“Scrotal warming” can cause “jock itch” or a ringworm infection from tinea cruris. The ideal place for fungi to grow in the body would be an enclosed space that stays wet from sweat.

So think of the groin and buttocks enclosed by underwear or socks covering the feet the whole day in athlete’s foot

The fungus in athletes’ is tinea pedis. The most commonly seen is inter digital space infection (toe web) which is felt as an uncomfortable, squishy sensation in between the toes.

That’s because the skin is either cracked or macerated as the fungi eats it away. Don’t worry, you won’t mistake it for something else because your feet will smell bad.

The sole and heel skin may crack and peel oftentimes, the nails are infected as well. This is the moccasin type of athletes’ foot. Perhaps the most bothersome is the vesicular infection in which blisters appear on the front becoming red and inflamed with pressure.

Any of these, increased the likelihood of getting fungal infections:

** Depressed immune system, from diabetes or cancer; use of public showers (gym, swimming pool) without slippers; enlarged prostate; and diabetes.

Signs and symptoms include: a) Itching or burning sensation. b) Cracking or peeling of skin. c) Itchy buttocks, groin, inner thighs. d) Foul smelling feet (in athletes’ foot). e) Blisters (in vesicular infections). f) Skin breakdown (maceration).

For diagnosis, visit a certified dermatologists or a general/family medicine practitioner. Although by visual inspection diagnosis may be reliable, you can insist of some tests. A potassium hydroxide (KOH) medium will demonstrate a fungal colony in skin or nail scrapings.

In special cases, the doctor may request a fungal culture or even a skin biopsy.

For treatment, over the counter anti fungal powders, creams and spray are available. Do not take anti-fungal pills without prescription. Side effects have to be monitored.

Fungal infections generally responds to medication and the common problem is discontinuing the treatment course. This makes recurrence more likely. Continue applying the medication even when the infection has cleared, usually for one to two weeks more. For good measures, herewith, are preventive measures that may save you from the discomfort and embarrassment of jock itch or athletes’ foot.

a) For men wear loose like boxer’s shorts instead of briefs. b) Women should wear less sweating fabrics like cotton. c) Bring your own slippers in public showers. d) Wipe damp feet after bath or washing and keep dry with foot sprays and powders. e) Use cotton socks. f) Use sandals or slippers during hot days. g) Keep shoe insides dry. h) Avoid tight, ill fitting shoes.

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