When ingrown hair causes pain
In the meantime, we have set up a separate page for our treatment focus on sinus pilonidalis. The updated and more detailed information on causes and risk factors of coccygeal fistula can be found here.
A coccyx fistula - also called sinus pilonidalis - is an inflammation of the gluteal fold. This is usually caused by hair roots filled with ingrown hair. If a hair grows inwards instead of outwards, broken hair and keratin scales are brought under the skin surface. In this way, small nodules (medical granulomas) are formed which can be inflamed by bacteria.
In any case, the extended hair follicle is always recognizable as a small black dot or as an opening the size of a millimeter. If one sees such a pit, the diagnosis of a coccyx fistula is confirmed.
Besides ingrown hairs, very rarely congenital malformations of the coccyx or occasionally bruises after a fall can 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:
Be sure to stand up more often if you have to sit for long periods and prefer well-padded chairs. If you are prone to strong hair growth, preventive laser hair removal in the coccyx area can be useful.
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.
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 proctological practice in Munich we are there for you if you have any questions on the subject of coccyx fistula.
Specialists in surgery, proctology
Brienner Str. 13, D-80333 Munich, Germany
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