What are the possible causes of itchy bumps on the stomach?

Question

Hello doctor,

I have been experiencing a skin issue for about two weeks. I have developed two itchy bumps on my stomach, which initially appeared shortly after a hiking trip. Given their location and proximity (about 2 centimeters apart), I initially suspected insect bites, but I am unsure now. After the first week, they appeared to be improving, with reduced swelling and itchiness. But they have recently become itchy, red, and swollen once again.

What are the possible causes and appropriate steps to address this skin concern? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern regarding the skin issue.

It appears to be a hypersensitivity reaction to insect bites with a possible secondary bacterial infection. I suggest you do the following:

Apply Fucibet (Fuscidic acid cream with Betamethasone) or FM derma (Fluticasone, Propionate, and Mupirocin) cream twice daily for a period of 7 days.
For bathing, please use Cetrimide bar soap for the next 2 months.
Ensure that you decontaminate your surroundings.
When applying the cream, make sure to use clean hands or a cotton tip applicator.
You can also apply a 5 percent Permethrin cream on day 1 and day 7, concentrating on the affected areas. Wash it off after a contact period of 8 to 12 hours.
Maintain proper hygiene, as this plays a significant role in preventing a recurrence.
Avoid scratching or rubbing the affected areas, and keep your nails trimmed.
Consider taking Tablet Levocetirizine 5mg at night after eating for 7 days if itching persists.
You can also take Tablet Ivermectin 12 mg once a week for 2 weeks.

Consult your specialist doctor, talk to them, and then take the medications as per their advice. In the future, take antiseptic measures and precautions while traveling. Stay aware and cautious, and try to minimize stress and maintain a relaxed lifestyle.

I recommend a follow-up after 2 weeks.

Do let me know if there are similar complaints in your family members, if the itching worsens at night, if you have undergone any prior treatment, if you have had a fever, or if you have any other relevant information.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I am sorry to hear about your grandmother's diagnosis of skin cancer. To provide a more accurate and helpful second opinion, I would recommend attaching clinical images of the affected area for further review.

Regards.