Article: If the condition doesn't improve within two weeks of home treatments, then you either require a prescription-strength antifungal option, or it may be possible that your jock itch is bacterial instead of fungal. Your doctor will also be able to prescribe antibiotics if this is the case. Your doctor will likely swab the affected area and send the swab to a lab for a culture. This skin culture will help your doctor determine whether the jock itch is indeed fungal or caused by bacteria (commonly staphylococcus). If your doctor determines that the condition is fungal, but over-the-counter treatments didn't work for two (or more) weeks, then your doctor will likely recommend a prescription-strength antifungal cream. These options include: Oxiconazole 1% (Oxistat) Econazole 1% (Spectazole) Sulconazole 1% (Exelderm) Ciclopirox 0.77% (Loprox) Naftifine 2% cream Note that econazole, sulconazole, ciclopirox, and naftifine cannot be used in children. The side effect of these drugs include burning sensation, skin irritation, stinging, and redness. If your case of jock itch has been recurrent or if you are immunosuppressed (such as those with HIV), then your doctor may suggest stronger, oral antifungal drugs. These options may include: Griseofulvin 250 mg twice daily until cure is reached Terbinafine 250 mg/day for 2-4 weeks Itraconazole 200 mg/day for 1 week Fluconazole 150 - 300 mg/week for 2-4 weeks Ketoconazole 200 mg/day for 4-8 weeks Note that these medications cannot be used in children or in pregnant women. The common side effects of these drugs include liver damage, dizziness, seizures, nausea, and vomiting. When prescribed, physicians generally monitor the patient's liver functioning periodically. If the culture confirms that your condition is actually the result of a bacterial skin infection, then your doctor will discuss antibacterial creams to apply to the area. These options may include: Erythromycin applied twice daily Clindamycin applied twice daily Metronidazole applied twice daily Your doctor may also recommend that you use an antibacterial soap to wash the skin before applying these. OTC antibacterial soaps include Lever 2000 or a chlorhexidine soap such as Hibiclens. For more-severe cases of bacterial jock itch, your doctor will prescribe a course of oral antibiotics. Depending on the drug, the prescription could be for anywhere between 5 and 14 days. Some of these antibiotics include: Cephalexin (Keflex) Dicloxacillin Doxycycline Minocycline (Dynacin or Minocin) Erythromycin
Question: What is a summary of what this article is about?
See your doctor if the condition doesn't improve in two weeks. Discuss prescription antifungal creams. Ask about oral antifungal medications. Discuss topical antibiotic options. Inquire about oral antibiotic options.

Guilt can be productive; it can help us grow and mature and, most importantly, learn from our behavior when we offend or hurt others or ourselves. This type of guilt serves a purpose and encourages us to redirect our moral and/or behavioral compass. For example, if you said something offensive to a close friend over which you feel guilty because it upset them, you will learn not to say those types of things or else you risk losing friends. In other words, you will learn from your mistake. In this sense, then, the guilt has worked productively to positively reshape your behavior. To give another example, if you feel guilty because you ate an entire bag of chips, that's your brain's way of reminding you about a behavior you probably already know is unhealthy and can adversely affect your well-being. Thus, the rational feeling of guilt motivates you to reflect on and change your behavior for the better. Guilt can also be unproductive, in the sense that you feel guilt even when your behavior doesn't need reflection or transformation. This is irrational guilt that can devolve into a cycle where you begin to feel guilty when there is nothing to feel guilty about and you then ruminate on that guilt. For example, many first-time parents worry about going back to work because they think leaving their child with a nanny or in daycare will cause unknown damage to their child's mental and physical development. In reality, however, that's just not the case; in fact, most children develop normally irrespective of whether one or both parents work. There's nothing to really feel guilty about in this situation, but many people do, nevertheless. Put differently, this feeling of guilt doesn't produce anything but more irrational guilt. Unproductive guilt can have adverse effects on your cognitive well-being. For example, you may become overly self-critical, experience low self-esteem, and doubt your self-worth. It is important to recognize that sometimes we feel guilty for things over which we had no control, such as a car crash or not arriving in time to say goodbye to a loved one before he passed. Sometimes people involved in such traumatic events overestimate their knowledge of the event and what they could have done. In other words, these individuals think they could or should have done something but, in reality, could not have. These intense feelings of guilt can produce feelings of helplessness and a feeling of having lost control. For example, perhaps you feel guilty that you survived a car accident, while your friend was killed. This is known as survivor's guilt, which often emerges when we try to explain and make sense of traumatic events that we experience. In the case of serious guilt, you may want to seek professional help from a therapist who can help you work through your feelings of guilt. Engage in self-exploration to really get in touch with your feelings and to determine that it is guilt that you are experiencing and not another emotion. Studies using MRI scans of the brain have shown that guilt is an emotion that is distinct from shame or sadness. At the same time, these studies show that shame and sadness were often also present and correlate with guilt. Thus, it is important that you spend some time reflecting on your feelings in order to precisely pinpoint what you need to address. Define your thoughts, feelings, surroundings, and body sensations. You can do this cognitively, through the practice of mindfulness, meaning that you just focus on what you're feeling in that moment without judgement or reaction. Alternatively, you can write your feelings down in a journal. Writing out what you're experiencing can help you clarify those emotions as you try to put them into words. Example: I am feeling overwhelmed today with guilt, and I also feel sad. I can't stop thinking about it. I can tell that I'm stressed because I have a tension headache, tension in my shoulders, and a nervous feeling in my stomach. Think about what is causing these guilty feelings. Again, consider writing everything down to begin the process of working through the feeling of guilt. Here are some examples: "I let Fido out and he got run over by a car. I feel guilty that Fido is now dead because our whole family loved him so much." "I didn't study for the exam and I got an F. I feel guilty that I let my parents down because they pay so much for me to go to school." "I broke up with Bobby. I feel guilty that he hurts so much." "My friend's mom passed away, and my mom is still alive and healthy. I feel guilty because my friend's life is in pieces and mine is perfect." You will have to accept that you cannot change the past or what has happened. Acceptance also involves acknowledging difficulty and recognizing that you are able to withstand painful feelings in the present moment. This is the first stage in dealing appropriately with your guilt and moving forward. It is helpful to tell yourself affirming statements that emphasize acceptance and tolerance. Examples of these statements are: "I know dealing with guilt is hard, but for now I know I can endure." "This is difficult, but I can accept what has happened and not fight or avoid this feeling - it is what it is."
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One-sentence summary --
Understand productive guilt. Understand unproductive guilt. Understand that sometimes we feel guilt for events out of our control. Reflect on your emotions and experiences. Clarify exactly what it is you feel guilt about. Accept guilt.