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[av_heading tag='h1′ padding='10' heading='Coccygeal fistula: Causes, symptoms, Prevention' colour='custom-color-heading' style='blockquote modern-quote' custom_font='#008dcf' size=" subheading_active='subheading_below' subheading_size='20' custom_class=" admin_preview_bg=" av-desktop-hide=" av-medium-hide=" av-small-hide=" av-mini-hide=" av-medium-font-size-title=" av-small-font-size-title=" av-mini-font-size-title=" av-medium-font-size=" av-small-font-size=" av-mini-font-size="]
When ingrown hairs cause pain
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A coccygeal fistula - also called a pilonidal sinus - is an inflammation of the fold of the buttocks. This is usually caused by hair roots that are filled with ingrown hairs. If a hair grows inwards instead of outwards, broken hairs and keratin scales are brought under the surface of the skin. In this way, small nodules (granulomas in medical terms) form, which can become inflamed by bacteria.

Coccyx fistula: Causes

One reason for the development of a coccyx fistula can be disturbed hair development. A newly growing hair is not properly pushed out of the hair root. The building material of the hair, keratin, is accumulated in the form of bulbous deposits in the hair root (follicle).

Even if the hair is formed normally, a pilonidal sinus can occur. Namely, when hair breaks and spits itself into the wall of the hair follicle. The follicle fills with broken hair. Loose hair from the back or head can also be massaged into the gluteal fold by the constant movements of the buttocks. The surface structure of the hair, similar to an arrow with a barbed hook, means that once spiked hair gets stuck in the fabric and cannot be removed again by washing.

A third cause may be a phenomenon sometimes seen in fistula tracts that have already been removed: It seems as if hair has grown directly "underground", probably as a result of a developmental disorder. Here, too, a coccygeal fistula is the result.

In any case, the dilated hair follicle can always be seen as a small black dot or a millimetre-sized opening. If you see such a pit, the diagnosis of a coccygeal fistula is certain.
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In addition to ingrown hairs, congenital deformities of the coccyx or bruising after a fall can also be responsible. Men are affected by coccygeal fistulas about twice as often as women and usually become ill between the ages of 20 and 30. In addition, there are other factors that can favour coccygeal fistulas:

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Make sure to stand up more often if you have to sit for long periods of time and prefer well-padded chairs. If you are prone to heavy hair growth, laser hair removal in the coccyx area can be useful as a precaution.

Coccyx fistula: Symptoms

But how do you recognize a coccyx fistula exactly? Basically, there are three stages of inflammation, which are associated with different symptoms:

No matter what symptoms you notice: Go to the doctor! The earlier a coccyx fistula is detected, the better it can be treated.

Sinus pilonidalis: Prevention

To prevent an unpleasant coccyx fistula from developing in the first place, there are tips that you can follow. Since a pilonidal sinus is usually caused by ingrown hair, permanent removal of the hair in the coccyx region is the best way to prevent the disease. With a diode laser, the hair can be lasered away painlessly, quickly and long-lastingly. If you sweat a lot and wear tight underwear, the risk of a coccyx fistula also increases. Long periods of sitting on a hard surface and overweight should also be avoided.

In our proctology practice in Munich, we are happy to help you if you have any questions about coccygeal fistula.
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