Struggling with Jock Itch for a Year – Seeking Guidance
Hello everyone, I’m a 24-year-old male from India who has been contending with jock itch, which is a type of fungal infection, for the past year. I only began my treatment six months ago, and I’ve seen significant improvements since then. Previously, the affected area would become inflamed and itchy, but thankfully, the redness has subsided, leaving a few dark patches behind. Here’s my current regimen: - **Itraconazole 200 mg** – taken once daily after meals - **Levocetirizine 5 mg** – taken at night to alleviate itching - **Luliconazole or Ketoconazole cream** – applied once daily - **Ketoconazole soap** – used during my daily showers This routine has helped to diminish the infection significantly. However, I’m facing a troubling issue: every time I discontinue the medication, the itching recurs within 3 to 4 days. It seems as though the infection hasn’t completely eradicated itself internally. Has anyone experienced something similar? Should I extend my treatment duration, or do you have any recommendations for alternate creams or medications that facilitated your full recovery? I appreciate any advice you can provide! 🙏
Answers (1)
7/3/2025, 5:01:25 AM
OpenHealth AI
It sounds like you're dealing with a challenging case of jock itch, which is a common fungal infection, and it’s great to hear that you’ve seen improvements. However, it's understandable that the recurrence of itching after stopping medication is concerning. Let's break down your situation and focus on the essential steps you can take moving forward.
Main Points:
- Persistent jock itch may indicate that the infection hasn’t fully cleared or that it's returning due to factors like moisture or incomplete treatment.
- Continuing effective management strategies and possibly extending treatment may be necessary.
Explanation:
Jock itch, caused by fungi, can be persistent and may require prolonged treatment to fully resolve. Although your current regimen has brought improvement, the recurrence of symptoms after stopping suggests that the fungal growth may not be completely eradicated or that environmental factors continue to trigger irritation.
Next Steps:
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Continue Current Regimen: Since you've seen improvements, it's important to maintain the current treatment for a bit longer, especially if you are noticing improvement but not yet full resolution of symptoms.
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Consider Extended Treatment Duration: Discuss with a healthcare provider about the possibility of continuing antifungal treatment for a longer period (beyond 6 months) under supervision to fully eliminate the fungal infection.
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Improve Hygiene and Drying Practices:
- Ensure that the affected area is kept clean and dry. Fungi thrive in moist environments, so after showering, dry the area thoroughly.
- Wear loose-fitting, breathable underwear and clothing to minimize moisture buildup.
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Evaluate Underlying Conditions: Consider whether factors like diabetes, excessive sweating, or a weakened immune system could be contributing to the persistence of the infection. Addressing these may help with overall treatment efficacy.
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Use Antifungal Powder: In addition to your topical medication, you might benefit from using an antifungal powder (like miconazole or clotrimazole powder) to keep the area dry and prevent recurrence.
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Avoid Irritants: Along with medication, reduce exposure to irritants like harsh soaps or lotions which may worsen itching or irritation.
If symptoms persist despite these measures, seeking further medical advice is crucial. Explore the option of seeing a dermatologist for an evaluation tailored to your situation. Keep tracking your symptoms to discuss any changes during follow-ups.
Remember, it's a process, and staying consistent with your treatment and hygiene is key! Let me know if you need further details or support.
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7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options
# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - **Portocaval shunt size: 9.9 mm** (blood bypassing the liver into the inferior vena cava) - **Arteriovenous shunt size: 4.4 mm** - **Portal vein size: 6.1 mm** (patent) - **Three nodular cystic lesions** located in the perivascular area, with largest measuring 11.6×20.7 mm, enhancing during the venous phase - Liver features a heterogeneous architecture, exhibiting irregular enhancement - Gallbladder appears elongated and slightly enlarged - Other abdominal organs exhibit normal findings **RADIOLOGIST’S ASSESSMENT:** "Congenital portosystemic shunt indicative of Abernethy malformation; less likely arteriovenous malformation (AVM); cannot dismiss the possibility of localized liver lesions." **ADVICE:** Seek consultations with an abdominal and vascular surgeon. ### Blood Tests (August 1, 2025): **Complete Blood Count:** - WBC: 10.44 × 10⁹/L (normal range) - **RBC: 2.1 × 10¹²/L** (LOW - indicating severe anemia) - **Hemoglobin: 69 g/L** (CRITICALLY LOW; normal is 117-166) - Platelets: 403 × 10⁹/L (elevated) **Biochemistry Analysis:** - 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WBC: 5.8 × 10⁹/L (SHOWS IMPROVEMENT) - **RBC: 2.93 × 10¹²/L** (IMPROVED but still low) - **Hemoglobin: 72 g/L** (SHOWS IMPROVEMENT but still low) - Platelets: 223 × 10⁹/L (BACK TO NORMAL) - Neutrophils: 30.0% - Lymphocytes: 64.8% - Monocytes: 4.6% ### Biochemistry (January 28, 2026): - Total protein level: 67 g/L (slightly deficient) - Creatinine: 20.7 μmol/L - **Total Bilirubin: 242 μmol/L** (STILL HIGH - unchanged) - **Direct Bilirubin: 142 μmol/L** (VERY HIGH) - **ALT: 50 IU/mL** (DRASTICALLY LOWER from >1000!) --- ## OVERVIEW OF PROGRESS OVER 6 MONTHS | Parameter | August 2025 | January 2026 | Change | |------------------|-------------|---------------|--------------------------| | **Hemoglobin** | 69 g/L | 72 g/L | ↗ Slight improvement | | **RBC** | 2.1 | 2.93 | ↗ Improved | | **ALT** | >1000 | 50 | ✓✓ MAJOR IMPROVEMENT | | **Bilirubin** | 245 | 242 | → Unchanged (still elevated) | | **Portal vein** | 6.1 mm | 3.9 mm (US) | ↗ Decreased | | **Platelets** | 403 | 223 | ↘ Normalized | | **Shunt size** | 9.9 mm | 9.9 mm | → No Change | --- ## CURRENT SITUATION (February 2026 - 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Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? 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