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Should I worry about bleeding during pilonidal cyst recovery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I got pilonidal sinus surgery one month ago, and they stitched the surgical wound with internal stitches as well. Everything was going smooth until today when I noticed a bloody trace on my underwear. When I checked, I saw a hole close to the incision and some pus and blood discharge.

I do not feel any pain, and there is no swelling around. My doctor told me it could be deep internal suture splitting, but I cannot see a suture in my wound. I do not take any medication now; previously, I took antibiotics to prevent the infection in the wound.

Kindly give your opinion.

Thank you.

Answered by Dr. Arvind Guru

Education:

MBBS

Professional Bio:

Dr. Arvind Guru is a Surgeon who specializes in Surgical Oncology (Cancer Surgery). He has served as a faculty member at TMH, Mumbai as a Surgical Oncologist. He is a Specialist Cancer Surgeon with extensive years of clinical experience from the best medical institutions. He also attends gastrointestinal cancer surgery (including laparoscopic) for colon, rectum, stomach, esophagus, pancreas, gall bladder, and liver cancers.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have seen both attached images (attachments removed to protect the patient’s identity). Unfortunately, this hole has reappeared. It means, despite all measures, some infections did occur and led to skin breakdown. This cannot always be prevented despite best efforts. There is a good chance that this is superficial and heals with Sitz baths. However, it could also be the beginning of a recurrence of sinus development.

Right now, you should follow up with your surgeon. No further surgery is advisable at this time.

I hope this helps.

Thank you.

Medically reviewed by Dr. Chithranjali Ravichandran
Published At September 9, 2021
Reviewed At December 16, 2025

Education:

MBBS

Professional Bio:

Dr. Arvind Guru is a Surgeon who specializes in Surgical Oncology (Cancer Surgery). He has served as a faculty member at TMH, Mumbai as a Surgical Oncologist. He is a Specialist Cancer Surgeon with extensive years of clinical experience from the best medical institutions. He also attends gastrointestinal cancer surgery (including laparoscopic) for colon, rectum, stomach, esophagus, pancreas, gall bladder, and liver cancers.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Chithranjali is a passionate and skilled Dentist specializing in preventive care, restorative treatments, cosmetic dentistry, and oral health education. She excels in managing dental conditions with precision and compassion, ensuring patient comfort and positive outcomes. Committed to promoting long-term oral wellness, Dr. Chithranjali combines advanced dental techniques with personalized care, empowering patients to maintain healthy smiles and achieve optimal overall dental health.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Arvind Guru is a Surgeon who specializes in Surgical Oncology (Cancer Surgery). He has served as a faculty member at TMH, Mumbai as a Surgical Oncologist. He is a Specialist Cancer Surgeon with extensive years of clinical experience from the best medical institutions. He also attends gastrointestinal cancer surgery (including laparoscopic) for colon, rectum, stomach, esophagus, pancreas, gall bladder, and liver cancers.

This doctor is not available for online consultations on the platform anymore.

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