What Causes A Scab On The Intergluteal Cleft?

Posted on Fri, 5 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 5 May 2017 Answered on

Thu, 25 May 2017 Last reviewed on

Question : What is this scab? I have only had anal sex once which was like 10 months ago, i got tested twice after that and turned out to have nothing but stuff like this worries me. I only get 1 or 2 at a time every once in a while and its only around the hairy parts of my buttcrack. But this one is closer to my scrotum. Could it be folloculitis? Why would it keep occuring if so? Im 22, Is it cause i have more hair growing down there or what ? Its a little itchy by the way.

Answered by Dr. Ramesh Kumar (48 minutes later)

Brief Answer:
Recurrent bacterial infection.

Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
Have gone through the pictures attached by you along with details and i appreciate your concern.

It looks like bacterial infection of the skin.Its not foliculitis neither is it a wart.Most common reason behind its recurrence is incomplete eradication of bacteria causing infection.

Please follow the treatment as suggested below for complete eradication of this infection.
Firstly take a swab sample of scab and send it to lab for culture and sensitivity.This test will help us to know which bacteria is involved in this infection

Start taking Cefixime 200mg twice daily for 10 days.(Broad spectrum antibiotic).
Take antihistaminic like Fexofenadine 180mg once daily.(for itch) for 3 days
(Chymotrypsin and Trypsin) containing tablet twice daily(promote healing. for 5 days
Use ointment mupirocin locally on the scab.

Antibiotic is the main stay of treatment.Continue antibiotics till the scab dries away and sheds completely.

Hope i answered your query well.
Follow up with reports.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Ramesh Kumar (3 hours later)

Is it okay to have sex? I wouldnt want to give this to someone else if its contagious

Answered by Dr. Ramesh Kumar (7 minutes later)

Brief Answer:
Follow up.

Detailed Answer:
Hi again,
Refrain from having sex for 5 to 7 days.If you take medications then this scab will shed away in 5 to 7 days.As most likely its caused by bacterial infection hence partner can also get it from you.Thus though sex is not contraindicated yet for her safety try to avoid it for few days.
Regards.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj