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DermTV - How to Treat Under Breast Rashes & Infections [DermTV.com Epi 190]

[music] Hello, I’m Dr. Neal Schultz

[pause]

and welcome to DermTV.

Rashes under the breast tend to occur if the skin of the lower part of the

breast lies flat against the skin below the breast. That tends to happen at

a certain time in life whether it’s from age, gravity, from having had

children or just from the way that you’re built. Whether you know it or

not, your skin perspires all the time but when skin lies flat against

another layer of skin that perspiration or sweat can’t evaporate and

moisture accumulates. When moisture accumulates in closed areas, like skin

against skin, it promotes the growth of bacteria and other germs and that

creates odors and that can lead to infections. The most common infections

that occur in this context, on the under part of the breast, are yeast

infections and bacterial infections. To help prevent this, very simply,

after you shower treat this area with the same antiperspirant that you use

under your arms. If that’s not effective at sufficiently decreasing the

sweating, then take a thin piece of cotton material and place that thin

piece of material under and in the fold below the breast on both sides to

help absorb moisture. If you actually do develop a rash below your breast

usually it manifests as itchy little red bumps with some oozing. Usually

this is very uncomfortable. It’s probably a yeast infection and the best

way to treat it is with milk and water compresses and the instructions, for

those is discussed in DermTV Episode #15. In addition, over the counter

Mikonazol lotion applied very lightly two or three times a day, will often

help cure a yeast infection. And by the way, this may seem counter-

intuitive, but soap in these circumstances is bad- it’s not good and soap

will actually make the infection worse. If these simple measures don’t help

improve your rash then see your dermatologist for further treatment.