What are the treatment options available at Delhi Piles Clinic?

We specialize in non-invasive procedures, including advanced laser treatment (PiLaT), to ensure minimal discomfort and a fast recovery. We create a personalized treatment plan for each patient based on their specific condition.

Is a lady doctor available for consultation and treatment?

Yes, we have a senior lady doctor, Dr. Seema Gupta, and lady staff available to ensure the comfort and privacy of our female patients.

Young adult with tailbone discomfort sitting carefully

Pilonidal Sinus — Symptoms & Causes

Q: What is a pilonidal sinus?

A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide. It doesn't always cause symptoms and only needs treatment if it becomes infected.

Understanding the signs of a pilonidal sinus is the first step toward finding relief. Learn about the common symptoms, what causes this condition, and when it’s crucial to seek medical advice.

Book Consultation Call Now: 011-42458467

Call: +91-9811050912 / +91-9811050913 / 011-42458467

What is a Pilonidal Sinus?

A small tunnel or cavity under the skin near the tailbone, often containing hair and debris. It may start as an abscess and later form a sinus with recurrent discharge.

See Treatments

Location of pilonidal sinus in the natal cleft

Common Signs & Symptoms

Look out for these common pilonidal sinus symptoms.

Pain at the tailbone

Swelling or a lump

Discharge (pus/blood)

Fever

Pain with prolonged sitting

Check Eligibility For Treatment

Who’s at Higher Risk?

Young adults (late teens to 30s)
Prolonged sitting/driving
Hairy or deep natal cleft
Family history
Poor hygiene/obesity

Not sure? Book an exam

Hair driven into skin by friction/pressure creating a sinus

The Root Cause (in Most Cases)

Most cases arise when hair gets pushed into the skin of the natal cleft by friction and pressure, forming a sinus tract which can become infected.

How It Can Progress

A pilonidal sinus can be asymptomatic, but it can also progress through distinct stages.

Acute Abscess → Draining Sinus → Complex Tracts

An acute pilonidal abscess is a sudden, painful infection. If ignored, this can lead to a chronic draining sinus. Over time, this can form complex multiple tracts that are harder to treat.

Explore Treatments

Abscess to sinus to complex disease timeline

Don't Wait If You Have...

Early diagnosis and treatment can prevent complications.

Severe or increasing pain
Swelling that is red, warm, and tender
Fever or feeling generally unwell
Pus or blood draining from the area

Seek Care Early!

If you suspect an abscess (severe pain, swelling, fever), seek medical attention promptly. An abscess needs to be drained to provide relief and prevent the infection from spreading.

Book Same-Week Evaluation

Tailbone Pain Isn’t Always Pilonidal

While pilonidal sinus is a common cause of pain near the tailbone, other conditions like perianal abscesses, hidradenitis suppurativa, or simple skin boils can present with similar symptoms. A correct diagnosis by an experienced doctor is key to getting the right treatment.

See Doctors

Recurrent Infections & Complications If Ignored

If left untreated, a pilonidal sinus can lead to recurrent, painful abscesses. Over time, chronic inflammation can cause the sinus to branch out, creating multiple tracts that are more difficult to treat. In very rare, long-standing cases, there is a small risk of developing a type of skin cancer within the sinus.

Get Evaluated

Potential Risks