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Crack in buttocks, painful, itchy. Can you offer a solution?

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Practicing since : 2001
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hi, i frequently develop a slight crack between my butt cheeks toward the top of my butt, not very close to the rectum...can you offer a is somewhat painful and rather itchy.
thank you.
Posted Tue, 17 Apr 2012 in Digestion and Bowels
Answered by Dr. Rakhi Tayal 2 hours later
Thanks for posting your query.
A painful and itchy crack on the butt can be due to eczema, dry skin-xerosis, dermatitis, fungal infection, etc.
I think it would be reasonable to start with the topical cream containing an antifungal- cotrimazole, an antibacterial- neomycin or mupirocin and a steroid- hydrocortisone. You can get such a combination over the counter at your local pharmacy. Most of such rashes show improvement on thrice daily application for one week.
If you do not have good results I think you need to consult a good dermatologist who would do a scraping of the skin and look under the microscope to see what might be going on in order to consider other treatments.
In the meantime, I recommend you to use general cleanliness measures to avoid any infection in that area. Avoid scratching or handling the region with barefingers.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Rakhi Tayal.
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