Patient's Query
Hello doctor,
I have itchy boils on the scrotum and groin areas. During the day, I feel too itchy, and due to the itching, I have developed rashes which are painful. When I try to break them, it starts to bleed. Sometimes, I have the itchiness during the night as well.
I have attached an image for your consideration. I have a similar itchy problem around my anus too, and I feel that the skin around that area is very dry. Earlier, I had similar boils around the anus which eventually subsided, but I do feel itchy at times.
Currently, I am using Lulizol cream and Diominic SR tablets, but, I do not get the desired relief, though it is slightly better than when I was using the Candid B cream.Please help.
Hello,
Welcome to icliniq.com.
I have read your query and seen your picture (attachment removed to protect patient identity). It does look like a fungal infection. Due to the application of steroid-based products, the clinical picture has been altered. The use of a steroid-based product for a fungal infection aggravates it. Few of those nodules which appear raised can be molluscum contagiosum, a viral infection.
But, clinical examination is necessary for conclusive diagnosis. Apply Luliconazole 1 percent cream once daily and Miconazole 2 percent cream once daily. Take tablet Terbinafine 250 mg twice daily after meals for 15 days. Do not touch or break the boils. It can lead to a secondary infection. Do not use cream containing Clotrimazole and Beclometasone.
I hope this has helped you. Please feel free to reach me again, in case of further queries.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
It gets too itchy at times. After applying the cream, I feel alright for four to five hours. But, as the cream begins to dry up, the itching sensation reoccurs.
Hello,
Welcome back to icliniq.com.
Due to continuous itching, the scrotal skin has thickened. I advise you to visit a dermatologist since clinical examination is important. Consider taking an oral antihistamine. I suggest taking tablet Levocetirizine 10 mg once every day to reduce itching. Continue for two weeks and revert with images.
Patient's Query
Hello doctor,
Thanks for replying.
I have visited a dermatologist and my current medications have been prescribed by him. He says it is a fungal infection. He also suggested to visit a surgeon to get the boils removed, but I am afraid of undergoing a surgery. Do you also feel I need a surgery?
Hello,
Welcome back to icliniq.com.
They are more like skin tags. So, in your case, yes, excision would help. Since you have already consulted a dermatologist in the past, you can consider excision. It is a minor procedure and will not hurt.
Patient's Query
Hello doctor,
Thanks for replying.
I am not in favor of excision right now. Will the above drugs and cream reduce the itching and skin tags? With the Lulizol cream, the thickness of the boils have reduced, and in some places has subsided. So I would prefer to wait so I can avoid excision. Please guide me. Also, can you give me more clarity regarding the medications?
Hello,
Welcome back to icliniq.com.
The itching and rashes will resolve with these medications. You can wait for a few weeks. If they do not subside, then excision can be considered. The medications I had suggested was tablet Terbinafine 250 mg, twice daily after meals, tablet Levocetirizine 10 mg at bed time after meals and gel containing Miconazole 2 percent or cream containing Sertaconazole 2 percent.
Patient's Query
Hi doctor,
I have been taking the above medicines and creams for the past 12 days. I believe it has helped to reduce the infection. I attach the pictures taken after bath today. But, I do feel itchy sometimes in the afternoon, and at night mainly around 3.00 am. I itch a lot on my scrotum and then again apply lotion.
Could you please check the pictures? I feel the skin around scrotum to be too dry when I become itchy. One thing that I missed to inform is that I am diabetic and also have high blood pressure for which I do take medication.
Hi,
Welcome back to icliniq.com.
Fungal infection is resolving. It will take time for infection to fix completely. Continue with topical medications for a month. Yes, in case of diabetes, it takes time for skin lesions to resolve. Do you have itching sensation in between web spaces and lower abdomen?
Patient's Query
Hi doctor,
I do itch in the lower abdomen but not in web spaces. Why do I itch in the middle of the night at around 3 am? My skin around scrotum feels dry and thick. Further, the skin around inner thigh has gone black.
Hi,
Welcome back to icliniq.com.
It is due to inflammation there is itchy feeling. Thickening of skin over scrotum is not due to fungal infection but due to growth over the scrotum. You need to get it evaluated by clinical examination. Also, a skin biopsy can be done to confirm the diagnosis of the same. Darkening will eventually subside once infection resolves.
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Answered byDr. Thakare Sampada Avinash
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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