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Suggest Treatment For Itching In Scrotum And Penis

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Posted on Fri, 4 Sep 2015
Question: Too embarrassing to go to the Dr. Already tested negative to all STD's. I've been itching my scrotum, penis, for 6 years now off and on already been to a dermatologist who diagnosed fungal. With bleach baths and some ointment. It always goes away but cones back 2 to 4 times a year last year my penis secreted this sticky substance that caused intense itching for over a month so bad my penis swelled and was inflamed it seems the urgent care and dermatologist can't decide if it's bacterial or fungal any thoughts ?
doctor
Answered by Dr. Dr. Rahul Kumar (26 minutes later)
Brief Answer:
Fungal infection

Detailed Answer:
Hello
Thanks for the query.
Your symptoms are suggestive of fungal infection.
Fungal infections are usually recurrent due to incomplete treatment.
The response to treatment is very fast and as soon as the medications are stopped the fungus re grows.
I treat such cases with a combination of oral and topical anti fungals.
A combination of tablet fluconazole and clotrimazole powder works well.
I advice the medication for complete two months even if the rashes heal early.
This helps in complete cure and prevents recurrence.
You can try this in consultation with your doctor.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Dr. Rahul Kumar (24 minutes later)
Iv been given these in the past Cephalexin
Fluconazole
Fluconazole

Abnormal Signs - Comments
Erythematous penis.
In-Clinic Tests
Sent Out Tests
Radiology Tests
Procedures
Supplies
In House Prescriptions
Drug Dose Dispense Refill
Written Prescriptions
Drug Dose Dispense Refill
Fluticasone Propionate
Ointment
0.005% 15g 1
--Directions: apply to affected area once daily
--Pharmacy: Safeway - Lower Boones Ferry / Lake Grove
terbinafine oral 250 mg Quantity Sufficient No Refills
--Directions: 1 PO once daily for 2 weeks
--Pharmacy: Safeway - Lower Boones Ferry / Lake Grove
Diagnosis and Plan (Primary Diagnosis: Tinea cruris)
110.3 Tinea cruris
Plan:
1)Tinea Cruris: Ssx and exam c/w DX. Rx terbinafine and fluticasone as previously prescribed by derm for pt had good
results.
Use fluticasone sparingly
Referral to Derm given. Pt will return to his dermatologist.
Verbal and instructions below given. Pt understands and agres w/ tx plan.
Exam Details
Reason for visit: Date of onset/injury: n/a
Instructions and Handouts
Tinea Cruris (Jock Itch)
Your exam shows you have a common, superficial fungus infection of the groin area. Jock itch causes a pink, scaly, itchy
rash on the inner thighs and groin. It is made worse by moisture and friction.
Treatment requires that you keep the area clean, dry, and free from friction. Wear loose fitting cotton shorts, be sure to
dry well after showering, and wash all soiled or sweaty athletic shorts frequently.
Use anti-fungal medicine such as Exelderm, Lotrimin, Loprox, Micatin, Oxistat, Naftin, or Tinactin twice daily until all
symptoms have been gone for at least one week. Do not scratch the area as this can damage the skin further.
See your doctor if you are not better within one week.
NOTIFY YOUR DOCTOR right away, return to ZoomCare, or go to the Emergency Department immediately in case of
the following:
• Fevers
• Worsening redness
• Worsening of your condition or your general health


NOTHING WORKS!!!!!!
doctor
Answered by Dr. Dr. Rahul Kumar (16 hours later)
Brief Answer:
Itraconazole is a good therapy in resistant cases

Detailed Answer:
Hello
Thanks for the follow up.

It seems to me that you have probably developed an infection with a highly resistant strain of fungus.

Such chronic cases respond well to capsule itraconazole.
I know yet another drug is not always the best thing to take in all situations, but in this case it could be highly effective.

I suggest you to give it a try in consultation with your doctor.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Rahul Kumar (3 hours later)
Ok thank you, i will discuss with some Dr, as I do not have one. I have a few dermatologists that may write that prescription for me. I used Zeasorb last night and this morning, and so far so good, should i still try and get the prescription for the itraconazole? and do the capsule & Powder combo? How long should i take the capsule? again, this has been going on back and forth for 7 years now, and has pretty much left me with no sex life and misery, and major depression.
doctor
Answered by Dr. Dr. Rahul Kumar (20 hours later)
Brief Answer:
This should help

Detailed Answer:
Hello
Thanks for the follow up.
Just relax you will be cured.
Yes it is better if you can get a prescription for itraconazole.
Itraconazole and Clotrimazole powder form a combination.
You can try this.
Itraconazole is to be taken 7 days in a month for 3 months.
Let me know if you have any other doubts.
thank you
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6641 Questions

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Suggest Treatment For Itching In Scrotum And Penis

Brief Answer: Fungal infection Detailed Answer: Hello Thanks for the query. Your symptoms are suggestive of fungal infection. Fungal infections are usually recurrent due to incomplete treatment. The response to treatment is very fast and as soon as the medications are stopped the fungus re grows. I treat such cases with a combination of oral and topical anti fungals. A combination of tablet fluconazole and clotrimazole powder works well. I advice the medication for complete two months even if the rashes heal early. This helps in complete cure and prevents recurrence. You can try this in consultation with your doctor. Let me know if you have any other doubts. Thank you.