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Have red, itchy patch on perineal body, penis and posterior scrotum. Fluid comes from it. Treatment?

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Internal Medicine Specialist
Practicing since : 1999
Answered : 325 Questions
Hi - So, my issue is redness, itching, and a sweaty-like fluid that comes from the red patch. Its location contiguously spans the perineal body, bulb of the penis and posterior scrotum. Every morning when I wake up, the clear fluid that comes seems like it has crusted over....
Posted Sun, 2 Sep 2012 in Men's Health
Answered by Dr. Rajeev Chavda 7 hours later
Thanks for using the XXXXXXX I am happy to address your questions, have seen the photographs, it can be intertrigo or heat rash. An intertrigo is an inflammation (rash) of the body folds. It most commonly occurs due to bacterial,viral or fungal infection. An intertrigo usually appears red and raw-looking, and may also itch, ooze, and be sore. Kindly keep the area clean and apply some topical antiseptics. Also wear loose-fitting cotton clothing and use an antibacterial soap. Topical zinc oxide cream like Desitin are very helpful (apply with a paper towel and not directly with hands). For the itching please take some antihistamine like cetrizine. In case the symptoms persist then antifungals may be needed. Sweat or heat rash is characterized by small pimple-like eruptions on the skin, which are called 'papules'. These papules can be itchy or can cause a prickling sensation and may appear on any part of the body, most common being under the scrotum. Some types of sweat rash may cause severe redness of the skin or fluid filled vesicles. Normally, the sweat produced by the sweat glands travels through the sweat gland ducts and exit through the pores in the skin. If these ducts are blocked by dead skin cells or bacteria, like Staphylococcus epidermidis (commonly found on the skin) or are inflamed, the sweat gets retained under the skin of the affected area. This leads to irritation, a prickly sensation, itching and skin rash on the affected area. These rashes may also cause itching and look like tiny clear drops, which may rupture while scratching. To prevent this rash keep body cool, especially during hot, humid climates and while doing any strenuous physical activities and exercises that induce sweating. You may also resort to frequent showers with a mild soap. Regular scrubbing is effective in removing dead cells, which can block the sweat gland ducts. However, it is always better to consult a doctor to detect the exact cause of rash and the proper treatment. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks
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