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Hi, I Have Been To Urgent Care Twice In The
Question: Hi, I have been to Urgent Care twice in the last 10 days. I am suffering with anal/vaginal itching. They have been treating me for a yeast infection. They have prescribed Ketoconazole cream but it is not helping. I have scratched until I am raw. Is there a home remedy or should I head to a local ER?
Brief Answer:
Better to go to the urgent care and get the issue looked into afresh.
Detailed Answer:
Hello and welcome to Ask a Doctor.
I have read through your query and understand your concern.
I am so sorry to know how much you are suffering due to this.
From your description it appears like there is a mixed fungal and bacterial infection.
If I was your treating doctor I would prescribe an antifungal cream (like ketoconazole) along with an antibacterial cream like mupirocin.
The itching will subside by taking an antihistamine such as benadryl twice a day.
Avoid wearing undergarments that can stay wet.
Keep the area dry.
After passing stools, sit in a tub of slightly hot water for about 5 minutes, then dry with towel and apply the antibacterial and antifungal creams.
If the infection is severe, I would prescribe oral antibiotics and antifungals.
I think it is wise to go to the ER if the discomfort is so severe as to make you scratch so much.
I hope this information will be help to you. Feel free to write back to me if you have any additional concerns.
Best wishes.
Better to go to the urgent care and get the issue looked into afresh.
Detailed Answer:
Hello and welcome to Ask a Doctor.
I have read through your query and understand your concern.
I am so sorry to know how much you are suffering due to this.
From your description it appears like there is a mixed fungal and bacterial infection.
If I was your treating doctor I would prescribe an antifungal cream (like ketoconazole) along with an antibacterial cream like mupirocin.
The itching will subside by taking an antihistamine such as benadryl twice a day.
Avoid wearing undergarments that can stay wet.
Keep the area dry.
After passing stools, sit in a tub of slightly hot water for about 5 minutes, then dry with towel and apply the antibacterial and antifungal creams.
If the infection is severe, I would prescribe oral antibiotics and antifungals.
I think it is wise to go to the ER if the discomfort is so severe as to make you scratch so much.
I hope this information will be help to you. Feel free to write back to me if you have any additional concerns.
Best wishes.
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Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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