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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Itchiness On The Scrotum

Hello Scrotal itching with raised lesions that began approximately 4-5 years ago... The lesions eventually subsided, but the itching persisted. Only recently, two family medical doctors were consulted on the issue and the itching still persists despite the use of a topical steroid and antifungal, respectively. My concern is the possibility of Neoplasia equivalent to a female (Paget disease or Sq cell CA). Any thoughts on the matter?
Tue, 24 Jan 2017
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General & Family Physician 's  Response
Hello
Welcome to health care magic, I have gone through your question very diligently and I really appreciate your concern.

Excessive itchiness in scrotum might be related to poor hygiene, use of irritants, tight undergarments, atopic or seborrheic dermatitis.

Here, I would like further information for better assessment of the condition like
If possible upload me a photograph,
Does it remain same throughout the day or changes in intensity?
Have you ordered any investigation, if yes please upload me the reports.

I would advise you for a battery of investigation like CBC,AEC, Liver function test, blood sugar, ultrasound or colour Doppler of the testis and urine routine and microscopy test.

Meanwhile you can take anti-allergic drug like fexofenadine or levocetirizine group for 4-5 days
Clean the scrotum properly with antiseptic solution and keep it clean and moisturised.
wear loosely fitting undergarments.

Hope this answers your question please feel free to ask for follow up question with all the details I have asked for, So that I will be able to tell you more precisely.
Best wishes
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Suggest Treatment For Severe Itchiness On The Scrotum

Hello Welcome to health care magic, I have gone through your question very diligently and I really appreciate your concern. Excessive itchiness in scrotum might be related to poor hygiene, use of irritants, tight undergarments, atopic or seborrheic dermatitis. Here, I would like further information for better assessment of the condition like If possible upload me a photograph, Does it remain same throughout the day or changes in intensity? Have you ordered any investigation, if yes please upload me the reports. I would advise you for a battery of investigation like CBC,AEC, Liver function test, blood sugar, ultrasound or colour Doppler of the testis and urine routine and microscopy test. Meanwhile you can take anti-allergic drug like fexofenadine or levocetirizine group for 4-5 days Clean the scrotum properly with antiseptic solution and keep it clean and moisturised. wear loosely fitting undergarments. Hope this answers your question please feel free to ask for follow up question with all the details I have asked for, So that I will be able to tell you more precisely. Best wishes