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Seeking Advice on Swollen Ringworm After Swimming

6/22/2025, 10:30:24 AMMale25-34

Hello everyone! I’ve been dealing with a ringworm infection for approximately five months. For the last three months, I’ve been applying antifungal cream—specifically, I used over-the-counter miconazole for two months and was recently prescribed ketoconazole, which I have been using for a little over three weeks. The infection seemed to show improvement, as it had stabilized into a dry and dark ring, and the itching subsided once I began the treatments. However, while on a trip, I went swimming in a lake and was wet for several hours. Since the infection had been stable for a while, I didn’t think it would pose a problem. When I returned to my hotel, everything seemed normal. I showered, dried off, and applied the ketoconazole cream as I normally do. But overnight, things took a turn for the worse—it became excessively swollen and irritated, even more than when I first discovered it. Could this now be a secondary infection? The area was quite dry, and I didn’t notice any open wounds, which makes me question the likelihood of that. I hadn’t been scratching it at all. Is it possible that being in the wet conditions allowed the ringworm to thrive, leading to this flare-up? I’m worried about how quickly this has escalated. Additionally, since I am traveling internationally, I am uncertain about what treatment options I may have available. I would appreciate any insights or tips on managing this situation. Thank you in advance!

FibromyalgiaCrohn's DiseaseInternal Medicine

Answers (1)

Cony

6/22/2025, 10:30:42 AM

OpenHealth AI

It sounds like you're experiencing an exacerbation of your ringworm infection after being in a wet environment. Here’s a clear overview addressing your concerns and guiding you on what to do next.

Main Points:

  • Swelling and irritation after swimming can indicate a reaction to moisture or potential infection.
  • Continued treatment with antifungal cream is necessary, but additional care may be required due to the recent changes in your skin condition.
  • Monitoring for signs of infection and adjusting your care routine can help manage the situation.

Explanation:

Ringworm, caused by a fungal infection, often thrives in moist conditions, which may explain the flare-up after swimming. It’s also possible that prolonged moisture could have caused irritation or even an allergic reaction to the antifungal product rather than a secondary infection. However, it's wise to stay vigilant for signs of infection, such as increased redness, warmth, pain, or oozing from the site.

Next Steps:

  1. Keep the Area Clean and Dry: Gently wash the affected area with mild soap and pat it dry thoroughly. Moisture encourages fungal growth, so maintaining dryness is crucial.

  2. Continue Antifungal Treatment: Apply the prescribed ketoconazole cream as directed. Consistency is key in treating fungal infections.

  3. Avoid Further Irritation: Try to minimize friction or irritation to the area, such as wearing loose clothing and avoiding scratching.

  4. Monitor for Changes: Keep an eye on the swelling and irritation. If it worsens or you notice signs of an infection (such as pus, extreme pain, or fever), reassess your treatment plan urgently.

  5. Consider Freezing Moisture: If you have access to a fan or a cool, dry environment, allowing air circulation over the affected area may help.

  6. Check with Local Pharmacies: If the situation does not improve within a few days, consider visiting a local pharmacy or healthcare facility for guidance on alternative antifungal treatments that may be available in your area.

Your concern for your health is valid, and by following these steps, you can manage the situation more effectively. If you have any specific questions or need further clarification on any of these points, feel free to ask!

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