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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Itching On Scrotum And Anal Area, Burning Feeling. Diagnosed Atopic Dermatitis. Relief From Betnovate Zinc Sulphate Cream. Remedy To Stop Steroids?

i have a problem of severe itching on scrotum and anal area which started about 2 yars back.There was acute intense itching in the area after a treatment for fungus infection.Antifungal ointment was used for a period of three months after which this problem occurred suddenly. docor told me it is atopic dermatitis. There os no change in colour, or inflammation .only severe ithcing all over scrotum , between thighs and anal area.doctor advised to apply pacroma. but no relief.problem reduced to tolerable level after continous ue of flucort ointment. after about six months of use, changed over to betnovate-zinc sulphate cream which gave me relief from itching. i was using it regularly. if i stop for 3-4 days, itching starts again. the entire area is having a burnt feeling always. but if i use the cream, there is not itching. Kindly advise how to get rid of this problem and avoid usage of steroid creams.
Wed, 24 Jul 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Perineal area itching is most common and usually it is due to unhygienic condition.
Steroid is not a treatment but it is symptomatic relief provider.
Take care of personal hygiene.
Now this as,
Take 2-3 gms of potassium permaganate add this into boiled water , now cool it wash , cleanse with dry towel ( do not rub).
Now wash it with a soap ( ingredients are coal tar 1%+salicylic acid 3%).
Again wash and use dry towel.
Now apply calamine lotion locally.
Use fexofenadine 180 mg / day for 10-15 days.
Use ivermectine 12mg + albendazole 400 mg ( tablet form) one tablet on alternate day for one week.
In my opinion you will get complete relief.
Try it for three months.
Scrotal skin have rugae ( fold ) so clean them with fingers .
Good luck.
Dr. HET
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Allergist and Immunologist Dr. Suman Kumar's  Response
the atopic ermatitis is allery and allergy can decelop at any time at any age with any substance
you need to know about the allergy cause you need to consult allergy specialist who will help you to know the cause of allergy may ne foods drugs contact materials and pollens by getting blood serum test for specific antibodies for the allergens and he can treat accordingly
til you canapply antiallergic ointments and tab to control it
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Severe Itching On Scrotum And Anal Area, Burning Feeling. Diagnosed Atopic Dermatitis. Relief From Betnovate Zinc Sulphate Cream. Remedy To Stop Steroids?

Hello, Thanks for the query to H.C.M. Forum. Perineal area itching is most common and usually it is due to unhygienic condition. Steroid is not a treatment but it is symptomatic relief provider. Take care of personal hygiene. Now this as, Take 2-3 gms of potassium permaganate add this into boiled water , now cool it wash , cleanse with dry towel ( do not rub). Now wash it with a soap ( ingredients are coal tar 1%+salicylic acid 3%). Again wash and use dry towel. Now apply calamine lotion locally. Use fexofenadine 180 mg / day for 10-15 days. Use ivermectine 12mg + albendazole 400 mg ( tablet form) one tablet on alternate day for one week. In my opinion you will get complete relief. Try it for three months. Scrotal skin have rugae ( fold ) so clean them with fingers . Good luck. Dr. HET