<s>[INST] Dear Doctor, I think I am suffering from a severe case of groin itch. The skin around the area has turned black. I drive my own cab the entire day & at times the itching becomes severe, especially at night while sleeping. I have applied Clotrimazole Cream IP & I do get some relief but it keeps coming back. Usually during severe itching, I feel small lumps which itch the most! It is really embarrassing especially when am with clients sitting in my cab, Please Help! [/INST] Hi. I have gone through your query.You are having a Fungal infection in the groin area.I would suggest the following: 1 Keep the groin area dry.2 Take an Antifungal Flucanazole 200mg once a week for 4 weeks.3 Take an Antihistamine Levocetrizine 5 mg at bed time.4 Use a topical cream Antifungal,  Antibiotic,Corticosteroid for local application.Use the cream for 2 weeks after becoming symptom free. </s>