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Medication for fungal infection in groin - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
Doctor :   Hi
Doctor :   Drxxxx here
User :   hi, did you read my question?
Doctor :   No. I do not see it, kindly retype
User :   Hi had a fungal rash on my ankles (athlete's foot, i guess). It was treated and appears to be gone. Now I have a dull ache in my groin area, an ache in my testicles and discomfort while urinating. My wife clearly has what looks like jock itch. A nurse friend of mine says we both have a bad fungus even though I have no outer appearance of it. Thought?
Doctor :   Do you too have the lesions what your wife has ?
User :   I have no lesions. Is it possible for jock itch to be entirely internal?
Doctor :   Not at all , its purely an external superficial fungal infection .
User :   My wife's doctor took a biopsy of the affected area on her and we are awaiting lab results. My nurse friend put me on tetracycline in the meantime.
Doctor :   What I am doubting in you is the inflammation in the inguinal lymph nodes, which happens to occur and stay even when any bacterial or fungal infection affects the lower limbs
Doctor :   thats good, she has covered you for bacterial STD and also against some fungal infections
Doctor :   continue and finish the course of tetracyclines
User :   How long do you think I should stay on it? Can tetracycline make fungus worse, like when women get yeasy infections from it? Should we also take dyflucan?
Doctor :   How many days of it have you finished , and what was her advice ?
User :   We just started yesterday. She said that these fungi are hard to kill and that we should take the tetra for 4-6 weeks.
Doctor :   thats more , take it only for 4 weeks
Doctor :   they are known to have toxicity
Doctor :   2 to 4 weeks is the preferred dosage
User :   What about Dyflucan?
Doctor :   Need of Dyflucan ( flucanazole ) should be determined only after confirmation of active fungal infection
Doctor :   do not take it till you are on Tetra
Doctor :   both have side effects which can add up
Doctor :   i thing she has put you on tetra specifically to cover for LGV since you have pain in the groin and teticles
Doctor :   think*
User :   Ok, thanks. How long should we wait if no results from tetra before further testing?
Doctor :   Tetra is a fast working one , expect it to disappear within you finish the course say a 4 week one
User :   ok. thanks.
Doctor :   Is there anything i can help you with ?
User :   Oh, can we have sex if we use protection?
Doctor :   Yes, but better washing or bathing after sex would be advisable
User :   understood. thanks again. have a wonderful day.
Doctor :   Thanks for consulting me , kindly provide your feedback
Doctor :   Bye for now
Doctor :   Have good time ahead , take care
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