Brief Answer:
Suspicious of fungal infection.

Detailed Answer:
Dear XXXXX, Hi
Welcome to HCM.

I appreciate your concern for the itching during the sweating in a hot & humid weather conditions of the city of XXXXXXX

The most common cause in such setting is a fungal infection. Fungi grow in warm, moist and damaged skin due to excessive friction while walking or running.
If I were your treating physician I would have advised you to take Miconazole or Terbinafine containing creams.

Beside the following measures are useful in the prevention:

1. Keep the affected area dry and clean
2. Wash the anal area with clean water after you have had your bowel habit
3. Do not put any disinfectant on the skin or in the bath water this can irritate the skin.
4. Wear loose cotton underwear. Avoid tights and elastic ‘shapewear’ underwear, because they encourage sweating and moistness in the anal area.
5. Avoid anything that keeps the buttocks close together.
6. Do not scratch. If you scratch, your skin damage the skin more and then you itch more &
7. If your itching is intense you may take anti histamine tablet like Levocetrizine.

Hope to have answered your query.

Kindly rate the answer if you found the suggestion helpful and useful.

Best regards.

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Brief Answer:
Ketoconazole containing shampoo is effective

Detailed Answer:
Dear XXXX, Hi
Good morning.
Thanks for your reply.

If you are constantly suffering from dry flaky scalp which itches often Ketoconazole-an anti-fungal medication is effective. It needs to be applied twice a week only.

Dandruff can be caused by other factors also, hence I would advise you to consult a dermatologist.

Hope my suggestion could be useful to you. If so, kindly rate this discussion after rating the answers given.

Wishing you a very good health.

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