically a tiny opening in the skin which might fill with pus or other fluids and it typically contains dirt and hair particles. This leads to formation of a cyst. The main area where this occurs is the cleft above the buttocks. The sinus might also get infected and the person might then experience much pain. If infected, the sinus might leak out fluid and blood and pus and also emit a bad smell.

Other characteristics include a higher prevalence in men than in women and in younger adults rather than the elderly. People who sit a lot, like office workers and taxi drivers, also are more likely to have it.

Symptoms of Pilonidal Sinus

At first, the symptoms are usually faint and not very problematic; at most, one could notice a tiny inside-curved spot on the skin.  This, however, can close up and form a pilonidal cystor sell up and inflame, causing pus to collect. Obviously, these latter symptoms occur after infection and are much more problematic.

The infectious symptoms include:

  • Experiencing  pain when the person sits down or stands up
  • The  cyst also swells up
  • The  skin around the area grows red and sore
  • A foul  odor emitting when the pus or blood leaks
  • The lesion  also shows signs of hair in it
  • More  than one hole or sinus tract could also form in some cases.

The person could also feel that he/she has a low burning fever. However, the fever usually does not in happen in most cases.

Causes of Pilonidal Sinus

While the clear cause is still not known, experts have listed many contributing factors. These factors include the changing in hormone levels following puberty, hair growing, and continuous friction in the skin area with the clothes. Sitting for a long time could also contribute significantly.

Sitting continuously, over extended time periods could cause friction and subsequently cause the hair around the area to dig back into the skin. Then, as the body identifies this hair as a foreign harmful influence, it initiates an immune response. Curiously, this is not much different than the scenario in which, instead of the hair, it is a wooden splinter pricking the body. The resultant immune response is responsible for the cyst formation around the hair.
In some cases, more than one sinus could connect with each other underneath the skin’s surface.

Risk Factors of Pilonidal Sinus

The top risk factors associated with pilonidal sinus include multiple demographics. The male gender is, in itself, more vulnerable to catching this disease. The age group which has the highest susceptibility is the 30-45 years range. Furthermore, those who have to sit down or ride transportations are also more vulnerable. If the person has a lot of body hair, cyst formation becomes much more likely. Obesity and inactivity for long time periods are also risk factors.

The hygiene is also a crucial point to note as unhygienic individuals develop pilonidal sinus more often. Lastly, sweating also exacerbates and speeds up the sinus formation.

Preventive Measures of Pilonidal Sinus

Preventive measures are fairly simple and are generally aimed at minimizing the risk and causal factors. One should take their hygiene seriously and wash themselves properly with a milder soap; they should also make sure that they properly rinse out the soap. Keeping the area where the sinus forms dry is also important.

Lastly, individuals should try to not sit too much for extended time spans.