and Treating Itchy Lower Abdomen: Causes and Solutions - Dermatology

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Itching in the lower abdomen?


Hello Doctor, I previously experienced itching around my areola, and I'm not sure what caused it.
At that time, I thought it might be heat rash, so I applied some lotion and it improved.
I also had a similar issue in my lower abdomen.
This first occurred during the summer two years ago.
The itching around the areola still occasionally happens, but it has improved significantly.
However, recently, the condition in my lower abdomen has become much worse compared to before.
I found online that this area is referred to as the lower abdomen, which is the area below the navel where hair grows but is not yet the genital area.
It is red, and certain areas have dry flakes of skin, with white patches in the hair follicles, and it itches intensely.
I have tried applying lotion and the medication prescribed by a dermatologist for the areola, but nothing seems to work.
Would it be better to go directly to a major hospital to see a doctor? I can't really assess the severity of the situation, but the itching has been affecting my daily life lately.
Perhaps my tolerance is lower than usual.
Thank you for your help, and I appreciate your response.

Niming, 10~19 year old female. Ask Date: 2021/07/22

Dr. Li Yufen reply Dermatology


Hello: Due to the recent humid and hot summer weather, there are many patients experiencing skin itching.
If the skin condition does not improve or worsens, it is advisable to consult a dermatologist nearby for diagnosis and to assess whether further examination and treatment are necessary.
Thank you!

Reply Date: 2021/07/22

More Info


Itchy sensations in the lower abdomen can be quite distressing, especially when they interfere with daily life. Based on your description, it seems that you are experiencing significant discomfort in the area below your navel, which is accompanied by redness, dryness, and flaking skin. This condition, often referred to as pruritus, can arise from various causes, and understanding these can help guide you toward effective treatment.


Possible Causes
1. Dermatitis: This is a common cause of itching and can be triggered by irritants, allergens, or even changes in temperature and humidity. Contact dermatitis, for example, can occur if the skin comes into contact with irritating substances like soaps, lotions, or even sweat.

2. Fungal Infections: The lower abdomen is a warm and moist area, making it susceptible to fungal infections such as candidiasis. This can lead to intense itching, redness, and flaking skin.

3. Eczema: Atopic dermatitis or eczema can also manifest in the lower abdomen, especially if there is a history of skin conditions. Eczema can cause dry, itchy patches that may become inflamed.

4. Psoriasis: This chronic skin condition can cause red, scaly patches that may itch. It can occur anywhere on the body, including the lower abdomen.

5. Hygiene Issues: Sometimes, inadequate hygiene can lead to irritation and itching, particularly in areas where moisture can accumulate.

6. Allergic Reactions: Allergies to certain foods, medications, or environmental factors can also lead to skin reactions that cause itching.

7. Systemic Conditions: In some cases, underlying health issues such as liver disease, kidney disease, or thyroid disorders can manifest as generalized itching.


Treatment Options
1. Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. If you suspect a fungal infection, antifungal creams may be beneficial.

2. Moisturizers: Regularly applying a fragrance-free moisturizer can help alleviate dryness and prevent further irritation.

3. Antihistamines: If the itching is due to an allergic reaction, antihistamines may provide relief.

4. Avoid Irritants: Identify and avoid any products that may be causing irritation, including soaps, lotions, and laundry detergents.

5. Maintain Hygiene: Keeping the area clean and dry is essential. Consider using gentle, unscented soaps and ensure thorough drying after bathing.

6. Consult a Dermatologist: Given that your symptoms have persisted and worsened, it would be prudent to consult a dermatologist. They can perform a thorough examination, possibly conduct skin tests, and provide a definitive diagnosis and tailored treatment plan.

7. Consider a Comprehensive Evaluation: If dermatological treatments do not yield results, it may be necessary to explore systemic causes. Blood tests and other evaluations can help rule out underlying health issues.


When to Seek Immediate Care
If you experience severe symptoms such as swelling, blistering, or if the itching is accompanied by other systemic symptoms (like fever or significant pain), seek medical attention promptly.
In conclusion, while it may be tempting to self-diagnose based on online information, the complexity of skin conditions often requires professional evaluation. A dermatologist can provide the most accurate diagnosis and effective treatment plan tailored to your specific needs. Don't hesitate to seek help, especially since your symptoms are affecting your quality of life.

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