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I have a tear from above minus that runs vertical

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Posted on Sat, 16 Mar 2019
Question: I have a tear from above minus that runs vertical up between my butt cheeks toward my lower back it’s very large very red it’s just like my skin has split open what should I do
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Answered by Dr. T Chandrakant (39 minutes later)
Brief Answer:
Please give details and post actual photographs if possible.

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
Please give additional information for me to assist you better:
Your age and gender?
Since when has this happened?
Any pain, discharge?
Any medical problems related to intestinal tract, diabetes or so?
Are you working/staying in hot and humid conditions.
If possible please post clear and focused photos as this helps in many a cases.

Awaiting for your feedback.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (7 minutes later)
I am a 47 here old female I have psoriatic arthritis. I have use my psoriasis wait meant that did not help I have use Neosporin and it has provided some relief but not healed it. I’ve tried washing it frequently during the day and padding it dry but the tear seems to be getting longer. It goes from my anus up to just the top of where my buttocks is that my lower back
doctor
Answered by Dr. T Chandrakant (37 minutes later)
Brief Answer:
Looks to be psoriasis and secondary infection

Detailed Answer:
Thanks for your feedback and image.
The commonest cause I can think of is Psoriasis of the inter-gluteal cleft.
This might have been added with the closed position of the cleft causing hte sweat and secretions getting accumulated further complicating the skin lesion.
You are correctly doing it: cleaning and keeping the area dry.
It is better to avoid ointments at the moment as they add on softening of the already diseased skin.
You may please apply Liquid Povidone Iodine (Betadine) locally to avoid/control secondary infection after a tests patch with a drop of it.
Also take multivitamins with mineral with adequate Vitamin A and D - as these help to restore the healing of skin.
A course of an antibiotic and metronidazole in low dosages helps if there is any secondary infection.
Please get all these things confirmed by consulting your Dermatologist as it will be examined and investigated well.
I hope you are not diabetic, please get blood Sugars and HbA1c checked.

I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
And give feedback after a consulting a Dermatologist and further results.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 18226 Questions

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I have a tear from above minus that runs vertical

Brief Answer: Please give details and post actual photographs if possible. Detailed Answer: Hi. Thanks for your query, albeit short and specific. Please give additional information for me to assist you better: Your age and gender? Since when has this happened? Any pain, discharge? Any medical problems related to intestinal tract, diabetes or so? Are you working/staying in hot and humid conditions. If possible please post clear and focused photos as this helps in many a cases. Awaiting for your feedback.