Dr. Sugreev Singh
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am getting dark patches below my waist area and above my vagina. It keeps itching, and I have tried applying aloe vera gel and Soframycin, but they did not help.
Kindly give your suggestion.
Hi,
Welcome to icliniq.com.
Thank you for writing, and I can understand your concern.
I need to see the picture of the dark patches to suggest you the appropriate medicine. Usually, such dark patches can be due to weight gain or infection. So please attach a picture of dark patches.
Thank you.
Patient's Query
Hello doctor,
Thanks for the reply.
I have this dark patches for several weeks. I weigh 48 kg, and I have not gained any weight recently.
Thanks.
Hi,
Welcome back to icliniq.com.
Thank you for the quick reply.
These are not dark patches. This lesion is due to sexually transmitted infections such as Candida or herpes.
Please apply ointment Beclometasone and Clotrimazole once daily before sleeping, take tablet Cetirizine 10 mg once a day before sleeping.
1) Do you have itching?
2) Is there any discharge from the vagina?
3) Do you have a history of unprotected sex?
4) Does your partner has similar rashes?
Revert with the answers.
Thank you.
Patient's Query
Hello doctor,
Thank you so much for your reply. It this really serious as other sexually transmitted diseases? I am little worried now. Also, I have itching but there is no vaginal discharge. I have had unprotected sex only once. But I got these itchy feeling before that itself. Also, my partner has similar rashes on his body for which he is under medication.
Is it something very serious? Please let me know
Hi,
Welcome back to icliniq.com.
It seems like a sexually transmitted infection as you both have similar symptoms. So avoid sexual contact for two weeks and take the medicines prescribed above.
Also, take tablet Cefixime (antibiotic) 200 mg twice a day for five days.
Revert after five days.
Regards.
Patient's Query
Thank you doctor,
I am taking the medicines as prescribed. My itching has reduced as compared to the itching which used to happen before. But the itching has not gone completely, but I can see the difference, and it remains a little lighter. Also, last time, I forgot to mention two things. First, I talked to my partner, and the spots he has on his body are since his birth, and they are not transferable as I have been with him for five years, and nothing like this has ever happened. Also, when these itching and rashes started, we were not sexually active to maintain a period cycle calendar. When I sent my concerns regarding this rash, I even had ringworms on my thigh next to my intimate area. Is it possible to be ringworms? Secondly, my breast area is also used to itch, especially the right one, and I forgot to mention this. It is not very constant, but some black pigment is formed downside. I will attach pictures of all of this (ringworms and breasts). Also, you can even tell me if they have subsided from before or not (vagina patches). The medicines have helped me, so let me know if anything else is required or keep it continuing because it has made a difference, so I am just giving an update. Thank you so much.
Hi,
Welcome back to icliniq.com.
Thank you for a detailed answer. Such rashes are due to infection, that is for sure. But you mentioned that after sex, you had developed these rashes. So I suspected a sexually transmitted disease. But viral infections such as herpes cause ringworm, so I suggest you do HSV (herpes simplex virus) 1 and 2 tests. So kindly do these tests and send me reports. Also, do a blood CBC (complete blood count) test with ESR (erythrocyte sedimentation rate). So I will check and prescribe you medicine. You can continue these medications for the next two days. Maintain general hygiene, use fresh towels and underwear. Please undergo the tests today and send me the reports.
Thank you.
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Internal Medicine
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