Authored by Dr Harsh Sharma, Edited and Peer Reviewed by Dr. Pooja Sharma

Published May 17, 2023, Last updated May 17, 2023

Pilonidal sinus is a small hole or tunnel at the cleft of the buttocks. Pus and debris of skin or hair fill in the sinus. This results in pain and swelling. The following homeopathic medicines for pilonidal sinus are very effective –

1. Calcarea Sulph
2. Hepar Sulph
3. Phosphorus
4. Silicea
5. Sulphur

   Before we come to the details about the indications of these homeopathic medicines for pilonidal sinus, let us understand the problem a little better.

What is a Pilonidal Sinus or Cyst

A pilonidal sinus or cyst occurs when hair punctures the skin and creates a space in which pus, hair and debris of skin collects. When infection occurs in this space, it causes pain, redness and swelling. It almost always occurs at the top end of the cleft of the hips or near the tailbone.

The pilonidal sinus may be acute or chronic in nature. It mostly occurs in males. During World War II, it was named as “Jeep Driver’s disease” as it was very common in people who used to sit at a stretch for long hours. The irony is that these days, almost everyone sits for long hours.

Cause of a Pilonidal Sinus or Risk Factors for a Pilonidal Sinus

It is not very clear what causes a pilonidal cyst but a few factors seem to increase the incidence of the problem. Here are the main risk factors of having a pilonidal cyst –

• Males are much more likely to have pilonidal cyst or a sinus, so much so that the males outnumber females 3 to 1.
• Obesity is another risk factor.
• Sitting for long hours increases the chances of having a pilonidal cyst.
• Having thick or coarse hair can also increase the possibility of a pilonidal sinus.
• Young age group (teenage to forty) is more prone.
• Wearing tight clothing is also more likely to cause a pilonidal cyst. Tight clothes can cause friction which increases the risk.

Symptoms of Pilonidal Sinus

In most cases, the pilonidal cyst remains asymptomatic. This means that you have the disease but it is not causing any symptoms. It is only when the sinus gets infected that it starts causing symptoms.

Here is a brief list of the main symptoms that a pilonidal sinus causes –

• Pain is one of the earliest symptoms which draw the attention of the patient to the problem. The pain is worse while sitting or walking.
• Swelling of the sinus or the cyst area is another prominent symptom. The patient can feel an abnormal circumscribed area near the top end of the buttocks. Tenderness or pain on pressing the part is present.
• There is redness around the sinus. This redness is due to the inflammation that the pus causes.
• There may be discharge of pus or fluid from the sinus. This pus may have offensive odor.

Treatment of Pilonidal Sinus

Drainage, antibiotics and last but not the least surgery are the options available in the allopathic system of medicine for the treatment of pilonidal sinus. Most of the patients have undergone all these options before they try homeopathy. Recurrence of the problem forces the patients to try alternative forms of medicine.

Homeopathic treatment of pilonidal cyst

Homeopathic treatment of pilonidal cyst is far more effective. The homeopathic medicines slowly but surely treat the infection and heal the sinus from within. This allows the pain, redness and swelling to subside. Once the infection heals, the sinus closes in some time leaving no open space for the infection to recur.

5 Best Homeopathic medicines for Pilonidal Sinus

1. Calcarea Sulph – One of the best homeopathic medicines for pilonidal cyst with yellow pus

2. Hepar Sulph – One of the best homeopathic medicines for pilonidal sinus with intense pain

3. Phosphorus – One of the best homeopathic medicines for pilonidal cyst with burning pains

4. Silicea – One of the best homeopathic medicines for pilonidal sinus with pus

5. Sulphur – Best Homeopathic medicine for pilonidal cyst with dirty skin

Here is a brief description of the symptoms of the above mentioned medicines which helps in selecting the right medicine according to the symptoms of the patient.

1. Calcarea Sulph – One of the best homeopathic medicines for pilonidal cyst with yellow pus

When yellow pus oozes from the sinus, Calcarea Sulph is one of the best homeopathic remedies for pilonidal cyst. There is pain in the cyst. Healing is slow and the body seems to hardly have any capability of healing the wound.

2.Hepar Sulph – One of the best homeopathic medicines for pilonidal sinus with intense pain

When there is intense pain in the sinus and the surrounding area, Hepar Sulph is one of the best homeopathic medicines for pilonidal sinus. There is tendency to form pus everywhere in the skin and all affected areas have severe pain. Splinter like pains are characteristic. Touch is almost unbearable. All impressions whether that of sound, sight or touch are difficult to bear.

3. Phosphorus – One of the best homeopathic medicines for pilonidal cyst with burning pains

When there is intense burning pain in the sinus, Phosphorus is one of the best homeopathic medicines for pilonidal sinus. There is intense burning in the skin and even all over the body. The patient is usually tall and thin. There is intense thirst for cold water, which is vomited as soon as it gets warm in the stomach.

4. Silicea – One of the best homeopathic medicines for pilonidal sinus with pus

When pus formation is the main symptom, Silicea is one of the best homeopathic medicines for pilonidal sinus. There is a general tendency to suppuration, where almost every injury tends to suppurate. The pus is offensive to smell. Chilliness is another dominant symptom in Silicea patients.

5. Sulphur – Best Homeopathic medicine for pilonidal cyst with dirty skin

When there is dry and dirty skin all over, Sulphur is one of the best homeopathic medicines for pilonidal cyst. The patient is hot and cannot tolerate heat in any form. There are skin eruptions almost all over the body. Itching is present in all areas of the skin. This itching gets worse in warmth and in the evening.