instruction: hello doctor I have pilonidal sinus I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method after recovering from this I had a small pimple on the wound doctor said it is normal and it is because of surgery but now I am having redness around that I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed kindly tell me is this recurrence of pilonidal sinus or boil or what it is it is causing pain while sitting as well
output: hello do not worry I will help you with your problem as you said you underwent surgery for pilonidal sinus two times and now you have one boil at the same site as I can see in the image attachment removed toprotect patient identity it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area I will prescribe you some medicine please maintain local hygiene shave your hair in that area get back to me after five days I will add some more medicine and local remedies sit bath in luke water with betadine twice a day tablet augmenting amoxicillin and clavulanic acid 625 my ads for five days tablet chymoral forte ads for five days tablet serradic be for three days capsule a to od for 10 days