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Hello, I'm Dr. Neal Schultz 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 infection. To help prevent this, very simply after your shower treat this area with 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, it usually 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 are discussed in DermTV episode 15.
In addition, over-the-counter miconazole lotion applied very lightly two or three times a day will often help cure a yeast infection. And by the way this may seem character 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 before the treatment.
Please join me again at DermTV.com. If you have a question, please send it to me by visiting DermTV.com/question. I'm Dr. Neal Schultz and thank you for watching today.
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