What is hair loss?

Commonly seen in men under the age of 30, ıl Hair Rotation ”or tıbbi Pilonidal Sinus tıbbi, called its medical name, is called the hair nest under the skin. It occurs when the hairs enter the coccyx, rarely in the belly, under the skin for various reasons and create wounds, abscesses, fistulas or skin cavities.

In this disease, which is a cyst full of hair, abscess may occur due to infection of the cyst. If the disease is not timely intervened, the abscess progresses to the other hair follicles and can spread to the subcutaneous fat tissue. The free-flowing hair and the hairballs, which occur as a result of the accumulation of hair balls in some areas, cause complaints such as swelling, stiffness, discharge and pain.

Hair loss is 3 times more common in men than in women. The most common age of hair rotation is between 15-25 years. Although the hair structure is one of the most important factors in hair rotation, some factors may cause the problem to be experienced more.

Being overweight, sitting and sweating too much during the day are among the factors that cause hair turn. With the movements of the hip muscles while walking or sitting, the hairs are buried deeper, causing the hair to rotate.

For this reason, especially in the professional groups such as bankers, students and drivers, athletes who are interested in cycling or horseback riding, hair growth is quite common. In addition, the body structure is very hairy, dense and coarse grain structure of the hair, skin thickness and poor hygiene, other prominent factors of the disease.

Diagnostic Methods

With the examination of an experienced physician in this field, the diagnosis of hair rolling can be made with certainty.

How does hair rotation occur? How to tell hair rotation?

Human hairs are constantly shed and replaced. These bristles, which are poured from the back, head and coarse meats, are stuck in the sweaty groove between the two coarse meats, especially in the coccyx. These free hairs can then progress slowly, without hurting into subcutaneous adipose tissue as the person walks and moves, sitting down, rubbing coarse flesh on each other or on the floor, entering any pore at the bottom of the trough.

Bristle rotation is the coccyx of the hair and rarely passes under the skin in the navel to form wounds, abscesses and fistulas. The back and head hairs are inserted between the two coarse meats in the coccyx, inserted into the hairy and sweaty gutter and rotated like a screw through the sweat gland holes at the bottom of the gutter into the subcutaneous adipose tissue and the inflammation of the area with the contribution of bacteria; purulent or bloody, currents and abscesses.

Hair Rotation Symptoms – Pilonidal Sinus Symptoms

In most patients, the condition may progress silently and present symptoms at an advanced stage. Patients often first notice the pain in the coccyx during washing.

Symptoms of hair rotation in general;

  • Regional swelling and sensitivity
  • Skin redness
  • Smelly discharge
  • Ache
  • High fever
  • Weakness
  • Nausea

Symptoms of hair rotation may range from a small pit to a large painful mass. It may be clear, dark or bloody discharge. With infection, the coccyx region may become red, tender, and purulent discharge. If the infection is severe, it may also cause fever, weakness and nausea.

The disease may present with many different conditions. Nearly all patients have an acute abscess process with severe pain, fever and tenderness. It often ends with purulent discharge and pus. After the abscess dissolves, many patients develop a pilonidal sinus spontaneously or as a result of medical intervention. The sinus is a space that extends below the surface of the skin, opening to the surface by one or more small orifices. Although few of these sinuses heal without treatment, most patients require surgery. Chronic illness causes attacks with swelling, pain and discharge. Surgical treatment is always necessary to treat this condition.

Treatment Methods

Depending on the stage of the disease, local treatment and baths, hair removal, crystallized phenol application, as well as surgical methods can be used in the treatment of hair rotation. In patients with very new, small, midline 1-2 sinuses, this can only be reversed with epilation and local care / baths.

When the problem is more common and deep, hair removal / pit excision / sinus removal with local anesthesia (micro sinusectomy) or crystallized phenol is performed. Although there are short and painless procedures that do not require hospitalization, these methods should be applied by experts.

In cases where non-operative methods cannot be applied, various interventional methods are applied to the patients.

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