“Bar rot” commonly refers to skin conditions affecting the hands or feet, often due to fungal infections exacerbated by moist environments.
Recognizing Bar Rot
“Bar rot” is a fungal skin infection, often tinea manuum (affecting the hands) or tinea pedis (athlete’s foot). Dermatophytes, a type of fungi, cause these infections. Fungi thrive in warm, moist environments, making hands and feet particularly susceptible.
Common affected areas include the skin between fingers and toes, palms, and the back of hands. Symptoms include redness, itching, and scaling. Skin may also peel, blister, or burn. Thickened skin and deep cracks, especially on the palms, can also occur.
Home Treatment Approaches
Treating “bar rot” at home involves over-the-counter antifungal medications and diligent hygiene. Antifungal creams, sprays, or powders are effective, with active ingredients such as clotrimazole, miconazole, or terbinafine. These topical treatments work by killing the fungus or preventing its growth.
To apply, wash and thoroughly dry the affected area before gently rubbing a thin layer of the antifungal product onto the skin, extending slightly beyond the visible rash. Apply the medicine two to three times a day for two to four weeks, even if symptoms improve sooner, to fully eradicate the infection. Failing to complete the full course can lead to the infection returning.
Maintaining proper hygiene is also important during treatment. Keep the affected skin clean and dry, paying close attention to drying thoroughly between digits after washing. Wearing breathable materials, like cotton socks, and changing them frequently can help reduce moisture, which supports fungal growth. Avoid scratching the infected area, as this can spread the fungus to other body parts.
Preventive Measures
Preventing the development or recurrence of “bar rot” involves controlling moisture and practicing good hygiene. After washing hands or feet, thoroughly dry them, especially in skin folds and between toes, as fungi thrive in damp conditions. Using absorbent powders can help keep these areas dry.
Choosing appropriate footwear and handwear is beneficial. Opt for breathable shoes, and change socks daily, or more often if they become wet. If gloves are necessary for work, consider using cotton liners to allow hands to breathe and reduce moisture buildup. Avoid sharing personal items like towels, shoes, or combs, as fungal infections are contagious and can spread through direct contact or shared objects.
When to Consult a Doctor
While many cases of “bar rot” can be managed at home, professional medical attention is sometimes appropriate. Consult a doctor if symptoms do not improve after one to two weeks of consistent home treatment, or if they worsen. This includes increased redness, itching, pain, or severe blistering.
Seek medical evaluation if the rash spreads or if there are signs of a secondary bacterial infection, such as pus, increased swelling, or fever. Individuals with underlying health conditions, such as diabetes or a weakened immune system, should seek medical advice promptly if they suspect a fungal infection.