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Persistent Reddish Rash in the Groin Area: Seeking Advice

3/24/2025, 2:10:27 AMMale25-34

Hello everyone, I'm a 32-year-old male weighing 190 pounds, and for several weeks now, I've been dealing with a painful, red, itchy rash surrounding my genitals and buttocks, which comes and goes. I'm currently taking Gabapentin, Duloxetine, and Atorvastatin. I've shown before-and-after images in a previous post in another group for context, but I can't display them here. Initially, I was treated with Lotrimin and then Clobetazol as recommended by my doctor. However, after I stopped using the medication, the condition worsened significantly; the itching and pain became so severe that walking was a challenge. I have a follow-up appointment scheduled for next Friday, and my doctor has advised me to apply Cortison 10 alongside some Lotrimin as a temporary measure. I often experience significant health anxiety, and I'm feeling quite apprehensive about this upcoming appointment. I'd like to know if anyone can detect any improvement in my condition based on the pictures I shared elsewhere. While the pain has somewhat diminished, the itching and stinging sensations return once the cream’s effectiveness fades. Should I be genuinely concerned, or is the rash showing signs of improvement? I would greatly appreciate insights or messages from any healthcare professionals who could share their expertise. Thank you in advance!

Abdominal PainMuscle PainChronic Pain

Answers (1)

Cony

3/24/2025, 2:10:48 AM

OpenHealth AI

It sounds like you're dealing with a frustrating and uncomfortable rash in a sensitive area, and it’s understandable that you would feel anxious about it. Based on your description, it appears that you have already sought medical advice and been treated, which is a positive step. However, managing persistent rashes can be tricky, so let’s address your concerns.

Main Points

  • The rash may be a fungal infection or dermatitis, given its location and symptoms.
  • Ongoing symptoms suggest it may require more than just topical treatments.
  • Focus on managing symptoms until your follow-up appointment.

Explanation

The rash you’re experiencing could be due to several factors, including a fungal infection (like tinea or "jock itch"), irritation, or an allergic reaction. The treatments prescribed — Lotrimin (an antifungal) and Clobetasol (a steroid) — are common and can be effective. However, if the rash worsens when you stop using these medications, it may indicate that the underlying issue isn't fully resolved or isn't solely attributed to a fungal infection.

It’s also important to recognize the psychological impact of such skin conditions, especially when they cause discomfort and embarrassment. Your anxiety is understandable, and management of both your physical and emotional well-being is crucial.

Next Steps

  1. Continue Using Prescribed Treatments: Follow your doctor's current advice by using Cortison and Lotrimin as directed. Apply them consistently to help manage your symptoms.

  2. Hygiene and Care: Keep the area clean and dry. After showering, ensure the area is thoroughly dried — moisture can worsen rashes. You might consider using a cornstarch-based powder to help absorb moisture and reduce friction.

  3. Track Your Symptoms: Keep a diary noting when the itching and pain worsen or improve following the application of treatments. This can inform your doctor during your appointment.

  4. Prepare for Your Appointment: Write down any questions or concerns you have, including the effectiveness of previous treatments and your experiences with itching and pain. This will help you communicate effectively with your doctor.

  5. Stay Calm: Try to manage your anxiety leading up to the appointment. Deep breathing exercises or mindfulness may help you feel more centered.

While it’s difficult to assess the improvement of your rash without images or a direct examination, your experience of varying symptoms suggests that further evaluation may be required. Your follow-up appointment will be crucial in determining the next steps in your treatment.

Feel free to reach out if you want more information on specific treatments or coping strategies for health anxiety!

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