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Suggest Treatment For Liver Cirrhosis And Rashes In The Genitals

Posted on Wed, 22 Feb 2017

Question: My Father is 78yrs old, he has cirrosha of the liver. He was in the hospital for 2weeks in Sept. He also has gout and has been trated for that. Now, he complaining of a rash in his gential area it is red and smells bad. It is between the creases of is legs , behind his gential sack and runs up his butt. There is only like clear discharge.

Answered by Dr. Dr. Kakkar (19 minutes later)

Brief Answer:
Intertrigo

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar (dermatologist). I have gone through your query and i have noted your concern.

Most likely he has developed intertrigo which is inflammation of the body folds due to moisture/ sweating which encourages growth of yeast/candida albicans.
I would suggest him to use an antifungal dusting powder e.g clotrimazole dusting powder. It would XXXXXXX keep the folds dry. In addition he may take an oral antifungal e.g tab. Fluconazole 150 mg once in a week for 4 weeks.

Regards

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

Follow up: Dr. Dr. Kakkar (7 hours later)

He does have very bad liver, can he take oral meds. In the hospital they think he may have cancer. But he refuses to find out.

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
Intertrigo

Detailed Answer:
Hi.

Ok. He can avoid fluconazole tablet as it is metabolised by liver.
He may use clotrimazole 1% + beclomethasone dipropionate 0.25% combination cream (clotrin B cream), twice daily in addition to antifungal dusting powder at night.

Regards

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

Follow up: Dr. Dr. Kakkar (16 hours later)

Okay I went to pharmacy, they said these things are not sold over the counter. Can you call the script in?

Answered by Dr. Dr. Kakkar (25 minutes later)

Brief Answer:
Use a plain antifungal cream

Detailed Answer:
Hello.

You may use plain clotrimazole 1% cream. I am sure it is available OTC.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

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