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Pain and Discharge from a Hole Near the Tailbone – Could It Be Pilonidal Sinus?

If you are experiencing pain in the tailbone area along with a small visible hole and pus discharge, you are not alone. This is a classic sign of Pilonidal Sinus – a common but troublesome condition that many people suffer from, especially young men who sit for long hours.

At Karan Hospital, Jalandhar, we see dozens of such cases each month. Most patients come to us after trying home remedies or general treatments that provide only temporary relief. In this article, we explain everything in simple language so you can understand what’s happening and what can be done.

What is a Pilonidal Sinus?

A pilonidal sinus is a small tunnel or tract that forms under the skin near the tailbone (just above the cleft of the buttocks). It often begins as a tiny pit or hole.

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Over time, loose hairs, skin debris, and bacteria become trapped inside. The body treats the hair as a foreign object, leading to infection, swelling, pain, and pus discharge.
It may look like a simple skin problem, but it is actually a deeper issue requiring proper medical attention.

Common Symptoms

- Pain and swelling near the tailbone

- Pain and swelling near the tailbone

- Redness and tenderness

- Difficulty sitting, driving, or walking comfortably

- Recurrent infections that keep coming back

    • If you notice any of these, don’t ignore them. Early treatment prevents the problem from becoming worse.

    Why You Should See a Specialist

    Treating a pilonidal sinus is not just about removing pus or giving antibiotics. The real challenge is to thoroughly clean the tract, which contains embedded hairs and infected material. A general doctor may not have the experience or specialised tools needed for a long-term cure.


    Dr. Kamal Gupta is a pioneer in laser proctology and has written five textbooks on the subject. His deep understanding of anatomy and laser techniques helps patients achieve better results with minimal pain and low recurrence rates.


    Attempting self-treatment or repeated abscess drainage often leads to chronic pain and repeated infections. Specialist care ensures the root cause is properly addressed.

    Advanced Treatment: VALAPS

    At Karan Hospital, we offer VALAPS – Video-Assisted Laser Ablation of Pilonidal Sinus, a modern, minimally invasive laser procedure pioneered and popularised by Dr Kamal Gupta.

    How VALAPS Works?

    - The infected area is gently cleaned

    - A small camera and thin laser fibre are inserted into the sinus tract under direct vision

    - The laser precisely destroys the lining of the tract from inside and seals it

    Benefits of VALAPS

    - Less pain compared to traditional surgery

    - Very fast recovery – most patients return to work in 2–3 days

    - Almost no visible scar

    - Day-care procedure (no need for long hospital stay)

    - Lower chance of recurrence

    - Easier to repeat if ever needed

    Don’t Wait for Temporary Relief

    If you or someone you know is suffering from pain and discharge near the tailbone, get a proper evaluation without delay. The sooner you receive treatment with advanced laser techniques, the sooner you can return to a pain-free, comfortable life.

    Expert Care at Karan Hospital

    Dr. Kamal Gupta

    Pioneer in VALAPS (Video Assisted Laser Ablation of Pilonidal Sinus)

    Karan Hospital, Jalandhar, Punjab

    📞 Contact us: 87250-48415