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What Causes Rash On Inner Thighs And Burning Sensation On Penis?

Posted on Sat, 28 Mar 2015

Question: My penis started burning about a week ago now has moved down between my anus and scrotum. Yesterday had a little rash on inner thighs. I also have oval shaped red patches just above my pelvic region. worst symptom right now is burning/pressure feeling between scrotum and anus. seems better when I stand up worse when sitting. worried about an std because of an indiscretion a few weeks ago but have a history of jock itch and have neuropathy in my feet. No flu like symptoms or fever and no visible sores or rash on penis or scrotum. I used an antifungal cream on my thighs yesterday and it seems better today

Answered by Dr. Shahid Hassan (50 minutes later)

Brief Answer:
Tinea Cruris

Detailed Answer:
Hi, welcome to HealthcareMagic,

I have gone through your query and understood it well.
You are suffering from tinea cruris as per description given by you.

Tinea cruris is a fungal infection and starts as papule and spread to form ring shaped lesion.
Apply Miconazole cream or clotrimazole cream twice daily and Tablet Fluconazole 150 mg once weekly.
Better option are Itraconazole capsule or Terbinafine Tab orally and sertaconazole cream topically, but these are prescription drugs.

The other provisional diagnosis is Herpes as you are mentioning burning.
I would like to advise you to send clinical picture to us for proper diagnosis.
There is a feature to upload the image by yourself on the right side of this query page. You may utilize that. Alternatively, you can mail it to YYYY@YYYY with subject line as "ATTN: Dr. Shahid Hassan".
Hope this is helpful.
Thanks.

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

Follow up: Dr. Shahid Hassan (2 hours later)

I cant see any sores or blisters just the red patches on my stomach and legs. Would herpes burn for 3 to 4 days and all over the groin area including down the leg. worst spot is between the scrotum and anus. Would jock itch burn where there is no visible rash? I've had jock itch a lot but it never burned only itched could this happen because its a worse case?

Answered by Dr. Shahid Hassan (7 hours later)

Brief Answer:
continue antifungal

Detailed Answer:
Hi, welcome again,

If you are not seeing any sore or blister then continue using antifungal treatment.
Tinea cruris/jock itch causing itching. Burning is reported in some cases only.

To rule out herpes or any other dermatological condition, clinical examination or a good quality image is an absolute requisite to help me arrive at a conclusion.

Regards
Dr Shahid Hassan
MD(Dermatology & Venereology)

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta