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!

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

The inflammatory condition of your sinuses (marked by inflammation of your nasal cavities) caused due to viral, bacterial or fungal infection; any autoimmune disorders or allergic reaction is known as sinusitis. This condition is also referred to as 'rhinosinusitis' as nose inflammation occurs. Sinusitis can be either acute, sub-acute or chronic in nature. Acute sinusitis is generally caused due to the common cold and lasts not more than four weeks. Sub-acute sinusitis is more prolonged in nature and lasts for about eight weeks. Chronic sinusitis is more severe in nature and can last for up to twelve weeks or even more.

The most common symptoms of sinusitis are as follows: 

Severe headache
Nose blockage
Release of yellowish green fluids from your nose.
Fever
Difficulty in breathing
Painful sensation in your eyes, ears and forehead.
Post nasal discharge
Frequent cough
A sore throat
Nausea
Body fatigue
Neck stiffness
Tastelessness and anosmia (loss of smell)
The treatment methods available for sinusitis are as follows:

Intake of painkillers like paracetamol can give you temporary relief from your aches. But consuming too much of these can cause side effects such as loss of appetite and drowsiness.
Keep yourself hydrated by drinking about 2 to 3 liters of water every day and take proper rest.
Steam inhalation can give you relief from nasal congestion.
Using nasal sprays like Oxymetazoline can also give you temporary relief.
Your doctor may advise you antibiotics like Amoxicillin in your sinusitis is chronic in nature.
Immunotherapy helps to treat sinusitis if your sinusitis is caused due to allergic reactions.
Your doctor may also recommend an endoscopic surgery of the sinus if your condition is found to be very severe.

Symptoms and Treatment of Sinusitis

How is homeopathy beneficial for sinusitis?

Sinuses, also known as paranasal sinuses as they surround the nasal cavity, are hollow air-filled cavities. Humans have four pairs of such cavities which are known as:

-Frontal sinus - in the forehead
-Maxillary sinus - behind the cheekbones
-Ethmoid sinus - between the eyes behind the bridge of the nose
-Sphenoid sinus - behind the eyes

What is sinusitis?

Sinusitis is the inflammation or infection of one or more of the sinuses. It can be caused by a virus, bacteria, fungus, allergies or excessive nose blowing and results in the blockage of the sinus opening. Sinusitis can be acute (lasting 4 or lesser weeks), subacute (lasting 4 to 8 weeks), chronic (lasting beyond 8 weeks) and recurring (several attacks in a year).

Acute sinusitis generally causes pain in the sinuses, headaches, loss of smell, stuffiness, and coughs as well as may also cause bad breath, toothaches, and fever.

What does the homeopathic treatment for sinusitis entail?

Homeopathy is an alternative medicine system which uses plants and minerals to develop remedies that augment the body's natural defenses by stimulating symptoms of the disease the patient is suffering from.

Acute sinusitis finds a permanent cure in homeopathy. Though treatment takes time, it rebuilds the body's immunity to sinusitis. It drains the sinuses, kills the germs and wipes the infection off at the root, thus preventing it from recurring. When antibiotics are used to treat sinusitis, there may be side effects such as fungal infections. Fungal infection is a leading cause of chronic sinusitis.

Homeopathy can boost the body's immunity which can treat fungal infections from the root, hence eliminating chances of recurrence. It can treat the symptoms of sinusitis and provide relief from associated respiratory diseases and allergies. There are different remedies available to treat the different symptoms of sinusitis, which work together to completely cure it by boosting the body's immune system without having any side effects.

Homeopathy for Nasal Polyps:

With Chronic sinus, soft growths arising from the mucous membrane of the nose or paranasal sinus are referred as nasal polyps. The most common treatment option suggested by a conventional system in nasal polyps is surgical removal. In most cases, nasal polyps reappear after surgery. However, surgery is a temporary fix since it does not address the body's tendency to form polyps. Homeopathy, on the other hand, offers a permanent solution by treating the root cause. Following six homeopathic medicines are usually recommended  for nasal polyps - Lemna Minor, Sanguinaria Can, Calcarea Carb, Kali Bichrome, Teucrium, and Phosphorus.

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How Does Homeopathy Cure 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

Sinusitis is an inflammatory condition which causes swelling of the tissue lining the sinus passages. The healthy sinisuses are filled with air, but when there is a blockage, they get filled with fluids which can give rise to germs and cause an infection. Conditions such as the common cold, allergic rhinitis (swelling of the lining of the nose) and a deviated septum (shift of the nasal cavity) can cause sinusitis. People with nasal polyps and blocked drainage ducts are more prone to getting sinusitis as compared to other people. The main treatment for sinusitis is surgery.

Sinusitis Surgery
Surgery is the most effective treatment for this condition as it makes the sinuses drain by getting rid of the blockage and draining out the mucus. Surgery also removes infected, swollen and damaged tissues in the sinus along with polyps present in the nose or the sinus. If any foreign substances are obstructing the nasal passage, they are removed as well. Surgery, sometimes, is the only way of getting rid of a nose which is badly blocked. In severe conditions, people might also require a second surgery. Surgery, when coupled with medication, is more effective in treating this condition as antibiotics might be required to prevent the sinus from getting re-infected.

There are two types of sinusitis surgeries people can avail:

Endoscopic surgery: This surgery removes small bones and other foreign substances blocking the sinus passage or is used for removing polyps. A thin tool called the endoscope is inserted into the nose with the help of which, the doctor gets rid of substances which are blocking the sinus passage.
Sinus surgery: This is carried out in conditions when there are developments like pus and infections in the facial bones or in case of a brain abscess (inflammation caused due to infection within the tissues of the brain). In this kind of surgery, the doctor uses the opening in the mouth or makes another one through the skin of the face to remove the blockage from the sinus and get rid of sinusitis.

Suffering from Sinusitis? Can Surgery Be Helpful?

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