Patient's question:
Doctor, can eczema in the scrotum be treated with Pramesul? Recently, my scrotum has been itchy all the time! Sometimes it gets very red when I touch it!!!Doctor's answer:
Hello: Because this condition is not tinea, it cannot be treated as such. The condition should be avoided from scratching, rubbing, friction, or washing with hot water. Hot water, soap, salt water, alkaline water, and external applications of iodine, tinea preparations, or garlic are all contraindicated. As long as itching and skin irritation are avoided, many patients can recover quickly. The condition is related to emotions, so maintaining a calm mood, adequate rest, and confidence in winning the battle against the disease are also key factors. In terms of diet, it is important to avoid spicy and irritating foods such as onions, ginger, and garlic.For acute treatment, cold compresses should be the primary method. About 3,000 milliliters of clean water can be used, without adding any medication, or with 3 grams of alum. Alternatively, a 10% berberine solution or a decoction of 30 grams of dandelion and 15 grams of chrysanthemum can be prepared and cooled before applying as a wet compress. If there is a secondary infection, 1 gram of chlorhexidine or 0.1 gram of potassium permanganate can be dissolved in 3,000 milliliters of clean water. These methods are very effective for relieving scrotal itching and oozing.
For chronic treatment, traditional methods include applying indigo ointment or skin-drying ointment externally. Heat therapy is even better, or smoke therapy or a decoction of polygonum can be used. Western medicine treatment primarily involves topical application of corticosteroid creams, which should be used consistently for at least 1–2 months—once in the morning and once in the evening on the affected area. No bandaging is needed, and the thinner the application, the better. There is no need to remove the previous layer before applying the next dose. For infected eczema, antibacterial creams can be used. For thicker scrotal eczema, tar-based creams such as 5% coal tar cream, 5% pine tar cream, or 5% castor tar cream can be applied.