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Suggest Treatment For Rashes On Buttocks

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Posted on Wed, 22 Jun 2016
Question: About a month ago, I got a rash on my buttocks. It looked odd because it was identical on both sides of the inner cheeks. The next week, I went to the doctor and was diagnosed with impetigo-- a result of shaving the area, wearing a thong and resuming a lot of physical activity during the day. The doctor gave me some cream to put on the area. The scab has fallen off but it's still a bit itchy and burning. I was told that is a result of the new skin beginning to form. I know it's weird but I'm a bit fearful this may be an STD.

I'd recently started to become physical with my boyfriend and performed unprotected oral sex a few days before I received my rash. However, we'd been doing oral for about 3/4 weeks total. I have yet to have baginal sex with a man and this is my first time venturing into anything sexual. I got tested for everything when I noticed the rash and it all came back negative. It was three weeks after our first encounter and one week after our last. He hadn't been in a relationship since last May and was tested before we started dating exclusively and he told me everything was negative. I haven't had any lesions on m genitals and no burning when I inurinate. However, I recently developed what I think is a yeast infection. I don't really know what caused it. It could be a result of all the stressing I have been doing about this situation. When I think back, I noticed an increase of discharge when I developed the rash. I just thought it was a result of my period that had ended a few days prior.

I just visited an Urgent Care facility and the doctor took two samples to rest for BV, syphilis, chlamidia and Trichinosis. However, I'm worried about herpes.

During my first visit to the ER, the doctor looked at this scab told me that she could see where I shaved in the scab and she didn't think it was herpes. Plus, a herpes outbreak wouldn't be completely symmetrical. Right? Also, I haven't had any lesions, sores or didficulty urinating. I just Googled and found out that some times herpes can se misdiagnosed as a razor burn or impetigo. I just don't get why it would be symmetrical. Am I being paranoid?

I have an appointment with my PCP next week. This would be about 5 weeks after our last oral encounter. I mentioned how scared I was to my boyfriend and we agreed to step back until was comfortable getting physical again. Should I get tested for herpes again?
doctor
Answered by Dr. Dr. Kakkar (23 minutes later)
Brief Answer:
I would consider a possibility of yeast infection/ 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

The rash on butt cheeks specially if it also involves the concexity i.e butt folds and is itchy and symmetrical could very well be a yeast infection/ intertrigo.
Genital herpes does'nt present with a confluent, itchy rash. It usually presents with painful or burning sores/ erosions which are small (i.e 2-3 mm in size). They may be grouped, discrete erosions. Moreover, itching is not a usual feature of genital herpes.
Yes, symmetricity is not a feature of genital herpes. Though it is a feature of yeast/ fungal infection, specially if the rash is on either side of the folds and is confluent. A picture of rash would have helped me confirm this possibility.
Anyways I would suggest you to use a topical antifungal cream e.g clotrimazole 1% cream Or miconazole nitrate 2% cream, twice daily specially since the impetigo should have resolved by now and therefore an itchy, persistent rash in body folds is more suggestive of yeast/ fungal infection.
You may also take a tablet of cetrizine 10mg once daily for symptomatic relief from itching.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (48 hours later)
Due to the moisture from the rash-- even thought the scab is gone and mostly healed' I've been wiping extra hard after using the restroom. I think I may be getting a hemhroid.

Is this normal?

I apologize for the rapid fire questions. It's just that everything is happening at once and this has been going on for a little over a month. I'm terrified.
doctor
Answered by Dr. Dr. Kakkar (18 hours later)
Brief Answer:
Haemorrhoids are unrelated

Detailed Answer:
Hi.

Haemorrhoid is entirely unrelated. If you do have a haemorhoid, it is just coincidental. Avoid constipation. Drink lots of water and take lots of roughage.
Visit a doctor for a confirmatory diagnosis on haemorrhoids.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (3 hours later)
I went to the doctor and she gave me Diflucan for a yeast infection. I took the first dose and was told to take the second in three days. Can this affect my period? I got the medicine and started my period the same day. Now, it's the third day and it's almost gone. My period is normally heavier and lasts around 5/6 days. Is this normal?
doctor
Answered by Dr. Dr. Kakkar (11 hours later)
Brief Answer:
Fluconazole does nt affect menstural cycle or flow

Detailed Answer:
Hi.

Fluconazole (diflucan) has no effect menstural cycles. Some irregularity in menstural cycles or flow could be because of concomitant stress. Anyways, i think that the rash would respond to fluconazole. It would be even better if you also use a topical antifungal cream e.g clotrimazole 1%cream Or miconazole nitrate 2% cream along with the oral antifungal.

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. Prasad
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Rashes On Buttocks

Brief Answer: I would consider a possibility of yeast infection/ 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 The rash on butt cheeks specially if it also involves the concexity i.e butt folds and is itchy and symmetrical could very well be a yeast infection/ intertrigo. Genital herpes does'nt present with a confluent, itchy rash. It usually presents with painful or burning sores/ erosions which are small (i.e 2-3 mm in size). They may be grouped, discrete erosions. Moreover, itching is not a usual feature of genital herpes. Yes, symmetricity is not a feature of genital herpes. Though it is a feature of yeast/ fungal infection, specially if the rash is on either side of the folds and is confluent. A picture of rash would have helped me confirm this possibility. Anyways I would suggest you to use a topical antifungal cream e.g clotrimazole 1% cream Or miconazole nitrate 2% cream, twice daily specially since the impetigo should have resolved by now and therefore an itchy, persistent rash in body folds is more suggestive of yeast/ fungal infection. You may also take a tablet of cetrizine 10mg once daily for symptomatic relief from itching. Regards