[27M] Experiencing intense burning and itching on feet

Patient Description

A 27-year-old male reports a two to three-week history of intense burning and itching on the soles of his feet, particularly at night. The patient notes some scaling and peeling but no redness, blisters, foul odor, or discharge. The symptoms are somewhat alleviated by showering. There is no known exposure to communal areas commonly associated with fungal infections, no family history of skin conditions, and no personal history of similar symptoms. The patient has no pre-existing conditions, chronic illnesses, allergies, or current medications.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions might be possible:

  • Athlete's Foot (Tinea Pedis): This is a fungal infection that usually begins between the toes and can cause itching, stinging, and burning. It's commonly contracted in damp communal areas, like public showers or swimming pools, but it's also possible to contract it in other ways.

    • Treatment typically involves over-the-counter antifungal ointments, lotions, powders, or sprays. If these aren't effective, a doctor may prescribe stronger antifungal medication.
  • Contact Dermatitis: This is a skin reaction resulting from exposure to allergens or irritants, and can cause a burning sensation, itching, and dry, cracked, scaly skin.

    • Treatment involves avoiding the irritant or allergen, applying over-the-counter creams to help relieve itching, and taking oral medications to reduce inflammation.
  • Eczema (Dyshidrotic Eczema): This can cause itching and burning, and small fluid-filled blisters can appear on your hands and feet.

    • Treatment usually involves creams or ointments that you apply to your skin. Your doctor might also recommend other treatments, like phototherapy or a type of drug called an immunosuppressant.

Please note that these are possible conditions based on the symptoms you've described. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try over-the-counter antifungal creams or sprays. If your symptoms don't improve after a couple of weeks, or if they get worse, see a doctor.
  2. Keep your feet as dry as possible. Change socks regularly, and try not to wear the same shoes two days in a row so they have a chance to dry out.
  3. Avoid scratching the affected area to prevent further irritation or possible infection.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve after two weeks of treatment.
  • You notice signs of a bacterial infection, such as increased redness, swelling, pus, or a foul odor.
  • The skin on your feet becomes increasingly painful or tender to touch.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always best to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of Athlete's Foot?

Common symptoms of Athlete's Foot include itching, stinging, and burning sensations, usually between the toes, as well as scaling, peeling, and sometimes redness or blisters.


How can I differentiate between Athlete's Foot and Contact Dermatitis?

Athlete's Foot is typically associated with itching and burning between the toes and is often contracted in damp communal areas. Contact Dermatitis, on the other hand, is a reaction to allergens or irritants and can cause dry, cracked, and scaly skin. The presence of a known irritant or allergen exposure can help differentiate the two.


What are some effective home remedies for relieving itching and burning on the feet?

Effective home remedies for relieving itching and burning on the feet include soaking feet in cool water, applying over-the-counter antifungal creams, keeping feet dry, and wearing breathable footwear. Avoiding scratching and using moisturizers can also help.


When should I see a doctor for foot-related skin issues?

You should see a doctor if your symptoms worsen or do not improve after two weeks of treatment, if you notice signs of a bacterial infection such as increased redness, swelling, pus, or a foul odor, or if the skin on your feet becomes increasingly painful or tender to touch.


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