### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am a 31 year old woman who as of right now has yet another Pilonidal abcess in the crease of my buttocks.  The ones I get tend to become very big and painful the last one I had was back in January of this year so its only been a few months since my last one.  I take epsom salt baths 2-3 times a day and can usually have it gone with in 2 weeks.  My question to you is, is surgery the only answer to getting rid of these and or is there anything I can do to help prevent this from coming back.  The one I have now is almost ready to break but its putting a lot of pressure on my back and tail bone I was also told I would most likely need surgery, Im a little paranoid about this in regarding to it being in the back and the size of incision and the deepness of this if you could help me out that would be great.  Thank you.

### output:

Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, best suited treatment for the colonial sinus is the surgery. You can avoid the surgery for some time by taking antibiotics. This will give you temporary relief, but ultimately the surgery is the treatment of choice. In my opinion you should opt for surgery. Definitely surgery causes an incision gap, as it is very deep in the but crack, but for future this is the good option. I also advice you to take good care of the hygiene locally. Clean the area frequently with normal saline, detail. You should clean it every time you go for latrine. This will make very good cleaning impact. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.