instruction: hello doctor I have a super itchy skin rash around my genital not on my genital and on hip it has been there for a few months now first it was around my genitals and hips but now it is on my hips only whenever I used to scratch dead skin and dry blood comes off at first I thought it was just a rash and will go away but now it has been a month and it is not going anywhere it is continuously itchy
output: hi it seems the rash and itching in the groins and waist area could probably be due to a fungal infection of the skin this is very common especially in tropical countries and more so in the hot humid summers to accurately diagnose the same further information like images of the affected area total duration of the rash any other areas affected any discoloration of nails etc is needed if it is indeed a fungal infection the following can be kept in mind treatment of fungal infections includes applications which contain ketoconazole sertaconazole luliconazole etc oral antifungal like terbinafine and itraconazole are often used in combination for better clearance and reducing recurrence local hygiene is very important taking bath daily drying the skin folds after bath keeping soap and towels separate and drying your clothes in sunlight and ironing them before wearing will help to kill the fungal spores so I will recommend evaluation by a dermatologist to decide on the treatment if you have any queries please feel free to reach out hope this helps