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Suggest Treatment For Itchy Swollen Scrotum

Posted on Tue, 16 Jun 2015

Question: Very itchy, swollen scrotum. Top layer of skin flakes off. Tried Viaderm, Lotriderm and mild Topicort. Was told by one doctor to shave, tried that, no dice. Another told me not to shave because of the metal in the razor. Tried that, same thing. Dermatologist recommended switching to boxers/boxer-briefs (non-red/black) and dove soap. Tried that, ditto. This has been ongoing for years, keep seeing doctors, keep getting useless advice and worthless prescriptions. Flesh appears red and swollen. Any assistance would be appreciated.

Answered by Dr. Charu Bansal (46 minutes later)

Brief Answer:
kindly upload images

Detailed Answer:
Hello. Welcome to Healthcaremagic.com.
I have read your query.
I understand your concern.
As per details, there are following possibilities for your symptoms :
1 ) Tinea : it is fungal infection of skin. It is characterised by red itchy scaly rash over involved area.
2) Scrotal dermatitis : it is characterised by ill defined red colored itchy rash usually extending to involve anal area also.
I would be able to help you to my best if you could upload images / photos of the affected area.
Kindly get back to me with those as soon as it is convenient to you.

Thanks

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Charu Bansal (1 hour later)

Good day and thank you for your prompt response.

Actually there is an area in the middle of the upper buttock area that gets itchy and if scratched, swells and weeps (stays swollen and weeping for at least a day) but the joining tissue between the two areas doesn't seem affected. The scrotal area, when itched, will intermittently weep as well. The 'fluid' in these cases, when rubbed away, quickly becomes sticky and has a foul odor.

The creams (viaderm, lotriderm and topicort) seem to calm the affected areas long enough for them to heal (if applied for a couple of days) but as soon as treatment stops, symptoms come back almost immediately. I will post pictures soon.

Thank you again for your time.

Answered by Dr. Charu Bansal (12 minutes later)

Brief Answer:
scrotal dermatitis is more likely

Detailed Answer:
Hello. Welcome back.
Its my pleasure to help you here.
As per information you have provided, it is more likely Scrotal dermatitis.
The ointments that you have applied are actually triple combination of topical antibiotic, steroid and antifungal.
These work for a while then they stop showing effects.
We will discuss the treatment part for this once I see to the photographs.
Kindly revert back with the images.
Stay healthy.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Charu Bansal (24 hours later)

Good day.

I'm sorry to have to show you this, it's a picture of the upper middle buttock region, this is an early stage of inflamation, I'm unable to upload a picture of the scrotal area as I had recently treated it. I can, if time permits, send it at a later time.

Again, I apologize for the picture. I loath showing ANYONE things like this, let alone repeatedly, which is why I'm frustrated that no one else has taken the time to just fix the issue.

Thank you for your time and patience.

Answered by Dr. Charu Bansal (2 hours later)

Brief Answer:
Tinea cruris et corporis is most likely possibility

Detailed Answer:
Hello. Welcome back.
I have seen the attached photograph also.
No worries, we as doctors are here to help you only.

As per details, the most likely possibility for your symptoms is a condition of skin called Tinea cruris et corporis. It is fungal infection of skin involving body and folds.

Various precipitating factors are Diabetes Mellitus, excess sweating, hot humid weather.

I will advise you to get your blood sugar levels done.

In such cases, I prefer to advise topical antifungals like clotrimazole/miconazole cream. Also oral antifungals like fluconazole/ terbinafine are also started.

Keep the area clean and dry.
Daily change and wash your clothes.
You can take antihistaminics like levocetrizine for symptomatic relief of itch.

You should strictly stop applying those combination creams.
These may give temporary relief but would worsen the condition only.

You can share my opinion with your doctor.
I am sure that he would agree with this.

I hope this helps.
If you have any further query, you may ask me.
Stay healthy.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Charu Bansal (10 hours later)

Thank you for your time and effort. I don't suppose you are able to issue prescriptions are you? If not, I'll make the appointment right away.

Answered by Dr. Charu Bansal (8 hours later)

Brief Answer:
we can give you opinion , for prescription you should visit your doctor

Detailed Answer:
Hello. Welcome to Healthcaremagic.com.
We doctors here can give you opinion but cannot give you the prescription.
You should visit your doctor for this.
You can share my opinion with him.
I hope it helps.
Stay healthy.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D