I am getting a rash on my back which is itchy and painful. What to do?

Q. How to treat an itchy and painful rash on the body?

Answered by
Dr. Nidhin Varghese
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 28, 2022

Hello doctor,

I have had a rash that comes and goes for the past few months. It is present in the midline of my lower back. The rashes are itchy and seldom painful. and the pain is sharp and episodic. There are no other symptoms present.I have tried a Medrol dose pack (low-dose oral steroid pack), tablet Claritin, Benadryl (oral and topical cream), Hydrocortisone 1%, calamine lotion, and medium-strength steroid cream called Triamcinolone acetonide. The rashes disappeared for some time but again reappeared. I have no allergies that I am aware of. However, I have been going through some work and family-related stress lately.

I also visited a physician who suggested I was suffering from contact dermatitis. My laboratory test reports were all normal. The physician had put me on a two-week steroid regimen. I wanted to know the cause and treatment of this rash.

Please help.



Welcome to icliniq.com.

I went through your query and understood your concern.

It seems like you are suffering from eczema. Therefore, I suggest you to follow a few instructions mentioned below;

1. Use a good moisturizer to keep your skin well hydrated. Apply the moisturizer multiple times over the trunk region daily.

2. Use a very mild soap for the bath. Avoid using loofah and body scrub while bathing.

3. Do not use hot water while bathing.

4. I suggest you to use a stronger topical steroid on the rashes twice daily.

5. Take a tablet of Levocitrazine (antihistamine) 5 milligrams once daily at night.

Kindly consult a specialist, talk with them and take the medications with their consent.

I hope this has helped you.

Thanks and regards.

Hello doctor,

Thank you for your reply.

I consulted a physician who asked me to take a course of tablet Prednisone 30 milligrams and taper it off over a period of two weeks. The doctor said I was suffering from contact dermatitis, and the rash is responding to Prednisone.

Can eczema appear suddenly in an elderly man like this? Would Prednisone help in the resolution of the rashes?

Please help.



Welcome back to icliniq.com.

Eczema can occur at any age. Eczema becomes more prominent in winter with increasing age and skin dryness. The tablet Prednisone (corticosteroid) will definitely help in treating eczema or irritant contact dermatitis. Usually, the treatment is same for eczema and contact dermatitis. However, I suggest moisturizing your body well with a good moisturizer.

I hope this has helped you.

Thanks and regards.

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