Question 1

I've tested positive for Herpes 1, with an igg level of 18 COI, which seems really high to me. I've already done a 7-day course of Acyclovir, but my results haven't changed at all. I'm starting to worry because I've heard there's no cure for Herpes type 1. Can you help me understand why my levels are so high even after treatment, and is there anything else I can do?

Accepted Answer

A positive herpes simplex virus (HSV) IgG result with a COI of 18 indicates a past exposure to the virus, as IgG antibodies typically appear after the initial infection. While there's no cure for herpes, antiviral medications like acyclovir can help manage symptoms and reduce the frequency of outbreaks. If your symptoms persist, consider consulting your healthcare provider for further guidance.

Question 2

I'm really struggling with itchy testicles. It got worse when my thighs rubbed together and gave me rashes, making it super uncomfortable to stand, sit, or walk around. I saw a dermatologist, and they said it's a fungus and bacterial infection. I've dealt with this itchy black skin on my inner thighs for ages. They gave me itzhh and anti-fungal powder, and I've been using them for about a month. The black skin's improved by around 40%, but the itchiness and stickiness on my testicles are still there. What should I do?

Accepted Answer

It sounds like you're dealing with a fungal and bacterial infection, specifically:

*Jock Itch (Tinea Cruris) and Intertrigo*

Given your symptoms and treatment, here's what you can do:

*Continue Treatment*

1. *Finish the prescribed medication*: Complete the full course of Itzhh and antifungal powder as directed by your dermatologist.
2. *Maintain good hygiene*: Keep the affected area clean and dry.

*Additional Measures*

1. *Antifungal creams or powders*: Apply an antifungal cream or powder, like clotrimazole or miconazole, to the affected area.
2. *Tea tree oil*: Mix a few drops of tea tree oil with a carrier oil (coconut or olive oil) and apply to the affected area.
3. *Wear loose, breathable clothing*: Avoid tight-fitting boxers and opt for loose, breathable clothing.
4. *Dry the area thoroughly*: After showering or bathing, dry the affected area thoroughly, especially between the folds of skin.

*Testicular Itchiness and Stickiness*

1. *Apply a topical cream*: Use a topical cream or ointment containing hydrocortisone or calamine to reduce itchiness and inflammation.
2. *Keep the area clean*: Gently clean the testicular area with mild soap and warm water.

*Follow-up*

1. *Schedule a follow-up appointment*: Visit your dermatologist after completing the treatment to assess progress and adjust treatment if necessary.

Remember to be patient, as it may take some time to fully recover from the infection.

Question 3

I'm really worried about my wife's stretch marks on her inner thighs. She's been using Stretchrid cream recommended by a dermatologist, but its only shown a little improvement. She took an Unwanted 72 contraceptive pill in September 2019, and she's noticed a small weight gain recently, which might be linked to the stretch marks. Can you suggest the right treatment or medication for this?

Accepted Answer

Retinoids can help improve the appearance of stretch marks by promoting collagen production and increasing skin cell turnover. She can try using Retino-A cream 0.05% once daily at night on the affected areas. In addition to topical treatments, she can also consider taking Vitamin E supplements to support skin health and elasticity. I recommend taking Evion 400mg capsule once daily after a meal. It's important to continue using these medications consistently and be patient, as it may take some time to see significant improvement in the appearance of the stretch marks.

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