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Suggest treatment for red irritated area on buttocks

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Posted on Tue, 19 May 2015
Question: The area of my buttocks where the two cheeks meet if very red and irritated. Also the area between by buttocks and my scrotum. In addition over the last couple days I have developed a rash on the inside of my upper thighs and the back and sides of my scrotum with many of the bumps having whiteheads. At first I thought it was simple irritation as I work on my feet close to 60 hours a week, but the rash and whiteheads have me worried it is something more serious. Is there a simple solution or should I visit an emergency room or attempt to book a visit with a dermatologist?
doctor
Answered by Dr. Rahul Kumar (3 hours later)
Brief Answer:
Fungal infection

Detailed Answer:
Hello,
Thanks for the query,
You might have developed fungal infection.
The area of groin is moist and is prone to develop these infections.
Treatment can be done with a combination of oral and topical antifungals.
Various antifungal powders are availabe.
These can help reduce the moisture as well as control the infection.
Please dont use any steroid, it can worsen your condition
I treat such cases with oral itraconazole and topical clotrimazole powder.
This gives excellent response.
You can try these in consultation with your doctor.
Just relax it's not an emergency.
If possible, please upload a photograph.
This will help me in confirming my diagnosis.
Let me know if you have any other doubt.
Wishing you good health,
Thank you
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Rahul Kumar (24 minutes later)
Thank you for your response. Are the itraconazole and topical clotrimazole available over the counter? I took pictures of the area, but I can not figure out how to upload them to this conversation. Is there an easy way to do so?

Also, with the medications you recommended, how long does this condition usually take to clear up?
doctor
Answered by Dr. Rahul Kumar (16 hours later)
Brief Answer:
Prescription drug

Detailed Answer:
Hello
These are prescription drugs.
You need to meet a doctor and get them prescribed.
It will take around 15 days for lesions to heal.
You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better. You can also send the reports/ image to YYYY@YYYY with the subject as 'ATTN: Dr. Rahul Kumar'."

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Rahul Kumar (5 hours later)
I uploaded pictures of the irritated area. I went to the local pharmacy and asked for the topical powder you recommended before I saw that it was prescription only and they recommended Lotrimin jock itch spray. Will this work? It is going to be very difficult for me to see a doctor with my work hours and the fact that I do not have any doctors in the area. Are there any other the counter remedies that will work? Are there any changes to my diet that will speed up recovery? Is it safe to continue physical activity such as running and hiking? Is it safe to continue sexual activity while this continues?
doctor
Answered by Dr. Rahul Kumar (12 hours later)
Brief Answer:
You can use Lotrimin

Detailed Answer:
Hello
Thanks for the follow up.
Yes you can use lotrimin.
It is clotrimazole Spray, an antifungal.
There is no need to do any alterations in diet.
It's better to avoid sexual activity till the lesions heal.
It is contagious and can spread to partner.
Running can cause more friction and aggravate your condition.
It's better to avoid physical activity.
Let me know if you have any other doubt.
Thank you
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6318 Questions

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Suggest treatment for red irritated area on buttocks

Brief Answer: Fungal infection Detailed Answer: Hello, Thanks for the query, You might have developed fungal infection. The area of groin is moist and is prone to develop these infections. Treatment can be done with a combination of oral and topical antifungals. Various antifungal powders are availabe. These can help reduce the moisture as well as control the infection. Please dont use any steroid, it can worsen your condition I treat such cases with oral itraconazole and topical clotrimazole powder. This gives excellent response. You can try these in consultation with your doctor. Just relax it's not an emergency. If possible, please upload a photograph. This will help me in confirming my diagnosis. Let me know if you have any other doubt. Wishing you good health, Thank you