Partner Experiencing Rash and Rib Pain
Hello, my partner is suffering from notable discomfort and a rash located on the left side of his torso, specifically around his ribs. The rash itself is relatively small, measuring just a few inches, yet the pain radiates outward beyond that area. After consulting with a nurse, it was suggested that the symptoms are unlikely to be shingles—a condition we initially feared. Instead, she suspects it could be contact dermatitis or an unidentified allergic reaction and recommended the use of hydrocortisone cream. We have been following her advice, and although the rash has shown slight improvement, the pain persists. He describes the sensation as akin to a deep bruise, accompanied by a burning and stabbing feeling at the rash site. The pain extends from the rash across his midsection and wraps slightly around to his side, although it doesn't progress extensively onto his back—covering no more than a quarter of its width. We are uncertain if we should schedule another appointment with a doctor or continue treating it with hydrocortisone. Any insights or potential causes would be greatly appreciated. He is assigned female at birth, stands 167 cm tall, and the only medication he currently uses is a topical steroid for his psoriasis.
Answers (1)
8/21/2025, 1:52:01 PM
OpenHealth AI
It’s understandable to be concerned about your partner's discomfort and the symptoms described. The combination of a rash and rib pain can stem from various causes, including allergic reactions, skin irritations, or even conditions affecting the nerves or muscles.
Summary of Key Points
- The nurse’s suggestion that it’s unlikely shingles is reassuring, but continued symptoms may require further evaluation.
- Hydrocortisone cream can help with inflammation in contact dermatitis or allergic reactions, but persistent pain needs attention.
Explanation
The rash, described as small but accompanied by significant pain, could be a sign of contact dermatitis or an allergic reaction, especially since there has been some improvement with hydrocortisone. However, the type of pain experienced—burning and stabbing sensations—could indicate inflammation of surrounding tissues or irritation of nerves in that area.
Conditions like shingles typically cause both a rash and pain, but if the symptoms have improved with treatment, that’s a positive sign. Nonetheless, persistent pain warrants further investigation.
Next Steps
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Continue with Hydrocortisone Cream: Keep applying the cream as directed, particularly on the rash. If there’s improvement in the rash but not in the pain, that may indicate the rash isn’t the only issue.
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Monitor Symptoms: Keep track of any changes in pain intensity or spread of the rash. Note any triggers that might increase pain or irritation, such as certain activities or products.
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Pain Management: Consider over-the-counter pain relief (such as ibuprofen or acetaminophen) if it’s safe for your partner to take. This can help manage pain while the rash heals.
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Seek Further Evaluation: Given the ongoing pain, it would be wise to schedule a follow-up appointment with a healthcare provider. A doctor can perform a physical examination and may suggest treatments such as different topical agents, a skin biopsy, or other imaging if necessary to rule out conditions affecting the nerves.
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Avoid Irritants: Ensure that your partner avoids any potential irritants, such as harsh soaps or tight clothing that may exacerbate the rash or pain.
If you have further questions or need additional support, please feel free to reach out!
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