Patient's question:
A small, flat bump appeared and healed on its own. Now, two more have emerged, feeling like something has bitten me and causing intense itching. My skin also itches occasionally, with some areas having red spots.Medical history and effectiveness:
I have never sought treatment.
Desired help:
I want to know what this is and how to treat it.
Doctor's answer:
Consider it to be scrotal eczema; since scrotal eczema, like eczema in other parts of the body, is related to allergies, any medication used to treat allergies can also be used to treat scrotal eczema. Commonly used antihistamines include cyproheptadine, chlorpheniramine, hydroxyzine, and loratadine. External medications mainly involve corticosteroid creams, such as hydrocortisone cream, fluticasone cream, and urtication cream. Traditional Chinese medicine treats diseases based on syndrome differentiation. TCM often classifies scrotal eczema into two types—damp-heat accumulation in the lower limbs and yin deficiency with blood dryness—to treat accordingly.Avoid scratching, rubbing, friction, and hot water washing. Hot water, soap, saltwater, and alkaline solutions should not be used. Additionally, avoid external applications of iodine, antifungal solutions, or garlic, as these are irritating. As long as patients can ensure not to scratch and avoid irritating the skin, many can recover quickly. This condition is related to emotions, so maintaining a calm mood, getting adequate rest, and having confidence in recovery are also key factors. In terms of diet, avoid spicy and allergenic foods like onions, ginger, and garlic. Also, avoid external stimuli (scratching, hot water washing, soap washing) and foods that are easily allergenic or irritating.