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Suggest Treatment For Persistent Sores Under The Breasts
Question: Sores under breasts for 3 weeks. On nystatin cream and doxycycline for 8 days-getting worse-more sores. Do I need an oral pill for yeast infection?No culture was done. I dismissed my PCP and could only get an appt. with dermatologist in November.
Brief Answer:
reduce friction, moisture, heat, treat inflammation,fungi, bacteria
Detailed Answer:
HI, thanks for using healthcare magic
Inflammation in the body folds is called intertrigo. Worsened by heat, moisture and friction (folds rubbing against each other)
This can then be infected by bacteria and/or fungi.
Treatment to consider:REDUCING FRICTION
(1) keep the folds separate as much as possible with cotton or linen material (these are cool materials)
(2)barrier protection - need to use a barrier protection agent to further prevent contact between affected folds eg zinc based creams or petrolatum.
These would form a barrier on each surface to prevent interaction
MOISTURE
(1)Wear cool non restrictive cooling, when at home, if it is possible, reduce clothing to decrease heat to the area or make sure temp set to lower levels
FUNGAL
(1)use an antifungal powder instead of the cream- the cream would add to the moisture eg zeasorb or lotrimin
BACTERIA
(1)Continue the use of the doxycycline
INFLAMMATION- (intertrigo is inflammation of the folds)
(1) consider use of a mild topical steroid for a few days eg hydrocortisone
I hope this helps,feel free to ask any other questions
reduce friction, moisture, heat, treat inflammation,fungi, bacteria
Detailed Answer:
HI, thanks for using healthcare magic
Inflammation in the body folds is called intertrigo. Worsened by heat, moisture and friction (folds rubbing against each other)
This can then be infected by bacteria and/or fungi.
Treatment to consider:REDUCING FRICTION
(1) keep the folds separate as much as possible with cotton or linen material (these are cool materials)
(2)barrier protection - need to use a barrier protection agent to further prevent contact between affected folds eg zinc based creams or petrolatum.
These would form a barrier on each surface to prevent interaction
MOISTURE
(1)Wear cool non restrictive cooling, when at home, if it is possible, reduce clothing to decrease heat to the area or make sure temp set to lower levels
FUNGAL
(1)use an antifungal powder instead of the cream- the cream would add to the moisture eg zeasorb or lotrimin
BACTERIA
(1)Continue the use of the doxycycline
INFLAMMATION- (intertrigo is inflammation of the folds)
(1) consider use of a mild topical steroid for a few days eg hydrocortisone
I hope this helps,feel free to ask any other questions
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
Answered by
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