What is a good cure for a pilonidal cyst? Do I need surgery or just clean it daily?

Question

I had one before, and it got pretty bad, but eventually went away. It became dorment, but now its starting to come back now.

Answer 1

Early in the process of the cyst, sitting in a warm tub may decrease the pain and lessen the chance that the cyst will develop to the point of requiring medical intervention.

However, it is usually best to see a doctor, particularly if you have any of hthe following symptoms:
pain at the bottom of the spine (tailbone)
swelling same area
redness
fever
notice pus draining from area
A pilonidal cyst is really an abcess so needs to be drained to get rid of the infection and encourage healing. It will also relieve the pain you are experiencing. You were very lucky that it went away on its own the last time.

BTW, these cysts are usually caused by ingrown hair at the end of the spine. When the doctor drains a cyst, he usually also removes the hair. Please note, there are several surgical options...some which will really lessen the chances of a recurrence. A straight "incision and drainage" will not decrease the chances of a recurrence but it will relieve your pain and symptoms and it is the fastest healing of all methods.