Pilonidal Sinus/ Cyst is Characterized By 
   Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed. 
   It is usually seen in adults of college/ school going age & with hairy skin. 

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst. 

TREATMENT OF CHOICE (AYURVEDA) - 
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra  is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread. 

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra  treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra  is available only at Sushruta Anorectal Institute. 

Pilonidal Sinus/ Cyst Treatment FAQs 

Question 1 - What is Pilonidal Sinus/ Cyst Disease? 

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra , this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.) 

Question 2 - What are the Causes of Pilonidal Sinus Disease? 

Answer -Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible. 

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection? 

Answer -The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem. 

Sensation of pain while sitting or standing in the low back region. 
The cyst appears swollen 
Pus and blood mixed watery discharge from the cyst 
eddened skin near the cyst 
Cyst forming again and again

Pilonidal Sinus - Say No to Surgery!

Sinusitis or sinus infections can be quite a debilitating ailment when it becomes recurrent. Sinuses are cavities within our head just behind the nose which extends up to our forehead and to certain areas of the cheeks. These cavities are filled with a mucosal lining which helps you breathe and also filters the air which goes to the lungs. When the mucosal lining gets inflamed, it blocks the normal drainage of the mucus into the nose. This results in headaches, nasal polyps and general discomfort. Homeopathy offers some great remedies for this condition, without side effects. Some of these are discussed below.

Homeopathic remedies for sinus problems

Belladonna: This medication is very effective when the sinusitis has resulted in a suppressed discharge from the nose which occurs intermittently. If you have a splitting headache which feels unbearable, Belladonna can help relieve the symptoms quickly. If the infection of the sinus has spread to the throat and results in cough, Belladonna can be equally effective in those circumstances as well.
Pulsatilla: If you are experiencing a greenish mucosal discharge from your nose without a painful burning sensation within it, Pulsatilla can be a very effective cure. Another indication where this medication is very effective is when you have headaches centered just above your eyes rather than over the forehead or other parts of your face.
Kali Bichrome: This is another commonly prescribed medication to deal with the symptoms of sinusitis as well as to reduce inflammation and cure sinusitis altogether. If you have a lot of mucosal discharge that drops into your throat along with discharges through the nose, Kali Bichrome is the drug to go to. Other indications where it is effective are pain and heaviness in the nose and the inability to breathe with headaches in and around the eyes.
Silicea: If you are feeling cold and constantly chilly along with nasal stuffiness, Silicea is the medication to go to. Along with discharges, your nose may form hard mucous crusts within it. Trying to manually remove these crusts may also cause bleeding. Silicea will reduce these symptoms and is also effective in reducing a headache which occurs mostly on the left side of your face.
Merc Sol: If you are experiencing a yellowish green discharge from the nose along with a burning sensation and increased saliva secretion in your mouth, Merc Sol is the remedy to turn to. It is also effective wherein the headache has spread all around the head.

Troubled by Sinus Problems - Choose Homeopathy!

The vast majority of us never consider our sinuses when we take a full breath through the nose. For others, this problem of stuffy nose, excruciating headaches, fever and infections, in episodes of sicknesses, last up to twelve weeks no less than four times each year. We should take a look at how this issue occurs and how to help them through Maharishi Ayurveda. This is how sinusitis occurs:

Sinus issues are really brought on by a fundamental irregularity in Prana Vata (the subdosha of Vata that sees the brain and the head) and Shleshaka Kapha (a subdosha of Kapha, which administers oil and dampness levels).
At the point when these two sub-doshas are at the same time imbalanced, another problem emerges. Ama, the sticky waste that is a result of processing, gets blended with Shleshaka Kapha in the sinus area, shaping a more toxic, sticky bodily fluid called Shleshma. Shleshma settles in the zone and stops the channels of the sinuses. Because of the confinement and blocking, Pitta dosha likewise gets to be imbalanced, and irritation occurs.
At that point when each of the three doshas are out of adjustment, the body turns into a ground for bacteria, allergens, or infections. Air contamination, changes of hot and frosty climate increase it further. Eating unnecessary measures of chilly, sweet, not being able to workout or exercise can add to the problem.
Here is how it can be cured through Ayurveda:
Step 1: Eat foods that are not very hot, furthermore not very chilly. Stay away from extraordinary temperatures or foods that have extreme temperatures, for example, stew peppers or super cold foods and refreshments. Eat properly cooked, warm dinners that are light, sustaining, and simple to process. For instance, for breakfast, you could eat a stewed apple, and for the dinner eat khichari (a light and sustaining porridge made with two sections rice and one section mung dhal).
Step 2: Drink a lot of water seasoned with flavours, to decontaminate the sinuses of toxins and to allow the harmful waste that has developed to stream out. Bubble two quarts of water, empty the water into a bottle, and put two leaves of basil, two thin cuts of ginger, four leaves of mint, two bits of clove, and   teaspoon of marshmallow root. Continue drinking this water for the duration of the day, however, make it again every morning.
Step 3: Detoxify the body and restore the sinus territory. Eat a lot of natural, crisp foods grown from the ground. Abstain from eating eggplant, banana, tomato and pepper, since these block the channels. Try not to skip meals or suppers, since that will annoy the stomach and create more problems for your body.


Sinusitis Treatment - How Ayurveda Can Help With It?

Any ailment can cause a breakdown of one's overall well-being due to the onslaught of related symptoms, and sinus problem is no different. Sinusitis refers to inflammation or swelling of the tissue that lines the sinus, which are passages filled with air and lie in the nasal tract. 

Sometimes, these passages get blocked with germs, fluid and other elements that can give rise to infections and allergic reactions. Here are the ways in which this condition can affect your health:

Related ailments: one of the most common outcomes of sinus blockage is common cold, which can happen when the passages do not get proper movement of air. Further, it can also cause allergic rhinitis which is also known as hay fever and comes with its own set of symptoms like a runny nose, blocked nose and ears, watery eyes and other signs. A build-up of nasal polyps can also take place in the blocked path of the sinus, while the nasal cavity can also shift, causing a deviated septum. 

Pain: we have many sinuses that are located in various parts of our head, including the areas above and below the eyes. As a part of the sinus attack, one may experience pain and fluid fullness in these areas. These regions can ache when there is a sinus infection. This pain can also be caused by the dull pressure exerted by inflammation, and the pain can then travel down to jaws, teeth and even between eyes. 

Headaches: the constant pressure and persistent pain in the various areas containing the sinus can lead to long term headaches which will be at their worst in the mornings. This is due to the fact that the fluids have been accumulating throughout the night. These headaches can get worse if there is a change in the temperature. 

Congestion: congestion is also a common symptom of sinus infection. The swollen sinuses can lead to constrictions in the nasal passage, which can obstruct normal breathing. This will lead to congestion, which can also affect the senses of taste and smell. 

Cough and discharge: a patient suffering from a sinus infection may end up blowing his or her nose more often than normal. This will usually happen because a yellowing greenish discharge will drain into the nasal passages on a regular basis during the infection. When this discharge bypasses the nasal tract and reaches the throat, it can also cause persistent coughing. It is best to ask for medical intervention and practice steaming to relive the painful symptoms of this condition.

How Does Sinus Affect Health

Link Between Sinuses and Headaches

Suffering from splitting headaches? The remedy to it can only be found once the cause behind it is identified. Everything from migraines to stomach infections can be the cause of your headaches. But it is not impossible to tell the difference between the different aches. You have to notice the other symptoms that accompany your headache to understand what is causing the pain.

Symptoms of sinus headaches

When you have the following problems along with your headache you can be sure it is being caused by your sinus:

- Pain in the head, face and nose
- Pain in the eyes
- Stuffy or blocked nose along with the pain
- Accompanying nasal allergies and bouts of sneezing
- Inability to smell

Understanding sinuses

The sinuses comprise of a rather sizable cavity present behind your cheekbones, bridge of your nose and forehead. Generally, the fluid in the region gets drained through the nose. But due to infection, allergic reactions and tumors the cavity can get blocked and also get inflamed. The inflammation is caused by an increase in mucus production, which can lead to the nasal cavity being blocked. The blockage stops the fluids from draining and the sinuses get even more inflamed. When the cavity gets inflamed it starts pressuring the cheekbones, nose bridge and forehead and eyes.

Why does it ache?

The building up of the pressure on the cheekbones, nose bridge and forehead causes the area to start hurting. Thus, when one has a headache originating from inflamed sinuses, the pain is not just isolated to the forehead. The pain in the nose is a sure shot sign that the headache is caused by the inflammation of the sinuses.

Not just another chronic ache

Most people mistake any chronic headache as a sinus problem. But mostly such aches are caused by migraines and stress. If you have a prolonged headache as well as fever you are sure to have a sinus ache instead of any other chronic headache.

Make it better

Once you have identified the headache as a sinus ache you can start the treatment. Steam inhalation helps clear the sinuses, reducing the pain almost immediately. If steam inhalation does not help, you might have a severe sinus infection. In such cases, it is best to visit a doctor to understand the extent of the infection. The doctor is likely to prescribe antibiotics for the remedy of the infection. Even if you are aware of what medicines to take for sinus infections it is best to get checked by a medical professional before you start popping pills since the headache might just be due to some other causes as well.



What's the Link Between Sinuses and Headaches?

The inflammation of the tissues around the sinuses is a condition known as sinusitis. This can be triggered by a number of factors including a common cold and pollen allergies. The symptoms of acute sinusitis are

Facial muscle pain
Stuffiness of the nose
Running nose
Congestion
Loss of smell

Sinusitis is an uncomfortable condition on its own, but can also lead to a number of other complications. Ayurveda can be very effective in treating sinusitis without causing any other side effects. Here are a few ways to treat sinusitis with Ayurveda.

Steam inhalations

Steam is a decongestant that can successfully clear congestion and make sinusitis less painful. This can be done five to six times a day. If your sinus is causing excessive pain, this should be repeated regularly for at least a week. In cases of chronic sinusitis, you may even continue this form of treatment for two years.

Nasyam

Nasyam is one of the five therapies of detoxification according to Ayurveda. It treats sinusitis by administering medicated oils or herbal juices through the nostrils into the body. Nasyam acts by attacking and removing excess humor in sinus cavities. This improves the flow of oxygen in the body, and thus also helps treat the pain that is a result of your sinusitis.

Ginger-Garlic

Ginger and garlic have a number of medicinal properties. A teaspoon of fresh ginger juice with honey can help reduce the congestion caused by sinusitis. This should ideally be had early in the morning, as soon as you wake up and may be repeated in the evening. Similarly, create a concoction with crushed garlic, turmeric, and honey, in the ratio of 1 tsp each of garlic and turmeric and 2 tbsp of honey. Have 1 tsp of this concoction daily.

Jala Neti

Neti is a yogic purification method and jala neti refers to purification by water. This is a simple technique that should be practiced daily to relieve problems related to sinuses. Fill a neti pot with lukewarm water and a little salt. Position the neti pot such that the spout is in one of the nostrils. Breathe through your mouth and tilt your head till the water starts flowing from one nostril to the other. Once the pot has been emptied, repeat the process with another nostril. This can be repeated any number of times.

Change your diet

Ayurveda is a lifestyle and hence diet is a very important part of the treatment. Avoid cold and oily food. Starting the day with a glass of lemon juice and water is also said to be beneficial to sinusitis patients. Processed foods, chocolates, liquor, carbonated drinks etc are other things to be refrained from when treating sinusitis with Ayurveda.

Treating Sinusitis with Ayurveda

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