[21M] With sharp pain and itching in the groin area

Patient Description

A 21-year-old male has been experiencing sharp pain and itching in the area under his thighs and between his anus and penis for the past seven days. The pain is rated 5 out of 10 in intensity. The itching initially caused red patches that resemble cuts and feels both burning and tingling. The patient noted that removing hair helps reduce the itching. There is an unusual discharge with an odor similar to feces, and the affected area sometimes becomes smooth with cuts appearing. The patient denies any recent injuries, fever, chills, or changes in urine. No rashes or redness have been noticed in other parts of the body. The patient uses nicotine pouches but has no family history of skin conditions or allergies and is up to date with vaccinations. There has been no exposure to new soaps, detergents, or other substances that might cause an allergic reaction, and the patient is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Intertrigo: This is a common condition that occurs in skin folds where moisture and friction can cause irritation. It often presents with redness, itching, and sometimes a burning sensation. The affected area can become smooth and may develop cuts or fissures.

    • Treatment: Keeping the area dry and clean, using barrier creams, and applying antifungal or antibacterial ointments if an infection is suspected.
  • Fungal Infection (Jock Itch): This is a common fungal infection that affects the groin area. It can cause itching, redness, and a burning sensation. The skin may become smooth and develop cuts.

    • Treatment: Over-the-counter antifungal creams or powders, keeping the area dry, and wearing loose-fitting clothing.
  • Contact Dermatitis: This is an allergic reaction to something that has come into contact with your skin. It can cause redness, itching, and sometimes a burning sensation.

    • Treatment: Identifying and avoiding the irritant, using topical corticosteroids, and keeping the area clean and dry.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

  1. Keep the Area Dry and Clean: Gently wash the affected area with mild soap and water, and make sure to dry it thoroughly. Moisture can worsen the irritation.
  2. Use Over-the-Counter Treatments: Consider using antifungal creams or powders if you suspect a fungal infection. Barrier creams can also help protect the skin.
  3. Wear Loose-Fitting Clothing: Tight clothing can cause friction and worsen the irritation. Opt for loose, breathable fabrics.
  4. Avoid Irritants: If you suspect that a particular soap, detergent, or fabric is causing the irritation, try to avoid it.
  5. Monitor Your Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased Pain or Swelling: If the pain becomes more intense or the area becomes swollen, it could indicate an infection.
  • Pus or Unusual Discharge: If you notice pus or an unusual discharge, it could be a sign of a bacterial infection.
  • Fever or Chills: These could indicate a more serious infection that requires medical attention.
  • No Improvement: If your symptoms do not improve with over-the-counter treatments or home care, it's important to see a healthcare provider for further evaluation.

Remember, while these tips can help manage your symptoms, it's essential to consult a healthcare provider for a formal diagnosis and appropriate treatment. If you have any additional questions or need further assistance, feel free to continue the conversation.

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6 mo ago

People Also Ask


What is intertrigo and how can it be treated?

Intertrigo is a condition that occurs in skin folds where moisture and friction cause irritation, leading to redness, itching, and sometimes a burning sensation. Treatment involves keeping the area dry and clean, using barrier creams, and applying antifungal or antibacterial ointments if an infection is suspected.


How can I tell if I have a fungal infection like jock itch?

Jock itch is a fungal infection that affects the groin area, causing itching, redness, and a burning sensation. The skin may become smooth and develop cuts. It can be treated with over-the-counter antifungal creams or powders, keeping the area dry, and wearing loose-fitting clothing.


What are common causes of contact dermatitis in the groin area?

Contact dermatitis in the groin area can be caused by an allergic reaction to substances like soaps, detergents, or fabrics. It results in redness, itching, and sometimes a burning sensation. Identifying and avoiding the irritant, using topical corticosteroids, and keeping the area clean and dry can help manage the condition.


When should I seek medical attention for skin irritation in the groin area?

You should seek medical attention if you experience increased pain or swelling, pus or unusual discharge, fever or chills, or if your symptoms do not improve with over-the-counter treatments or home care.


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