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How to get rid of genital psoriasis and itchy foreskin?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

How to treat genital psoriasis and frequently itchy foreskin? I also have some marks on my legs.

Kindly help.

Answered by Dr. Sandhya Narayanan Kutty

Education:

MBBS

Professional Bio:

Dr. Sandhya Narayankutty is a General Practioner and Family Physician with more than eight years of clinical experience. She completed her MBBS from Cochin University of Science and Technology and MD in Dermatology and Venereology at the Uzhhorod National University. She is currently practicing in Thrissur.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Your first query consult is on us!

I have gone through the information and the image (attachment removed to protect the patient's identity) provided.

Psoriasis on the genital area needs an in-person consultation with a doctor since they need to be examined and assessed. Investigations of skin scraping also need to be done to rule out other underlying causes and infections. Genital psoriasis can be extremely itchy and may be present among other family members as they are usually genetically transmitted. If not, they may also appear due to stress, infections, medications, or foods that increase body temperature. Although not contagious, they can be bothersome especially due to itching and discomfort. Psoriasis does not have a cure as it is skin build-up due to immune-related conditions happening within one's body. But they can be managed with medications, following dietary changes, and intake of supplements.

I suggest you follow a few instructions mentioned below.

  1. Do KOH (potassium hydroxide) skin scraping to rule out fungal infections.
  2. Take a capsule containing cholecalciferol 60K IU once a week after dinner for six weeks and then once a month after dinner for six months.
  3. Apply a thin layer of Tacrolimus 0.03 % ointment on the affected area at night for one week.
  4. Apply Clotrimazole 1 % cream on the affected area in the morning and afternoon for two months.
  5. Take capsule Omega 3 once daily after dinner for two months.
  6. Avoid hot and spicy food.
  7. Avoid stagnation of sweat on the affected area.
  8. Do not use harsh soaps on sensitive areas. Wash the affected area with lukewarm salt water or lukewarm water when needed.
  9. Keep the area hydrated and apply any moisturizer once daily.

As you have rashes on your legs, kindly provide images of the same for inspection.

Kindly consult a doctor in person for examination and tests before starting these medications as they may interfere with the results.

I hope this has helped you.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I have sent the other images.

Kindly help.

Answered by Dr. Sandhya Narayanan Kutty

Education:

MBBS

Professional Bio:

Dr. Sandhya Narayankutty is a General Practioner and Family Physician with more than eight years of clinical experience. She completed her MBBS from Cochin University of Science and Technology and MD in Dermatology and Venereology at the Uzhhorod National University. She is currently practicing in Thrissur.

This doctor is not available for online consultations on the platform anymore.

Hello,

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!I have gone through the images (attachment removed to protect the patient's identity) of the spots on the body.

I suggest you follow a few instructions mentioned below.

  1. Apply any cream containing glycolic acid once in the morning to the body area. It can be continued as a moisturizer for three months.
  2. Apply a thin layer of Clobetasol ointment at night on the affected area for two to three weeks.
  3. Use topical emollients for bathing.

Continue with the rest of the medications as advised earlier.

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

I hope this has helped you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 13, 2023
Reviewed At September 5, 2023

Education:

MBBS

Professional Bio:

Dr. Sandhya Narayankutty is a General Practioner and Family Physician with more than eight years of clinical experience. She completed her MBBS from Cochin University of Science and Technology and MD in Dermatology and Venereology at the Uzhhorod National University. She is currently practicing in Thrissur.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Sandhya Narayankutty is a General Practioner and Family Physician with more than eight years of clinical experience. She completed her MBBS from Cochin University of Science and Technology and MD in Dermatology and Venereology at the Uzhhorod National University. She is currently practicing in Thrissur.

This doctor is not available for online consultations on the platform anymore.

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