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Cause and remedy for dermatophyte infection on the groin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1706 Questions
User :   My inner thighs an but cheeks itch extremely ,when I scratch them they swell tremendously .I believe I've made it spread to my groin area by scratching my groin area after scratching thighs an butt ,now I have what looks like boils on my balls but not boils,an they also itch extremely, also I have two progressing red patches on the tip of my penis. What could this be? An what do I need to cure it????
Doctor :   Hi
Doctor :   let me read
Doctor :   from how many days do you have this ?
User :   About two months of the itching ,an I've been at two different water parks in the past two weeks that's when my groin area began to be infected
Doctor :   is there any redness of the area ?
User :   The redness is on the tip of my penis in two patches
User :   It looks like a third one is developing
Doctor :   does that red patch on the tip of penis also itch ?
User :   It does not itch like the thighs an butt
User :   No
Doctor :   on the but and thigh where there is itching is there discoloration of the skin ?
User :   No not really
Doctor :   it seems you have developed a dermatophyte infection of the superficial layers of skin around the groin the but and thigh area
User :   What is that
Doctor :   may i know your age and location ?
User :   31 XXXXXXXX XXX
Doctor :   ok
Doctor :   it is the superficial layer infection of the skin by a group of fungal organisms
User :   What do I need to do to cure it an how long shoild it take???
Doctor :   it takes some time for the skin infection to get cured
Doctor :   you can apply Micatin cream twice a day for 2 to 4 weeks
Doctor :   to reduce the itchiness you need to apply caladryl lotion
Doctor :   Micatin cream will not reduce the itching but it will cure the infection
Doctor :   caladryl lotion will provide the relief from the itching
Doctor :   it will take approx 4 weeks for the infection to get cleared, though the itching might disappear with in a week or so.
Doctor :   so you need to apply atleast 4 weeks continously
Doctor :   if the itching persists beyond 1 week of regular application you need to contact a dermatologist as you might require low potency steroid to control itching and it is prescription only medication
User :   Will clotrimazole 1% help??
User :   Hello doc
User :   Doc?
User :   Is micatin sold otc??
Doctor :   yes it is sold otc
Doctor :   yes it helps
User :   Will clotrimazole 1% help this
Doctor :   yes it helps in clearing the fungal infection
User :   Wich works more effectively
Doctor :   micatin is cotrimazole only
User :   ???
Doctor :   i did not understand your question
User :   Wich works better
Doctor :   micatin works much better than the co triamazole
User :   I have cotrimazole already , should I get micatin instead??
Doctor :   both are belong to same family and the difference is very much minimal
Doctor :   from when you are applying cotrimazole ?
User :   Just two days
Doctor :   if you have started to use the co trimazole continue to use the same for the next 4 weeks
Doctor :   apply it twice a day
Doctor :   also apply caladryl lotion
Doctor :   consume tab actifed plus one tab in the night for the next 7 days
User :   Is it ok if it gets in penis tip? An is actifed sold otc?
Doctor :   yes it is sold otc
Doctor :   it is not good to have infection any where in the body be it tip pf penis or other part.
Doctor :   this infection do not cause much harm
Doctor :   only problem it take long time say 4 to 6 weeks to clear
Doctor :   and if the treatment is discontinued in between the chances of recurrence is high
User :   Should I discontinue sex even with the use of latex
Doctor :   it it is itchy than need to discontinue till it get cleared
User :   What causes this??
Doctor :   it is usually fungal infection
User :   How long does it take to see results
Doctor :   symptomatically the itch should disappear in a week
Doctor :   for complete cure it may take 6 to 8 weeks
User :   During treatment should it progress or fade away
Doctor :   it should fade away
User :   An what if progresses?
Doctor :   but the thickening of skin and dark coloration will remain the same for quite long time
Doctor :   if it progress you need to undergo investigations like scraping of the patch and see under microscope
Doctor :   for which you have to see a dermatologist
User :   Thanks doc
Doctor :   thanks for consulting health care magic
Doctor :   bye for now
User :   If any further ??s will I be talk in to you
Doctor :   yes sure
Doctor :   we are available 24/7
User :   Can it be spreaded having sex
Doctor :   you can login any time with your query
Doctor :   usually it wont spread by sex
User :   Will mixing the two cremes be ideal??
Doctor :   no it is not the correct way of using the medicines.
User :   Is the itchy spots on the scrotum the same as the others
Doctor :   usually its the same infection will be present in in one entire region - it is rare to have mixed infection
User :   Again what causes this type of an infection
Doctor :   it is fungal infection - it belongs to a group called dermatophytes
User :   Does that mean I was exposed to fungi somewhere
Doctor :   yes
User :   Most likely where would one get this type
Doctor :   the fungi is present in the environment every where. people indulged in some activity like sports, using community swimming pools, gym center etc are at higher risk of getting these infections
User :   So I should not punish my wife for this?
Doctor :   it is not sexually transmitted
Doctor :   it is transmitted by contact
User :   What is beta-val 1% used for
Doctor :   to reduce itching and inflammation
User :   I should not use this
User :   Could this be called balanitis????
Doctor :   it can be used and once the itching stops you can stop the application of the cream
Doctor :   balanitis is nothing but infection of the penis head
Doctor :   since you have two patch on penis head it is called balanitis
User :   Last ? What should I do for most effective results???
Doctor :   strict adherence to the instruction given in usage of medicine for the said duration
User :   Thanks!!
Doctor :   if with in one week the itching do not decrease and or if the lesion progress than to see a dermatologist for the investigations
Doctor :   thank you for consulting health care magic
Doctor :   do you have any more query ?
User :   Let me ponder
User :   Pondering
User :   Will eating yogurt an vinegar salt baths speed up the process
Doctor :   no
User :   Should I apply the caladryl lotion an creme to same areas on top of eachother
Doctor :   yes you can apply first apply the micatin and then can apply caladryl
User :   No further ?s at this time doc
Doctor :   ok than
Doctor :   bye for now
User :   Is this c
User :   Is this easily spreaded
Doctor :   yes it can spread by scratch
User :   U said I could not pass thru sex so how can u get this from someone else
Doctor :   and with prolonged contact with the infected substance
Doctor :   if you get into a swimming pool which is infected with pathogenic fungi and if there is an opportunity they can cause infection in you
User :   Can u give ex. Of substance
User :   What do you mean opportuniy
Doctor :   the pathogen in swimming pool water and you get into the swimming pool and the pathogen comes into contact with your body repeatedly - this is opportunity
Doctor :   did you follow ?
User :   Yes But Why would this not effect everyone???
User :   In the group
User :   I understand I w
Doctor :   depends on the individual genetic make up and the immunity
User :   Does this mean that my immune system is weaker than it should be??
Doctor :   to put in other way it was not prepared for this fungal infection
User :   After infection how Long is incubation period
Doctor :   it varies from few days to several weeks
User :   What follow ups would you advise
Doctor :   first is the treatment and after looking the progress of the treatment follow up is suggested
User :   Should I be tested for accuired immune diffenchency syndrome????
Doctor :   is there a proved immune deficiency in you has it been confirmed with tests /
User :   No
Doctor :   than you no need to worry
User :   If I sratch infected area an touch someone with un washed hands can it be spreaded that way??
User :   Hello
User :   Hello
Doctor :   no it cannot spread if the hand is washed
User :   Thanks
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