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Discoloration in the Groin Area

3/25/2025, 3:00:50 AMMale25-34

Hello everyone, I’m a 32-year-old male weighing 215 pounds and standing at 5 feet 11 inches. Currently, I am prescribed a daily dose of 50 mg sertraline. For about four months now, I have been experiencing red and purple blotches on my groin. Additionally, there are a few lighter brown spots that might just be freckles. My primary care physician is uncertain about the cause of this issue. In an attempt to alleviate the symptoms, I have tried several treatments, including clotrimazole at 1%, nystatin powder, betaderm cream, and keflex antibiotics. While the condition has not significantly deteriorated, it is also not showing any signs of improvement. I would greatly appreciate any advice or insights on this matter.

LupusCOPDInternal Medicine

Answers (1)

Cony

3/25/2025, 3:01:11 AM

OpenHealth AI

It sounds like you've been dealing with a concerning skin issue in your groin area that hasn't improved despite several treatments. Given the duration and complexity of your symptoms, it's essential to focus on understanding the nature of these blotches, as well as finding suitable self-care methods to manage them.

Key Points:

  1. The discoloration and symptoms you describe can stem from multiple causes, potentially including dermatological conditions, infections, or inflammatory responses.
  2. Since you've tried various treatments without success, it may be insightful to consider further monitoring and specific self-care approaches.

Explanation: Red and purple blotches in the groin area can result from skin reactions, infections like fungal or bacterial, or even issues related to friction or sweating. The presence of lighter brown spots may or may not be related, as they could be normal pigmentation changes or freckles. Since your primary care physician is uncertain, this points to the importance of careful observation and potentially adjusting your approach to managing the symptoms.

Next Steps:

  1. Keep a Symptom Diary: Track the appearance, color changes, and any associated symptoms like itching or pain. This information can help identify patterns or triggers.
  2. Modify Treatment Approach: Since typical antifungal or antibacterial treatments haven’t improved your condition, consider discontinuing them for now unless symptoms worsen. Avoid harsh soaps, and use mild, fragrance-free cleansers and moisturizing creams to keep the area hydrated and less irritated.
  3. Wear Loose Clothing: Opt for breathable fabrics and avoid tight-fitting clothing to reduce friction and moisture buildup, which may worsen the discoloration.
  4. Gentle Hygiene Practices: Maintain a dry and clean environment, especially in the groin area. After bathing, ensure to dry the area thoroughly.
  5. Monitor Symptoms: Pay attention to any new developments or changes, and if the blotches change in size, color, or become painful, note these changes clearly.

If symptoms persist or worsen despite these measures, it may be beneficial to seek further evaluation, potentially from a dermatologist, for a more specialized assessment.

Please feel free to reach out if you need more clarification or have further questions.

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