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How Long Should Medication Be Taken For Fungal Infection On Buttocks?

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Posted on Fri, 19 Sep 2014
Question: I have a fungal issue on my buttocks and I have been to a Dr. and she prescibed Nystop powder, Nystatin cream 100,000 units per gram, and 2 different rounds of fluconazole 150 mg tablets. My question is When is it going to go away completely? When I feel it is almost gone it comes back and now the clear oozing won't stop and its hard to apply the meds becasue it gets too wet.
doctor
Answered by Dr. Roopa Hiremath (1 hour later)
Brief Answer:
Antifungal therapy needs to be taken for 6 weeks

Detailed Answer:
Hi,

Thanks for choosing health care magic.

I understand your concern regarding fungal infection and its recurrence.

Your treating doctor has rightly treated you with effective anti fungal therapy.

Many patients respond within two weeks to this therapy but treatment should be continued at least for 6 weeks to prevent recurrence.

Few tips you can follow for faster healing:
1. Dry the affected area by wiping it with a clean towel and then apply the medicated powder/cream over the infected area.
2. Cover at least 2 cm of normal skin around the lesion with the medication for faster healing.
3. Topical application should be continued for at least a week after the symptoms disappear to prevent recurrence.
4. Avoid tight underwear and try to keep the affected dry as much as possible.

If your lesions do not heal after 6 weeks, you need to get a fungal culture and sensitivity done to find appropriate antifungal therapy to be used in your case as there is chances of resistance to anti fungal drugs.

I hope I have helped.

Please get back if any more queries.

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Roopa Hiremath (9 minutes later)
I have dealt with this on and off for 3 months. What is the oozing and how do I prevent it. None of the meds she gave me help while it is oozing
doctor
Answered by Dr. Roopa Hiremath (32 minutes later)
Brief Answer:
Oozing is one of the symptoms

Detailed Answer:
Hi,

Welcome back.

I understand your distress about the ooze, but it is one of the symptoms of tinea infection or fungal infection.

Some ooze could also be due to application of topical cream, as it has a oily base.

Please use a clean towel to wipe the ooze and then apply the medications over the affected area.

The ooze will reduce once the infection starts healing.

Please do not discontinue the prescribed antifungal therapy and the lesions will heal soon.

However, you can discuss the option of fungal culture and sensitivity with your treating doctor for more effective therapy if you are not responding appropriately to the prescribed medications.

Also keep the infected clean and dry as much as possible as there are chances of superimposed bacterial infection if hygiene is not maintained.

Please let me know if I can assist you further.

Thanks.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Roopa Hiremath

Infectious Diseases Specialist

Practicing since :2002

Answered : 877 Questions

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How Long Should Medication Be Taken For Fungal Infection On Buttocks?

Brief Answer: Antifungal therapy needs to be taken for 6 weeks Detailed Answer: Hi, Thanks for choosing health care magic. I understand your concern regarding fungal infection and its recurrence. Your treating doctor has rightly treated you with effective anti fungal therapy. Many patients respond within two weeks to this therapy but treatment should be continued at least for 6 weeks to prevent recurrence. Few tips you can follow for faster healing: 1. Dry the affected area by wiping it with a clean towel and then apply the medicated powder/cream over the infected area. 2. Cover at least 2 cm of normal skin around the lesion with the medication for faster healing. 3. Topical application should be continued for at least a week after the symptoms disappear to prevent recurrence. 4. Avoid tight underwear and try to keep the affected dry as much as possible. If your lesions do not heal after 6 weeks, you need to get a fungal culture and sensitivity done to find appropriate antifungal therapy to be used in your case as there is chances of resistance to anti fungal drugs. I hope I have helped. Please get back if any more queries. Thanks.