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!

9 Home Remedies for Sinus 

Nose incorporates an intricate system of narrow passages and hollow, air containing spaces connecting to eyes and ears that enable us to inhale the air before it reaches our lungs. And the problem of sinus is directly linked with the nose. Basically, Sinus is a cavity within bones of face connected with nasal cavities and the main cause of sinus is allergies. But internally our nose has to suffer a lot when this problem occurs. But there are few tips that can be of great help during sinus. Let’s see them one-by-one

1. Drink plenty of water: While you are suffering from sinus, you must keep drinking water at short intervals because this won’t let the sinus get dry which is very essential for the treatment of sinus. Prefer taking lukewarm water.

2. Oregano oil: Adding few drops of oregano oil in water and having it 2-3 times a day for a week will provide relief when suffering from sinus and it will also make recovery faster.

3. Eat vitamin C: Eat citrus fruits which are rich in Vitamin C. Although some people avoid it thinking that it will aggravate the sinus problem but taking Vitamin C is helpful in sinus problem.

4. Fruit juice intake: Taking fruits juices also helps in thinning out mucus and preventing sinuses from blocking.

5. Warm compressor on face: Keeping warm compressor on your face will give relief from discomfort and will open blocked nasal passages.

6. Keep your head propped up while sleeping: Sleeping on a couple of pillows will be a good idea as it will help in proper breathing.

7. Spicy food intake: Taking too many spices is never a good idea but taking it in limits can actually solve many problems and one of them is clearance of sinus. Spices like mustard, hot pepper, curry and horseradish etc. helps in clearing sinus. It opens your nasal passages.

8. Hygiene: Hygiene is the first and foremost thing to be kept in mind when this problem occurs.

9. Humidifier: Keeping humidifiers in your room also helps in providing relief during sinus.



9 Powerful Home Remedies for Winter Sinus That Work Fast!

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

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

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

Sinuses are cavities in our skull behind the nose which spread out in a pattern. These cavities are lined with tissues and mucosal membranes and are essential for our breathing process. Sinusitis is a condition where the tissues within the cavities become inflamed which results in the sinus cavities being blocked due to a buildup of fluid.

What are the conditions that can lead to sinusitis?
Some of the conditions that can cause nasal polyps are explained as follows:

Nasal polyps are small growths of tissue within the lining of the nose which may block the sinuses, resulting in sinusitis.
Common cold is also a culprit which may result in sinusitis
If your septum or the bridge between the holes of the nose is deviated (this condition is referred to as a deviated septum), you may be prone to developing sinusitis.
The lining of the nose may swell in a condition known as allergic rhinitis and cause sinusitis as well.
Types of sinusitis
There are multiple types of sinusitis which may affect people and also on how long they last. The various types of sinusitis are explained below:

Acute sinusitis: This is the most common form of sinusitis that lasts usually between 2 to 4 weeks. It starts with a cold, blocked nose and turns into facial pain that usually starts very suddenly.
Chronic sinusitis: This is a form of sinus infection which can have a debilitating effect on your life and may last for 12 weeks or longer.
Sub-acute sinusitis: This is somewhere between acute and chronic sinusitis and may last from anywhere between 4 to 12 weeks.
Recurrent sinusitis: This form of sinus infections tend to be a variation of acute or sub-acute sinusitis which tends to occur multiple times a year.
Symptoms of sinusitis
The manifestation of the symptoms of sinusitis may be different from person to person and also on the type of sinusitis you are suffering from. However, there are some generic symptoms that are common to all forms which are mentioned as follows:

Smelling senses may be dulled
Facial pain
Congestion accompanied by a cough
Nose may be blocked, stuffy and may also be runny
Other symptoms may also include bad breath, fatigue, or even dental pain
Nasal cavity may have pus and it may drain from time to time
It is best to consult a doctor quickly, if you have been having any of these symptoms. The doctor can prescribe nasal decongestants and antibiotics which can help. If you have chronic or recurrent sinusitis, then more aggressive and advanced treatments may be required.

Sinusitis - Conditions That Lead to It!

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