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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What can be the reason for raised rash between the butt cheeks?

I m a 32year male, generally healthy. Literally over a night or two, I have developed a red, raised rash on the skin between my butt cheeks. I originally thought it was haemorrhoids and so tried zinc oxide and lidocaine cream, after bathing them in salt water, but felt it started to spread further onto the cheek and up towards my scrotum. I therefore thought it could be fungal nappy rash (due to sweating and hot weather) and so bought clotrimazole 2%, which I have ude for 2 days now, but to little improvement. Any thoughts please? Thank you!
Mon, 3 Sep 2018
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Dermatologist 's  Response
Hi,

It does seem that it could be a fungal infection. Fungal infection involves body folds like the groin, butt cheeks, axlilla, etc. I suggest you to continue using Clotrimazole cream, twice daily for 2-4 weeks. In addition, I suggest you to take an oral antifungal e.g., tablet Fluconazole or Terbinafine for 2-4 weeks for a faster and complete cure.

Fungal infection is usually itchy therefore I suggest you to take an oral antihistamine e.g. Tab Cetrizine once a day for symptomatic relief from itching.

Hope I have answered your query.
Let me know if I can assist you further.
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