Brief Answer:
Looks like there is less inflammation.

Detailed Answer:
I compared the picture you sent today with those you sent previously. It looks like the inflammation has considerably resolved but there is still some redness as you described.

I think it is fine to stop the Fucidin.

At this point I would suggest discontinuing the Lotriderm as that has a corticosteroid in it and
1. Steroids help angry inflammation, but that has now subsided, and
2. Continued use of steroids can be harmful (I probably tend to be a bit more careful with steroid use than other doctors.)

So the steroid has done it's job and I don't think it is needed further.

However, since there is still redness on the shaft, I think it would be a good idea to continue the anti fungal part of the Lotriderm. When you go to buy it, it should be called either Lotrimin, or the generic is clotrimazole. Use it as a cream and apply twice a day for 1 more week.

If, after 1 week is up and you are still having persistent redness, then it is time to reevaluate and perhaps switch to a different anti fungal.

It's possible that the infection will continue to go away on it's own (from the previous treatment), even without further clotrimazole, but it is fairly safe to continue it for another week.

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Brief Answer:
Do you think the blow dryer might have been too hot?

Detailed Answer:
I looked at the picture - and I agree that I don't see signs of yeast/fungal infection, but it does look irritated.

A couple of thoughts:
Is it possible that the hair dryer was too hot? I am wondering if the skin is slightly burned.

Does it burn when you apply the clotrimazole? Sometimes the other ingredients in various creams can be irritating. If that is the case, then discontinue the clotrimazole as the skin looks free of infections now.

At this point, I'd recommend decreasing your showers to once a day and only blow dry briefly - and don't let the skin get too hot if possible.

For 1-3 days, you can apply an ointment such as Vitamin A and D (sold in the US - good for diaper rashes and skin irritations - there is probably something comparable where you live.) But only use a small amount and briefly as it can trap moisture.

I hope you are better soon.

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Brief Answer:
Lamisil and fluconazole:

Detailed Answer:
Without seeing the skin in person, I'll defer to the doctor that did, but it doesn't look to me like a yeast infection.

I don't think there would be harm in using the lamisil. However I tend to recommend oral antifungal (Fluconazole) for only refractory situations or very severe cases as it is processed by the liver and can be a bit hard on the liver.

I think what I would do is use the lamisil if you want, and hold off on the oral Fluconazole until you see what direction things take. If it turns out to be a continued yeast infection, then use the Fluconazole. And no alcohol when using the oral medication.

You can try a bit of Desitin or Zinc Oxide on an area and see if that helps. I don't think either will help if it is a yeast infection, but may help if it is an irritation/burn.

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Brief Answer:
Thoughts

Detailed Answer:
I can imagine that this has been exasperating. I am sorry you have had such a long haul with this problem.

It is ok to use Lamisil and Fluconazole at the same time except that it's kind of redundant. And the oral is much more potent. Kind of like using a topical corticosteroid and taking an oral at the same time. Both aren't needed at the same time, and if the topical works, you don't have to use the systemic that has more risks of side effects. Similar concept.

Just use a thin/small amount of the zinc oxide on a small area of the reddened skin. And the Lamisil on the rest.

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Brief Answer:
A few questions

Detailed Answer:
Hi - I am looking at the meds you were given, Cephalexin and Mupirocin. Did the doctor you saw think that the scalded appearance was from staph? Because cephalexin is antibacterial, and mupirocin is commonly used for impetigo, which is caused by staph or strep.

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Brief Answer:
some information

Detailed Answer:
I am not sure what coclo is (?)

If the scalded appearance began to rapidly improve after 24 hrs., then it was the right treatment.

Mupirocin, if the prescribing doctor did not indicate a duration, can be used for 10 days.

If the lamisil is stinging, I'd stop it. You were covered with antifungal for an adequate duration.

I looked at the top picture - is that the most recent?

Given that you are taking cephalexin, I'd advise taking an oral probiotic to maintain your good flora. There are a variety of good ones, and I am not sure that there is one in particular to recommend, but you can ask your pharmacist what he/she recommends. Around where I live, we have Florajen (refrigerated) and that seems to be a good product, but there are many others. One with lactobacillus acidophillus and bifidus would be good. Don't take it within an hour of the antibiotic though.

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Brief Answer:
some info

Detailed Answer:
The skin actually looks quite a bit better. I think - skip the lamisil and zinc oxide now. The skin should continue to improve. I didn't see a fungal looking area that you would need the lamisil on. Is there one?

Since it isn't looking so yeasty now, you can probably cut back on the showers and hair dryer. You don't need the hair dryer unless you are quite sweaty or can't dry adequately, but given that it is winter, there probably isn't going to be a humidity problem.

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Brief Answer:
OK

Detailed Answer:
Yes, as it looks less like fungus now, that would be all I'd recommend for now.

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