Gluteal Sinus

GLUTEAL SINUS [ RIGHT ]... Case study

INTRODUCTION

It is a little hole or tunnel within the heal the buttock, where one side is open and the other side is blocked. Generally, open outside of the skin and ends inside of the organ or skin or any body parts.

It occurs within the cleft at the highest of buttocks. it's going to ooze pus and with blood and there could also be a filthy odor.

CLINICAL SIGNS

Seen one opening on the skin of the buttock

Pain at the time of standing or sitting

Blood with pus from the affected part

May form abscess with filthy odor alongside pus and blood

Swelling

Redness and soreness around the affected part

It May be acute or chronic

There could also be a low muttering fever for a few days.

MANAGEMENT

Regular washing the affected spare mild soap and clear carefully. Then dispense with CalendulaQ and lastly Calendula ointment for a fast recovery. keep always dry and avoiding sitting for a while.

CASE STUDY

Mr. Bhattacharjee,52y, Male from Birbhum

Present complaints [ 03.09.2016 ]

An abscess formed on the proper gluteal region following injection in May 2015. The abscess was surgically drained in June, but the wound didn't heal up, and a sinus formed at the location. This was again operated under general anesthesia during a local hospital. After three months of surgery, the abscess reappeared at an equivalent site, for which anti-tubercular treatment was given for 6 weeks. But the sinus persisted and now he has stopped all medication excepting local dressing of the wound with antibiotic powder.

Pricking pain at the location, worse sitting for an extended time.

Toothache from cold food and drinks.

Pain in the coccygeal region, worse sitting.

Past History

Recurrent shigellosis in childhood

Mumps in childhood

Severe scabies in childhood treated by Modern medicine

Generalities

Chilly, doesn't like fans.

Aversion to chilies

Sweat, especially on trunk and face and far

Desires for salted food, meat, warm food, eggs, raw onion

Thirst, moderate.

Mind, Suppressed anger, keen on seeing rainfall, thunderstorm.

CLINICAL FEATURES

BP- 132/82 mm of hg

Pulse- 70/min

Chest- Clear

Heart- S1>S2 audible(R)

Tongue- clean

Weight- 70kgs

INVESTIGATION

Pus culture revealed Staphylococcus aureus

USG right hip - Incomplete opacified tract medial to right hip, no communication with the hip. The radio-opaque probe shows its distal end almost reaching the left hip region.

First Prescription as on 03/09/2016

PYROGEN 200/2 one dose to be taken on two consecutive days within the morning on an empty stomach

As on 05/10/2016

No discharge from the sinus, but pin pricking sensation persists

2nd prescription

No medicines

As on 12/11/2016

Occasional soreness along the scare mark of operation

3rd prescription

Carcinosin 1M one dose in next day morning in empty stomach

As on 12/01/1017

No complaint, no troubles, no induration, no pain.

4th prescription

Carcinosin 10M one single dose in the next morning.

PATIENT WAS CURED