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!

The inflammation of the cavities around nasal passage is known as sinusitis. When the cavities are full of fluid, germs attach themselves to the fluids, which give rise to infections. Some of the causes of sinusitis are common colds, allergic rhinitis, nasal polyps and deviated septum.

There are 4 different types of sinusitis:

    Acute sinusitis: It remains for about 4 weeks or less. It is usually characterized by a runny nose and pain in the face which will stay for at least 10 to 14 days.
    Sub acute sinusitis: It is almost like the acute sinusitis but stays longer for about 4 to 8 weeks.
    Chronic sinusitis: The inflammation in this case lasts about 8 weeks, sometimes longer than that.
    Recurrent sinusitis: In this, the sinusitis attack keeps occurring all through the year.

At times, to clear up the blocked sinuses, a surgery is mandatory. This can be painful hence many are hesitant to go through with a surgery. If you want to control sinusitis so that it doesn't reach the limit where you have to go through a surgery, here are some tips of what you might be able to do regularly to clear your chances of controlling this:

    Take steam: This is the most common and easy way to control sinusitis. The steam helps to break down the excess mucus in the nasal passage and also reduces the inflammation of the sinuses. All you need is water. Heat it up to the required temperature and then inhale the steam. You will get a lot of relief if you do this regularly.
    Nasal Irrigation: This is basically the process of flushing the infected and stale mucus out of the nasal cavity. Take a liter of sterile water, mix one tablespoon of kosher salt and baking soda each. Then with the help of a syringe or a neti pot, wash your nostrils with the solution. The mucus will start coming out and your nasal cavity will clear out.
    Use warm washcloth: Lie down and place a warm washcloth (a washcloth dipped in warm water and wringed) on your forehead and nose region. The warmth from the washcloth will break down the mucus and clear the congestion.

Sinusitis: Controlling it without Surgery

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?

Acute sinusitis is a type of infection of the sinus. It involves an infection or inflammation of your sinus membranes. The most common symptom of sinusitis is that you have trouble draining mucus from your nose. The sinus is the cavity around the nasal passage and it may swell up when this condition occurs. Usually, the symptoms are temporary. However, sometimes, especially if you suffer from chronic sinusitis,medical intervention is required.

Saline Nasal Spray: This is a spray you put into your nose several times a day to clean your nasal passages.
Nasal Corticosteroids: There are many types of nasal corticosteroids. They include fluticasone, budesonide, mometasone, beclomethsone. These nasal sprays not only help to treat inflammation, they help prevent to prevent inflammation as well.
Aspirin: This is a type of OTC pain relievers and they help relieve the pain of acute sinusitis. Acetaminophen and ibuprofen are two other OTC pain relievers which can be used instead of aspirin.
Antibiotics: Antibiotics are usually not required and should never be taken without the doctor's prescription. However, sometimes the doctor may recommend it if he thinks there is a bacterial infection or if the symptoms progress rapidly.
Immunotherapy: Immunotherapy is given when allergies are the reason you are having acute sinusitis. It is rarely needed, however.
Surgery: For sinusitis symptoms which are chronic or occur frequently, nasal surgery may be the best option for permanent relief. A number of different surgical procedures can be used to treat acute sinusitis such as balloon sinuplasty, endoscopic sinus surgery etc.

Treatment of Acute Sinusitis

Sinusitis refers to an extremely painful condition caused due to the inflammation and swelling of sinuses. A host of causes contribute to sinusitis, chief among them being allergies, air pollution or sometimes infection. It causes extreme discomfort, throbbing headache, sore throat and a blocked nose. Though different branches of medicines have tried in their own ways of dealing with this problem, ayurveda with its reliance on natural products as remedial measures have emerged as a clear favorite. Some of the ayurvedic remedies for sinusitis are-

1. Inhalation of steam with tulsi
The benefits of tulsi are widespread and need little introduction. The ambit of its advantages is expansive, making its presence felt even in treating sinusitis. In case of severe bouts of sinusitis, it is highly recommended that you inhale steam with tulsi almost every day in the week.

2. Have ginger along with honey
Another way of treating acute pangs of sinusitis is by making a paste of ginger and honey. Make small tablets of this mixture and for most effective results it is advisable that you have it every day.

3. Avoid certain food
Just how incorporating certain food in the diet help in reducing the pain of sinusitis, eliminating few, often times help you to achieve the same purpose. When you suffer from sinusitis, it is only advisable that you diligently avoid dairy products like milk, yoghurt as well as intoxicants like cigarettes and alcohol.

4. Lemon juice and water
In the initial stages of sinusitis, having a daily concoction of lemon juice and water is considered very beneficial. During this phase maintaining a light diet is advisable.

5. Practice pranayama
The gamut of ayurvedic remedies includes not only the prescription of what to eat and what to avoid but also several exercises that help in expediting the process of recovery. Among them, pranayama with its focus on control and regulation of breath is particularly beneficial in curing sinusitis.

Ayurvedic Remedies for Sinusitis

Awakening with a headache and on top of it a blocked nose is an unpleasant begins to the day. In the event that this turns into a standard event and even the face harms with general largeness in the head, it's a restorative condition called sinusitis. Sinuses are air-filled depressions inside the skull bone. These empty spaces in the skull are arranged in cheek bones, brow, behind the scaffold of the nose and between the eyes. Another set is arranged in the upper area of the nose and behind the eyes. All the sinuses have the same coating that is available in the nose. This covering produces bodily fluid, which is depleted out of the sinuses through an opening in the nose. Homeopathy treatment can be a decent cure for sinus of various sorts.

Top normal homeopathic remedies for sinus infections

1. Silicea: one of the best homeopathic remedies for sinus infections with headache. Silicea happens to be one of the finest remedies in homeopathic for sinus disease. The headache caused by sinus fundamentally on right side happens to be treated best with silicea. The patient requiring silicea feels crisp and is extremely touchy to frosty air. Concealing warmly gives alleviation. One conspicuous sign for utilizing homeopathic pharmaceutical silicea as a part of cases of sinus happens to be stuffiness in the nasal parts. The discharges in the nasal areas get stopped up in hard coverings. On endeavoring to extricate these hulls, there is dying.

2. Belladonna: top homeopathic solution for sinus headache with smothered discharge: normal homeopathic prescription belladona is one of the perfect homeopathic remedies for sinus diseases when sinus headache is because of smothered discharge. Belladonna is exceptionally useful when a sinusitis patient grumbles of a brutal headache. The patient may get alleviation from the headache by restricting the head firmly or applying weight.

3. Kali bichrome: best homeopathic solution for sinusitis with discharge dropping once again into throat
Kali bichrome is the top regular homeopathic medication for sinusitis where the discharge drops over into the throat regardless of leaving the nose. The discharge is thick and for the most part yellow.

Homeopathy for Sinus

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