Seeking Guidance on an Underarm Rash
Greetings, I'm a 40-year-old man facing a challenging situation. Unfortunately, my location makes it difficult to consult a dermatologist, and I anticipate a three-month wait before my appointment. This delay concerns me greatly. Recently, I have been dealing with a persistent underarm rash that has intensified this summer. It's been a tough few months emotionally, coupled with significant stress at work due to looming deadlines without any vacation. For years, I've noticed some darker pigmentation in my underarm area—which my brother experiences as well—but since May, these patches have become painful, itchy, and more pronounced. I’ve considered that this could stem from a fungal issue or possibly an immune response. My girlfriend suggested trying a clotrimazole cream for fungus, but it did not yield any improvement. I also attempted treatment for psoriasis and inverse psoriasis, which only slightly alleviated the itching, especially when I apply it in the early morning hours when the discomfort wakes me. For further clarity, here are some points to consider: - I tend to perspire excessively, and my sweat is quite acidic. - I consistently wear snug T-shirts beneath my work shirt throughout the year, which may lead to prolonged exposure to moisture in my underarm areas. - The itching sensation has started to extend beyond the rash site to the entire underarm region, rather than being confined to the affected areas. - I observe rashes on both sides—one on the inner arm of one side and another in the armpit on the opposite side, each appearing quite distinct from one another. I would greatly appreciate any assistance with: - Identifying the underlying issue, - Alleviating the discomfort and itchiness, - Preventing further spread of the rash, - Suggestions for dietary changes that might improve the condition of my skin. Thank you in advance for any insights or advice you can provide.
Answers (1)
9/7/2025, 9:10:46 AM
OpenHealth AI
Main Points: You have a persistent and worsening underarm rash that is likely influenced by sweating and stress. There are several strategies to manage your symptoms, reduce discomfort, and prevent further irritation.
Explanation: Underarm rashes can be caused by a variety of factors, including fungal infections, irritation from sweat and clothing, and possibly skin conditions like psoriasis or dermatitis. The combination of excessive sweating, tight clothing, and existing pigmentation changes can contribute to the persistence of your rash and the discomfort you're experiencing. It's crucial to address these issues while awaiting your dermatology appointment.
Prioritized Next Steps:
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Keep the Area Clean and Dry:
- Gently wash your underarms daily with a mild soap and make sure to pat the area dry thoroughly. Avoid scrubbing, which could worsen irritation.
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Manage Moisture:
- Consider using an antiperspirant (containing aluminum chloride) instead of deodorant, as they help reduce sweating. Applying it at night may enhance effectiveness.
- Use cotton or moisture-wicking fabrics instead of snug-fitting shirts to reduce friction and moisture buildup.
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Apply Soothing Topicals:
- Continue using the psoriasis cream as tolerated. Additionally, after washing, consider applying a soothing cream like an over-the-counter hydrocortisone to reduce itching and inflammation for a short duration (up to two weeks to avoid potential side effects).
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Avoid Irritants:
- Steer clear of strong soaps, fragrances, or products that can irritate the skin. Opt for hypoallergenic body washes and deodorants.
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Monitor Your Diet:
- Focus on a balanced diet rich in anti-inflammatory foods such as fruits, vegetables, whole grains, and healthy fats (like omega-3s from fish or flaxseed). Staying hydrated can also support skin health.
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Track Symptoms:
- Keep a journal of your rash's appearance and any changes in your diet or external conditions. This can help identify potential triggers and provide useful information for your future dermatology appointment.
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Stress Management:
- Given your high-stress levels, incorporating stress management techniques such as deep breathing, mindfulness, or light exercise can be beneficial. This is not only good for your mental health but also potentially beneficial for your skin condition.
If the rash continues to worsen, or if you experience symptoms such as significant pain, swelling, or the rash spreading, consider seeking temporary care from a local healthcare provider if you can. Let me know if you need more information on any of these steps.
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