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What Causes Small Black Bumps With Itchiness In The Groin Area?

Posted on Thu, 23 Jul 2015

Question: Hi, So I have groin itchiness and small black bumps. I thought they were black heads when they first started to appear but then came itchiness. I think I have jock itch and have been treating it as such and it seems to be getting better; however I have a new one that is at the tip of my penis next to the urethra which causes pain and discomfort. what should I do? Is this a case of jock itch?

Answered by Dr. Ilyas Patel (59 minutes later)

Brief Answer:
Tinea cruris most probably

Detailed Answer:
Hi,

Welcome to HCM...

After going through history you provided, I could conclude that most probably you may be having a fungal infection in groin areas,called tinea cruris.

I can understand your worries for a lesion on glans penis,which is painful. Before I give you advice, I would like to have photos of affected parts,so kindly upload the photos of groin and genital areas. And please answer following questions...

- duration of the disease?
- do you get itching,pain,burning?
- describe the groin lesions...reddish,blackish,scaly,crusted,patches,papular,oozing...
- describe penile lesion you have...pus containing,clear liquid containing,erosed..
- lesions else where?
- history of any other skin or systemic disease?
- past history of any disease?
- family history of any disease?
- history of any drugs you take?
- occupation?

Kindly answer above queries and post the photos of affected parts..

Thanks.

Dr. Ilyas Patel MD

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

Follow up: Dr. Ilyas Patel (31 minutes later)

Answers:

- duration of the disease? I believe it started last thursday. I was swimming all day started treatment 2/3 days ago

- do you get itching,pain,burning? All

- describe the groin lesions...reddish,blackish,scaly,crusted,patches,papular,oozing...: just like tiny black/gray circles raised slightly. no ozzing. Crusted only on the ones I thought were black heads

- describe penile lesion you have...pus containing,clear liquid containing,rosed. Just a gray don't barley can see it. I can feel it constantly and gives me a sensation of having to pee

- lesions else where? Shaft, tip on penis as described and testicles

- history of any other skin or systemic disease? dry skin

- past history of any disease? Never

- family history of any disease? Cancer

- history of any drugs you take? Xaniex, wellbutrone, Ambien

- occupation? Digital Advertising

Answered by Dr. Ilyas Patel (19 minutes later)

Brief Answer:
Tinea cruris most probably

Detailed Answer:
Hi,

Welcome back...

Thanks for answering,but you did not uploaded the photos. Anyways, I deeply feel that most probably you seem to have fungal infection called tinea cruris in groin areas,inner thighs with secondary bacterial infection on penile and scrotal skin.

I would suggest as follow...

- antihistaminics like levocetirizine
- antifungal like ketoconazole tab twice a day for two weeks
- short course of antibiotics like cefixime 200 mg twice a day for one week
- to apply antifungal cream like clotrimazole on groin lesions and antibiotic cream like fusidic acid cream on infected lesions
- Sitz bath..have Sitz bath in a tub containing water mixed with few drops of dettol liq. daily. Avoid soap bath.
- keep the area dry.

I think this would be helpful in managing your problem.. Please consult dermatologist before taking treatment.

Still..any query, feel free to ask...

Thanks.

Dr. Ilyas Patel MD

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

Follow up: Dr. Ilyas Patel (19 minutes later)

uploaded the pics. all the white is baby powder. Sorry of the quality but those were the best shots

Would 250 mg of Amoxicllian work for the bacterial infection?

Answered by Dr. Ilyas Patel (4 hours later)

Brief Answer:
Tinea cruris with bacterial infection

Detailed Answer:
Hi,

Thanks for photos..but very poor quality.

Anyways,please follow as I have suggested in previous post. And amoxicillin may be taken for bacterial infection for one week in proper dose..250 mg four times per day...ok

Hope for the early recovery.

Thanks.

Dr. Ilyas Patel MD

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