Wednesday, April 27, 2011

Jock Itch (Tinea Cruris) – Pictures, Causes, Symptoms and Treatment


Jock itch or Tinea Cruris is  basically a form of ringworm and a skin contagion. Primarily it affects the skin of the genitals, inner thighs, scrotum in males and buttocks areas. These areas are warm and moist and the itch results in reddish irritated ring-shaped rashes. Anyone who is overweight prompting a skin to skin rub and perspires a lot like sports persons is susceptible to this infection. It can affect women as well, though in rare case.
Ringworm is not to be taken as a form of worm; it is purely an infection of skin referred simply as ringworm (tinea).

Body ringworms :

Jock itch (tinea cruris) -

Infects the groin & the skin adjacent to it.

Nail ringworm (tinea unguium) –

Also called onychomycosis renders the nails opaque, stiffened and brittle. Women using  artificial nails and people suffering from peripheral vascular disease are prone to it.

Scalp ringworm (tinea capitis) -

Caused by fungus Tricophyton tonsurans leads to sores or lesions called keroins on the scalp skin. It affects children mainly due to poor hygiene.

Athlete’s foot (tinea pedis) -

Caused by Trycophyton is spread as painful rashes, peeling and scaling’s on the toes, fingers and spaces betwixt them. Mainly is transmitted by walking or remaining in moist wet areas like that found in showers or bathrooms.

Beard ringworm (tinea barbae) -

Called the “barber’s itch” are lesions on the bearded areas of men and young adolescents.Zoophilic Antro-pophilic fungi are the one responsible for causing it. In females and young children it is termed as Tinea faciei.

Is Jock Itch Contagious?

Engaging in sexual encounters is the prime reason for the spread of this infection amongst people. Also if one does not care enough to wash their hands after touching, scratching or rubbing the area, then they are responsible for spreading it to others by means of hands shaking, hugging and touching. Also sharing undergarments, swimming costumes, other clothing’s, towels and kerchiefs of the infected person will spread the contagion. Regular visits to activities like swimming and gym open to public is also a potential source of tinea fungus. Thus it is advisable to go in for a shower before and after engaging in such activities.

Jock Itch Causes

What causes jock itch?

  • Moistness and persistent warmth of the area of the groin, inner thighs and skin nearby. Fungi thrive well in such appeasing conditions.
  • Usually inner wears or undergarments are tight enough to render the specific area covered in sweat for longer periods of time. This leads to development of rashes and irritation due to fungi growth.
  • Obesity and people who perspire profusely are vulnerable towards it.
  • Sharing clothing of people, using public locker rooms and public swimming pools where molds like Trychophytin Epidermophyton floccosum thrive can cause the spread of the infection.
  • A suppressed immune system due to ailments like HIV/AIDS, diabetes, chemotherapy, hepatitis or due the effect of immunosuppressant makes you vulnerable to the infection.
  • Food intolerance, like lactose intolerance, yeast, gluten and fructose sensitivity is equally responsible.
  • Heat, humidity and friction can also be the causes of jock itch. In women area underneath the breasts are prone to it.
  • Lack of enough blood circulation and insufficient quantity of oxygen in blood are other reasons.
  • Yeast called Candila albicans produces abscesses on tip of penis and effects people suffering from diabetes mellitus.

Jock Itch pictures

Jock Itch : Photo 1
Jock Itch : Photo 2
Jock Itch : Photo 3

Jock Itch Symptoms

  • The initial simple symptoms of jock itch are of mild recurrent irritations in the areas of inner thighs and groin just where the groin touches the inner thighs skin which soon migrates to burning feelings and abrasions.
  • Rashes are ring-shaped about an inch in size, light red or pink in hue in the beginning, and lately develops to be bumpy, dry even filled with pus which might ooze out.
  • Extremities may result in discoloration of the affected skin area causing hyperpigmentation(skin darker than normal color) and hypopigmentation (skin lighter than normal color).
  • The other signs of jock itch like blisters can be painful and irritating, scalp ringworm will cause small patches without hair developing keroins.
  • Ringworm of nail will make them look whitish, delicate and thickened. Tenia pedis results in skin flaking in toes and will be extremely itchy.

Jock Itch Treatment & Cure

Anti fungal medications and jock itch remedies are available to inhibit the growth of infection and eventually curing it. Usually all the ointments contain oxiconazole, terbinafine, naftifine, ciclopirox, econazole nitrate or tolnaftate (Tinactin), micatin and lotrimin, works to prevent the fungus from making ergosterol. This substance does not allow the fungi to build an intact cell membrane and thereby restricts its growth ultimately killing it.
Glucocorticoid steroids are used to sooth itching and in combination of anti-fungal agents they works towards preventing secondary bacterial infections.
If you are wondering how to treat jock itch then here are certain self-care tips to be implemented to render benefits;
  • Contrary to common belief use of antibacterial soaps will be of no good, instead use soap consisting of coconut oil essentials.
  • Simply washing with plain water is helpful. Apply lot of petroleum based jelly as lubricant to suppress itchy feeling and burning sensation.
  • For restoring the natural acid layer of the skin and combating smell, apply a mixture of warm water mixed with lemon juice or apple cedar vinegar.
  • Make sure that you wear cotton woven loose clothing like boxers and shorts. Avoid anything too tight which will cause you to sweat.
  • Prefer sleeping naked so that affected area has enough room to breathe.
  • After strenuous physical activity try to take a bath with plain water to clean sweat and grit.
  • Coconut oil mixed with either just 5 drops of olive oil or tea tree oil can be applied as antifungal solutions twice daily.
  • Antifungal Jock itch cream, powder or spray can give some relief.
Though jock itch can be a distressing condition for the one who suffers from it, but it is not incurable. Its prognosis is very good and beneficial and once diagnosed it can be promptly treated with OTC medications and home remedies. Major or extreme cases of it can lead to chronic disfiguring or scarring and can be embarrassing, so it is advisable to take action right from the first signs and take proper precautions.
References:

Sunday, April 24, 2011

Right Side Abdominal Pain – Causes, Symptoms and Treatment


Abdominal pain is usually classified according the area where the pain is felt. For easier diagnosis and better identification of an abdominal pain, it is classified into two halves, right and left abdomen. These halves are further sub-classified into upper quadrant and lower quadrant.
pain in the right side of abdomen refers to anywhere in the upper right abdomen and lower right abdomen. A right side abdominal pain can often be misleading or confusing as there are several causes with varying severity. Moreover, the presence of numerous organs on the right side of abdomen makes diagnosing the actual cause of pain difficult.
Right side abdominal pain can be dull and constant or it can also be sharp and stabbing. A dull and constant pain is usually accompanied with a burning or tingling sensation. Diagnosing the exact reason for such a pain requires detailed examination of various other factors like duration of the pain, history of other illnesses, the exact location of the pain, severity, type, vomiting and appetite.
An abdominal pain in the right side, or for that matter any abdominal pain, should not be ignored as it can be an indication for other serious health conditions. Some serious illnesses actually cause very mild right side abdominal discomfort while some gentle illnesses can provoke moderate or sometimes severe abdominal pain on the right side.

{image source: ADAM}

Causes of Right Side Abdominal Pain

To determine what causes abdominal pain on the right side, it is necessary to look at the different organs or structures present on the right side of abdomen. Any illness, infection or irritation in these organs can lead to abdominal pain on right side.
Given below is the list of various organs and structures that exist in the right half of the abdomen:
  • Appendix
  • Liver
  • Gallbladder
  • Kidney (right)
  • Pancreas
  • Adrenal gland (right)
  • Ureter (right)
  • Right part of large intestines
  • Duodenum
  • Fallopian tube (right)
  • In females, right ovary
  • Blood vessels
  • Muscles
  • Skin
Other health disorders or conditions related to various organs or structures too are common causes of right side abdominal pain though not situated in that area. Examples for these could be tumors and the right lung’s lower part. Any kind of infection or illness in the right lung’s lower part is also one of the several right side abdominal pain causes even though it is not counted as a part of the right abdomen. Similarly even tumors could cause right side abdominal disorders.

Signs and Symptoms of Right Side Abdominal Pain

A right side abdominal pain can be caused to any of the different organs present on the right side of abdomen and also some organs or structures not present in that area. Hence, the symptoms associated with any disorders of the various organs like fever, vomiting, nausea, changes in appetite, changes in bowel habits, fluctuating pain and menstrual cycle changes are studied to determine the actual cause for the pain.
These symptoms help in diagnosing the actual cause of pain and thus reducing the need for unnecessary tests. Following are some of the other signs seen in various medical conditions linked to right side abdominal pain symptoms:

Appendicitis:

In fact the most common cause for pain in the right side of abdomen, it is caused due to inflammation of the appendix. It usually starts around the navel moving towards the lower right side of abdomen. The severity can vary from dull to severe pain. Usually seen in individuals of 9 to 40 years of age, appendicitis pain is seen in combination to fever, vomiting, nausea and appetite changes. Constipation or mild diarrhea is also noticed in some cases.
See here for more information on Appendix pain – Symptoms and location

Kidney Stones:

In a condition of kidney stones in the right kidney, a sudden and intense pain is experienced in the right side of abdomen. It starts on the upper right of abdomen and moves towards either the genitals or the navel.

Gallbladder Disease:

A dull or severe pain in the upper right part of abdomen and just below the right side rib cage indicates a gallbladder disorder due to either gallstones or gallbladder inflammation. The pain is experienced similar to waves and usually after meals. Lasting for few hours, it is usually accompanied by vomiting.

Hernia Complications:

Hernia, though not painful by itself, can cause severe right side abdominal pain. The pain usually increases steadily and often followed by nausea and vomiting.

Right Ovary Pain:

The rupture or twisting of ovarian cyst can cause sudden moderate or severe pain in the lower right abdomen. The pain tends to spread downwards to the thighs and is noticed in combination with vomiting and nausea.

Ectopic Pregnancy:

Pregnant women can notice a sudden pain in the lower right abdomen along with vaginal bleeding and dizziness. This is due to the ectopic pregnancy condition and requires an immediate medical care.

Food Poisoning :

A right side abdominal pain can also be caused due to food poisoning. It can be detected by symptoms like dehydration and the presence of respiratory, neurological or cardiac problems along with abdominal pain.

Abdominal Aortic Aneurysm:

A severe pain in the right abdomen due to tearing of abdominal aorta walls. This is most commonly noticed along with symptoms of a heart disease.

Mesenteric Lymphadenopathy:

Often confused with appendix pain, mesenteric lymphadenopathy is commonly seen in children. The child experiences pain in the lower right abdomen. Enlargement of neck glands and sore throat are the other signs noticed along with the pain. Unlike appendicitis, the child’s appetite remains unchanged.
Constipation, trapped wind, blood in stool and pulled muscle are some of the symptoms seen along with abdominal pain.
Some other less common causes of abdominal pain are those with symptoms concerning disorders of urinary tract, pancreas, liver and heart. Though very rare, symptoms of diseases like colon cancer, ulcerative colitis, infectious colitis and Chron’s disease are noticed along with right side abdominal pain at times.

Treating Abdominal Pain of Right Side

Right side abdominal pain treatment starts by identification of the actual cause of pain. Diagnosing the actual cause of pain is difficult due to the presence of numerous organs in the right side of abdomen. Any abdominal pain in the right side is temporarily subdued by using pain killers until the results of diagnostic tests point a particular disorder.
The actual cause of the pain needs to be determined before proceeding onto the question ofhow to cure right side abdominal pain. The diagnostic tests include X-rays, MRI, endoscopies, colonoscopy, ultrasound, barium enema, and blood, stool and urine tests.
An abdominal pain persisting for more than 3 days should not be ignored and immediately referred to a doctor. The symptoms of right side abdominal pain play a vital role in diagnosing the cause without tests. Until the diagnosis and treatment of the actual disorder that caused the pain, only pain killers can be used. Once diagnosed, the treatment for the faulty organ or structure is started based on the condition.
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