How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17520
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

I have red flakey and extremely itchy patches around

Customer Question

Hello. I have red flakey and extremely itchy patches around my bottom. It's on one cheek as such and I was prescribed HC cream by my doctor. This carved the rash down and I carried on using the cream to try and get rid of it. The cream is now not that effective and it's come back worse. What else can I use? Thanks
Submitted: 8 months ago.
Category: Medical
Expert:  Dr. D. Love replied 8 months ago.
Hello from JustAnswer.Would it be possible to attach a picture of the rash?
Customer: replied 8 months ago.
Yes I'll do that now
Customer: replied 8 months ago.
I am off to the pharmacy this morning so if I can get anything, I'd be greatful. It's been getting gradually worse as I must scratch in my sleep
Expert:  Dr. D. Love replied 8 months ago.
Thank you for the picture. This rash does look to be an inflammatory rash, and the use of a hydrocortisone cream would indicate that your doctor also thought it was inflammatory. When someone has an itchy rash, there should be some consideration of whether there is a fungal infection, but there are not any characteristic features of a fungal infection on this picture. It is possible that a fungal infection could be present without characteristic features, and the most accurate method for diagnosis of a fungal infection is a microscopic examination of scraping of the rash, but over the internet, I can only comment upon the appearance of the rash. For an inflammatory rash, a hydrocortisone cream is as strong as can be obtained over the counter. There are stronger steroid creams available by prescription, but your doctor would need to prescribe those medicines. There are limited options available for home treatment. It may help to use interventions to make the hydrocortisone creams somewhat stronger, such as by applying a non-absorbant bandage over the rash after application of the hydrocortisone cream. It also may help to take an oral antihistamine to try to augment the effect of the hydrocortisone cream. There are many different antihistamines available over the counter, such as diphenhydramine or cetirizine. Lastly, even though there is not the characteristic features of a fungal infection, it would be an option to try an over the counter antifungal cream, such as clotrimazole, to see if it helps. Since microscopic examination is not an option at home, the best that can be done is a trial of an antifungal medicine to see if it helps. If I can provide any additional information, please let me know.
Customer: replied 8 months ago.
Thanks for your help. The HC cream used to work a treat and I'll try it again. Do I have to use the antifungal cream completely separate? Or can I do for example, morning with one and night with the other?
Expert:  Dr. D. Love replied 8 months ago.
They can be used together. There are actually some products that combine the clotrimazole and hydrocortisone in one cream.
Customer: replied 8 months ago.
This is what I have used. I'll try and get the same again
Expert:  Dr. D. Love replied 8 months ago.
Actually, this is one of the products that is a combination of clotrimazole and hydrocortisone.
Customer: replied 8 months ago.
Fantastic. Thanks for your help. Have a good day
Expert:  Dr. D. Love replied 8 months ago.
You are most welcome.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions