Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due to Pinworm Scrotal Dermatitis- Other causes of testicular itch- could be from seborrheic scrotal dermatitis/ or from soap contact dermatitis. The fact that the redness in the scrotal skin with edema after the night scratching was from white coloured specks sticking to your skin,confirms the possibility of pinworm scrotal dermatitis. but for that to be confirmed nails debris needs to be examined under microscope. You need to Consult the dermatologist,who would check it and would verify and rule out the jocki s itch and other causes of Scrotal itch. Hence Other causes-as cited above- need to be ruled out,by verification with dermatologist. Do s- Consult with Dermatogist / Physician who would investigate history and physically examine to fix the cause of testicular itchiness. This would fix the cause of excessive itchiness in scrotal skin,amongst the above or other possibilities. You need to treat it with Dermatologist/ Physician, which should be done on priority and urgently to avoid further complications. Scrapes from the scrotal skin and Treatment with mebendazole for 3-6 weeks with treatment of the childerens in home would fix the problem with you. But before this microscopic examination of the scrotal skin scrapes and scrapes from the nails is the only way out to confirm the diagnosis in your case. This would resolve the complaints of your s. Constant follow-up with local family or specialist Dermatologist / Physician for long term would give you long remissions of such pains in time to come,which would depend on meticulous follow-up treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS