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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do You Suggest For A Cut Between My Buttocks Cheeks That Burns Which Is Painful?

I am 37 years old and I have skin breakdown, a cut between my buttocks cheeks that burns and is painful when i sit on the toilet because I am stretching or pulling the area apart. I have been cleansing the area with hydrogen peroxide and applying Neosporin ointment, but the area does not seem to be healing. Do you have any suggestions? I was thinking about trying some diaper cream. I am too embarrassed to go to a doctor and I can't afford to spend the money, even with my insurance. PLEASE HELP!
Tue, 18 Feb 2014
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Dermatologist,  's  Response
Hi

Thanks for your query


You seem to be having candidiasis of the natal cleft region.
Candidiasis can lead to maceration of skin of the area and thus can cause pain due to development of cracks.

First some general precautions:
Wear cotton clothes and undergarments in order to reduce the sweating.
Do not apply any kind of oils / moisturizing lotion over the affected area .
Just give warm saline compresses over the affected area twice a day and then apply an antifungal cream.
Something like clotrimazole cream helps in most cases.
Also , you will need to take oral antifungals 2 weeks.

In case of severe itching, take some antihistamine once a day .
If inspite of the above measures, the lesions continue to persist or increase , then you might have to see a dermatologist for proper assessment and management .

Hope it helps
Dr Geetika Paul
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What Do You Suggest For A Cut Between My Buttocks Cheeks That Burns Which Is Painful?

Hi Thanks for your query You seem to be having candidiasis of the natal cleft region. Candidiasis can lead to maceration of skin of the area and thus can cause pain due to development of cracks. First some general precautions: Wear cotton clothes and undergarments in order to reduce the sweating. Do not apply any kind of oils / moisturizing lotion over the affected area . Just give warm saline compresses over the affected area twice a day and then apply an antifungal cream. Something like clotrimazole cream helps in most cases. Also , you will need to take oral antifungals 2 weeks. In case of severe itching, take some antihistamine once a day . If inspite of the above measures, the lesions continue to persist or increase , then you might have to see a dermatologist for proper assessment and management . Hope it helps Dr Geetika Paul