Scrotal eczema

　　With the warming of the weather, the body tends to sweat more, especially for men's private parts, which are prone to scrotal eczema. Scrotal eczema is a common urological disease. This disease is characterized by severe itching and polymorphic rashes. The causes of scrotal eczema are relatively complex, involving both internal and external factors.

　　1. Internal factors

　　Common internal causes include allergic constitution, people with long-term mental stress, and those with significant mood fluctuations are prone to this disease; in addition, people with certain diseases, such as chronic digestive system diseases, gastrointestinal dysfunction, endocrine disorders, and metabolic disorders, are also prone to this disease.

　　2. External factors

　　Common external causes include external stimulation, cold or heat, excessive sweating, and excessive scratching; tight underwear, or friction from foreign objects, and wearing synthetic underwear can trigger scrotal eczema; a damp living and working environment, with high humidity; drug factors are the main cause of certain eczema, especially eczema-type drug eruptions. Generally, any drug has the possibility of causing eczema-type drug eruptions.

　　Male friends are especially prone to infections in summer, which can lead to various reproductive diseases, and scrotal eczema is a disease that males are prone to contract. Scrotal eczema not only affects the patient's life and work, but may also cause other complications. What are the complications of scrotal eczema? Let's take a look together below:

　　1. Scrotal pruritus

　　The symptoms of scrotal pruritus are itching of the scrotum skin, but no rash can be seen. Due to constant scratching by the patient, the skin of the affected area often becomes thickened and lichenified.

　　2. Chronic scrotal eczema

　　The symptoms of chronic scrotal eczema are: localized to the scrotum skin, sometimes extending to the perianal area, and a few cases may extend to the penis. Severe itching. Eczema, erosion, and exudation can be seen. Complications of scrotal eczema.

　　3. Tinea Cruris

　　Scrotal eczema may trigger tinea cruris, with the main symptoms being: itching on the inner upper side, root, and inguinal region of the thigh, with small papules, small blisters, and desquamation. Initially, it appears as red papules, which gradually become patchy (semicircular or arc-shaped), with clear borders and slightly elevated edges over the skin.

　　4. Candidal Infection

　　Scrotal eczema may be complicated by candidal infection, with the main symptoms being: penile itching, red papules, and white desquamation.

　　Acute scrotal eczema is characterized by pinpoint-sized papules and blisters on the scrotum epidermis, with edges showing a diffuse pattern. As it continues to develop, blisters may sometimes fuse to form larger blisters, which break to form erosion surfaces with exudation. The serum dries to form crusts, the scrotum becomes red and swollen, and secondary infection may lead to pus discharge. After that, inflammation gradually subsides, redness and swelling decrease, secretions decrease, and papules and blisters no longer occur, and the erosion heals. However, some patients may develop lichenification due to scratching, making the skin look infiltrated and thickened, indicating that the acute eczema has transformed into chronic eczema. According to the characteristics of the patient's skin damage, it can be divided into three types: acute, subacute, and chronic. The specific manifestations are as follows:

　　1. Acute Scrotal Eczema

　　The main自觉symptom of acute scrotal eczema is itching, and patients often discover this disease due to the itching of the scrotum. As the condition progresses, itching gradually worsens, and scratching does not alleviate the itching. In severe cases, it can affect sleep and work. The rash symptoms include the following points:

　　1. Small papules, blisters, and small vesicles Small papules or small vesicles of millet size can be found densely distributed on the scrotum, with a red base.

　　2. Due to itching, scratching breaks the papules, vesicles, and other skin lesions, leading to continuous secretion of serum, often wetting the underwear, forming an erosion surface.

　　Additionally, local washing with soap water and scratching can worsen the skin damage, and drinking, insomnia, and tension can also exacerbate the skin damage.

　　2. Subacute Scrotal Eczema

　　Scrotal eczema is derived from acute scrotal eczema, characterized by mild thickening and erosion of the scrotum skin, with more scales and very little exudation, but still with severe itching. If subacute scrotal eczema is not treated in time, it may become chronic scrotal eczema after prolonged duration or repeated episodes. It is characterized by the scrotum skin gradually thickening and roughening, appearing dark red or gray-brown, the folds becoming large, resembling the shell of a walnut, with scales attached. During the course of the disease, symptoms of acute or subacute scrotal eczema, such as erosion and exudation, may appear due to severe itching and scratching.

　　3. Chronic Scrotal Eczema

　　Due to the long duration and continuous scratching, the scrotum skin becomes dry, thick, and皱deep, resembling the skin of a walnut, often with thin crusts and scales, and the skin pigmentation deepens; there are also cases where scratching causes the pigmentation to fade. According to clinical manifestations, it is divided into two types: dry type and damp type. The damp type is characterized by the entire scrotum swelling and protruding, with mild erosion, exudation, crust formation, and obvious infiltration, thickening, deep and broad wrinkles, slightly shiny, pigmentation deepening, and the scrotum significantly larger than normal. Due to severe itching, there are numerous scratch marks. Another type is the dry type, where the swelling and thickening are not as prominent as the former, with thin crusts and scales, appearing gray. Due to infiltration and thickening, there are cracks, and there may be irregular pigmentation loss.

　　Scrotal eczema is the most common type of eczema, confined to the scrotal skin, sometimes extending to the perianal area, and a few can extend to the penis. This disease is extremely itchy, and the rash shows polymorphic changes, which is easy to relapse. It can be treated, and to achieve the goal of根治, personal hygiene should be paid attention to, and good drugs should be chosen for continuous treatment.

　　Experts introduce that there are many and complex reasons for male scrotal eczema, including internal factors and external factors. People with allergic constitution are more prone to the disease due to their long-term stress or great fluctuations in emotions; if men live and work in a damp environment, the humidity of the air at this time is also easy to lead to the occurrence of scrotal eczema, so how do men prevent scrotal eczema?

　　1. The patient must pay attention to reasonable diet, never smoke or drink alcohol, and do not eat spicy and刺激性 food, such as fish, shrimp, crab, lamb, fresh mushrooms, and leeks. After the patient's condition improves a little, they can eat a little less, and leftovers are easy to cause allergies, so it is advisable to eat more fresh vegetables and fruits.

　　2. The patient must control their hands, and if the rash itches, it can be locally applied with medicine, but it cannot be scratched with hands. Scratching is a malignant stimulation to the skin, which can worsen the rash and lead to subsequent erosion, discharge, and secondary infection.

　　3. During bathing, do not take a bath during the acute stage of eczema, and do not use hot water to soak when the condition is relieved, as soaking is also a kind of stimulation that can worsen the rash. In dry seasons, it is enough to take a bath once a week, and it is not advisable to use alkaline bath products, and it is advisable to choose mild bath products.

　　4. The environment where the patient lives should be simple and natural as much as possible. The smell of furniture, the fragrance of flowers, and the scent scattered in the air can easily worsen the condition due to allergies, which should be paid attention to; the patient's intimate clothing, bedding and quilts should be made of cotton, and it is best not to wear synthetic fibers that can irritate the skin, and it is necessary to change clothes and household items frequently.

　　5. Men should develop the good habit of washing their lower body with warm water before going to bed, and pay attention not to use too hot water. When washing, attention should be paid to the order, and the wiping direction should be from top to bottom, from front to back, that is, wash the penis and scrotum first, and then wash the anal area. Prepare a soft towel separately for wiping. If the prepuce is too long and there is fear of surgery, it is even more necessary to be diligent, and daily cleaning is indispensable. Each time the prepuce should be pulled back, and the smegma should be cleaned thoroughly.

　　6. Men's underwear should be soft and breathable, not tight, and it is best not to wear jeans. Instead, wear loose pants more often to let 'it' cool down and breathe. In addition, it is not advisable to sleep in tight underwear, as this can allow the private parts to enjoy a rare comfortable feeling in the quiet night.

　　7. The standard reference value for normal male semen in the late 1980s was 120 million sperm per milliliter, but now it is only 20 million per milliliter; among 6 couples in the childbearing period, there is one couple with infertility; a significant decrease in sperm count and infertility are closely related to poor lifestyle. For example, sitting on soft sofas for a long time or driving for a long time can compress the private parts, thus squeezing the blood supply to the arteries, blocking the venous outflow, and causing the reproductive organs to be deformed, which will inevitably affect their function.

　　Scrotal eczema is the most common type of eczema, confined to the scrotal skin, sometimes extending to the perianal area, and a few can extend to the penis. This disease is very itchy, with polymorphic skin rash, easy to relapse, and can be treated. To achieve the goal of radical cure, personal hygiene should be paid attention to, and good drugs should be chosen for continuous treatment to avoid infection. To diagnose this disease, the following examinations are needed:

　　1. Blood routine examination sometimes shows an increase in eosinophils, and there are no specific tests. When there is an infection, the total white blood cell count can increase.

　　2. Finding microfilariae under the microscope in blood smears has diagnostic value for diagnosing scrotal elephantiasis; measuring human chorionic gonadotropin (HCG) and alpha-fetoprotein (AFP) in blood or urine is of great significance for diagnosing testicular choriocarcinoma or embryonal carcinoma.

　　3. The main imaging diagnostic methods include Doppler ultrasound, radionuclide angiography, and infrared scrotal temperature recording method, etc. A comprehensive diagnosis based on these diagnostic ideas.

　　Scrotal eczema is common, but people should also pay attention to understand some details of scrotal eczema. The key to dealing with scrotal eczema is to pay attention to the symptoms, so that timely treatment can be carried out. Severe scrotal eczema can also develop into other complications, making treatment more difficult, so it is said that scrotal eczema is very harmful to the body, and timely treatment is needed once it occurs. While following the doctor's advice for treatment, patients should also pay attention to their diet.

　　First, the appropriate diet for patients with scrotal eczema

　　(1) Shrimp

　　Shrimp has a delicious taste and can invigorate the Yang, benefit the kidneys, replenish essence, and promote lactation. It can be used as a nourishing food for those with long-term illness, weakness, shortness of breath, and lack of appetite. Regular consumption of shrimp can strengthen the body and build strength.

　　(2) Sea asparagus

　　Also known as pearl vegetable and shellfish. It is rich in protein, iodine, B vitamins, zinc, iron, calcium, phosphorus, and other nutrients. It tastes salty, has a warm nature, and has the effects of warming the kidneys, consolidating essence, and invigorating the body. It is suitable for men with sexual dysfunction, spermatorrhea, impotence, sexual exhaustion, and diabetes. Regular consumption can strengthen the body and enhance sexual function.

　　(3) Eel

　　It has a sweet taste and a neutral nature, with the effects of replenishing the middle, benefiting Qi, nourishing the kidneys and generating essence. It has a good effect on regulating sexual function. Eels contain a special protein that promotes spermatogenesis. Adult men who often eat eels can invigorate their bodies and strengthen their health.

　　(4) Donkey meat

　　Traditional Chinese medicine believes that donkey meat has a sweet and cool taste, with the effects of replenishing Qi and nourishing blood, nourishing Yin and strengthening Yang, calming the mind and relieving anxiety. Donkey kidney, with a sweet and warm taste, has the effects of benefiting the kidneys and strengthening Yang, strengthening the tendons and bones. It can treat symptoms such as impotence, soreness in the waist and knees, etc.

　　(5) Quail

　　The meat and eggs of quail are both good tonics, with a strengthening effect. Traditional Chinese medicine believes that quail meat can 'tonify the five internal organs, benefit the essence and blood, warm the kidneys and assist Yang'. Men who often eat quail can enhance sexual function and increase their strength and strengthen their tendons and bones.

　　Eating the above foods is beneficial for the recovery of body diseases for patients with scrotal eczema, and in order to recover from the disease as soon as possible, some things need to be avoided.

　　II. Dietary taboos for patients with scrotal eczema

　　1. Avoid eating spicy and stimulating foods

　　Such as chili, pepper, scallions, garlic, etc. These foods will stimulate the blood vessels in the rectum, causing congestion and expansion, causing pain and a sense of weight during defecation, thereby exacerbating or triggering hemorrhoids. Alcohol can cause hemorrhoidal veins to become congested, expanded, and cause hemorrhoids to swell.

　　2. Avoid the habit of overeating

　　Many people have developed the bad habit of 'eating according to the dish', eating less when the dish is bad and eating more when the dish is good. Such irregular eating habits affect gastrointestinal function, damage the spleen and stomach, leading to the internal generation of dampness, heat, phlegm and turbidity, which often leads to hemorrhoid bleeding, especially after excessive eating and drinking. This can make the abdomen swell greatly, increasing abdominal pressure, affecting the blood回流 of hemorrhoidal veins, thereby aggravating the condition.

　　3. Avoid eating rich and sweet foods

　　Such as high-calorie, high-fat foods like chocolate, pork feet, etc. These foods can stimulate the mucous membrane and skin of the rectum and anal canal, causing obvious congestion, exacerbating hemorrhoids, and causing prolapse. The fourth is excessive drinking. Traditional Chinese medicine believes that hemorrhoids are mostly due to damp-heat, and drinking can exacerbate the damp-heat, and alcohol can cause hemorrhoidal veins to become congested, expand and curve, causing hemorrhoids to swell. Clinically, most hemorrhoid patients are particularly sensitive to alcohol, usually feeling discomfort in the anal area half an hour after drinking, and bleeding the next day. If alcoholism occurs, the consequences will be more serious. Therefore, those with hemorrhoids should avoid alcohol. Other factors include long-term wearing tight jeans, sitting for a long time in a humid environment, etc.

　　Scrotal eczema is a relatively common urological disease in men, which brings about embarrassment due to the itching in the intimate area. Many men suffer from the troubles caused by scrotal eczema. The scrotum, as part of the male reproductive organs, has the ability to contract and expand, and is rich in sweat glands, which can regulate the temperature around the testicles. If scrotal eczema occurs, the temperature around the scrotum will rise, leading to abnormal spermatogenesis in the testicles and a decrease in male fertility. Immediate treatment is required once the disease occurs.

　　Firstly, the Western treatment of scrotal eczema

　　1. Common internal therapy

　　① Antihistamines such as chlorphenamine, cetirizine, ceterizine, loratadine, etc. During an acute attack, non-specific desensitization therapy can be added, such as intravenous injection of calcium gluconate or sodium thiosulfate.

　　② In addition, vitamin C, B vitamins, and drugs that adjust nerve function also have auxiliary therapeutic effects.

　　③ Corticosteroids have certain side effects and recurrence is quick after discontinuation, so it is generally not recommended for systemic use.

　　2. External therapy is the main treatment method for scrotal eczema

　　① For skin lesions with excessive exudation, physiological saline or 3% boric acid solution can be used for cold wet敷, 3 to 5 times a day, each for 30 minutes; when exudation is less, zinc oxide ointment can be used alone or alternated with corticosteroid cream; for chronic scrotal eczema, the main treatment is corticosteroid cream or ointment.

　　② For those with secondary bacterial or fungal infections, antibacterial or antifungal preparations should be added.

　　③ Certain traditional Chinese medicine also has a good therapeutic effect on scrotal eczema.

　　Secondly, the care of scrotal eczema

　　1. Once suffering from scrotal eczema, treatment should be actively sought under the guidance of a dermatologist, and self-treatment should not be attempted due to privacy reasons. Improper medication, or even using the wrong medication, can lead to prolonged or even worsened condition.

　　1. For elderly people over 50 with chronic, non-healing scrotal eczema-like skin damage with distinct edges, vigilance should be raised, and medical treatment should be sought promptly to exclude the possibility of extramammary eczema-like cancer. Extramammary eczema-like cancer often occurs in elderly males, and when the lesion is located in the scrotum, the clinical manifestations are similar to those of scrotal eczema.

　　2. Long-term use of high-concentration, high-efficacy corticosteroid preparations for external application is prone to local skin atrophy, capillary dilation, pigmentation, and other side effects, and may lead to dependence on hormones. Therefore, it is recommended to choose corticosteroid drugs with low刺激性 for external application under the guidance of a dermatologist, and use them regularly.