Dr. Alai is an actively practicing medical and surgical dermatologist in south Orange County, California. She has been a professor of dermatology and family medicine at the University of California, Irvine since 2000. She is U.S. board-certified in dermatology, a 10-year-certified fellow of the American Academy of Dermatology, and Fellow of the American Society of Mohs Surgery.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
antibacterial skin washes
like Lever 2000 soap or chlorhexidine (Hibiclens) soap twice daily.
Moderate bacterial jock itch may be treated with:
antibacterial skin washes like chlorhexidine soap twice daily and
twice-daily application of a
topical antibiotic like clindamycin lotion or metronidazole (Flagyl) lotion.
Severe bacterial jock itch may be treated with:
antibacterial skin washes like chlorhexidine soap twice daily,
twice-daily application of a
topical antibiotic like clindamycin lotion or metronidazole lotion, and
a five- to 14-day
course of an oral antibiotic like cephalexin (Keflex), dicloxacillin, doxycyline,
minocycline (Dynacin, Minocin), tetracycline (Sumycin), ciprofloxacin (Cipro, Cipro XR, Proquin XR), or levofloxacin (Levaquin) for more resistant
situations.
How is itching from jock itch treated?
Inflammatory itching from jock itch can be treated with a short course of one
of the following:
Use a short five- to seven-day course of a mild to medium potency,
topical steroid cream like prescription triamcinolone 0.025% once or twice a day
for inflamed or itchy areas.
Use a short five- to seven-day course of a mild
over-the-counter topical steroid cream like hydrocortisone (Cortaid) one to
three times a
day for itching.
Use a topical immunomodulator such as pimecrolimus (Elidel)
cream or tacrolimus (Protopic) ointment twice a day. Although these creams are
approved for atopic dermatitis and eczema, their use would be considered "off
label" (non-FDA labeled use) for jock itch.
Yeast vaginitis is a yeast infection of the vagina. Symptoms include itching, burning, soreness, pain during intercourse and urination, and vaginal discharge. Yeast infections can be treated with over-the-counter and prescription medications.
The word "rash" means an outbreak of red bumps on the body. The way people use this term, "a rash" can refer to many different skin conditions. The most common of these are scaly patches of skin and red, itchy bumps or patches all over the place.
The term "ringworm" or "ringworms" refers to fungal infections that are on the surface of the skin. A physical examination of the affected skin, evaluation of skin scrapings under the microscope, and culture tests can help doctors make the appropriate distinctions. A proper diagnosis is essential to successful treatment. Among the different types of ringworm are the following: tinea barbae, tinea capitis, tinea corporis, tinea cruris, tinea faciei, tinea manus, tinea pedis, and tinea unguium.
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Athlete's foot (tinea pedis) is a skin infection caused by the ringworm fungus. Symptoms include itching, burning, cracking, peeling, and bleeding feet. Treatment involves keeping the feet dry and clean, wearing shoes that can breathe, and using medicated powders to keep your feet dry.
Itching can be a common problem. Itches can be localized or generalized. There are many causes of itching to include: infection (jock itch, vaginal itch), disease (hyperthyroidism, liver or kidney), reactions to drugs, and skin infestations (pubic or body lice). Treatment for itching varies depending on the cause of the itch.
Cancer is a disease caused by an abnormal growth of cells, also called malignancy. It is a group of 100 different diseases, and is not contagious. Cancer can be treated through chemotherapy, a treatment of drugs that destroy cancer cells.
Neutropenia is a marked decrease in the number of neutrophils, neutrophils being a type of white blood cell (specifically a form of granulocyte) filled with neutrally-staning granules, tiny sacs of enzymes that help the cell to kill and digest microorganisms it has engulfed by phagocytosis.
Obesity is the state of being well above one's normal weight. A person has traditionally been
considered to be obese if they are more than 20 percent over their ideal weight.
That ideal weight must take into account the person's height, age, sex, and
build.
Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs that fit any age or lifestyle.