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Fungal infection of skin | Do's and Don'ts | Dermatologist | Dr. Aanchal Panth

hello I'm dr. Archer Punk and today we

are gonna discuss a very important topic

which is superficial fungal infection

how to treat and how we can prevent the

recurrence superficial fungal infections

have become an epidemic in India in the

past few years our OPDs are flooded with

patients with superficial fungal

infection and they are coming back to us

with recurrent infection and also drug

resistance meaning that you know

important medicines are not working on

their condition so it's high time that

we understand this condition and know

how to protect ourselves from the fungal

infection and what could be the causes

that are causing this recurrence so we

will look into all these factors in this

video today fungal infection has become

a health hazard it is affecting a large

number of people and in a family

multiple members are affected it has

become an economic burden because these

antifungal tablets are not cheap you

know they are quite expensive when you

have to take these medicines for a

period of about three weeks sometimes up

to three months it can become a very big

economic hazard and can cost you so we

need to understand how we can prevent

these infections and how we can

effectively treat it there are multiple

reasons why there is a sudden rise in

the number of fungal infection few being

organization we are living in smaller

homes now there is overcrowding there

isn't proper hygiene and also longer

commutes making people travel long

distances for work and they are sweating

and all sold because of increased

humidity and increase in use of steroid

creams or over-the-counter creams that

is given by chemists and the most

important being non-compliance to

medication patients are taking

medications stopping them Midway not

completing their course all these are

leading to a rise in the fungal

infections the most commonly seen fungal

infections are caused by dermatophytes

these fungi are skin loving so they

break the upper layer of the skin and

the derived nutrition from

the skin so it can occur in areas

wherever there is water logging or

logging of sweat so areas such as the

armpits such as the groin area in the

buttocks beneath your breasts all these

are areas where you see this fungal

infection so how do they appear they

appear as red round lesions they can be

red sometimes darker colored they are

round lesions with scaling in the

corners and they are they caused

significant discomfort they can be a lot

of itching and in some patients will

have like you know severe infection it

can even cause burning sensation and

irritation which is our complete by a

lot of redness around these lesions so

these are the usual features it usually

starts from the body Falls but can

spread to involve any part of the body

nowadays we are seeing a lot of facial

lesions and not of lesions even on the

arms and extremities that is away from

the body folds so what should you do

when you have a fungal infection first

and foremost you have to consult a

qualified dermatologist or a qualified

health professional who is well equipped

to deal with this condition to properly

diagnose this condition and also treated

effectively and second most important

thing is that you understand your

condition and complete the medication

take the medication as advise for the

number of period that has been advice

this is very important because when you

suddenly start the medicines you feel

that there is an improvement in symptoms

within one or two weeks you feel that

the fungal infection has cleared away

completely but that is not the case the

fungus takes time to get cleared away

from the skin you might get symptomatic

relief but there is still fungus on your

skin so until you get rid of that you

cannot stop the treatment so follow the

doctor's advice take it for the number

of weeks that they have advised you fall

so apply the creams regularly and as

advice do not leave the creams or

medications Midway this will lead

recurrence of the infection so make sure

that you are completing the course as

per the advice of the doctor and one

important thing to understand is that

please do not take medicines from a

chemist store from a pharmacist they can

only dispense the medicines cannot

prescribe it without examining and

nobody should be prescribing your

medicines without examining you

completely so make sure that you're

visiting or qualified professionals for

this condition and you're getting

examined completely before you start the

medications and one more important thing

is always take all the documents with

you whenever you visit a doctor whatever

past medicines you've taken in case

you're having a recurrent infection so

that the doctor has a fair knowledge of

what medicines you've taken in the past

and what not to repeat or you know how

much impact you've had from the last

medicine so this always helps the doctor

in deciding the medication so if you

have taken oral antifungals in the past

for a good two to three months and their

lesions completely resolved and then it

came back again you want to share this

fact with your treating doctor you have

to share the medicines that you've taken

and how long did you take what creams

did you apply all this will help them in

making a decision as to which drug to

prescribe you a fourth this current

infection so see we do understand that

certain antifungal tablets and creams

are slightly expensive and you might not

want to take it for you know two to

three months but just remember that not

treating this infection is going to only

cause recurrence and then it is only

gonna make it more expensive in the long

run so better to treat it properly and

completely in the first row itself or

I'm repeating this again and again but

please understand that you have to

complete the course of the medication

and not stop it Midway and in this video

I will not be naming any brands of

medicine either oral or topical because

what happens is that all these drugs are

dispensed over-the-counter I don't want

you to go and buy these medicines

over-the-counter from a chemist that

completely defies the purpose of this

video right so I want you to get the

knowledge understand why this condition

occurs

why this infection is occurring again

and again and how to treat it but

understand that you have to visit a

qualified dermatologist and then we'll

take treatment any kind of online

consultation or you know just reading

something online and taking medicine is

not going to help you with this

condition especially because it has

become rampant today it needs to be

controlled properly and the course has

to be taken and we also need to look

into your past history so all this can

only be done when you are face to face

with the doctor so remember to visit a

qualified dermatologist so there are

important things you need to understand

when you are having our fungal infection

so there are certain things you need to

do first and foremost you must take a

bath daily ok twice if possible and

after taking a bath you'll wipe yourself

completely

especially you will wipe the areas of

the body for like the armpit the groin

area the buttock area has to be wiped

dry and try to use a shower gel do not

use very big soaps or share soap with

anybody so I prefer to tell my patients

who use shower gel if you do want to use

the soap use a small barrel soap that

can be discarded after a few days so

that even there is a little bit of

fungal infection on the soap you're not

bringing it back onto your skin again

and make sure that all your clothes are

ironed your undergarments are properly

ironed before you wear them make sure

that your towel is washed every day and

your towel has to be ironed

try to use a thin cotton towel not the

thick Turkish towels use thin cotton

towel which can dry easily it is very

important to iron your towel because the

fungus tend to thrive in areas which are

moist so even the towel you know bare in

humid conditions when it is very hot and

you made sometimes the towel does not

dry away completely you can still feel

that it's slightly damp and it is there

that the fungus will go and stick onto

the towel so make sure that it is ironed

try to wear loose cotton clothing

specially your pants do not wear any

denim or any thick material which will

make you sweat and these areas like the

groin the buttock

should be dry so the undergarments need

to be cotton and try to wear cotton

pants which are loose so that there is

aeration there and you there is no sweat

logging so make sure that your pants are

loose and and it is Airy if you're

suffering from fungal infection all your

clothes need to be washed separately not

with the other family members otherwise

there is always a chance of the

infection being transferred to other

family members so your clothes are going

to be washed separately sun dried and

ironed if you workout in the gym

make sure that you're wearing sweat

absorbent material your clothes have to

be sweat absorbent and as soon as

official workout go for a bath and dry

yourself and change your workout clothes

regularly give it for a wash every day

and also wear it only after I mean you

keep your nails short sometimes nails

could be the place where this fungus is

hiding right so your nails need to be

short and try not to scratch yourself if

you do feel like scratching you can

apply me a little bit of an antifungal

cream or a little bit of a calamine

lotion to give you the soothing effect

but do not scratch scratching will enjoy

your skin further it will also transfer

the infection into your fingertips and

then when you scratch somewhere else

there is tons chance of transfer so that

is something you don't want to do also I

cannot stress on this point more take

the medicines properly for the number of

weeks or months that has been prescribed

to you by the doctor and whatever dreams

that you've been given apply it in a two

centimeter margin beyond the lesion so

you'll apply it within the lesion as

well as two centimeter margin beyond so

this will also help in preventing

recurrence steroid creams have been

implicated in worsening of the fungal

infection also the epidemic that we are

seeing steroid you know kind of reduces

the inflammation for some time so you

feel that your infection has become

better but the fungus is multiplying

right so it is not actually helping you

it is only reducing the reaction of your

body to the fungus but it is not

taking care of the fungal infection so

it is only making the condition worse

and is also thought to give rise to

resistant strains so please do not use

any steroid creams when you're having

fungal infection and always use creams

only after understanding what it

contains and how the components work so

this is a patient who had used steroid

cream in his groin area which he took

over the counter without consulting any

doctor he had used it for about three to

four weeks and as you can see he has

developed stretch marks in this area so

please do not use any creams containing

steroid in your groin area or anywhere

else on your skin without consulting our

doctor I'll be listing down the names of

steroids in the description box below

you can check these components and in

your creams and do not use those creams

in such areas you should be using only

plain antifungal creams in this area as

there should be no steroid combination

applied in areas such as groin under the

breasts and in your armpit so please

know what your screams contain before

you use them I hope you found this video

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thank you for watching