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Dr. Andrew Rynne

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What causes rash on scrotum?

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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4168 Questions

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Posted on Sat, 23 Aug 2014 in Skin Hair and Nails
Question: I came down with a severe scrotum rash yday after playing golf. It burns and hurts. Leaving for vacation tomorrow and need a quick fix. Thx. XXXXXX
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Answered by Dr. Sanjay Kumar Kanodia 4 hours later
Hi, It can be fungal infection at the crotch area. - Wash your genital area with mild soap. If it is causing irritation then can do cold compression or warm water compresses according to the weather condition. Do not sit continuously for long hours. -Don't try to scratch or rub the area as can lead to further aggravation of the problem.
apply latest anti-fungal creams such as "Sertaconazole"
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sanjay Kumar Kanodia 5 hours later
Is this an over the counter cream? Known by any other name, brand?
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Answered by Dr. Sanjay Kumar Kanodia 1 hour later
Brief Answer:
"Lotrimin" or "Nizoral" cream.

Detailed Answer:
Hello dear fellow,

Welcome again and thanks for follow up.

As I analyzed your query and correlating with facts it appears that you are suffering from fungal infection at affected area.

Fungal infections are common type of infections which can affect anybody at any site. But more commonly it affects the areas which are more prone for moist areas (as in your case). More specifically these are related to the hygiene and environmental factors along with certain systemic complaints as in hormonal problem such as diabetes.

Due to moistness it leads to growth of fungus at moist testicle area. By repeated touching or by scratching the area it leads to more irritation.

For the betterment kindly follow the suggestion below:

- Wash your genital area with mild soap.

- If it is causing irritation then can do cold compression or warm water compresses according to the weather condition. Do not use any home remedies or steroid creams as it can irritate your skin on higher side and secondary infection.

- Keep your self away from hot and humid climate.

- Take two times bath.

- Wear cotton clothes and cotton undergarments to be changed two times a day. Do not wear any synthetic or tight garments.

- Do not sit continuously for long hours.

-Don't try to scratch or rub the area as can lead to further aggravation of the problem.

For the treatment part -

In my patients I suggest them to apply latest anti-fungal creams containing "Sertaconazole" or "clotrimazole" or "ketoconazole" according to medical advise.

I searched out for your location and it is coming at XXXXXXX United states. I am sorry to say that I was not able to find out over the counter brand for Sertaconazole.

So as an alternative you can use "clotrimazole" or "ketoconazole" available as "Lotrimin" or "Nizoral" cream.

Apply in lowest and thinnest psosible amount. A rule of thumb is - a pea size amount is sufficient for palm size area.

Do not over apply!!!

For the irritation and burning sensation I also suggest my to take oral anti histamine like loratadine (available over the counter as Claritin) two times a day under medical advise if there is moderate to severe itching is present.

In most of the cases the application of cream is required for short period of time and after that simple hygiene maintenance works the best for prevention of recurrence

You can follow the above regimen for 3-4 days and if benefit occurs can follow the same for next 10-14 days. If the rash still persists then can meet a dermatologist for further help if required.

I hope these information will help you. If you have further queries I will be happy to help.

"Wish you good health and early recovery from the problem"

Regards,
Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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