How can reduce skin rashes on my back and butt - #11504
I had this skin rashes since 2 yrs..I consulted a physician and get diagnosed as tinea cruris..but I didn't take medication properly..and few months later I consulted a dermatologist and He prescribes a flucanazole medication and ask me continue medication for 3 months..I stopped the medication after one month as it healed...Few months later it returns occasionally..mild..just on lower back and middle back ...I have this urge of scratching and end up peeling the dead cells and it bleeds and iburns..i also got scars and pigmentation on the healed areas..It'll get aggressive everytime I get my periods..pls suggest some advice.
100% Anonymously
No sign-up needed.

Doctors’ responses
Your rash is recurrent fungal infection (tinea cruris) which comes back if medicines are stopped too early.
You need to complete the full antifungal course as prescribed (like fluconazole for 3 months), otherwise it tends to relapse.
Keep the area clean, dry, and well ventilated avoid tight clothing and use only mild, non-fragrant soaps.
Do not scratch apply antifungal creams regularly and use soothing lotions for scars/pigmentation.
Since it worsens around your periods, hormonal changes may be lowering immunity please consult a dermatologist again to restart proper treatment and prevent recurrence.
It sounds like you’re dealing with a recurrent fungal infection, likely tinea cruris, which can be stubborn if not managed consistently. First, restarting your antifungal medication could be helpful. Fluconazole is often effective, but need need to be taken for the full course as prescribed to ensure the infection is completely eradicated. Consider resuming the medication, this time completing the full treatment duration recommended by your dermatologist. Keep in mind to discuss this plan again with your healthcare provider before restarting any medication.
Apart from medication, implementing lifestyle changes could potentially reduce recurrence. Keep the affected areas as dry and clean as possible, since fungi thrive in moist environments. Wear loose-fitting clothing and opt for breathable fabrics to minimize sweating, particularly in areas prone to moisture like the back and buttocks. Also, ensure you wash and dry these areas thoroughly after any physical activity or sweating.
Avoid scratching even when the itch is intense, as this can worsen the irritation and lead to bacterial infection. Over-the-counter topical antifungal creams might also help manage mild symptoms, but again, it’d be best to use them consistently as per instructions. Consider using fragrance-free and hypoallergenic products to reduce additional skin irritation.
Since your symptoms seem to worsen during menstruation, it might be worth keeping a diary to track flare-ups and present this to your managing clinician. This pattern could offer insights or prompt additional treatment choices, such as considering hormonal factors if they play a role. In terms of existing scarring and pigmentation, you might want to discuss options like topical treatments for hyperpigmentation with your dermatologist and assess safe, longer-term improvements. Always consult your healthcare provider before modifying any treatment plan, and particularly if symptoms persist or worsen despite these steps.
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.