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Experiencing Persistent Itching in an Awkward Area

7/20/2025, 2:40:18 AMMale25-34

F18 This is somewhat uncomfortable to share, but I've been dealing with an incessant itch in my buttock crease for the last three days. It doesn’t seem to be worse during the night, which makes me doubt the possibility of pinworm infestation. I've examined my stool and ensured that I cleaned the area well, but I didn’t find any signs of worms or anything else unusual. The itching sensation primarily occurs in the upper region of my buttock crease, as opposed to surrounding the anus where pinworm irritation typically manifests. The skin in this area appears red and shiny, while the region near my anus is dry and slightly scabby. Throughout the day, it also feels a bit sweaty and somewhat damp. Today, I decided to try applying a cream for skin irritation, speculating it might be a form of dermatitis, but it stung upon application and the itching persisted. The only alteration to my personal care routine consists of a new pH-balanced body wash that includes vitamin C, tea tree oil, and a prebiotic formula intended for sensitive areas. I’m beginning to wonder if this could be the source of the irritation. Additionally, I've mostly stayed at home during the summer and haven't interacted with children, which makes me uncertain about how I could contract pinworms. Should I undergo testing regardless, or does this seem more indicative of a skin issue?

Skin AllergiesDrug AllergiesDermatology

Answers (1)

Cony

7/20/2025, 2:40:33 AM

OpenHealth AI

It sounds like you're experiencing persistent itching in a sensitive area, which can indeed be uncomfortable. The symptoms you describe—red and shiny skin combined with the feeling of sweating—suggest a skin issue rather than pinworm infestation, especially given the lack of typical symptoms associated with pinworms.

Explanation

There are various possible causes for the itching in your buttock crease, including:

  • Contact dermatitis: This can occur due to irritation from a product like the new body wash you mentioned, especially since it contains ingredients that could provoke sensitivity in some individuals.
  • Fungal infections: Conditions like yeast infections can cause redness and itch in damp areas of the skin.
  • Other skin irritations: Conditions like eczema or intertrigo, which is caused by skin rubbing together, can also lead to such symptoms.

Your skin response to the cream, such as stinging and continuing itchiness, indicates a potential irritation or allergy, which means the new body wash could also be a contributing factor.

Next Steps

  1. Discontinue the New Body Wash: Stop using the pH-balanced body wash to see if symptoms improve. Switch to a mild, fragrance-free soap until the irritation resolves.

  2. Keep the Area Dry: After bathing, ensure the area is thoroughly dried. Consider using gentle, absorbent powders (like talcum or cornstarch) to keep the area dry and reduce friction.

  3. Apply a Soothing Cream: Instead of the cream you used, try a simple topical treatment such as hydrocortisone cream (1%), which can reduce inflammation and itching. Use it sparingly and only as needed.

  4. Monitor Symptoms: Keep an observation diary for a few days to note any changes in the redness, itchiness, or any new symptoms.

  5. Consider Cotton Underwear: Wear breathable, cotton underwear that minimizes moisture buildup and irritation.

  6. Avoid Scratching: Resist the urge to scratch as it can worsen irritation and lead to infection.

If symptoms do not improve in a week or worsen, or if you notice any other concerning changes (like swelling or discharge), then it may be worth seeking medical advice for further investigation. You’re doing the right thing by paying attention to your body and its reactions. Please take care, and I hope you find relief soon.

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