Persistent Itching Without Rash (35M)
Greetings, Ask Docs. I'm reaching out in desperation as I'm struggling with an overwhelming issue. Currently residing in Southern California, I'm experiencing the summer heat. Approximately one month ago, I began to feel a persistent itch in my armpits after starting a new job, with the only notable change being my switch to a different deodorant. Over the past week, this discomfort has expanded to encompass my entire torso, including my chest, back, hips, and arms up to the elbows, in addition to sporadic spots on my lower body. While I did observe a significant rash under my armpit, there are no other visible rashes elsewhere. I have sought medical assistance at Urgent Care on three occasions for this issue: 1. At the first visit, I was diagnosed with a yeast infection in my armpit which was spreading, and I was given an antifungal cream. 2. During my second appointment, the physician suggested it might be a general skin infection, prescribing Atarax for relief. 3. On my third visit, I was informed that the condition wasn't indicative of a yeast infection but rather skin irritation possibly due to an allergic response, resulting in a prescription for a low-dose steroid and Lubriderm. Following this, I received a call offering an appointment with a dermatologist. 4. At the dermatologist's office, it was determined that my symptoms didn't align with an allergic reaction, anxiety, or scabies after conducting a skin examination. Unfortunately, the root cause remained unclear, leading to a recommendation for a more potent steroid treatment for two weeks, complemented by a nighttime steroid cream. I have noted some relief from the Lubriderm, which I have continued to use, and was instructed to follow up in two weeks. To be candid, this situation is quite distressing. Despite applying the steroid, soaking in oatmeal baths, and moisturizing four times daily, the itch persists, interfering with my daily life. I am in search of a proper diagnosis or at least a lead on what could be causing these symptoms, as the impact on my life is quite significant. I've done some research and found that early signals of conditions like cancer or diabetes might resemble what I'm experiencing. A close relative of mine was diagnosed with pancreatic cancer at an early stage, sparking fears about my own health. While I understand I might be worrying excessively, I thought it would be wise to turn to this community for any insights or potential remedies. Thank you for your assistance!
Answers (1)
8/15/2025, 12:41:23 AM
OpenHealth AI
It sounds like you’ve been through a lot trying to find relief from your persistent itching, and it's completely understandable to feel distressed given the circumstances. Your situation, while uncomfortable and concerning, is not uncommon, and I’m here to help guide you through further steps.
Overview
The itching you're experiencing may stem from a variety of causes including skin irritation, allergic reactions, or even environmental factors. Given the treatments you’ve tried and the improvements observed, we can focus on practical self-care measures while you await further assessment from the dermatologist.
Explanation
- Skin Irritation and Infection: Changing deodorants or sweating due to heat can lead to irritation or infections, particularly in warm areas like your armpits. The antifungal treatment you received indicates there was concern for yeast overgrowth, which is common in warm, moist conditions.
- Allergic Reactions: Your dermatologist's insights suggest that this may not be strictly allergic, but being in a different environment or using new products could still irritate the skin.
- Underlying Conditions: While it’s natural to be concerned about serious conditions, persistent itching without a rash or significant systemic symptoms is often related to dermatological or irritative factors rather than serious internal diseases.
Next Steps
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Continue Using Moisturizers: Since you’ve noted some relief with Lubriderm, keep this as your primary moisturizer. Apply it after bathing and whenever your skin feels dry.
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Monitor and Document Symptoms: Keep a diary of when the itching worsens, including any food intake, products used (like soaps or detergents), and environmental factors. This can help identify potential triggers.
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Oatmeal Baths: Continue soaking in oatmeal baths as these can provide soothing relief. If you haven’t tried it already, consider colloidal oatmeal for its skin-soothing properties.
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Stay Hydrated: Ensure you drink plenty of water. Hydration can help maintain skin integrity and may reduce irritative feelings.
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Consider Dermatology Follow-Up: You mentioned a follow-up appointment already, but if distress persists, discussing further allergy testing or investigational treatments like antihistamines might be beneficial if the itching continues unabated.
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Avoid Irritants: Refrain from heavily scented body products, harsh soaps, or new detergents while you’re experiencing these symptoms. Minimalist products may help.
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Manage Stress: It’s understandable to feel anxiety in these situations. Consider stress management techniques such as mindfulness, relaxation exercises, or gentle yoga, which can sometimes reduce the perception of discomfort.
Please remember that while it’s good to consider potential serious conditions, persistent itching without other alarming symptoms typically points to skin-related origins rather than systemic diseases. Stay Patient with the process, and keep communicating your concerns with your healthcare providers. Let me know if you have additional questions or need more assistance!
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