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Suggest Treatment For Armpit Rash

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Posted on Tue, 3 Oct 2017
Question: Doc, I have had an severe armpit rash for about 5 weeks. First for about 2 weeks then gone for about 1. Then repeat for about 2-3 weeks and gone for slightly less than 1 week. Now back again. Associated with a very pungent odor and zero perspiration. Used cortisone by the tube to control the intense burning. Less burning this week and stronger pungent odor (more musty and germs smelling). No change in diet, soap, laundry detergents, or anything else I can narrow down. Two showers a day and even rubbing alcohol wiped on to lessen the smell.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (39 minutes later)
Brief Answer:
Information

Detailed Answer:
Hello and welcome,

Your armpit rash may be a form of fungal infection like ring worm, or a yeast overgrowth. It may also be a bacterial skin infection. Fungal and yeast infections are more likely to return after being "gone" than bacterial infections are.

The cortisone can help with inflammation but it won't do anything for the infection, and can even allow infection to persist sometimes by lowering the local immunity of the skin.

I recommend going in to your doctor to be seen to tell whether it is fungal vs bacterial (or something else entirely, but most often these are fungal infections). If it is fungal or yeast, your doctor may prescribe a topical anti fungal/antiyeast cream. If the rash is severe and extensive, he/she may give you an oral anti fungal medication. I tend to stay away from oral unless absolutely necessary as it goes through your whole system so more chances of side effects.

You can also try an over the counter topical anti fungal cream that covers both yeast (candida) and funguses such as ring worm, and see if that takes care of it.

Be sure to wear cotton undershirts or shirts and allow as much air circualtion as possible.

Rather than rubbing alcohol, you can mix a little Tea Tree Oil with water and apply that too. It has a strong smell, but is not unpleasant. It has anti fungal properties and can work over time, but unlikely to work as quickly as an anti fungal cream.

If the rash is hot and spreading, then don't fool around with trying over the counter anti fungal creams, as it may bacterial and an antibiotic would be needed.

I hope this information helps. Please let me know if I can provide further information.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (7 minutes later)
Thank you. Was suspecting fungal based on smell. Will try a cream fir a few days or more, then get to my doctor.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (9 minutes later)
Brief Answer:
ok

Detailed Answer:
Sounds good. One other thing: help your immune function to combat this by getting good sleep, good nutrition, and avoiding alcohol and sugars.

Best regards,
Bonnie Berger-Durnbaugh, MD
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Suggest Treatment For Armpit Rash

Brief Answer: Information Detailed Answer: Hello and welcome, Your armpit rash may be a form of fungal infection like ring worm, or a yeast overgrowth. It may also be a bacterial skin infection. Fungal and yeast infections are more likely to return after being "gone" than bacterial infections are. The cortisone can help with inflammation but it won't do anything for the infection, and can even allow infection to persist sometimes by lowering the local immunity of the skin. I recommend going in to your doctor to be seen to tell whether it is fungal vs bacterial (or something else entirely, but most often these are fungal infections). If it is fungal or yeast, your doctor may prescribe a topical anti fungal/antiyeast cream. If the rash is severe and extensive, he/she may give you an oral anti fungal medication. I tend to stay away from oral unless absolutely necessary as it goes through your whole system so more chances of side effects. You can also try an over the counter topical anti fungal cream that covers both yeast (candida) and funguses such as ring worm, and see if that takes care of it. Be sure to wear cotton undershirts or shirts and allow as much air circualtion as possible. Rather than rubbing alcohol, you can mix a little Tea Tree Oil with water and apply that too. It has a strong smell, but is not unpleasant. It has anti fungal properties and can work over time, but unlikely to work as quickly as an anti fungal cream. If the rash is hot and spreading, then don't fool around with trying over the counter anti fungal creams, as it may bacterial and an antibiotic would be needed. I hope this information helps. Please let me know if I can provide further information.