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Persistent rash on undercarriage - what IS it, and steroid creams...

(26 Posts)
ohtheindignity Wed 10-Jun-09 16:01:32

Have name-changed...well, you would...

Have had a horrible itchy rash for nearly a year on and off, from the top (sorry for level of info) of my arse crack right round to the top if the front, IYSWIM.

HAve been prescribed steroid cream, it worked on and off, but mainly off, so have now been prescribed something stronger.

Is it not good to use steroid cream for ages though? And wouldn't it be better to find out what's causing it and treat that?

Has anyone had anything like this, and do you know what it is/how to get rid? Thanks!

ohtheindignity Wed 10-Jun-09 17:08:14

Please someone talk to me - don't make me volunteer to get my nether region out on Embarrassing Bodies. (Why, oh why do people do that?!)

BellaNoir Thu 11-Jun-09 23:46:03

This might be a daft question but when you saw the GP who prescribed the steroid cream, did they not say what they thought the rash was?

gigglewitch Thu 11-Jun-09 23:48:12

er, is it presumed to be eczema then?
anything to do with shaving <ahem>?

puffylovett Thu 11-Jun-09 23:50:45

ask for it to be swabbed - it could be thrush ? In which case you'll need an anti fungal cream

howtotellmum Fri 12-Jun-09 12:49:47

Have you tried usual self-help measures like non bio washing powder, ditching anything scented ( panty liners), and bubble baths etc?

You could try Sudacreme for nappy rash which seems to work on lots of skin things.

If I were you I;d go back to GP and ask for referral to a dermo or a gynae.

You can use steroid creams long term if used carefully, but sounds as if you need a diagnosis first.

ohtheindignity Fri 12-Jun-09 19:46:04

Thanks for the replies - have only just seen them!

OK. The GP who originally prescribed the cream didn't tell me what it was/what was causing it and I was too blush to ask having just exposed entire undercarriage and had a piles inspection...She did take a swab at the time but I haven't heard anything about it.

Nothing to do with shaving, have abandoned the topiary since having DC2 last year... blush

I did initially think it was thrush and kept treating it as such but no. It's just so damn itchy, and I worry the steroids might be making the skin really fragile.

Might go back and ask for a referral if it doesn't go - am sick of it. sad

Thanks for the replies.

KerryMumbles Fri 12-Jun-09 19:47:20

well i'll ask the obvious question -

is it possible it could be a vd?

Mumsnut Fri 12-Jun-09 19:51:34

Have you looked in a mirror? If white patches could be lichen sclerosis.

I would ask to see a dermatologist anyway: they know much more about skin than GPs. Good luck.

ohtheindignity Fri 12-Jun-09 20:15:52

Def not VD unless DH has been up to no good, and I would stake my life on that not being the case. HAven't looked in a mirror, I will...Will give a week and reasses. And will google lichen... <eurgh>

howtotellmum Fri 12-Jun-09 20:42:18

If it's eczema and located only there it must be contact dermatitis- which makes me think something is causing it- are you wearing coloured undies, or have you changed your washing ppowder?
It is unusual to get eczema in one place alone- ( we are an ezcema expert family!).

Are you wearing cotton pants- so it's not a sweat rash?!

Def. give the Sudacreme a go- it is meant for eczema aswell as other kinds of rash.

WhoDidThat Fri 12-Jun-09 21:08:17

Sweat rash seems like a high possibility - once it is established then it can stay for agesand ages. I had this under my boobs for about a year and the GP gave me a steroid cream and a talk on how these things appear in "moist" areas and then just linger blush. I decided to get rid once and for all by basically nipping off to the bathroom about 6 times a day and having a wipe down with a cool flannel and then drying off completely and then putting on the cream each night. It was gone in about two weeks and I have kept it away ever since.

I never thought I was a particularly sweaty person, but there you go, I am sure that is what it was.

Also, not massively practical, but if you can leave the affected area exposed to the open air it will probably help - at least at night in bed if you can't during the day!

CarGirl Fri 12-Jun-09 21:10:42

It could be a strep A infection when dd had this it was sore, cracked/peeling and they kept insisting it was thrush.

I'd go back and ask for a swab, in fact I'd go to your local clinic for STDs etc (sorry can't remember the name of them) as they will give you the full works.

ohtheindignity Fri 12-Jun-09 21:43:49

CarGirl - have just googled and got this. Oddly enough, whilst I've had the rash for nearly a year I have this week developed a sore throat, headache and earache. Will be going back to the doctors on Tuesday - or do you think it's more urgent and should I try for help this weekend?

(also had it when DS was born, he came out with a weepy eye and we were both treated for thrush, him oral and me on my nipples, could that be related?)

Am also now bricking it having read that bit about flesh eating bugs... sad

CarGirl Fri 12-Jun-09 21:50:10

it will only kill you if the strep A gets into your blood stream via a cut or c-pox blister etc!!

there is one photo here www.skinandaging.com/article/1106

howtotellmum Fri 12-Jun-09 22:01:59

It could be thrush but you would expect to have some kind of discharge- even just slightly.

Whatever is the cause, try wearing (long) skirts and leaving your knickers off!

www.sudocrem.co.uk/what-is-sudocrem.html

CarGirl Fri 12-Jun-09 22:04:53

dd has strep A for over a year before they diagnosed it (via a swab) again they treated it as thrush with canestanHC which sort of helped but never got rid of it........

norksinmywaistband Fri 12-Jun-09 22:07:24

I would second lichen sclerosis.
I have just been diagnosed with this after 18 months of hellish itching.
Started with pinprick/little spots vvvv itchiness which persists.
I have some mildly white patches, but nohing I would have noticed without the gynae showing me them in a mirror during my examination shock blush

On special steroid creams at the moment, but it can reccur sad

KerryMumbles Fri 12-Jun-09 22:11:16

I had that lichen business in my armpits. GP had me putting all sorts of steroid creams, etc. on it to no avail. Turns out it was my Tom's of Maine LICHEN deoderant doing it!

shock

CarGirl Fri 12-Jun-09 22:11:18

basically get a referral and some swabs done in the meantime!

SalVolatile Fri 12-Jun-09 22:17:31

Bloody sure it is what my sister and dh have had in the past - used to be called dhobie itch and is a straightforward fungal skin infection. There is a specific anti fungal cream you can be prescribed for it as canestan wont touch it: its basically athletes foot in another damp crevice grin. NOT serious, honestly, and goes as soon as you get the right cream, and sometimes, oral anti fungal meds to back it up.

linserella Fri 12-Jun-09 22:20:31

Yes, Lichen Sclerosis. Weird, I've just posted on this moments before i read this, was diagnosed by gynae in April but been on the steroid for symptoms for well over a year... def get a referral to a gynaecologist or a dermatologist, they'll know more. A lot of GPs don't have a clue about this and there has been v little research into it. Good luck

LackaDAISYcal Fri 12-Jun-09 22:32:28

do you wear thongs/g-strings?

I used to get a horrible rash that sounds similar and after months of it coming and going and being really sore and itchy and all sorts of creams that worked for a bit but then it came back, I read an article in a magazine about someone with a similar rash who gave up on thongs as they had developed an allergy to knicker elastic. sudocreme and canesten used to clear it up best though.

I thought it was worth a shot and swapped to shorts types and it cleared up and has never come back......unless I wear a thong.

ohtheindignity Mon 15-Jun-09 12:49:56

Well, after reading that page I linked further up I freaked out and called the out of hours doctor. (I bet they love google and the self diagnosis patients!) But I had/have about 4 of the symptoms at different times over the past year and started to get freaked out.

Th doctor didn't think the rash was streptococcal but I'm still not happy that I have to live with this day in day out so am going to go back tomorrow and ask to see a dermatologist. Will ask about the lichen thing too as that sounds like a distinct possibility.

Kayteee Mon 15-Jun-09 13:13:51

Try sitting in a salt water bath regularly and letting it dry out thoroughly. Or, dab the said area with salt water on cotton wool.

Use a lot of salt. It might sting at first but it's worth a shot. I have used this method over the years for all sorts smile

Good luck, you poor ol' sossidge sad

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