Skin Issues: Red Spots and Painful Bumps Explained - Dermatology

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I have some red spots on the sides of my buttocks (they're not large, just slightly red on the surface and not painful), but my abdomen is a bit larger, and it feels painful when I touch it (around the area near my belly button).
There are no issues on my back, just these areas.
What could be the cause? Also, I notice that after my menstrual cycle, I get small bumps on my buttocks.
Could this be serious? I'm a bit worried, and I also feel itchy after showering, even with hot water.
Why is this happening?

Yurou, 20~29 year old female. Ask Date: 2008/10/22

Dr. Huang Ruiyun reply Dermatology


Hello: In theory, no diagnosis or treatment should be made without seeing the patient.
However, you should pay attention to not using bathing sponges, washcloths, or nylon bath balls.
If you are using any of these, please dispose of them.
Additionally, be mindful of the hygiene of your bath towels.
If the problem persists, please visit a dermatologist in person.
Wishing you the best.

Reply Date: 2008/10/22

More Info


Understanding skin issues, particularly red spots and painful bumps, can be quite complex, as they can arise from a variety of causes. Based on your description, it seems that you are experiencing localized redness and painful bumps in certain areas of your body, particularly near your abdomen and buttocks. Additionally, you mentioned experiencing itchiness after bathing, especially with hot water. Let's break down these symptoms and explore potential explanations and recommendations.


Possible Causes of Your Symptoms
1. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection, irritation, or blockage. The bumps you feel, especially if they resemble small pimples, could be folliculitis, which can be exacerbated by sweating, tight clothing, or shaving.

2. Contact Dermatitis: If you have recently changed soaps, detergents, or body washes, you might be experiencing an allergic reaction or irritation from these products. This can lead to red, itchy patches on the skin.

3. Heat Rash: Hot weather or excessive sweating can lead to heat rash, which manifests as small red bumps that can be itchy or painful. This is more common in areas where sweat gets trapped, such as the buttocks and abdomen.

4. Hormonal Changes: You mentioned that the bumps appear more prominently around the time of your menstrual cycle. Hormonal fluctuations can lead to increased oil production and clogged pores, which may result in acne-like bumps.

5. Hives (Urticaria): If the red spots are raised and itchy, they could be hives, which are often triggered by allergens, stress, or temperature changes. Hives can appear suddenly and may resolve on their own.

6. Infections: Bacterial or fungal infections can also cause localized redness and pain. If the bumps are painful and inflamed, it might be worth considering an infection as a potential cause.


Recommendations
1. Avoid Irritants: If you suspect that your symptoms might be due to a new product, discontinue its use and observe if your skin improves. Opt for gentle, fragrance-free cleansers and moisturizers.

2. Keep the Area Clean and Dry: Ensure that the affected areas are kept clean and dry to prevent further irritation or infection. Avoid tight clothing that can trap moisture and heat.

3. Cool Showers: Since you experience itchiness after hot showers, consider taking cooler showers and using lukewarm water instead. This can help reduce irritation and dryness.

4. Moisturize: After bathing, apply a gentle, hypoallergenic moisturizer to help soothe the skin and prevent dryness, which can exacerbate itchiness.

5. Over-the-Counter Treatments: For mild cases of folliculitis or contact dermatitis, topical hydrocortisone cream or anti-itch creams may provide relief. If you suspect an infection, topical antibiotics may be beneficial, but it's best to consult a healthcare provider.

6. Consult a Dermatologist: If your symptoms persist, worsen, or if you develop new symptoms (such as fever or spreading redness), it’s essential to seek medical advice. A dermatologist can provide a proper diagnosis and treatment plan tailored to your specific condition.


Conclusion
While your symptoms may not seem severe, they can indicate underlying issues that require attention. Understanding the potential causes of your skin issues is the first step toward effective management. By taking proactive measures and consulting with a healthcare professional, you can find relief and improve your skin's health. Remember, skin conditions can be complex, and what works for one person may not work for another, so personalized care is crucial.

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