HomeAnswersDermatologyinfectionWhy is there no relief in skin infection around genital area even after taking medication?

There is no relief in using medicines for skin infection arond genital area. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At November 12, 2019
Reviewed AtDecember 20, 2023

Patient's Query

Hello doctor,

I am suffering from skin disease and three different skin infections are observed in my abdominal and genital area. Small white pits on bottom of penis and prepuce, red patch in the mid of both scrotum, and a white round patch on the inner side of thighs just touching the scrotum.

I tried self-medication. I have applied Nuforce GM and Zole-F each for seven days. Also, I took tablet Fluka 150 mg last Sunday. In the last seven days, I have not seen any healing, though, it restricted spreading. Please advise and prescribe medicines. I have attached the photos.

Hello,

Welcome to icliniq.com.

I had gone through the pictures. (attachment removed to protect patient identity).

In my opinion, you are having candidal intertrigo. So please avoid creams containing steroids. Just use antifungal cream and powder. Lesions in the scrotum and thighs are fungal lesions. And you do not need to bother about the lesion on the penis. They are of noninfective nature. Only if there is any pain or pus, you can take treatment.

The Probable causes

Fungal infection.

Probable diagnosis

Candidal intertrigo.

Treatment plan

Apply Candid cream (plain Clotrimazole cream) twice daily on inner thighs and scrotum for two weeks. After applying candid cream, apply Abzorb powder (Clotrimazole powder) over sweat in prone areas such as inner thighs for two weeks. If there is any itching, take tablet Teczine 5 mg (Levocetirizine) at night after food.

Preventive measures

Avoid steroid containing creams. Completely dry your inner wear before wearing,

Regarding follow up

Follow up after two weeks.

Patient's Query

Thank you doctor,

I have started using plain clotrimazole and hope it will work out. I think infection on the penis is ignored. I am equally or more concern about pits and infection on the penis which spreads every day. I am finding it difficult to restrict it. Please prescribe.

Hello,

Welcome back to icliniq.com.

Those pits are normal hair follicle pits. The pores are useful for oily secretion from skin to prevent skin dryness. You do not need to apply Clotrimazole there. If you develop any pustules over there, you might use an antibiotic cream.

Probable diagnosis

Hair follicle pits.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Siva Subramanian. P
Dr. Siva Subramanian. P

Venereology

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