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Treatment For Fungal Infection Of Skin
Question: Hi,
After doing some research I believe I have a Pilonidal sinus/ dimple. About 6 months ago I felt slight discomfort while sitting and noticed after self examination a hold/slit right below my tailbone. I thought it was a blemish so I squeezed and it popped. After cleansing the area I felt fine until last week. I do not have any pain or discomfort however It appears there is a weeping or slight oozing coming from that area and I noticed because it gave me a slight "diaper rash affect" on the inside of my butt cheeks. (I originally thought it was just perspiration) After taking the attached photo's I noticed the slit I originally saw has a very very small pin hold a half an inch above it. All the info I can find online is for Pilonidal cysts and from those symptoms I don't believe I have a cyst anywhere, also as I mentioned there is no pain or discomfort. I have shaved and cleansed the area and soaked in a bath today since there is obviously a slight infection/irritation. After which I used a Qtip to put peroxide on the opening followed by a dab of tea tree oil. Is there any suggestions you could give on over the counter products or methods I could use to clear this up, and perhaps prevention methods incase this happens again? thank you in advance.
XXXX
Brief Answer:
This is a fungal infection
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about these symptoms you have reported. I have reviewed the information and attached images. This is clearly a rash with active borders and central clearing. This is typical of a fungal infection. Typically, it would itch especially when you sweat.
Treatment is topical fungal cream like clotrimazole. Apply twice daily after baths for 10-14days. Was and disinfect your dresses
A pilonidal cyst is a more complex condition. It presents with an infection that constantly drains pus. There is just no reason to suggest that from the information and images I have reviewed. If there is any pus draining, please let me know.
I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.
Dr. Ditah, MD.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr. Ditah,
Thank you for your quick reply. The small rash on the inside of my buttocks is clearing I have used the clotrimazole cream twice and that already looks better. There is a small amount of pus that seems to be draining from the small sinus/hole below my tailbone in the photo. I have been soaking in epsom salt which seams to be helping drain whatever mild infection is in there. Its not alot but I have been placing a small amount of tissue in between my crevasse to absorb the weeping. After cleaning should I also be putting the clotrimazole cream on that area where the pus is mildly coming from as well?
Best,
XXXX
Brief Answer:
Happy to hear it is clearing already
Detailed Answer:
Hi and thank you so much for this update.
If pus is coming from the inside, then there is probably a bacteria infection that has made it way through the opening created by the fungal wounds. it would need appropriate wound care and maybe antibiotics to address this. I will advice that you visit your doctor for examination, wound care and maybe some antibiotics.
I will not want that we take any chances. Fungal alone would not cause pus to drain fro the dimple. Just get it examined and let's be clear about it.
I wish you well.
Thanks.
Dr. Ditah, MD.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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