Question 1

I'm noticing these pimple-like bumps on my scrotum. They feel hard, and some are white. They're not painful, but they do get itchy sometimes. Should I be worried about this? What could it be?

Accepted Answer

Possible Diagnoses*

1. *Fordyce spots*: Small, white or yellowish bumps on the scrotum, caused by blocked sebaceous glands.
2. *Sebaceous cysts*: Hard, painless bumps filled with a cheesy, yellowish material.
3. *Epidermoid cysts*: Similar to sebaceous cysts, but filled with a soft, white material.
4. *Folliculitis*: Inflammation of the hair follicles, causing itchy, red bumps.
5. *Scrotal dermatitis*: Skin irritation or allergic reactions causing itchy, red bumps.

*Treatment Advice*

1. *Consult a doctor*: Schedule an appointment with a primary care physician, urologist, or dermatologist to determine the underlying cause.
2. *Keep the area clean*: Wash the scrotum with mild soap and warm water to prevent bacterial or fungal infections.
3. *Avoid scratching*: Scratching can lead to further irritation, infection, or scarring.
4. *Topical creams or ointments*: Your doctor may prescribe topical treatments, such as hydrocortisone cream or antibiotic ointments, to reduce inflammation or fight infections.
5. *Warm compresses*: Applying warm compresses to the affected area may help reduce itching and discomfort.

*When to Seek Medical Attention*

1. *Pain or discomfort*: If the bumps become painful or tender.
2. *Increased redness or swelling*: If the affected area becomes increasingly red, swollen, or inflamed.
3. *Pus or discharge*: If you notice pus or discharge from the bumps.
4. *Fever*: If you experience a fever in addition to the scrotal bumps.

Question 2

I'm a 26-year-old guy and I've been taking Tretiva 10 mg for my scalp infection. The dermatologist suggested I use it for 30 days to help with the small pimples filled with white pus on my scalp. But I read about some possible side effects in the patient information leaflet, like psychiatric disorders, pancreatitis, and pseudotumor cerebri, and I'm starting to worry a bit. Do you think it's a good idea to stop taking it? I'm concerned about any possible effects on my brain or thinking since I'm a student. Also, I didn't have any blood tests before starting this medication. What should I do?

Accepted Answer

Tretiva 10 mg is a brand name for isotretinoin, which is commonly used to treat severe acne and some cases of scalp infection. While it is important to be aware of the potential side effects listed in the patient information leaflet, it is also important to consider the benefits of the medication in treating your scalp infection. In your case, since the dermatologist has prescribed a low dose of 1 tretiva 10 mgday for 30 days, the risk of experiencing severe side effects such as psychiatric disorders, pancreatitis, or pseudotumor cerebri is relatively low. These side effects are more commonly associated with higher doses and long-term use of isotretinoin. As a student, it is crucial to prioritize your health and well-being.

Question 3

I'm dealing with these anal warts and have been using podowart paint every week, but recently, I've noticed the warts are staying wet, and there's a foul smell coming from them. Could you tell me what's going on and if there's anything I can do to fix this?

Accepted Answer

Anal warts can be uncomfortable and embarrassing.

Podowart Paint

1. Continue treatment: Podowart paint contains podophyllotoxin, which helps remove warts. Continue applying it once a week as directed.
2. Monitor progress: Keep track of any changes in the warts' size, shape, or color.

Additional Measures

1. Keep the area clean: Wash the affected area with mild soap and warm water to reduce bacterial growth and odor.
2. Dry the area thoroughly: After washing, dry the area completely to prevent moisture buildup.
3. Use a mild antiseptic: Apply a mild antiseptic cream or solution to the affected area to help reduce bacterial growth and odor.
4. Avoid scratching: Scratching can irritate the skin, making the warts more prone to bleeding and infection.
5. Wear loose, breathable clothing: Tight clothing can trap moisture and irritate the skin.

Clopivate cream for local application is advise for 7 days, if any side -effects dermatologist opinion is advised .

More Dermatology Health Queries

I'm noticing these pimple-like bumps on my scrotum. They feel hard, and some are white. They're not painful, but they do get itchy sometimes. Should I be worried about this? What could it be?

I'm dealing with these anal warts and have been using podowart paint every week, but recently, I've noticed the warts are staying wet, and there's a foul smell coming from them. Could you tell me what's going on and if there's anything I can do to fix this?

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