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Rash Help

I had a rash develop in my groin area suddenly just over a week ago that my doctor told me was "Jock Itch".  She gave me a Clotrimazole and Betamethasone cream to apply twice daily.  She told me it would clear up in about a week but it's still there and i believe the red area has increased in diameter on one side.

Should i give it another week to see if the redness goes away or should i make an appointment with a dermatologist rather than another trip to my primary care doctor?
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Avatar universal
Hi,

If the symptoms persist, you would need to consult your doctor or even a specialist.

This could be a condition called balanitis.Balanitis is inflammation of the glans penis. Lack of aeration and irritation because of smegma and discharge surrounding the glans penis causes inflammation and edema.More common in uncircumcised males.

It is usually caused by poor hygiene in uncircumcised men. The inflammation can be due to infection, harsh soaps, or failure to properly rinse soap off while bathing.
One common organism associated with balanitis is a yeast known as Candida albicans.  Balanitis may occur because of excessive growth of Candida, due to moisture and warmth under the foreskin.

It can be treated by applying Miconazole, an anti-fungal medication.Most cases of balanitis can be controlled with medicated creams and good hygiene.

Inflammation has many possible causes, including irritation by environmental substances, physical trauma, and infection by a wide variety of pathogens, including bacteria, virus, or fungus—each of which require a particular treatment.

Retract the foreskin daily and soak in warm water to clean penis and foreskin. Apply bacitracin (not Neosporin) for pediatric patients if bacterial infection is suspected.
Apply topical clotrimazole for adult men with probable candidal balanitis.

If the symptoms persist, you would need to consult your doctor or even a specialist.

Let us know if you need any other information.

Regards.
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2 Comments
The rash is in his groin area. It has nothing to do with him having a fully intact penis (uncircumcised.) Betamethasone Diproprionate that is in that Lotrisone should never ever be used on the penis or scrotum. It is too strong and can cause permanent skin thinning and burning sensations.
Nor is it about bad hygiene of uncircumcised men. That myth is so dangerous. But your treatment recommendations are safe and appropriate.
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