What medication should be used for dampness and itching in the scrotum?
Apr 18, 2023
Source: Cainiu Health
Dr. Li Mingchuan
Introduction
Scrotal moisture and itching are common clinical symptoms that may be caused by physiological factors or pathological conditions such as scrotal eczema, tinea cruris (jock itch), or neurodermatitis. It is recommended to pay attention to daily care and avoid scratching or irritation that could worsen symptoms. Patients should visit a dermatology clinic at a hospital for proper diagnosis, and after identifying the underlying cause, receive appropriate medical treatment under a doctor's guidance.
Scrotal moisture and itching are common clinical symptoms that may be caused by physiological factors or pathological conditions such as scrotal eczema and tinea cruris. It is recommended to maintain cleanliness and hygiene of the affected area and, under medical guidance, use appropriate treatments targeting the underlying cause, including anti-itch medications, corticosteroids, anti-infective agents, and antifungal drugs.
I. Physiological Factors
Poor hygiene and frequent wearing of tight underwear can lead to irritation and itching due to sweat accumulation. Additionally, regularly consuming spicy or stimulating foods may increase local sweating and secretion, resulting in a moist and itchy scrotal area. Removing these triggers often leads to symptom relief or resolution.
II. Pathological Factors
1. Scrotal Eczema
The exact cause remains unclear but may be associated with psychological stress, genetic predisposition, environmental irritants, immune dysfunction, or systemic diseases. Typical manifestations include intense itching, along with papules, vesicles, erythema, swelling, oozing, and exudation. It is important to identify and eliminate triggering factors. During the acute phase without blisters, erosion, or significant exudation, topical treatments such as calamine lotion or hydrocortisone butyrate cream may be used as directed by a physician. For cases with mild erosion and minimal exudation, zinc oxide oil may be applied. Oral antihistamines such as loratadine tablets or levocetirizine hydrochloride capsules may be added when necessary. If bacterial infection is present, sensitive antibiotics like levofloxacin hydrochloride capsules or norfloxacin capsules may be prescribed.
2. Tinea Cruris (Jock Itch)
This is a common fungal skin infection characterized by red patches and papular lesions accompanied by significant itching. Treatment typically includes topical antifungals such as ketoconazole cream or bifonazole cream as prescribed. In more severe cases, oral antifungal agents such as terbinafine hydrochloride tablets or itraconazole capsules may be added under medical supervision.
In addition, other conditions such as neurodermatitis may also cause similar symptoms. Proper daily care is essential, and scratching should be avoided to prevent skin damage. Patients should visit a dermatologist for accurate diagnosis and, once the cause is identified, receive appropriate medical treatment under professional guidance.
