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Pregnant, have red, raw and itchy rash between the legs spreading to the butt cheekscausing difficulty in walking. No relief with lanacane, baby powder. What can be done?

I am 28 weeks pregnant and every day I get a rash between my legs where my pants seam meet and rub on my skin. I thought nothing of it, and just treated it like runner s rash since that s what I thought it might be, Now it seems to have spread to between my butt cheeks. It is red and raw and itchy, and lanacane and baby powder don t seem to help. It s painful to walk. What should I do?
Asked On : Fri, 29 Jun 2012
Answers:  1 Views:  940
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General & Family Physician 's  Response
Hi, Your rash could be a result of weight gain around the thighs and butts, causes them to rub . However, since this has spread to the butts, there could be a possibility of infection. A more detailed history (presence of pain, description of rashes, rashes anywhere else on the body, discharge from vagina, sexual history, sharing shorts with friends, etc) and physical exam is warranted here.
Here are a couple of things that can be done to help:
1. Wear loose dresses (skirts, frocks), loose undergarment and change them frequently to maintain good ventilation. Keep the area dry.
2. Stop using the baby powder or any other female hygiene product as these products can interfere with the pH of your vagina, thereby putting you at risk of infection.
3. Antibiotic ointments can be used depending on the presence and type of infection but for this you will need a physical exam first. It could be a yeast infection. If there are blisters , it could be herpes and so on. In case of infection, any delay in treatment can lead to worsening of condition.
3. Take note of any pus, discharge, abrasion, vesicles, spread. If any of these present (in your case it is spreading), you should see a doctor at the earliest.
4. Use condoms and maintain good perineal and sexual hygiene.
5. Drink lots of water to prevent potential UTI or to flush out any urinary tract infection
Answered: Fri, 29 Jun 2012
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