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Have severe itching in groin region. Itch erupts when walk. Used Clotrimazole. Help?

Dec 2013
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Practicing since : 2002
Answered : 4168 Questions
Hello doctor,

I have severe itching in the folds of my groin region. The area between by legs and the testicles and one particular spot at the under belly of the scrotum. There is no redness or other abnormal kind of skin. The itch erupts only when i walk or there is some kind of movement between my legs and the groin area. I have used Clotrimazole and Beclomethasone dipropionate oinment thinking it might be a fungal infection but of no use the itching is still there. The hair in that area also aggravates the itching while walking when it grazes along the skin there. Please help.
Posted Mon, 10 Jun 2013 in Skin Hair and Nails
Answered by Dr. Sanjay Kumar Kanodia 57 minutes later

Welcome and thanks for posting your query to XXXXXXX

Myself Dr S K Kanodia and will try to provide you the best of information regarding your query.

After reading the brief history of your problem, I can make out the best possibility of mild form of "intertrigo".

This condition is characterized by mild inflammation (irritation) of the folds of skin. As in your case the fold of skin between legs and the testicles (known as crural folds) are inflamed.

The simple reason behind its cause is because of moisture crated by sweating and then further mixed infection by bacteria and fungus. As we know that this is the area of body which remains always covered so is most prone for these kind of infections.

The application of Clotrimazole and Beclomethasone dipropionate ointment do give good relief but will not cure it completely. This is because the condition is known for relapses and recurrences because of various factors such as heat, humidity, moisture and sweating.

There are certain measures which can be done to reduce the chances of its occurrence:
1. Wear cotton clothes and especially cotton undergarments.
2. Change your undergarments two times per day.
3. Take two time bath.
4. Use two towels during bath. One you use immediately after bath and the other is to be used to soak the rest of the moisture present on the body.
5. Do not wear the undergarments or clothes immediately after bath, but goe soe of the time (at east 5-10 minutes) to let your body gets dried.
6. Stay away from environment of heat and humidity.
7. Reduce your weight if you are even slightly overweight or obese. This is one of the very important factor to cause this problem.

If you are not getting better by above measures then simple salt baths or we say it saline compression do wonders to reduce this problem. It is simple measure where you take one glass of warm water and add a pinch of salt in it. Do compression with a small towel soaked in that water for 3-4 times (for 5 minutes each) if the condition is more bothersome or just for one or two times if the condition is just starting.

The cream which you are applying is also good measure to treat your problem. But it is not a permanent solution. A very thin layer of the cream is to be applied and that too for two times only not beyond 5-7 days. A simple rule of thumb we follow is -a pea size amount on finger tip is sufficient for palm size skin. So kindly check if you are applying cream for longer time or in higher amount.
Antiperspirant powder also give good relief form the one the causative factor that is sweating. you can use it for 2-3 time sin day.

Still if you are not getting better or the condition is aggravating then you can consult a dermatologist who can guide you for the oral treatment if required for the same.
Hope I have answered your query. If you have any further questions, I will be happy to help.

Wish you good health.

Dr Sanjay Kumar Kanodia
(MD- Dermatology & STD)
Above answer was peer-reviewed by
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