Suggest Treatment For Itching In The Genital Area

Posted on Mon, 31 Jul 2017

Question: Hi doctor, I am a 64 yr. kidney patient on dialysis with a creatinine of 5.9 ; I had undergone "bladder" augmentation operation about eight years back and I am hypertensive. My present problem is that everyday I get a feeling that some insect likething is "crawling" beside my private parts. The problem is acute during evenings and early mornings.Kindly help with suitable treatment for same.

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Need more information

Detailed Answer:
Hello. Thank you for writing to us

I am Dr. Kakkar (Dermatologist). I have gone through your query and I have noted your concern.
I would like to gather more information from you in order to be able to guide you better.

Do you notice any skin lesions associated with itching?
Are there any other family members affected?

Itching in genital area can be due to causes like Xerosis/ dryness of skin, tinea/ fungal infection, Scabies Or Pediculosis i.e Pubic lice.
Chronic Kidney Disease can itself be a contributing factor to itching in dialysis patients i.e uremic pruritus.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (18 minutes later)

Hi doctor, as requested the additional information is below:
There are no skin lesions noticed in that area. Also, other family members are not affected. I am using "normal" soap for my bath .

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
Moisturizer and oral antihistamine

Detailed Answer:
Thank you.

Most likely the itching is due to Xerosis of skin. I suggest you to use a moisturizer e.g Venusia XXXXXXX lotion, twice daily. I also suggest you to take an oral antihistamine e.g Cap. Spectra 10mg (Doxepin) once daily in evening.

Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee