Question: Hi Doctor, Last Month, I had a query related to the recurrent painful bumps on my Groin Area (including Scrotum and inner Thighs). I shared the picture with you as well. You had mentioned that it was folliculitis. I had also consulted a dermatologist nearby in person, he mentioned the same thing as you explained. After I checked with you, a week after, I had another occurrence of folliculitis on the area where the thigh and scrotum meet (the very inner most part where the underwear tucks-in). I think the reason could be the new jogging habit of mine. I had jogged continuously for 2-3 days prior to both folliculitis cases. It has been a month since jogged and I did not get further outbreak since then. However, my current problem is not related to this. This time I have a different query with a new problems that I have been facing for last 3 weeks. Also, I had same problem 3 years ago but with little less intensity. Below are my present problems: 1) I get itching outbreak at least once in a day around my a) Both upper arms b) Slightly below my neck and upper Chest c) On Face near Jaw-bones d) side-waist area. There wont be any visible rash when it starts to itch, but after I scratch, i immediately see a raised surface that looks exactly like a big size mosquito bite around that itchy area. The itchiness will be quite severe for 30 mins. The raised surface will subside on its own in couple of hours. I have attached a picture "LeftElbow_AfterScratch.jpg" that I took just few mins before. 2) Occasionally, I get a slight pricking feeling on my arms and thighs that makes the hair-roots around that area to raise like goosebumps, a coin sized area (Usually this occurs when I physically change my position or get into outdoor area). This is not due to any friction or rubbing over the area, rather it appears in small size automatically without any friction or irritation. At times the affected area will itch as well. The raised hair-roots will go back to normal less then 30-45 mins. I don't have any picture to show this problem at this moment. 3) Also, I get similar hair-root raising problem (but NOT itchy) whenever my skin is slightly irritated with a material during very common activities, like removing my backpack bag, or lifting a cardboard box with both hands, the friction that these materials create with my skin will immediately make the surface raise. If the surface has hair, then the hair-root will raise like goosebumps, if there are no hairs in that area like the inner-side of arm, then it will create a lengthy raised surface like a big size mosquito bite in lengthy strips pattern. Even this raised surfaced will fade away in an hour or 2. Though the 3rd problem is not disturbing me physically, it gives me mental disturbances as these are new problems that have started to surface very recently. To show you how the skin looks like, a minute ago I rubbed my both arms with the strap of my backpack bag and noticed immediate raise on skin. I took pictures and attached here. As mentioned, the problem occurs not only with one particular material. It occurs due to any material that can cause a small friction. One thing that I can mention to you is that, I have been going thru series of stressful situations these days with lot many negative thoughts and general anxieties over my health and various other relationship level issues. I am not on any medication. I did take a counselling from a psychiatrist who asked me to focus on lifestyle improvements, particularly the workouts in gym. Though workingout in gym or jogging for 2 continuous weeks helped me ease my mind to a great extent, they started to create foliculitis problem instead. So, I am bit hesitant to continue my workout fearing another breakout. All these aggravates my skin problem more and more. Request your valuable opinion on such skin related issues. I am not even sure if all these recent issues on my skin are due to the stress and anxieties that I have been having from Dec2013 till date. I checked in google on similar issues and I see that the problem could be due to the stress and histamines etc. I did not want to self diagnose as it only makes my situation worse. Thanks for your help and sorry for a lengthy content.

Hello Doctor, Thank you for your detailed explanation as usual. It clearly explains the problem that I have been going thru. I just have the following questions on the details you have provided. 1) Is it possible to get the tablets that you prescribed in India with the same names and also would I get them without doctor's prescription sheet? 2) Is my histamine condition also responsible for the folliculitis problem that I have been facing? Because, I really want to continue my exercise activities to keep myself physically fit. But doing so seems to be creating the new folliculitis outbreak in random spots in and around groin area. I request your suggestion on this matter. Thank you.